权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

RETRODISPLACEMENT & SPONDYLOLISTHESIS--BRACE TREATMENT

复古排量

基本信息

批准号：
3156796
负责人：
James N Weinstein
金额：
$ 12.44万
依托单位：
UNIVERSITY OF IOWA
依托单位国家：
美国
项目类别：
财政年份：
1985
资助国家：
美国
起止时间：
1985-04-01 至 1988-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/3156796
关键词：
backache disease /disorder classification musculoskeletal disorder diagnosis musculoskeletal imaging /visualization /scanning orthotics questionnaires radiography sign /symptom spine disorder therapy therapy compliance

项目摘要

This project proposes to study the effect of bracing on homogenous low back pain patients classified by the presence or absence of either excessive anterior or posterior translation on flexion-extension radiographs. Patients with back pain of four weeks' to one year duration are classified into four groups: retrodisplacement - worse in extension, retrodisplacement - worse in flexion, spondylolisthesis (of any type), and normal translation. Each classified group is randomly assigned to flexion, extension, or non-specific education treatment. Flexion and extension treatments include specific education and exercises as well as brace treatment. To accomplish these specific aims, the following hypotheses will be tested: (1) Patients with radiographic retrodisplacement (reverse spondylolisthesis) and low back pain of greater than four weeks' duration who demonstrate greatest displacement on an extension radiograph will respond more favorably to a flexion orthosis than three other patient groups: (a) those with the same x-ray findings treated with an extension orthosis, (b) those with the same x-ray findings treated with nonspecific low back education, and (c) patients with normal radiographic translation treated with the same disregard orthosis. (2) Patients with radiographic retrodisplacement and low back pain of greater than four weeks' duration who demonstrate greatest displacement on the flexion radiograph will respond more favorably to an extension orthosis than three other patient groups: (a) those with the same radiographic findings treated with a flexion orthosis, (b) those with the same radiographic findings treated with nonspecific low back education, and (c) patients with normal radiographic translation treated with the same extension orthosis. (3) Patients with radiographic anterodisplacement (spondylolisthesis of any type) and low back pain of four weeks' duration will respond more favorably to a flexion orthosis than three other patient groups: (a) those with the same x-ray findings treated with an extension orthosis, (b) those with the same x-ray findings treated with nonspecific low back education, and (c) patients with normal radiographic translation treated with the same flexion orthosis. (4) The response to either a flexion or extension orthosis can be predicted by: (a) radiographic measurements, and (b) clinical symptoms and signs, or psychosocial variables.

本课题拟研究支具对均匀性腰背的影响