Datos de la Historia clínica y Del Examen físico y neurológico Que Orientan al diagnóstico de Dolor Originario en la articulación sacroilíaca
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 140
- 试验地点
- 2
- 主要终点
- Final diagnosis
研究概览
简要总结
There are many patients coming daily to our office with the complaint of chronic lumbosacral pain radiating or not to the legs that need a proper diagnosis before any treatment is decided. The diagnosis, based mostly on radiological exams, carries a risk of failure to diagnose the sacroiliac joint as the cause of the pain. The study proposes that a quick interrogatory followed by a physical exam with the adequate provocative testing can raise the suspicion of the diagnosis that the pain is originating from the sacroiliac joint. Thereafter, a diagnostic sacroiliac joint block can be performed. The study aims to correlate findings from patient history and physical examination with eventual diagnosis.
详细描述
This is a prospective cohort study of patients seeking care for chronic low back pain. All patients will undergo a detailed history and physical examination, followed by other indicated diagnostic testing. The analysis will correlate findings from patient history and physical examination testing with the eventual diagnosis. The goal of the study is to identify key historical and physical examination criteria that raise the suspicion for sacroiliac joint pain, which is commonly underdiagnosed. Failure to diagnose a health condition could lead to inappropriate surgery.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient being evaluated in clinic for chronic low back or buttocks pain with or without radiation to the legs
排除标准
- •Patient has already undergone surgery for the condition of interest
- •Inflammatory condition
- •Active cancer
研究组 & 干预措施
Sacroiliac joint pain
Patients diagnosed with sacroiliac joint pain on the basis of history, physical examination and diagnostic sacroiliac joint block
干预措施: Complete clinical examination (Diagnostic Test)
Lumbar pain
Patients diagnosed with other chronic lumbar pathologies on the basis of history, physical examination and radiographic studies
干预措施: Complete clinical examination (Diagnostic Test)
结局指标
主要结局
Final diagnosis
时间窗: 1-2 months
Number of participants diagnosed with each condition of interest
次要结局
未报告次要终点
研究者
Vicente Vanaclocha
Associate Professor of Medicine
University of Valencia