痛みや身体的制約以上のもの:回転カフの損傷に関連した認知能力の低下

Poyu Chen^1,2,3, Chih-Hao Chiu^4,5, Po-Tsun Chen^4,6

¹Department of Occupational Therapy and Graduate Institute of Behavioral Sciences, Chang Gung University, Taoyuan, Taiwan. poyuchen@mail.cgu.edu.tw.

Journal of orthopaedic surgery and research

|September 2, 2025

まとめ

回転カフットの損傷は痛みだけでなく睡眠や不安によって認知に影響しますこれらの怪我による身体的制限は軽度の認知障害 (MCI) のリスクを高めます

科学分野:

整形科とスポーツ医学
神経学と認知科学
精神科と精神保健

背景:

ローターカフ (RC) の損傷は肩の痛み,機能の制限,睡眠障害,感情的苦痛を引き起こします
これらの症状とRC患者の認知機能低下との関連は十分に理解されていません.
認知機能の調査は総合的なケアに不可欠です

研究の目的:

ローターカフ損傷の症状と認知機能の関係を調べる
痛み,睡眠の質,感情的苦痛など認知障害の予測要因を特定する
軽度の認知障害 (MCI) の危険因子をRC損傷の患者で決定する.

主な方法:

150人のRC損傷患者は,痛み (VAS),肩機能 (ASES),睡眠品質 (PSQI),うつ病 (BDI-II),および不安 (STAI) に関する検証されたアンケートを完了しました.
認知機能はモントリオール認知評価 (MoCA),DSST,TMT,そしてDigit Spanテストを用いて評価された.
認知障害の予測要因を特定するために,統計的分析には複数のおよびロジスティック回帰が含まれていました.

主要な成果:

潜在的に軽度の認知障害 (MCI) (54%) と睡眠障害 (64. 7%) の高い流行が観察されました.
うつ病 (18%) と不安 (28 - 30%) の症状が一般的であった.
高齢低学歴睡眠の質の悪さ高い不安状態が認知テストの成績を低下させたのです高齢と肩下部の機能により,MCIのリスクが著しく増加しました.

結論:

認知機能の低下は痛みの強さだけでなく睡眠障害や感情的苦痛と関連しています
RCによる身体的制限は,軽度の認知障害 (MCI) を発症させる重要な危険因子です.
RCの怪我の総合的な管理には,認知的,心理的,および身体的な症状の評価と治療を統合する必要があります.

キーワード:

軽度の認知障害痛みを感じる物理的な制限ローターマスクの損傷睡眠障害

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