慢性关节关节疼痛进行非手术治疗的患者的个人因素和基线功能:一个横截面研究
Rebecca D DeMargel1, Karen Steger-May2, Simon Haroutounian3
1Program in Physical Therapy, Washington University School of Medicine, St Louis, Missouri, USA.
BMJ open sport & exercise medicine
|November 8, 2023
概括
抑郁症状和运动引起的疼痛 (MEP) 在接受非手术治疗的慢性关节关节疼痛 (HRGP) 患者中显著影响关节功能感知. 解决这些因素可能会改善患者的治疗结果.
科学领域:
- 整形外科 整形外科 整形外科
- 疼痛管理 疼痛管理
- 康复 康复 康复 康复
背景情况:
- 慢性关节关节关节疼痛 (HRGP) 影响功能,但影响知觉的个人因素尚不清楚.
- 非手术管理是HRGP的常见情况,强调需要确定影响患者报告结果的因素.
研究的目的:
- 在HRGP患者中调查个人因素 (抑郁症状,中心敏感,运动引起的疼痛 (MEP),压力过敏,活动水平) 和感知部功能 (iHOT-33) 之间的关联.
- 确定哪些个人因素独立预测寻求非手术护理的患者的关节相关功能.
主要方法:
- 从试点随机临床试验的基线数据的横截面分析.
- 通过调查问卷量化抑郁症状,中心敏感度和活动水平.
- 通过使用疼痛压力值 (PPT) 评估了MEP在下降和腰期间的压力过敏性和压力过敏性.
主要成果:
- 更糟糕的部功能 (较低的iHOT-33分数) 与更大的抑郁症状,更高的MEP在降级和坐期间,以及更大的中央敏感性有关.
- 坐期间的抑郁症状和MEP独立解释了iHOT-33分数变化的37%.
- 在调整后,PPT,中心敏感化和活动水平与iHOT-33.3没有显著的关联.
结论:
- 抑郁症状和MEP是HRGP患者进行非手术治疗时自我感知部功能恶化的关键独立预测因素.
- 这些发现表明,心理和疼痛敏感性因素在患者体验关节功能方面发挥着至关重要的作用.
- 针对抑郁症状和MEP可能有助于改善HRGP患者的功能结果.
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