患有类风湿性关节炎或轴性脊柱关节炎和严重功能障碍的人的功能限制:一个横截面描述性研究
Max M H Teuwen1, Salima F E van Weely2, Thea P M Vliet Vlieland2
1Department of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center (LUMC), Albinusdreef 2, P.O.Box 9600, 2300, RC, Leiden, The Netherlands. m.m.h.teuwen@lumc.nl.
Rheumatology international
|November 25, 2023
概括
患有类风湿性关节炎 (RA) 和轴性脊柱性关节炎 (axSpA) 的人经历了显著的运动限制. 这些功能障碍主要影响行走,改变身体位置和站立,根据国际功能和健康分类 (ICF) 的细节.
科学领域:
- 风湿病学和康复治疗
- 功能评估 功能评估
- 卫生分类系统 卫生分类系统
背景情况:
- 类风湿性关节炎 (RA) 和轴性脊柱性关节炎 (axSpA) 是慢性炎症状况,通常导致严重的功能障碍.
- 了解这些限制的具体性质对于开发有针对性的干预措施和改善患者治疗结果至关重要.
- 国际功能和健康分类 (ICF) 为描述健康和残疾提供了一个标准化的框架.
研究的目的:
- 描述严重的RA或axSpA患者在活动和参与中的功能限制.
- 将这些局限性映射到ICF框架中,并将它们与现有的ICFRARA和关节炎 (AS) 核心集进行比较.
主要方法:
- 分析了来自重度功能障碍运动试验的基线数据,该试验涉及RA (n=206) 和axSpA (n=155) 患者.
- 通过患者特定投诉 (PSC) 工具确定的三个最具限制性的活动与ICF类别相关.
- 计算了ICF类别的频率,并与RA和AS的ICF核心集进行了比较.
主要成果:
- 从患者报告的活动中共确定了909 (RA) 和759 (axSpA) 的ICF类别.
- 最常见的限制集中在ICF"移动性"章节中,包括"走路"",改变基本身体位置"",爬楼梯"",抓"",举重"和"保持站立姿势".
- 在ICF RA和AS核心套件中,存在很大比例的确定的局限性 (66%用于RA,58%用于axSpA).
结论:
- 运动限制是严重的RA和axSpA.个体中最突出的功能障碍.
- ICF框架有效地捕捉了这些患者所经历的功能限制的范围.
- 这些发现支持ICF RA和AS核心集在评估这些条件下的功能残疾时的相关性.
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