疾病严重程度与疼痛严重程度:在患有 carpometacarpal 骨关节炎的女性中,单面和多面任务期间的运动范围的差异
Tamara Ordonez Diaz1,2, Samuel Licht1, Thomas W Wright3
1J. Crayton Pruitt Family Department of Biomedical Engineering, University of Florida, Gainesville, Florida, USA.
概括
甲骨关节炎 (CMC OA) 治疗可能受益于评估多平面指运动,而不仅仅是疼痛或放射性严重程度. 最终阶段的OA显示出与早期阶段相似的环导区域,尽管CMC关节运动减少.
科学领域:
- 整形外科 整形外科 整形外科
- 类风湿病学 类风湿病学
- 生物机械工程 生物机械工程
背景情况:
- 指的手指甲骨关节炎 (CMC OA) 在确定最佳治疗策略方面存在挑战,目前关于放射性疾病严重程度与疼痛水平的影响的争论仍在进行中.
- 了解关节退化,疼痛感知和功能运动范围之间的关系对于有效管理CMC OA至关重要.
- 以前的研究还没有完全阐明疼痛或放射性严重性是否更显著地影响指动力学.
研究的目的:
- 调查放射性疾病严重程度和疼痛严重程度对CMC OA参与者的运动范围的相对影响.
- 为了比较症状和无症状个体之间的关节动态的差异,以及早期阶段和末期OA组之间的差异.
- 假设疼痛的严重程度会显示其极端群体 (症状与无症状) 之间的差异大于疾病的严重程度会显示其极端群体 (早期与末期OA) 之间的差异,这表明疼痛的运动调节更大.
主要方法:
- 31名女性参与者 (平均年龄64.6岁) 根据X射线和问卷分为症状/无症状 (疼痛严重程度) 和早期/末期OA (疾病严重程度) 组.
- 在单平面和多平面运动范围任务中收集动力学数据.
- 对定义的组之间的关节角度差异进行了统计比较.
主要成果:
- 在疼痛和疾病严重程度队列中观察到自我报告的疼痛,功能和残疾的差异.
- 运动学中的显著区别,特别是在多平面任务中,在疾病严重程度队列 (早期与末期OA) 中比在疼痛严重程度队列中更为普遍.
- 与早期OA参与者相比,末期OA的参与者在绕道过程中表现出类似的整体覆盖面积,尽管他们减少了CMC关节运动范围.
结论:
- 该研究强调了评估多平面指运动对于潜在的CMC OA早期识别和管理的重要性.
- 在患有CMC OA的参与者中观察到运动补偿,例如增加对远距离指关节的依赖.
- 进一步研究疼痛和运动力学之间的相互作用是有必要的,以更好地了解推动CMC OA补偿策略的潜在因素.
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