恐惧回避信念与膝关节骨关节炎患者肌肉合收缩之间的关系
Takanori Taniguchi1, So Tanaka2, Tomohiko Nishigami3
1Department of Physical Therapy, Faculty of Medical Science, Fukuoka International University of Health and Welfare, Fukuoka 814-0001, Japan.
Sensors (Basel, Switzerland)
|August 29, 2024
概括
在膝关节骨关节炎 (OA) 患者下楼时,对运动的恐惧 (运动恐惧症) 可能会增加肌肉共同收缩. 这一发现表明,心理因素影响了膝盖OA进展中的生物力学.
科学领域:
- 生物医学工程 生物医学工程
- 整形外科 整形外科 整形外科
- 康复科学 康复科学 康复科学
背景情况:
- 过度的肌肉合收缩是膝关节骨关节炎 (OA) 进展的一个已知的因素.
- 之前的研究发现疼痛,关节不稳定和对齐是共同收缩的贡献者.
- 在膝关节OA肌肉合收缩中,恐惧回避信念的作用仍未得到充分研究.
研究的目的:
- 研究膝盖OA患者的恐惧回避信念与步行和爬楼梯期间肌肉合收缩之间的关联.
- 探索动态恐惧症和肌肉共同收缩模式带来的灾难性疼痛之间的关系.
主要方法:
- 一项涉及24名膝关节OA参与者的横截面研究.
- 表面电肌图测量了行走和爬楼梯时的肌肉共同收缩比率 (CCR).
- 评估了使用坦帕尺度对动态恐惧症-11 (TSK-11) 和疼痛灾难化尺度 (PCS) 的恐惧回避信念.
- 针对疼痛,侧向推力,体重和下肢对齐的调整分析.
主要成果:
- 在下楼阶梯过程中,在中间肌肉的CCR和TSK-11得分之间发现了显著的正相关性 (r = 0.54,p < 0.05).
- 对于其他运动或PCS,没有观察到显著的相关性.
- 运动恐惧症,但不是痛苦的灾难化,显示了一个特定的关联与在楼梯下降期间的共同收缩.
结论:
- 运动恐惧症可能与膝盖骨关节炎患者在楼梯下降期间中部肌肉共同收缩的增加有关.
- 这表明心理因素,如对运动的恐惧,可以影响膝盖OA的生物力学策略.
- 需要进一步的研究,以了解这种关联对膝关节OA管理的临床影响.
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