坚持,而不是避免,与腰部疼痛有关 - 一项观察性队列研究
Sabina Hotz-Boendermaker1,2, Ursula Surbeck1,3, Rita Morf1
1School of Health Professions, Institute of Physiotherapy, Zurich University of Applied Sciences (ZHAW), Winterthur, Switzerland.
European journal of pain (London, England)
|October 1, 2024
概括
尽管有疼痛和痛苦,但继续正常的活动可能会加剧腰部疼痛 (LBP). 查活动模式对于量身定制的LBP管理和预防持续性疼痛至关重要.
科学领域:
- 肌肉骨健康 肌肉骨健康
- 疼痛管理 疼痛管理
- 精神病体医学是一种精神病体医学.
背景情况:
- 腰部疼痛 (LBP) 是一种复杂的疾病,具有可变的恢复轨迹.
- 避开和坚持的行为被假设通过链接心理社会因素和生物力学来调解慢性疼痛.
- 不适应性肌肉骨变化可能导致运动控制障碍 (MCI).
研究的目的:
- 在一年时间内调查急性LBP患者的回避和持久性行为和MCI.
- 探索这些行为与MCI与疼痛持久性之间的关联.
- 了解这些因素在急性腰痛的纵向过程.
主要方法:
- 观察性队列研究涉及165名急性LBP参与者.
- 在五个时间点收集的数据:基线 (≤1个月),2,3,6个月和12个月.
- 用于分析自我报告结果和MCI评估的线性混合效应回归模型.
主要成果:
- 持久性得分增加1个点与疼痛强度增加3.31个点有关,随着时间的推移与状态焦虑相互作用 (p=0.05).
- 在基线避免行为和疼痛强度或MCI之间没有发现显著的关联.
- 在这个模型中,运动控制障碍 (MCI) 与疼痛持续性没有显著的关联.
结论:
- 尽管有疼痛和痛苦,但仍然在正常活动中坚持可能会导致慢性LBP.
- 需要一种多维的治疗方法,整合身体和心理因素.
- 查活动模式 (不适应性和适应性) 对于有效的LBP管理和预防慢性是必不可少的.
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