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慢性部疼痛患者特异性功能尺度活动的类别及其与部残疾指数的关系

Barbara Van Gorp¹, Joseph Lesnak², Timothy Fleagle²

¹Department of Rehabilitation Therapies University of Iowa Hospitals and Clinics, 200 Hawkins Dr, Iowa City, Iowa 52242, USA.

Rehabilitation research and practice

|October 1, 2024

概括

患有慢性部疼痛的人经常报告类似的功能限制,主要是基于运动的,与部残疾指数 (NDI) 不同. 患者特异性功能尺度 (PSFS) 更好地捕捉了这些患者选择的限制.

科学领域:

物理疗法物理治疗
康复医学康复医学康复医学
疼痛管理疼痛管理

背景情况:

慢性部疼痛影响日常功能,需要可靠的结局措施.
患者特异性功能尺度 (PSFS) 和部残疾指数 (NDI) 是常用的.
了解患者报告的局限性对于有效治疗至关重要.

研究的目的:

用PSFS对慢性部疼痛中患者选择的功能活动限制进行分类.
将这些PSFS识别的限制与NDI的构造进行比较.
检查PSFS和NDI分数之间的相关性.

主要方法:

从门诊物理治疗诊所的电子医疗记录 (EPIC) 的回顾性审查.
对患者特征,PSFS和NDI得分的分析 (n=2283).
物理治疗师对PSFS限制的分类和与NDI活动的比较;对得分关系的斯皮尔曼相关性.

主要成果:

基于运动的活动占PSFS限制的60.8%,其中宫运动和运动最常见 (32%).
PSFS和NDI得分显示了中度的负相关性 (r = -0.50,p < 0.01).
确定的患者选择的限制在构造上与NDI活动有所不同.

结论:

慢性部疼痛患者报告的一致性,主要是运动相关的功能限制.
NDI可能无法完全捕捉PSFS识别的患者选择的功能限制的频谱.
需要进一步的研究来完善结局措施,以捕捉患者特有的功能限制和疼痛经历.

关键词:

NDI NDI是指国家指标.这是PSFS的PSFS.功能活动是指功能活动.部疼痛部疼痛部疼痛结果措施的结果措施.

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