疼痛强度和功能障碍的变化之间的关系在认知功能治疗过程中持续残疾的腰部疼痛
Kasper Ussing1, Anne Smith2, Peter O'Sullivan2
1Spine Centre of Southern Denmark, Region of Southern Denmark: Region Syddanmark, Münstervej 21, Strib, Middelfart, 5500, Fyn, Denmark.
Scandinavian journal of pain
|October 3, 2024
概括
疼痛强度和功能障碍的变化是中度相关的,并且在大多数接受认知功能治疗的持续性腰痛 (LBP) 患者中同时发生.
科学领域:
- 康复医学是康复的医学.
- 疼痛管理 疼痛管理
- 临床研究是临床研究.
背景情况:
- 持续性致残性腰部疼痛 (LBP) 影响了许多人,主要治疗目标是缓解疼痛和改善功能.
- 虽然横截面研究表明疼痛强度和残疾之间存在联系,但这些因素随时间变化之间的时间关系不太清楚.
- 认知功能疗法是持续性LBP的常见干预措施.
研究的目的:
- 为了研究功能障碍和疼痛强度的变化之间的关联在12周的认知功能治疗干预持续残疾LBP.
- 为了确定疼痛强度和功能障碍的变化是否同时发生或在治疗期间有时间延迟.
主要方法:
- 在每次会议之前,从40名参与者收集了关于自我报告的疼痛强度和患者特异性的功能障碍的纵向数据.
- 使用线性混合效应建模来分析疼痛和残疾之间的同时和滞后关联.
- 敏感性分析使用非参数学科特定模拟建模.
主要成果:
- 对35名参与者的分析显示,疼痛强度和功能障碍之间存在中度和同时的关联 (回归系数 = 0.56,p < 0.001).
- 模拟建模支持大多数参与者 (64%) 的疼痛和残疾同时发生变化.
- 个人参与者数据显示了各种各样的关系,其中一些表明了紧密的联系,而另一些则表明疼痛和残疾的脱.
结论:
- 疼痛强度和功能障碍的变化是中度相关的,并且在接受认知功能治疗的持续致残LBP的个体中倾向于同时发生.
- 虽然存在普遍的同时关系,但个体反应可能会有所不同,有些人经历了疼痛和残疾的脱.
- 这些发现突出了在LBP康复期间疼痛和功能的相互联系.
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