在患有非特异性慢性腰部疼痛的患者中,干部下部运动控制是否与工作困难有关,尽管有功能恢复计划?
Yannick A Delpierre1, Sophie A Michaud1, Vincent F Guênê2
1Pôle Régional du Handicap, Centre de l'Arche, 1 Boulevard de Maule, CS 50130, 72650, Saint-Saturnin, France.
Journal of bodywork and movement therapies
|November 27, 2024
概括
不能返回工作的慢性腰痛患者表现出更高的恐惧回避信念和较差的运动控制. 这些发现将运动控制和避免恐惧与功能恢复计划后的工作能力联系在一起.
科学领域:
- 生物力学 生物力学
- 康复医学 康复医学 康复医学
- 疼痛管理 疼痛管理
背景情况:
- 慢性腰部疼痛 (cLBP) 影响工作能力,通常与恐惧回避信念有关.
- 对cLBP的恐惧回避信念可能源于运动控制能力下降.
- 功能恢复计划 (FRP) 旨在改善cLBP的结果,但慢性可能会持续存在.
研究的目的:
- 确定可量化的运动控制参数作为恐惧回避信念的指标.
- 探索FRP后一年的工作困难与cLBP患者的运动控制之间的关系.
- 评估运动控制缺陷是否预测cLBP中返回工作的挑战.
主要方法:
- 两个组的比较:FRP后一年能够工作的患者 (W组) 和无法工作的患者 (NW组).
- 评估疼痛强度和恐惧回避信念问卷 (FABQ) 的得分.
- 使用四个后层的RMS值测量步行稳定性和车身电机控制.
主要成果:
- 在FRP之后的一年,NW-Group的FABQ得分显著更高 (p=0.02).
- 两组之间没有观察到疼痛强度的显著差异 (p=0.31).
- 在前后轴上,NW-组的RMS值显著更高 (0.11 ± 0.02对比0.09 ± 0.01),表明步态较低的稳定性.
结论:
- 运动控制参数根据FRP后的工作状态显著区分cLBP患者.
- 避免恐惧的信念和受损的运动控制与cLBP中持续的工作困难有关.
- 可量化的运动控制指标为影响工作能力的恐惧回避信念提供了潜在的指标.
相关概念视频
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