运动恐惧症在炎症性关节炎中对疼痛强度,身体功能和身体活动水平的调解作用
Larissa Nakahata Medrado1, Silvio Assis de Oliveira-Junior, Paula Felippe Martinez
1Striated Muscle Study Laboratory, Integrated Health Institute, Federal University of Mato Grosso do Sul (UFMS), Campo Grande, Brazil.
概括
炎症性关节炎的疼痛可以通过运动恐惧症 (恐惧运动) 恶化身体功能. 这项研究发现,对运动的恐惧调解了关节炎患者的疼痛强度和减弱的体力表现之间的联系.
科学领域:
- 类风湿病学 类风湿病学
- 心理学 心理学 心理学
- 物理疗法物理治疗
背景情况:
- 疼痛是炎症性关节炎的主要症状,影响身体功能和活动.
- 运动恐惧症 (对运动的恐惧) 可以在有害的循环中加剧健康问题.
- 了解疼痛,运动恐惧症和身体功能之间的相互作用对于管理炎症性关节炎至关重要.
研究的目的:
- 调查疼痛强度与炎症性关节炎的身体功能性表现/活动之间的关联.
- 为了确定运动恐惧症是否在这种关系中起到调解作用.
- 通过kinesiophobia分析疼痛对身体功能的间接影响.
主要方法:
- 对患有类风湿性关节炎或脊柱性关节炎的个体进行横截面研究.
- 评估了疼痛 (视觉模拟量表),体力活动 (IPAQ长形式),运动恐惧症 (坦帕量表) 和身体功能 (握手,30岁左右坐立,肌肉耐力,TUG).
- 使用引导式分析来测试运动恐惧症作为调解者的重要性.
主要成果:
- 运动恐惧症显著调解了疼痛强度和身体功能表现之间的关系.
- 在30秒的坐立测试和膝盖曲测量中观察到这种中介.
- 间接影响表明疼痛通过对运动的恐惧影响功能.
结论:
- 疼痛强度对炎症性关节炎患者的身体功能表现产生负面影响.
- 运动恐惧症在这种疼痛功能关系中起着重要的调解作用.
- 针对运动恐惧症可能是改善炎症性关节炎的身体功能的一个关键策略.
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