疼痛对老年人的步态的影响:系统性审查和元分析
Mahsa Seydi1, Kim Delbaere1, Dae Uk Han2
1School of Population Health, University of New South Wales, Kensington, NSW, Australia; Falls, Balance and Injury Research Centre, Neuroscience Research Australia, NSW, Australia.
The journal of pain
|December 13, 2024
概括
老年人的疼痛与步行速度减慢有关,增加了跌倒的风险. 解决疼痛是改善老年人运动能力和预防跌倒的关键.
科学领域:
- 老年学是一门学科.
- 生物医学工程 生物医学工程
- 疼痛管理 疼痛管理
背景情况:
- 多部位疼痛在60岁及以上的个体中普遍存在,与跌倒风险增加相关.
- 了解疼痛和跌倒之间的机制对于有效预防和治疗与疼痛相关的残疾至关重要.
研究的目的:
- 系统地审查和元分析老年人疼痛与客观步行特征之间的关联的证据.
- 确定疼痛如何影响特定的步行参数,如步行速度,节奏,步伐长度和双肢支时间.
主要方法:
- 在PubMed和Embase上进行了全面的文献搜索,包括观察研究和临床试验.
- 系统审查和元分析包括了14项研究,评估了老年人有和没有疼痛的客观步行指标.
- 步行速度,节奏,步伐长度和双肢支时间是分析的主要目标指标.
主要成果:
- 与没有疼痛的同行相比,经历疼痛的老年人表现出明显较慢的步行速度 (Hedge的g = -0.30,p < 0.0001).
- 在疼痛和无疼痛组之间,在节奏,步伐长度或双肢支时间方面没有发现统计学上显著的差异.
- 没有一项包括的研究检查了疼痛恐惧与步行特征之间的关系.
结论:
- 在老年人中,疼痛与步行速度降低有关,这表明对移动性有重大影响.
- 解决疼痛对步行速度的影响对于管理流动性缺陷和减轻老年人群中跌倒风险至关重要.
- 进一步的研究可能会探索疼痛恐惧在步态改变中的作用.
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