身体功能对自我报告的疼痛和认知功能协会的调解作用
Ania Lipat1,2,3, Jessica Peterson4,5, Larissa Strath3,6
1Department of Applied Physiology and Kinesiology, University of Florida, Gainesville, FL, USA.
Journal of aging and physical activity
|February 11, 2025
概括
身体功能介导膝盖疼痛如何影响老年人的认知功能. 改善身体功能可能会提高那些经历疼痛的人的认知能力.
科学领域:
- 老年学是一门学科.
- 疼痛管理 疼痛管理
- 认知神经科学 认知神经科学
背景情况:
- 以前的研究忽视了身体功能在疼痛认知联系中的作用.
- 膝盖疼痛在中老年人中普遍存在,可能会影响认知能力.
研究的目的:
- 调查身体功能的调解作用.
- 检查疼痛强度/干扰和认知功能之间的关系.
- 专注于中年至年长的老年人,膝盖疼痛.
主要方法:
- 202名参与者患有膝盖疼痛,使用经过验证的尺度进行评估.
- 评估疼痛强度/干扰 (分级慢性疼痛量表).
- 评估身体功能 (短性能物理电池) 和认知功能 (蒙特利尔认知评估).
- 采用了基于线性回归的调解分析.
主要成果:
- 疼痛强度显著预测认知功能,即使身体功能作为调解者.
- 疼痛干扰显著预测认知功能,但当包括身体功能时,这种关联会减弱.
- 身体功能部分介导疼痛强度-认知联系,并完全介导疼痛干扰-认知联系.
结论:
- 身体功能对疼痛如何影响认知起着至关重要的作用.
- 身体功能受损会加剧疼痛对认知功能的负面影响.
- 针对身体功能的干预措施可能会改善膝关节疼痛患者的认知结果.
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