结性脊柱炎和运动恐惧症
1Department of Physical Medicine and Rehabilitation, Uludag University, Bursa, Turkey.
PeerJ
|February 17, 2025
概括
对运动的恐惧 (运动恐惧症) 在结性脊髓炎 (AS) 患者中很普遍. 高水平的运动恐惧与疾病活动,疼痛和功能恶化相关,这表明需要有针对性的干预措施.
科学领域:
- 类风湿病学 类风湿病学
- 心理学 心理学 心理学
- 疼痛管理 疼痛管理
背景情况:
- 结节性脊柱炎 (AS) 是一种慢性类风湿性疾病,影响轴骨架,导致疼痛和功能限制.
- 运动恐惧症 (Kinesiophobia),即对运动的恐惧,经常在慢性疼痛患者中观察到,并可能阻碍治疗的成功.
- 了解动态恐惧症的患病率和AS中的相关性对于改善患者护理至关重要.
研究的目的:
- 为了确定被诊断患有结性脊柱炎的患者中运动恐惧症的患病率.
- 调查动态恐惧症水平与AS关键临床参数之间的关联.
- 探索与人口因素,疾病持续时间,疼痛,疾病活动和功能状态的关系.
主要方法:
- 一项单中心研究,涉及35名结脊髓炎患者在2021年7月至2023年7月期间.
- 收集的数据包括人口统计,疾病持续时间,BASDAI (疾病活动),BASFI (功能),VAS (疼痛强度) 和TSK (运动恐惧症).
- 根据TSK得分,患者被分为低级和高级的运动恐惧症组进行比较分析.
主要成果:
- 超过42%的AS患者 (35人中有15人) 呈现出高动态恐惧症 (TSK评分≥37).
- 较高的运动恐惧症与较高的BASDAI,BASFI和VAS分数 (p < 0.001) 有关.
- 没有发现动态恐惧症与患者年龄,性别或疾病持续时间 (p > 0.05) 之间有显著的相关性.
结论:
- 增加的运动恐惧症是结性脊柱炎的一个重要问题,与增加的疼痛,疾病活动和功能障碍密切相关.
- 这些发现强调了在AS管理中解决运动恐惧症的重要性.
- 针对动态恐惧症的早期治疗策略可能会提高治疗效率,并改善AS患者的整体功能.
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