在患有慢性腰部疼痛的患者中,运动的动机
Marketa Nevelikova1,2, Filip Zlamal3, Filip Dosbaba2,4,5
1Department of Rehabilitation and Sports Medicine, 2nd Faculty of Medicine, Charles University, University Hospital Motol, Prague, Czech Republic.
BMC musculoskeletal disorders
|March 6, 2025
概括
大多数慢性腰部疼痛患者具有自主运动动机. 控制动机的小组表现得更差,表明需要量身定制的干预措施.
科学领域:
- 肌肉骨健康 肌肉骨健康
- 康复心理学 康复心理学
- 疼痛管理 疼痛管理
背景情况:
- 慢性腰部疼痛 (CLBP) 是一个普遍的全球健康问题.
- 运动是主要的保守治疗方法,但许多患者仍然保持久坐.
- 运动动机显著影响治疗的坚持.
研究的目的:
- 用自决理论来描述CLBP患者的运动动机.
- 识别动机概况及其与临床/社会经济因素的关联.
- 通过k-means集群分析探索动机配置文件的子组.
主要方法:
- 103名患有CLBP的成年人完成了运动自我调节问卷 (SRQ-E).
- 数据收集时间为2022年9月至2023年9月.
- 纳入标准:年龄≥18岁,非特异性CLBP>12周;特定病理或滥用药物的排除.
主要成果:
- 三个动机集群出现了:高度自主 (54.4%),适度自主 (31.1%),和受控制 (14.6%).
- 控制的动机集群与更高的残疾,更长的疼痛持续时间,更多的物理治疗和更高的BMI相关.
- 控制的动机与较差的临床结果有关.
结论:
- 大多数CLBP患者表现出自主运动动机,但显著的子组显示出受控的动机.
- 控制的动机与更糟糕的功能,长时间的疼痛和医疗保健利用率的增加有关.
- 研究结果表明,动机概况会影响CLBP的结果,因此需要进行因果推断的纵向研究.
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