避免恐惧的信念与背部形状和功能的变化有关
Nima Taheri1,2, Luis Becker1,2, Lena Fleig3
1Center for Musculoskeletal Surgery, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin, Germany.
Pain reports
|March 25, 2025
概括
恐惧回避信念 (FAB) 与慢性腰部疼痛 (cLBP) 患者的背部功能受损有关. 虽然存在关联,但效应大小小小,表明其他因素影响功能限制.
科学领域:
- 肌肉骨健康 肌肉骨健康
- 疼痛管理 疼痛管理
- 精神病体医学是一种精神病体医学.
背景情况:
- 慢性腰部疼痛 (cLBP) 显著影响心理社会功能和福祉.
- 恐惧回避信念 (FAB) 越来越被认为是cLBP慢性化和残疾的关键因素.
- 了解FAB和功能障碍之间的关系对于有效管理至关重要.
研究的目的:
- 调查恐惧回避信念 (FAB) 与患有和没有慢性腰部疼痛 (cLBP) 的人的背部功能之间的联系.
- 分析FAB问卷 (FABQ) 分数与背部功能的临床/非侵入性测量之间的相关性.
- 探索cLBP中功能限制的潜在预后因素.
主要方法:
- 对914名参与者的横截面分析 (非慢性LBP,cLBP,无症状).
- 使用恐惧回避信念问卷 (FABQ) 评估恐惧回避信念.
- 通过临床测试 (奥特,舒伯,坐立,手指与地板的距离) 和一种非侵入性装置,通过多重线性回归分析,评估背部功能.
主要成果:
- 在FAB和背部功能的临床和非侵入性测量之间发现了小的关联.
- 在报告更高FAB的个体中,背部功能的临床测量得到了减弱.
- 影响规模很小,可能是由于不同的评估方法 (自我报告与客观措施) 造成的.
结论:
- 自我报告的恐惧回避信念与背部形状和功能有关,通过临床测试和非侵入性设备进行测量.
- 小效果大小表明,FAB可能不是cLBP功能障碍的唯一决定因素.
- 其他因素,如神经元路径的改变和身体活动的减少,可能会导致功能限制.
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