在慢性腰部疼痛患者的认知功能疗法期间,前进曲,疼痛灾难化和疼痛自我效能的变化之间的关系
The Journal of orthopaedic and sports physical therapy
|March 27, 2025
概括
干部速度的改善,而不是运动范围的改善,与经过认知功能治疗的慢性腰部疼痛患者减少了灾难性的疼痛和增加了疼痛自我有效性相关.
科学领域:
- 康复医学 康复医学 康复医学
- 疼痛管理 疼痛管理
- 生物机械分析 生物机械分析
背景情况:
- 慢性腰部疼痛 (CLBP) 显著影响生活质量,通常与疼痛灾难化 (PC) 和低疼痛自我有效性 (PSE) 等心理因素有关.
- 认知功能疗法 (CFT) 旨在解决CLBP的身体和心理方面,包括运动模式和与疼痛相关的认知.
研究的目的:
- 为了确定向前曲运动的改善是否与接受CFT的CLBP患者中PC的减少和PSE的改善有关.
- 为了研究特定的脊柱运动测量 (运动的速度和范围) 和在接受CFT的CLBP患者的心理结果之间的关系.
主要方法:
- 一项纵向观察性研究,涉及261名患有CLBP的参与者,接受了13周的CFT.
- 脊柱运动 (骨干速度,骨干ROM,腰部ROM) 使用惯性测量单位进行测量.
- 在基线和多个后续点使用验证的问卷来评估PC和PSE.
主要成果:
- 在增加车速度和减少PC (r = -0.56) 和增加PSE (r = 0.63) 之间发现了显著的相关性.
- 在干部运动范围 (ROM) 或腰部ROM和PC或PSE的变化之间没有观察到显著的关联.
结论:
- 在接受CFT的CLBP患者中,疼痛灾难化和疼痛自我有效性的改善与增强的骨干速度密切相关.
- 这些发现支持CFT的训练"非保护性"脊柱运动的方法,并与认知重构一起用于管理慢性腰部疼痛.
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