不仅仅是疼痛和身体限制:与旋转手套损伤相关的认知能力下降
Poyu Chen1,2,3, Chih-Hao Chiu4,5, Po-Tsun Chen4,6
1Department of Occupational Therapy and Graduate Institute of Behavioral Sciences, Chang Gung University, Taoyuan, Taiwan. poyuchen@mail.cgu.edu.tw.
Journal of orthopaedic surgery and research
|September 2, 2025
概括
旋转手套损伤会通过睡眠和焦虑影响认知, 这些伤害造成的身体限制也会增加轻度认知障碍的风险.
科学领域:
- 骨科和体育医学
- 神经学和认知科学
- 精神病学与心理健康
背景情况:
- 旋转手套 (RC) 损伤通常会导致肩膀疼痛,功能限制,睡眠障碍和情绪困扰.
- 这些症状与RC患者的认知衰退之间的联系尚不清楚.
- 研究RC损伤患者的认知功能对于综合治疗至关重要.
研究的目的:
- 检查旋转损伤症状与认知功能之间的关系.
- 确定认知衰退的预测因素,包括疼痛,睡眠质量和情绪困扰.
- 确定RC损伤患者轻度认知障碍 (MCI) 的危险因素.
主要方法:
- 150名RC受伤患者完成了关于疼痛 (VAS),肩部功能 (ASES),睡眠质量 (PSQI),抑郁 (BDI-II) 和焦虑 (STAI) 的验证问卷.
- 使用蒙特利尔认知评估 (MoCA),DSST,TMT和数字跨度测试来评估认知功能.
- 统计分析包括多重和后勤回归以确定认知障碍的预测因素.
主要成果:
- 潜在的轻度认知障碍 (MCI) (54%) 和睡眠障碍 (64. 7%) 的高患病率.
- 抑郁症 (18%) 和焦虑症 (28-30%) 的症状很常见.
- 年龄较大,教育程度较低,睡眠质量较差,焦虑程度较高导致认知测试表现较差. 年龄和下肩功能显著增加了MCI风险.
结论:
- 在RC损伤的认知下降与睡眠障碍和情绪困扰有关,而不仅仅是疼痛强度.
- 从RC受伤的身体限制是发展轻度认知障碍 (MCI) 的重要危险因素.
- 综合性治疗应包括认知,心理和身体症状的评估和治疗.
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