在急性和慢性肩部疼痛患者之间比较定量感官测试和心理因素
Abigail W Anderson1, William J Hanney1
1University of Central Florida, School of Kinesiology and Rehabilitation Sciences, College of Health Professions and Sciences, Orlando, FL, USA; University of Central Florida, Institute of Exercise Physiology and Rehabilitation Science, Orlando, FL, USA.
Journal of bodywork and movement therapies
|September 16, 2025
概括
慢性肩部疼痛与急性肩部疼痛相比,与疼痛敏感度增加以及焦虑和低自我效能等心理因素有关. 这些生物心理社会变化可能会导致疼痛持续.
科学领域:
- 疼痛研究 疼痛研究
- 肌肉骨健康 肌肉骨健康
- 精神病体医学是一种精神病体医学.
背景情况:
- 肩部疼痛经常从急性转变为慢性状态.
- 现有的研究表明,慢性疼痛患者和对照人群之间的疼痛敏感性发现不一致.
- 有限的研究直接比较急性与慢性肩部疼痛中的生物心理社会因素.
研究的目的:
- 调查急性和慢性肩部疼痛患者之间疼痛敏感度和生物心理社会因素的差异.
- 确定肩部疼痛患者疼痛慢性化的潜在贡献者.
主要方法:
- 进行了定量感官测试 (压力疼痛值,热量疼痛值,时间总和,有条件疼痛调节).
- 参与者填写了经过验证的调查问卷,评估了心理因素 (害怕疼痛,灾难化,运动恐惧症,抑郁症,焦虑,自我效能).
- 曼-惠特尼U测试比较了急性 (<12周) 和慢性 (>12周) 肩部疼痛组之间的心理和疼痛敏感度.
主要成果:
- 与急性患者相比,慢性肩部疼痛患者的压力疼痛值显著降低,在多个身体部位的值处的疼痛评级更高.
- 患有慢性肩部疼痛的个体报告了与疼痛相关的焦虑程度显著上升,自我效能降低.
- 在急性和慢性肩部疼痛组之间没有观察到热痛值的显著差异.
结论:
- 在值的疼痛感知变化和特定的心理因素,包括增加的焦虑和降低的自我效能,与慢性肩部疼痛有关.
- 这些生物心理社会变化可能在慢性肩部疼痛的发展和维持中起着至关重要的作用.
- 研究结果强调需要综合治疗方法,解决疼痛敏感性和持续性肩部疼痛的心理因素.
相关概念视频
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Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
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Ask the patient about their primary concern and thoroughly explore all reported symptoms.
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Inquire about symptoms...
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