中心敏感性和疼痛现象在有症状的 pes planus:一个多中心的横截面研究
Gülseren Demir Karakılıç1, Melek Aykut Selçuk2, Esra Mert2
1Department of Physical Medicine and Rehabilitation, Yozgat Bozok University, Yozgat, Turkey.
概括
症状性 pes planus (PP) 涉及中央敏感化和鼻膜疼痛,影响疼痛和残疾. 多学科的方法对于管理这种复杂的足部疾病至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 疼痛医学 医学 疼痛医学
- 康复科学 康复科学 康复科学
背景情况:
- 平脚 (Pes planus,PP) 是一种普遍存在的足部疾病,通常与持续的疼痛有关.
- 中枢敏感性 (CS) 和鼻膜性疼痛 (NcP) 与慢性疼痛有关,但在PP中未得到充分研究.
研究的目的:
- 在有症状的PP患者中调查CS和nociplastic样特征的流行率.
- 检查这些特征与疼痛,残疾,心理困扰和生活质量之间的关联.
主要方法:
- 一个多中心,横截面研究,涉及107名PP患者和107名对照.
- 使用了经过验证的问卷,包括VAS,FFI,Pain-DETECT,CSI,HADS和SF-12.
- 采用相关性和回归分析来确定CS和nociplastic类特征的预测因素.
主要成果:
- PP患者报告的疼痛和残疾明显高于对照组.
- 可能的nociplastic-like特征 (48.6%) 和CS (CSI ≥40,61.7%) 在PP中更为普遍.
- PP与焦虑,抑郁和生活质量降低 (SF-12分数) 的增加有关.
结论:
- 症状性PP涉及结构性问题之外的中央和心理社会机制.
- 脑脊髓和鼻膜形成过程是导致PP持续疼痛的重要因素.
- 建议采用多学科的管理方法,应对生物机械,中央和心理因素.
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