对膝关节骨关节炎患者的认知,身体/功能,感觉和疼痛处理相关因素的网络分析
Bruno Ruocco Verengue1, Patrícia Gabrielle Dos Santos1, Barbara Greco Miura1
1Postgraduate Program in Rehabilitation Sciences, Nove de Julho University, São Paulo, SP, Brazil.
Musculoskeletal science & practice
|October 14, 2025
概括
疼痛自我效能是膝关节骨关节炎 (KOA) 的核心因素,它连接了身体,功能和心理社会方面. 提高自我效能可能有助于管理KOA疼痛和残疾.
科学领域:
- 类风湿病学 类风湿病学
- 疼痛科学 疼痛科学
- 网络分析 网络分析
背景情况:
- 膝关节关节炎 (KOA) 涉及复杂的认知,身体,功能,感觉和疼痛处理因素.
- 这些相互关联的因素显著影响KOA患者的疼痛和日常活动限制.
- 了解这些关系对于有效的KOA疾病管理至关重要.
研究的目的:
- 研究KOA患者的认知,身体/功能,感官和疼痛处理因素之间的相互关系.
- 使用网络分析来绘制这些复杂的连接.
- 确定影响KOA疼痛和残疾的关键因素.
主要方法:
- 对240名患有KOA的个体进行横截面研究.
- 评估疼痛强度 (NPRS),中央敏感化 (CSI),疼痛灾难化 (PCS),自我效能 (PSEQ),身体功能 (WOMAC,WHODAS) 和四头肌强度 (QIS).
- 网络分析使用图形LASSO和步行陷算法来识别因子集群和连接.
主要成果:
- 网络分析显示,疼痛自我效能是关键因素.
- 自我有效性被证明与临床因素 (身体残疾,活动期间的疼痛) 与心理社会因素 (不适应性疼痛思想) 联系在一起.
- 这凸显了自我效能在KOA体验中的核心作用.
结论:
- 通过PSEQ测量的疼痛自我有效性是KOA网络中的一个中心节点.
- 它将KOA患者的身体/功能和感官因素联系在一起.
- 自我有效性成为KOA评估和干预的重要目标.
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