在患有全身性硬化症的患者中,运动恐惧与身体表现密切相关
Atilla Uluışık1, Ipek Turk2, Ayşegül Yetişir3
1Department of Internal Medicine, Faculty of Medicine, Çukurova University, Adana, Turkey.
Rheumatology international
|January 27, 2026
概括
系统性硬化症患者有运动恐惧症显示出平衡和运动能力受损. 静态失衡和运动能力下降是与SSc管理中对运动的恐惧相关的关键因素.
科学领域:
- 类风湿病学 类风湿病学
- 物理疗法物理治疗
- 心理学 心理学 心理学
背景情况:
- 系统性硬化症 (SSc) 是一种慢性自身免疫性疾病,其特征是纤维化和血管异常.
- 运动恐惧症,或对运动的恐惧,可以显著影响慢性疾病患者的功能能力和生活质量.
- 了解与SSc中运动恐惧症相关的因素对于开发有针对性的干预措施至关重要.
研究的目的:
- 在被诊断为全身性硬化症 (SSc) 的患者中确定与运动恐惧症相关的临床和功能因素.
主要方法:
- 一项涉及72名成年SSc患者的横截面研究.
- 使用坦帕运动恐惧症尺度 (TSK) 评估运动恐惧症.
- 使用伯格平衡量 (BBS),Y平衡测试 (YBT),定时上下测试 (TUG) 和10米步行测试 (10MWT) 评估平衡和功能能力.
- 多重线性回归分析以确定动态恐惧症的独立预测因素.
主要成果:
- 运动恐惧症在36.1%的SSc患者中存在.
- 患有运动恐惧症的患者表现出更长的疾病持续时间,活动,并发症负担和器官参与 (肺,胃肠道).
- 显著较差的平衡 (较低的BBS),较慢的步行速度,更长的TUG持续时间,以及无法执行YBT的患者观察到的kinesiophobia.
- 静态失衡 (β = -1.26) 和动员能力下降 (TUG,β = 1.24) 独立地与运动恐惧症的严重程度有关.
- 多变量模型解释了Kinesiophobia65%的差异.
结论:
- 静态失衡和减少动员能力与系统性硬化症患者的运动恐惧症有显著的关联.
- 监测平衡和功能移动性对于管理SSc人群中运动恐惧症至关重要.
- 这些发现强调了整合身体和心理评估对于全面的SSc患者护理的重要性.
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