从可穿戴运动传感器和自我报告中进行现场生态瞬间评估,用于慢性腰部疼痛队列
Kevin M Bell1, Zakiy Alfikri1, William Anderst2
1Department of Bioengineering University of Pittsburgh Swanson School of Engineering Pittsburgh Pennsylvania USA.
JOR spine
|February 4, 2026
概括
这项研究发现,患有慢性腰部疼痛 (cLBP) 的成年人经常报告较低的疼痛和较高的活动水平,而不是通过可穿戴传感器测量. 这些差异凸显了对cLBP管理更好的评估工具的需求.
科学领域:
- 生物医学工程 生物医学工程
- 疼痛管理 疼痛管理
- 数字健康数字健康
背景情况:
- 慢性腰部疼痛 (cLBP) 是一种广泛和残疾的疾病,需要有效的管理策略.
- 当前的疼痛和活动评估通常依赖于回顾性自我报告,容易产生偏见,无法捕捉每天的变化.
- 实时数据收集对于理解cLBP体验的动态性质至关重要.
研究的目的:
- 利用生态瞬间评估 (EMA) 和可穿戴设备,在大量患有cLBP的成年人中收集实时疼痛和活动数据.
- 描述慢性腰痛患者的日常疼痛和活动情况.
主要方法:
- 1007名患有cLBP的成年人通过移动应用程序 (每天3次提示疼痛强度,疼痛干扰,活动水平) 和可穿戴传感器 (手腕/腰部上的ActiGraph GT9X,定制背部传感器) 通过EMA进行了7天的监测.
- 欧洲药物管理局捕捉了主观的疼痛和活动感知,而传感器则客观地测量了活动计数,磨损时间和步数.
- 传感器数据经过过和分类,根据已建立的切断点将其分为久坐,轻度和中度至强度的活动水平.
主要成果:
- 有相当一部分参与者通过EMA报告了低中位疼痛强度 (54%报告了0或1) 和疼痛干扰 (57.4%报告了0-3),尽管平均入学疼痛强度为5.4.
- 欧洲药物管理局报告的活动水平 (中度/轻度) 高于可穿戴传感器的客观测量,静坐活动包括47.3% (手腕) 到82.6% (背部传感器).
- 腰部和背部传感器数据显示活动数量低于美国成年人口的平均水平,这表明自我报告或特定人群活动值中的活动可能被高估了.
结论:
- 在患有cLBP的个体中,自我报告的疼痛/活动和传感器测量数据之间存在差异,这表明活动的潜在高估或当前评估方法的局限性.
- 在不同的传感器位置 (手腕,腰部,背部) 观察到不同的活动和步数,需要进一步调查最佳传感器位置.
- 需要进一步的研究来完善测量技术,并更全面地了解慢性腰部疼痛的体验.
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