多发性硬化症中的动态恐惧症:与年龄,焦虑和身体活动的关联
Wioletta Mikuľáková1, Lucia Demjanovič Kendrová1, Eleonóra Klímová1
1Department of Physiotherapy, Faculty of Health Care, University of Prešov, Prešov, Slovakia.
概括
运动恐惧,或对运动的恐惧,在多发性硬化症 (MS) 中很常见. 较高的焦虑,较少的体力活动和年龄较大显著预测MS患者的这种恐惧,这表明需要综合护理.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 心理学 心理学 心理学
背景情况:
- 多发性硬化症 (MS) 是一种慢性,免疫媒介的中枢神经系统疾病.
- 多发性硬化病理包括炎症,脱髓化,化和神经轴损失.
- 运动恐惧症是MS患者的一个重要问题,影响了他们的生活质量.
研究的目的:
- 在多发性硬化症患者中识别与运动恐惧症相关的因素.
- 调查运动恐惧症,残疾,疲劳,焦虑,抑郁,体力活动和MS患者的生活质量之间的关系.
- 确定MS患者队列中对运动恐惧的预测因素.
主要方法:
- 一项涉及148名多发性硬化症患者的横截面研究.
- 使用扩展残疾状况尺度 (EDSS) 评估残疾.
- 测量运动恐惧症 (运动恐惧症的坦帕尺度),身体活动 (戈丁休时间运动问卷),生活质量 (SF-36),疲劳 (MFIS),抑郁症 (ZSDS) 和焦虑 (BAI).
主要成果:
- 较高的焦虑水平是运动恐惧症的重要预测因素 (ß=0.252).
- 较低的体力活动水平与增加的运动恐惧症 (ß=-0.353) 有着强烈的关联.
- 年龄较大成为MS患者运动恐惧症的独立预测因子 (ß=0.205).
结论:
- 运动恐惧症是多发性硬化症中临床相关的问题.
- 焦虑,体力活动减少和年龄较大是影响MS运动恐惧症严重程度的关键因素.
- 综合的行为和康复策略是必要的,以解决MS患者的运动恐惧症.
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