2021ACR:运动恐惧症和身体机能对膝盖骨关节炎患者身体活动的影响

2021-11-29 MedSci原创 MedSci原创

身体功能测量与UCLA活动评定量表的分数相关,但即使在校正身体功能和性别之后,运动恐惧症也解释身体活动水平偏低的情况。

      背景/目的:只有一小部分膝关节骨关节炎(OA)患者符合体育活动指南的推荐,目前尚不清楚原因。缺乏定期体育活动是膝关节OA患者功能受限的一个危险因素。心理因素,如运动恐惧症与该人群的活动回避行为有关。该研究的目的是(i)调查特定身体功能对身体活动的影响,(ii)确定运动恐惧症是否引起超出身体功能测量所解释的活动水平。

     方法:医生诊断为单侧或双侧膝关节OA30名参与者(16F | 14M;年龄,40-75 岁)同意参加这项横断面研究。使用加州大学洛杉矶分校(UCLA)的活动评定量表(1-10,不活跃到经常参加冲击性运动)以自我报告方式评估身体活动。使用四方踏步测试 (FSST)30秒椅架(CST)、计时起跑(TUG)40米快步走(FPWT)评估身体机能。坦帕量表(TSK17-68,无恐惧到极度害怕运动)用于评估运动恐惧症的程度。使用Spearman相关性和多元回归分析来检查UCLA活动分数与预测变量之间的关系。为每个身体功能测量计算单独的回归模型,TSK评分和性别协变量也是自变量,UCLA评分是所有模型中的因变量。所有分析的Alpha设为p < 0.05。在参数分析之前,必要时使用对数变换对数据进行转换。

      结果更好的身体功能测量和更低的TSK分数(更少的恐惧)与更高的自我报告活动水平相关。回归模型显著地解释了66.4% -78.7%UCLA分数方差。在校正性别和TSK后,更好的功能测量表现预测了更高的UCLA分数。在校正身体功能和性别后,较低的TSK分数(较少恐惧)是所有模型中较高UCLA分数的重要预测因素。身体机能测量是每个模型中UCLA分数最重要的预测因子,解释了15.1% -27.5%UCLA分数变化。TSK分数解释了UCLA分数中3.6% -11.4%的变化。

      结论身体功能测量与UCLA活动评定量表的分数相关,但即使在校正身体功能和性别之后,运动恐惧症也解释身体活动水平偏低的情况。评估运动恐惧症和身体功能可以帮助临床医生更好地识别可能避免某些活动或锻炼的膝关节OA患者。

出处:

Aydemir B, Foucher K. Effects of Kinesiophobia and Physical Function on Physical Activity in Adults with Knee Osteoarthritis [abstract]. Arthritis Rheumatol. 2021; 73 (suppl 10).

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    2022-02-23 lisa438
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    2021-12-01 lmm397
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    2021-12-01 10518094zz
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    2021-11-29 ms8000000632343448

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