测量下肢骨关节炎女性的活动节奏：一项试点研究。
Measuring activity pacing in women with lower-extremity osteoarthritis: a pilot study.
作者信息
Murphy Susan L, Smith Dylan M, Alexander Neil B
机构信息
Division of Geriatric Medicine and Institute of Gerontology, Department of Internal Medicine, University of Michigan, Ann Arbor, USA.
出版信息
Am J Occup Ther. 2008 May-Jun;62(3):329-34. doi: 10.5014/ajot.62.3.329.
Abstract
OBJECTIVE
We examined how women with osteoarthritis naturally use activity pacing and how pacing relates to symptoms and physical activity within daily routines.
METHOD
Thirty women with knee or hip osteoarthritis (mean age = 63.8 +/- 6.9) wore an actigraph accelerometer and repeatedly reported activity pacing, pain, and fatigue. Using the median split, symptom patterns were compared for low and high pacers. The relationship between activity pacing and physical activity was also examined.
RESULTS
Activity pacing was low (1.4 +/- 0.9); pain and fatigue were mild (1.0 +/- 0.7 and 1.1 +/- 0.7, respectively). When compared with low pacers, high pacers had more severe, escalating symptoms. Activity pacing was related to lower physical activity (beta = -28.14, SE = 6.24), t(586) = -4.51, p = .0001. CONCLUSION. Pain, fatigue, and activity pacing use varied depending on average activity pacing level. High pacers may benefit from interventions to manage daily symptoms.
摘要
目的
我们研究了骨关节炎女性如何自然地运用活动节奏调节，以及节奏调节与日常活动中的症状和身体活动之间的关系。
方法
30名患有膝关节或髋关节骨关节炎的女性（平均年龄 = 63.8 ± 6.9）佩戴活动记录仪加速度计，并多次报告活动节奏调节、疼痛和疲劳情况。通过中位数分割，比较了低节奏调节者和高节奏调节者的症状模式。还研究了活动节奏调节与身体活动之间的关系。
结果
活动节奏调节水平较低（1.4 ± 0.9）；疼痛和疲劳程度较轻（分别为1.0 ± 0.7和1.1 ± 0.7）。与低节奏调节者相比，高节奏调节者的症状更严重且呈上升趋势。活动节奏调节与较低的身体活动相关（β = -28.14，标准误 = 6.24），t(586) = -4.51，p = .0001。结论。疼痛、疲劳和活动节奏调节的使用因平均活动节奏调节水平而异。高节奏调节者可能会从管理日常症状的干预措施中受益。
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