Thomas E-N, Pers Y-M, Mercier G, Cambiere J-P, Frasson N, Ster F, Hérisson C, Blotman F
hôpital Lapeyronie, Montpellier, France.
Ann Phys Rehabil Med. 2010 Feb;53(1):3-14. doi: 10.1016/j.rehab.2009.11.002. Epub 2009 Dec 9.
To evaluate fear, beliefs, catastrophizing and kinesiophobia in chronic low back pain patients about to begin a training programme in a rehabilitation centre.
Fifty chronic low back pain patients (including both males and females) were assessed in our physical medicine department. We used validated French-language scales to score the patients' pain-related disability, quality of life and psychosocial factors.
Seventy percent of the patients had a major functional disability (i.e., a Roland-Morris Scale score over 12) and nearly 73% reported an altered quality of life (the daily living score in the Dallas Pain Questionnaire). Pain correlated with functional impairment and depression but not with catastrophizing or kinesiophobia. Disability was correlated with catastrophizing and kinesiophobia.
Psychosocial factors are strongly associated with disability and altered quality of life in chronic low back pain patients. Future rehabilitation programs could optimizing patient management by taking these factors into account.
评估即将在康复中心开始训练计划的慢性腰痛患者的恐惧、信念、灾难化思维和运动恐惧。
我们在理疗科对50名慢性腰痛患者（包括男性和女性）进行了评估。我们使用经过验证的法语量表对患者的疼痛相关残疾、生活质量和心理社会因素进行评分。
70%的患者有严重功能残疾（即罗兰·莫里斯量表评分超过12分），近73%的患者报告生活质量改变（达拉斯疼痛问卷中的日常生活评分）。疼痛与功能障碍和抑郁相关，但与灾难化思维或运动恐惧无关。残疾与灾难化思维和运动恐惧相关。
心理社会因素与慢性腰痛患者的残疾和生活质量改变密切相关。未来的康复计划可以通过考虑这些因素来优化患者管理。
