对于患有慢性肌肉骨骼疼痛的女性实验室技术员，神经认知表现和身体功能不会因身体-认知-正念训练而改变：随机对照试验。

Neurocognitive performance and physical function do not change with physical-cognitive-mindfulness training in female laboratory technicians with chronic musculoskeletal pain: Randomized controlled trial.

作者信息

Jay Kenneth, Brandt Mikkel, Schraefel Mc, Jakobsen Markus Due, Sundstrup Emil, Sjøgaard Gisela, Vinstrup Jonas, Andersen Lars L

机构信息

National Research Centre for the Working Environment, Copenhagen, Denmark Department of Sports Science and Clinical Biomechanics, Physical Activity and Health in Worklife, and Department of Sports Science and Clinical Biomechanics, Faculty of Health Sciences The Carrick Institute-Clinical Neuroscience and Rehabilitation, Cape Canaveral, FL Physical Activity and Human Performance Group, SMI, Department of Health Science and Technology, Aalborg University, Aalborg, Denmark Royal Academy of Engineering Research, Chair, London Engineering and Physical Sciences, Research Council, Swindon Electronics and Computer Science, University of Southampton, Southampton, UK.

出版信息

Medicine (Baltimore). 2016 Dec;95(50):e5554. doi: 10.1097/MD.0000000000005554.

DOI:10.1097/MD.0000000000005554

PMID:27977585

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5268031/

Abstract

BACKGROUND

Cognitive and physical performance can be negatively affected by chronic pain. This study evaluates the effect of combined physical-, cognitive-, and mindfulness training (PCMT) on cognitive and physical performance.

METHODS

From a large pharmaceutical company in Denmark we randomly allocated 112 female laboratory technicians with chronic upper limb pain to group-based PCMT at the worksite or a reference group for 10 weeks. Neurocognitive performance was measured by the computerized central nervous system vital signs neurocognitive assessment battery. Physical function was assessed in terms of shoulder external rotation strength and rate of force development in a custom-made dynamometer setup.

RESULTS

No between-group differences (least square means [95% confidence interval]) from baseline to follow-up could be detected in any of the neurocognitive domains as measured by the central nervous system vital signs neurocognitive assessment battery, for example, Psychomotoer Speed 1.9 (-1.0 to 4.7), Reaction Time -4.0 (-19.5 to 11.6), Complex Attention -0.3 (-1.9 to 1.4), and Executive Function -0.2 (-3.5 to 3.0). Similarly, we found no change in maximal voluntary isometric strength -0.63 (-4.8 to 3.6), or rate of force development 14.8 (-12.6 to 42.2) of the shoulder external rotators. Finally, test-retest reliability of maximal voluntary contraction and rate of force development shoulder external rotation showed high reliability at 0 to 30 ms, 0 to 50 ms, 0 to 100 ms, and 0 to 200 ms with ICCs at 0.95, 0.92, 0.93, 0.92, and 0.91, respectively.

CONCLUSION

Ten weeks of PCMT did not improve neurocognitive or physical performance.

摘要

背景

慢性疼痛会对认知和身体机能产生负面影响。本研究评估了身体、认知和正念联合训练（PCMT）对认知和身体机能的影响。

方法

从丹麦一家大型制药公司中，我们将112名患有慢性上肢疼痛的女性实验室技术人员随机分配至工作场所基于小组的PCMT组或参照组，为期10周。通过计算机化中枢神经系统生命体征神经认知评估电池来测量神经认知表现。在定制的测力计装置中，根据肩部外旋力量和力量发展速率评估身体功能。

结果

通过中枢神经系统生命体征神经认知评估电池测量，从基线到随访期间，在任何神经认知领域均未检测到组间差异（最小二乘均值[95%置信区间]），例如，心理运动速度1.9（-1.0至4.7）、反应时间-4.0（-19.5至11.6）、复杂注意力-0.3（-1.9至1.4）和执行功能-0.2（-3.5至3.0）。同样，我们发现肩部外旋肌的最大随意等长力量-0.63（-4.8至3.6）或力量发展速率14.8（-12.6至42.2）没有变化。最后，肩部外旋最大随意收缩和力量发展速率的重测信度在0至30毫秒、0至50毫秒、0至100毫秒和0至200毫秒时显示出高信度，组内相关系数分别为0.95、0.92、0.93、0.92和0.91。