Imai R, Osumi M, Ishigaki T, Morioka S
Department of Neurorehabilitation, Graduate School of Health Science, Kio University, 4-2-2 Umami-naka, Koryo-cho, 635-0832 Kitakaturagi-gun, Nara, Japan; Department of Rehabilitation, Kawachi General Hospital, 1-31 Yokomakura, 578-0954 Higashiosaka-city, Osaka, Japan.
Neurorehabilitation Research Center, Kio University, 4-2-2 Umami-naka, Koryo-cho, 635-0832 Kitakaturagi-gun, Nara, Japan.
Hand Surg Rehabil. 2018 Jun;37(3):167-170. doi: 10.1016/j.hansur.2018.02.003. Epub 2018 Mar 24.
We investigated the relationship between pain and hesitation during movement initiation among 11 adult female patients who had undergone surgery for a distal radius fracture. Data on the patients' pain at rest, pain during movement and score on the Pain Catastrophizing Scale were analyzed. Movement characteristics were assessed by the administration of a finger tapping (FT) task using the thumb and index finger, with the movement repeated 10 times, recorded and analyzed to determine the patient's hesitation when opening or closing her thumb/forefinger during the task. Hesitation of movement initiation was significantly correlated with subjective factors such as pain at rest, pain during movement, and rumination. Pain was not significantly correlated with the physical range of motion. Our findings suggest that hesitation during movement initiation for the FT task may be a type of behavior that is affected by subjective pain. Movement hesitation is a novel clinical sign indicating the possible progression of acute pain into chronic pain. The kinematic evaluation described herein is a convenient clinical measurement that captures a subjective factor.
我们对11名接受过桡骨远端骨折手术的成年女性患者运动起始时的疼痛与犹豫之间的关系进行了研究。分析了患者静息时的疼痛、运动时的疼痛以及疼痛灾难化量表得分的数据。通过使用拇指和食指进行手指敲击（FT）任务来评估运动特征，该动作重复10次，进行记录和分析，以确定患者在任务过程中打开或闭合拇指/食指时的犹豫情况。运动起始时的犹豫与静息时的疼痛、运动时的疼痛和沉思等主观因素显著相关。疼痛与身体活动范围无显著相关性。我们的研究结果表明，FT任务运动起始时的犹豫可能是一种受主观疼痛影响的行为类型。运动犹豫是一种新的临床体征，表明急性疼痛可能进展为慢性疼痛。本文所述的运动学评估是一种方便的临床测量方法，可捕捉主观因素。
