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恐惧回避信念对年轻人前膝疼痛及物理治疗就诊次数的影响:一项回顾性研究。

The effects of fear-avoidance beliefs on anterior knee pain and physical therapy visit count for young individuals: A retrospective study.

作者信息

Mansfield Christine Becks, Selhorst Mitchell

机构信息

Sports and Orthopedic Physical Therapy Department, Nationwide Children's Hospital, Columbus, OH, USA.

Sports and Orthopedic Physical Therapy Department, Nationwide Children's Hospital, Columbus, OH, USA.

出版信息

Phys Ther Sport. 2018 Nov;34:187-191. doi: 10.1016/j.ptsp.2018.10.008. Epub 2018 Oct 18.

DOI:10.1016/j.ptsp.2018.10.008
PMID:30368045
Abstract

OBJECTIVES

  1. Report levels of fear-avoidance beliefs in adolescents with anterior knee pain, 2) determine if fear-avoidance beliefs predict the number of therapy visits used to treat anterior knee pain, and 3) determine if initial fear-avoidance beliefs predict functional ability at discharge.

DESIGN

A retrospective review.

SETTING

Pediatric outpatient hospital.

PARTICIPANTS

Patients ages 10-21 years with a diagnosis of anterior knee pain between 2009 and 2016.

MAIN OUTCOME MEASURES

The predictor variable was initial fear avoidance beliefs physical activity subscale (FABQ-PA) score and the outcome variable was total physical therapy visit count. Functional ability was assessed using the Anterior Knee Pain Scale (AKPS).

RESULTS

Adolescents with anterior knee pain reported moderate fear-avoidance beliefs with an average initial FABQ-PA score of 13.2 ± 5. The FABQ-PA score did not significantly contribute to the visit count (p = 0.22, R=<0.01). Fear-avoidance beliefs were most correlated with initial score on the AKPS (r = -0.44).

CONCLUSION

Fear-avoidance beliefs in adolescents are similar to that seen in adults. FABQ-PA scores did not impact the number of visits used to treat anterior knee pain or functional ability at discharge.

摘要

目的

1)报告前膝痛青少年的恐惧回避信念水平;2)确定恐惧回避信念是否能预测用于治疗前膝痛的治疗就诊次数;3)确定初始恐惧回避信念是否能预测出院时的功能能力。

设计

回顾性研究。

地点

儿科门诊医院。

参与者

2009年至2016年间诊断为前膝痛的10 - 21岁患者。

主要观察指标

预测变量为初始恐惧回避信念身体活动分量表(FABQ - PA)得分,结果变量为物理治疗就诊总次数。使用前膝痛量表(AKPS)评估功能能力。

结果

前膝痛青少年报告了中度恐惧回避信念,平均初始FABQ - PA得分为13.2±5。FABQ - PA得分对就诊次数无显著影响(p = 0.22,R = <0.01)。恐惧回避信念与AKPS初始得分相关性最强(r = - 0.44)。

结论

青少年中的恐惧回避信念与成年人相似。FABQ - PA得分不影响用于治疗前膝痛的就诊次数或出院时的功能能力。

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