Priore Liliam B, Azevedo Fábio M, Pazzinatto Marcella F, Ferreira Amanda S, Hart Harvi F, Barton Christian, de Oliveira Silva Danilo
São Paulo State University (UNESP), School of Science and Technology, Laboratory of Biomechanics and Motor Control (LABCOM), Presidente Prudente, Brazil.
São Paulo State University (UNESP), School of Science and Technology, Laboratory of Biomechanics and Motor Control (LABCOM), Presidente Prudente, Brazil; La Trobe Sports and Exercise Medicine Research Centre (LASEM), School of Allied Health, La Trobe University, Bundoora, Victoria, Australia.
Phys Ther Sport. 2019 Jan;35:116-121. doi: 10.1016/j.ptsp.2018.11.013. Epub 2018 Nov 28.
(i) To compare kinesiophobia, pain catastrophism and objective function between women with patellofemoral pain (PFP) and pain-free; (ii) to investigate the association of kinesiophobia and pain catastrophism with objetive function in women with PFP.
Case-control.
Laboratory-based.
Fifty-five women with PFP and forty pain-free women.
Kinesiophobia and pain catastrophism were assessed using the Tampa Scale of Kinesiophobia and Pain Catastrophizing Scale, respectively. Forward step-down, single leg hop, and modified star balance tests were used to assess objective function. Independent t-tests were used for between-groups comparisons and Pearson correlation coefficients were used to investigate the association between the outcomes.
Women with PFP had significantly worse kinesiophobia (p < 0.001; Effect size (ES) = 1.16), pain catastrophism (p < 0.001; ES = 1.57), and poorer objective function (step-down, (p < 0.001; ES = 0.99); single-leg hop (p = 0.002; ES = 0.74); modified star balance (p < 0.001; ES = 0.66) than pain-free controls. Kinesiophobia and pain catastrophism were not correlated with objective function.
Greater kinesiophobia, pain catastrophism and poorer objective function is evident in women with PFP, compared to pain-free controls. Kinesiophobia and pain catastrophism were not associated with objective function in women with PFP. Future research is necessary to understand how other physical and psychological factors might affect objective function.
（i）比较髌股疼痛（PFP）女性与无痛女性之间的运动恐惧、疼痛灾难化思维和客观功能；（ii）研究PFP女性中运动恐惧和疼痛灾难化思维与客观功能的关联。
病例对照研究。
基于实验室。
55名PFP女性和40名无痛女性。
分别使用坦帕运动恐惧量表和疼痛灾难化量表评估运动恐惧和疼痛灾难化思维。采用前向递减、单腿跳和改良星型平衡测试评估客观功能。采用独立t检验进行组间比较，并使用Pearson相关系数研究结果之间的关联。
与无痛对照组相比，PFP女性的运动恐惧（p<0.001；效应量（ES）=1.16）、疼痛灾难化思维（p<0.001；ES=1.57）明显更严重，客观功能更差（前向递减，（p<0.001；ES=0.99）；单腿跳（p=0.002；ES=0.74）；改良星型平衡（p<0.001；ES=0.66）。运动恐惧和疼痛灾难化思维与客观功能无关。
与无痛对照组相比，PFP女性的运动恐惧、疼痛灾难化思维更严重，客观功能更差。PFP女性的运动恐惧和疼痛灾难化思维与客观功能无关。有必要进行进一步研究以了解其他生理和心理因素如何影响客观功能。
