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非特异性慢性颈部疼痛患者的疼痛严重程度、运动恐惧与生活质量之间的关系。

The relationship between pain severity, kinesiophobia, and quality of life in patients with non-specific chronic neck pain.

作者信息

Gunay Ucurum Sevtap

出版信息

J Back Musculoskelet Rehabil. 2019;32(5):677-683. doi: 10.3233/BMR-171095.

DOI:10.3233/BMR-171095
PMID:30856099
Abstract

BACKGROUND

Kinesiophobia is an important problem that increases neck pain and causes it to become chronic.

OBJECTIVE

This study aims to compare the relationship between pain, quality of life, and kinesophobia in non-specific chronic neck pain.

METHODS

In total 87 patients were included in the study. Pain was assessed with Visual Analog Scale (VAS), kinesiophobia with Tampa Kinesiophobia Scale (TKS), and quality of life with Health Status Questionnaire Short Form-36 (SF-36).

RESULTS

The median age was 50 (40-59) years and the median complaint duration was 12 (8-48) months. The median value of VAS at rest was 4 (2-6) and the median value of VAS during the activity was 7 (5-8). The median TKS scores were 41 (39-45), the median SF-36 general health scores were 61 (45-75), and the median SF-36 mental health scores were 72 (52-80). There was a weak correlation between the TSK scores and gender, education level, and SF-36 general health scores (r= 0.206, p= 0.023; r=-0.235, p= 0.004; r= 0.236/p= 0.027 respectively). There was no relationship between kinesiophobia and the other variables.

CONCLUSION

TSK scores showed a correlation with gender, education level, and SF-36 general health scores. We conclude that as the education level decreases, kinesophobia scores increase, and as kinesophobia scores increase, the quality of life decreases.

摘要

背景

运动恐惧是一个重要问题,它会加重颈部疼痛并使其发展为慢性疼痛。

目的

本研究旨在比较非特异性慢性颈部疼痛患者的疼痛、生活质量和运动恐惧之间的关系。

方法

本研究共纳入87例患者。采用视觉模拟评分法(VAS)评估疼痛,采用坦帕运动恐惧量表(TKS)评估运动恐惧,采用健康状况问卷简表36(SF-36)评估生活质量。

结果

中位年龄为50(40-59)岁,中位主诉持续时间为12(8-48)个月。静息时VAS的中位值为4(2-6),活动时VAS的中位值为7(5-8)。TKS评分的中位数为41(39-45),SF-36总体健康评分的中位数为61(45-75),SF-36心理健康评分的中位数为72(52-80)。TSK评分与性别、教育水平和SF-36总体健康评分之间存在弱相关性(r分别为0.206,p=0.023;r=-0.235,p=0.004;r=0.236,p=0.027)。运动恐惧与其他变量之间无相关性。

结论

TSK评分与性别、教育水平和SF-36总体健康评分相关。我们得出结论,随着教育水平的降低,运动恐惧评分增加,而随着运动恐惧评分的增加,生活质量下降。

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