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心理信息视频可减少髌股疼痛青少年的不良信念。

Psychologically-informed video reduces maladaptive beliefs in adolescents with patellofemoral pain.

机构信息

Sports and Orthopedic Physical Therapy, Nationwide Children's Hospital, Columbus, OH, United States.

Department of Pediatric Psychology and Neuropsychology, Nationwide Children's Hospital, Columbus, OH, United States.

出版信息

Phys Ther Sport. 2020 Jan;41:23-28. doi: 10.1016/j.ptsp.2019.10.009. Epub 2019 Oct 31.

DOI:10.1016/j.ptsp.2019.10.009
PMID:31704460
Abstract

OBJECTIVES

To test the hypothesis that a brief psychologically-informed video can reduce maladaptive psychological beliefs in adolescents with patellofemoral pain.

DESIGN

Case series.

SETTING

Pediatric Outpatient Hospital.

PARTICIPANTS

Twenty adolescents receiving physical therapy for patellofemoral pain (14 ± 1.7 years, 50% female), 3 participants were lost to follow-up at 2 weeks.

MAIN OUTCOME MEASURES

None.

RESULTS

The baseline FABA-PA score was 12.0 ± 5, TSK-11 was 22.1 ± 4.0 and the PCS-c was 14.3 ± 8. Immediate reductions in FABQ-PA (mean difference = 4.52, 95% CI 1.99, 7.07; 32% reduction), TSK-11 (mean difference = 5.06, 95% CI 1.88, 8.24; 22% reduction) and PCS-c (mean difference = 3.65, 95% CI 0.62, 6.68; 26% reduction) were observed immediately post-video intervention (p < 0.01). At 2 weeks, these maladaptive beliefs remained lowered.

CONCLUSIONS

This study provides preliminary evidence that incorporating a brief one-time psychologically-informed video into standard physical therapy care may significantly reduce maladaptive psychological beliefs in adolescents with patellofemoral pain.

摘要

目的

验证一个简短的心理信息视频是否可以减少髌股疼痛青少年的适应不良心理信念的假设。

设计

病例系列。

设置

儿科门诊医院。

参与者

20 名接受髌股疼痛物理治疗的青少年(14±1.7 岁,50%为女性),3 名参与者在 2 周时失访。

主要观察指标

无。

结果

基线 FABA-PA 评分为 12.0±5,TSK-11 为 22.1±4.0,PCS-c 为 14.3±8。FABQ-PA(平均差异=4.52,95%CI 1.99,7.07;32%的降低)、TSK-11(平均差异=5.06,95%CI 1.88,8.24;22%的降低)和 PCS-c(平均差异=3.65,95%CI 0.62,6.68;26%的降低)在视频干预后即刻明显降低(p<0.01)。在 2 周时,这些适应不良的信念仍然较低。

结论

本研究初步证明,将简短的一次性心理信息视频纳入标准物理治疗护理中,可能会显著降低髌股疼痛青少年的适应不良心理信念。

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