中年慢性踝关节不稳定患者、适应者和未受伤对照者的健康相关生活质量。
Health-Related Quality of Life Among Middle-Aged Adults With Chronic Ankle Instability, Copers, and Uninjured Controls.
机构信息
Department of Rehabilitation Sciences, University of Kentucky, Lexington.
Department of Sport and Health Science, Ritsumeikan University, Kyoto, Japan.
出版信息
J Athl Train. 2020 Jul 1;55(7):733-738. doi: 10.4085/1062-6050-190-19.
CONTEXT
People with chronic ankle instability (CAI) display a lower regional and global health-related quality of life (HRQoL). Examinations of HRQoL outcomes associated with CAI have addressed younger adults, restricting our understanding of the long-term consequences of CAI.
OBJECTIVE
To compare ankle regional and global HRQoL in middle-aged participants with and those without CAI.
DESIGN
Cross-sectional study.
SETTING
Laboratory.
PATIENTS OR OTHER PARTICIPANTS
A total of 59 middle-aged volunteers, consisting of 18 with CAI (age = 50.2 ± 9.3 years), 17 who were ankle-sprain copers (age = 54.5 ± 8.7 years), and 24 uninjured controls (age = 56.7 ± 10.0 years).
MAIN OUTCOME MEASURE(S): Participants completed the Foot and Ankle Disability Index (FADI) and the Patient-Reported Outcomes Measurement Information System Adult Profile. Regional HRQoL was assessed using the FADI Activities of Daily Living and Sport subscales. Global HRQoL was measured using the 43-item Patient-Reported Outcomes Measurement Information System Adult Profile, which contains 7 short forms-Physical Function, Pain Interference, Fatigue, Depression, Sleep Disturbance, Anxiety, and Ability to Participate in Social Roles and Activities. Separate Kruskal-Wallis tests were used to determine between-groups differences.
RESULTS
Middle-aged participants with CAI had lower scores on both subscales of the FADI than the coper and control groups (all P values <.001). Participants with CAI scored lower on the Physical Function (U = 116.0, z = -2.78, P = .005) and Ability to Participate in Social Roles and Activities (U = 96.0, z = -3.09, P = .002) subscales but higher on the Pain Interference (U = 144.0, z = -2.36, P = .02), Fatigue (U = 110.0, z = -2.72, P = .006), and Depression (U = 110.5, z = -2.91, P = .004) subscales than the control group. Participants with CAI also scored lower on the Physical Function (U = 74.5, z = -2.79, P = .005) and Ability to Participate in Social Roles and Activities (U = 55.0, z = -3.29, P = .001) subscales but higher on the Fatigue (U = 90.0, z = -2.09, P = .04) and Depression (U = 96.5, z = -1.97, P = .048) subscales than the coper group.
CONCLUSIONS
Middle-aged participants with CAI displayed worse ankle regional and global HRQoL than their age-matched healthy counterparts and copers. These results demonstrated that CAI can affect HRQoL outcomes in middle-aged adults.
背景
慢性踝关节不稳定（CAI）患者的区域和整体健康相关生活质量（HRQoL）较低。与 CAI 相关的 HRQoL 结果的评估对象为年轻人，这限制了我们对 CAI 长期后果的理解。
目的
比较中年 CAI 患者与无 CAI 患者的踝关节区域和整体 HRQoL。
设计
横断面研究。
设置
实验室。
患者或其他参与者
共 59 名中年志愿者，包括 18 名 CAI 患者（年龄=50.2±9.3 岁）、17 名踝关节扭伤适应者（年龄=54.5±8.7 岁）和 24 名未受伤对照组（年龄=56.7±10.0 岁）。
主要观察指标
参与者完成了足踝残疾指数（FADI）和患者报告的结果测量信息系统成人概况。使用 FADI 日常生活活动和运动子量表评估区域 HRQoL。全球 HRQoL 通过包含 7 个简短表单的患者报告的结果测量信息系统成人概况进行测量，包括身体功能、疼痛干扰、疲劳、抑郁、睡眠障碍、焦虑和参与社会角色和活动的能力。分别使用 Kruskal-Wallis 检验确定组间差异。
结果
CAI 中年患者的 FADI 两个子量表的得分均低于适应者和对照组（均 P 值<.001）。CAI 患者的身体功能（U=116.0，z=-2.78，P=.005）和参与社会角色和活动的能力（U=96.0，z=-3.09，P=.002）子量表得分较低，但疼痛干扰（U=144.0，z=-2.36，P=.02）、疲劳（U=110.0，z=-2.72，P=.006）和抑郁（U=110.0，z=-2.91，P=.004）子量表得分较高。CAI 患者的身体功能（U=74.5，z=-2.79，P=.005）和参与社会角色和活动的能力（U=55.0，z=-3.29，P=.001）子量表得分较低，但疲劳（U=90.0，z=-2.09，P=.04）和抑郁（U=96.5，z=-1.97，P=.048）子量表得分较高。
结论
中年 CAI 患者的踝关节区域和整体 HRQoL 较其年龄匹配的健康对照组和适应者差。这些结果表明 CAI 会影响中年成年人的 HRQoL 结果。
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