Persiani Pietro, De Meo Daniele, Giannini Elettra, Calogero Valeria, Speziale Varsamis Tommaso, Cavallo Armando Ugo, Martini Lorena, Cera Gianluca, Coluzzi Flaminia, Villani Ciro
Department of Orthopaedic and Traumatology, Policlinico Umberto I Hospital, Sapienza University of Rome, Rome, 00185, Italy.
Department of Biomedicine and Prevention, Tor Vergata University, Rome, 00133, Italy.
J Pain Res. 2021 Mar 2;14:575-583. doi: 10.2147/JPR.S285814. eCollection 2021.
Following the 2019 coronavirus (COVID-19) pandemic, many reports have investigated the psychosocial effects of the lockdown. The aim of our study was to investigate the effects of the lockdown on the daily life habits of orthopaedic patients.
Around 30 days after the start of the Italian lockdown, from April 17th to the end of the containment measures on May 18th, the Sapienza University of Rome carried out a 19-item survey on the effects the lockdown caused in patients suffering from an orthopaedic pathology (with regard to changes in lifestyle, pain, treatment) by stratifying the sample by age, sex, profession, pain location, pathogenesis and prior surgeries.
A total of 292 subjects with orthopaedic pathologies took part in the survey. Taking into consideration the totality of the sample, physical activity was significantly reduced (p <0.001). The increase of a sedentary lifestyle was statistically significant (p <0.001), as well as an increase in pain (p <0.001) and the need to adjust the pharmacological treatment (p <0.001). The increase in pain was particularly significant in the 50-70 age group, among workers, and in polyarthralgic patients. About 55.48% stated that the lockdown period worsened their underlying pathological condition and 53.77% expressed the need to undergo a new clinical evaluation at the end of the lockdown.
The impact of the COVID-19 pandemic lockdown and resulting sudden changes in lifestyle led to a change in patient perception of orthopedic pathology including a worsening of musculoskeletal pain requiring an adjustment or change in pharmacological and physical therapy.
在2019冠状病毒病（COVID-19）大流行之后，许多报告调查了封锁措施的心理社会影响。我们研究的目的是调查封锁措施对骨科患者日常生活习惯的影响。
在意大利封锁措施开始约30天后，即从4月17日至5月18日遏制措施结束期间，罗马第一大学对患有骨科疾病的患者进行了一项包含19个项目的调查，内容涉及封锁措施对患者（在生活方式、疼痛、治疗方面）所造成的影响，并按年龄、性别、职业、疼痛部位、发病机制和既往手术情况对样本进行分层。
共有292名患有骨科疾病的受试者参与了此次调查。考虑到整个样本，身体活动显著减少（p<0.001）。久坐不动生活方式的增加具有统计学意义（p<0.001），疼痛增加（p<0.001）以及调整药物治疗的需求增加（p<0.001）也具有统计学意义。疼痛增加在50 - 70岁年龄组、工人以及多关节疼痛患者中尤为显著。约55.48%的人表示封锁期使他们的基础病情恶化，53.77%的人表示在封锁结束时需要进行新的临床评估。
COVID-19大流行封锁措施及其导致的生活方式突然改变，导致患者对骨科疾病的认知发生变化，包括肌肉骨骼疼痛加剧，需要调整或改变药物治疗及物理治疗。
