Department of Physical Therapy and Athletic Training, College of Health and Rehabilitation Sciences: Sargent College, Boston University, Boston, MA, USA.
Department of Occupational Therapy, College of Public Health and Health Professions, Occupational Therapy, University of Florida, Gainesville, FL, USA.
Disabil Rehabil. 2022 Jul;44(15):3890-3896. doi: 10.1080/09638288.2021.1891303. Epub 2021 Mar 9.
The purpose was to explore interrelations between factors related to engagement in physical activity in inactive adults with knee pain.
Inactive adults with knee pain ( = 35) participated in six focus groups designed to inquire about barriers and facilitators related with engagement in physical activity. Directed content analysis and inductive thematic analysis were used to identify factors related to physical activity and associated interrelations respectively. As an exploratory analysis, sex differences in barriers and facilitators to physical activity were assessed.
In this cohort (age = 60.9 ± 8.6 years; 22 females), self-reported physical activity was 26.3 ± 46.8 min/week. Factors related to physical activity were grouped into domains of physical status, psychological status, environment, knowledge, and resources. It was seen that the interrelations between a person and their environment, as well as, between impairments and everyday responsibilities influenced engagement in physical activity. Females were more likely to identify physical and psychological status, social expectations, and lack of knowledge as barriers. Males indicated a preference for using mobile technologies to overcome barriers.
Interplay of various barriers and facilitators is related to engagement in physical activity in inactive older adults with knee pain. Interventions to promote physical activity should address these interrelations and sex differences.Implications for rehabilitationInterrelations between individual factors related to engagement in physical activity and sex differences in these factors are present in inactive adults with knee pain.Interventions to improve physical activity should be implemented by addressing factors and interrelations between factors related to physical activity in inactive adults with knee pain.Interventions to address low levels of physical activity in adults with knee pain should take into account sex differences.
目的是探讨与膝关节疼痛的不活跃成年人参与身体活动相关的因素之间的相互关系。
患有膝关节疼痛的不活跃成年人（n=35）参加了六个焦点小组，旨在询问与参与身体活动相关的障碍和促进因素。使用定向内容分析和归纳主题分析分别确定与身体活动相关的因素及其相关相互关系。作为探索性分析，评估了身体活动障碍和促进因素的性别差异。
在该队列中（年龄=60.9±8.6 岁；女性 22 名），自我报告的身体活动量为 26.3±46.8 分钟/周。与身体活动相关的因素分为身体状况、心理状况、环境、知识和资源等领域。可以看出，人与环境之间以及损伤与日常责任之间的相互关系会影响身体活动的参与。女性更有可能将身体和心理状况、社会期望和缺乏知识视为障碍。男性则表示更倾向于使用移动技术来克服障碍。
在膝关节疼痛的不活跃老年成年人中，身体活动的参与与各种障碍和促进因素的相互作用有关。促进身体活动的干预措施应解决这些相互关系和性别差异。
与身体活动参与相关的个体因素之间的相互关系以及这些因素在膝关节疼痛的不活跃成年人中的性别差异都存在。为了提高身体活动，应通过解决与不活跃成年人身体活动相关的因素和因素之间的相互关系来实施干预措施。为了应对膝关节疼痛成年人中身体活动水平较低的问题，应考虑到性别差异。
