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慢性颈痛患者的恐动症及其与疼痛、本体感觉和功能表现的相关性。

Kinesiophobia and its correlations with pain, proprioception, and functional performance among individuals with chronic neck pain.

机构信息

Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, King Khalid University, Abha, Saudi Arabia.

Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia.

出版信息

PLoS One. 2021 Jul 8;16(7):e0254262. doi: 10.1371/journal.pone.0254262. eCollection 2021.


DOI:10.1371/journal.pone.0254262
PMID:34237105
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8266083/
Abstract

Chronic neck pain (CNP) incidence in the general population is high and contributes to a significant health problem. Kinesiophobia (fear of pain to movement or re-injury) combined with emotions and physical variables may play a vital role in assessing and managing individuals with CNP. The study's objectives are 1) to evaluate the relationship between kinesiophobia, neck pain intensity, proprioception, and functional performance; 2) to determine if kinesiophobia predicts pain intensity, proprioception, and functional performance among CNP individuals. Sixty-four participants with CNP (mean age 54.31 ± 9.41) were recruited for this cross-sectional study. The following outcome measures were evaluated: Kinesiophobia using the Tampa Scale of Kinesiophobia (TSK), neck pain intensity using the visual analog scale (VAS), cervical proprioceptive joint position errors (in flexion, extension, and rotation directions) using cervical range of motion (CROM) device and handgrip strength as a measure of functional performance using the Baseline® hydraulic hand dynamometer. Kinesiophobia showed a strong positive correlation with neck pain intensity (r = 0.81, p<0.001), a mild to a moderate positive correlation with proprioception joint position errors (JPE) in extension, rotation left and right directions (p<0.05), but no correlation in flexion direction (p = 0.127). Also, there was a moderate negative correlation with handgrip strength (r = -0.65, p<0.001). Regression analysis proved that kinesiophobia was a significant predictor of pain intensity, proprioception, and functional performance (p<0.05). This study infers that kinesiophobia in individuals with CNP predicts pain, proprioception, and functional performance. Kinesiophobia assessment should be considered in regular clinical practice to understand the barriers that can influence rehabilitation outcomes in CNP individuals.

摘要

慢性颈痛(CNP)在普通人群中的发病率很高,是一个严重的健康问题。运动恐惧(对运动或再受伤的疼痛恐惧)与情绪和身体变量相结合,可能在评估和管理 CNP 个体方面发挥重要作用。本研究的目的是:1)评估运动恐惧、颈痛强度、本体感觉和功能表现之间的关系;2)确定运动恐惧是否可以预测 CNP 个体的疼痛强度、本体感觉和功能表现。本横断面研究共招募了 64 名 CNP 患者(平均年龄 54.31 ± 9.41 岁)。评估了以下结果指标:使用 Tampa 运动恐惧量表(TSK)评估运动恐惧,使用视觉模拟量表(VAS)评估颈痛强度,使用颈椎活动范围(CROM)设备评估颈椎本体感觉关节位置误差(在屈伸和旋转方向),使用 Baseline®液压手动测力计评估握力作为功能表现的测量指标。运动恐惧与颈痛强度呈强正相关(r = 0.81,p<0.001),与伸展、旋转左右方向的本体感觉关节位置误差呈轻度至中度正相关(p<0.05),但与屈伸方向无相关性(p = 0.127)。此外,与握力呈中度负相关(r = -0.65,p<0.001)。回归分析证明运动恐惧是疼痛、本体感觉和功能表现的显著预测因子(p<0.05)。本研究推断,CNP 个体的运动恐惧可预测疼痛、本体感觉和功能表现。在常规临床实践中,应考虑运动恐惧评估,以了解可能影响 CNP 个体康复结果的障碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcff/8266083/53fc95434fbd/pone.0254262.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcff/8266083/2d10814889ad/pone.0254262.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcff/8266083/aa2b4fdb3992/pone.0254262.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcff/8266083/53fc95434fbd/pone.0254262.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcff/8266083/2d10814889ad/pone.0254262.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcff/8266083/aa2b4fdb3992/pone.0254262.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcff/8266083/53fc95434fbd/pone.0254262.g003.jpg

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本文引用的文献

[1]
Comparison of neck extensor muscle endurance and cervical proprioception between asymptomatic individuals and patients with chronic neck pain.

J Bodyw Mov Ther. 2021-4

[2]
The Influence of Kinesiophobia on Perceived Disability in Patients With an Upper-Extremity Injury: A Critically Appraised Topic.

J Sport Rehabil. 2021-3-3

[3]
The effect of Kinesio taping on cervical proprioception in athletes with mechanical neck pain-a placebo-controlled trial.

BMC Musculoskelet Disord. 2020-10-3

[4]
Fear of movement in children and adolescents undergoing major surgery: A psychometric evaluation of the Tampa Scale for Kinesiophobia.

Eur J Pain. 2020-11

[5]
High Levels of Kinesiophobia at Discharge from the Hospital May Negatively Affect the Short-Term Functional Outcome of Patients Who Have Undergone Knee Replacement Surgery.

J Clin Med. 2020-3-9

[6]
Chronic Pain Patients' Kinesiophobia and Catastrophizing are Associated with Activity Intensity at Different Times of the Day.

J Pain Res. 2020-1-31

[7]
Measurement Properties of the Hand Grip Strength Assessment: A Systematic Review With Meta-analysis.

Arch Phys Med Rehabil. 2019-11-13

[8]
Grip Strength: An Indispensable Biomarker For Older Adults.

Clin Interv Aging. 2019-10-1

[9]
Cervical proprioception and its relationship with neck pain intensity in subjects with cervical spondylosis.

BMC Musculoskelet Disord. 2019-10-15

[10]
Methodological reporting behavior, sample sizes, and statistical power in studies of event-related potentials: Barriers to reproducibility and replicability.

Psychophysiology. 2019-7-19

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