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髌股疼痛综合征患者的生活质量(或差):一项定性研究。

Living well (or not) with patellofemoral pain: A qualitative study.

机构信息

Department of Kinesiology, College of Agriculture, Health, & Nature Resources, University of Connecticut, Storrs, CT, USA.

Research Unit for General Practice in Aalborg, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark; SMI, Department of Health Science and Technology, Aalborg University, Aalborg, Denmark.

出版信息

Phys Ther Sport. 2022 Jul;56:1-7. doi: 10.1016/j.ptsp.2022.05.011. Epub 2022 May 26.

DOI:10.1016/j.ptsp.2022.05.011
PMID:35691244
Abstract

OBJECTIVE

Patellofemoral pain (PFP) is a common musculoskeletal condition, which has a negative effect on physical activity and function. Currently, it is unknown how and why individuals with PFP modify their physical activity. The purpose of this qualitative study was to explore the experience of knee pain on physical activity and everyday life in individuals experiencing PFP.

DESIGN

Qualitative phenomenological interview study.

SETTING

University.

PARTICIPANTS

Sixteen patients experiencing PFP.

MAIN OUTCOME MEASURES

Semi-structured interviews were used to explore the pain experience on physical activity and daily living.

RESULTS

Patients with PFP attempted various strategies to remain physically active, such as identifying pain thresholds, activity modification, and pushing through their pain. Despite these various strategies to stay active, pain influenced their social life and patients demonstrated both fear avoidance beliefs and pain catastrophizing. Patients with PFP also reported barriers to seek care for their knee pain, such as negative past experiences with health care professionals and care not aligned with the best evidence available.

CONCLUSION

Clinicians treating PFP should be aware of biologic, psychological, and social aspects when evaluating and intervening with patients.

摘要

目的

髌股疼痛(PFP)是一种常见的肌肉骨骼疾病,它对身体活动和功能有负面影响。目前,尚不清楚为什么和为什么患有 PFP 的个体改变其身体活动。本定性研究的目的是探讨经历 PFP 的个体在身体活动和日常生活中膝盖疼痛的体验。

设计

定性现象学访谈研究。

地点

大学。

参与者

16 名患有 PFP 的患者。

主要观察指标

半结构化访谈用于探讨身体活动和日常生活中的疼痛体验。

结果

患有 PFP 的患者尝试了各种策略来保持身体活跃,例如确定疼痛阈值、活动修改和克服疼痛。尽管有各种保持活跃的策略,但疼痛还是影响了他们的社交生活,患者表现出恐惧回避信念和疼痛灾难化。患有 PFP 的患者也报告了寻求膝盖疼痛治疗的障碍,例如对医疗保健专业人员的负面过往经历和不符合最佳现有证据的治疗。

结论

治疗 PFP 的临床医生在评估和干预患者时应注意生物学、心理和社会方面。

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