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类风湿关节炎患者的运动恐惧、足部疼痛和足部功能与疾病活动之间的关系:一项横断面研究。

Relationship between Kinesiophobia, Foot Pain and Foot Function, and Disease Activity in Patients with Rheumatoid Arthritis: A Cross-Sectional Study.

机构信息

Department of Nursing and Podiatry, Faculty of Health Sciences, University of Malaga, Arquitecto Francisco Peñalosa 3, Ampliación de Campus de Teatinos, 29071 Malaga, Spain.

Instituto de Investigación Biomédica de Málaga (IBIMA), 29590 Malaga, Spain.

出版信息

Medicina (Kaunas). 2023 Jan 11;59(1):147. doi: 10.3390/medicina59010147.

DOI:10.3390/medicina59010147
PMID:36676771
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9864291/
Abstract

The main objective of the present study was to determine the relationship between kinesiophobia and pain (general and foot pain), foot function, and disease activity in patients with rheumatoid arthritis (RA). A total of 124 interviews were carried out with participants with RA. Participants were recruited from the Hospital Universitario Virgen de las Nieves de Granada in Spain. Interviews took place in January 2021. Participants completed the following questionnaires during an appointment with their rheumatologist: Foot Function Index (FFI), Tampa Scale for Kinesiophobia (TSK-11), and the Visual Analogue Scale Pain foot (VAS Pain). Furthermore, the Simplified Disease Activity Index (SDAI) was used to measure disease activity. Of the 124 participants, 73% were women, and their mean age was 59.44 years (SD 11.26 years). In the statistical analysis, positive linear correlations (p < 0.001) were obtained between the variables TSK-11 and VAS (related to general pain or foot pain) and FFI (in its three subscales). Additionally, a negative correlation between the TSK-11 and the educational background was shown. This study provided information about the relationship between foot function and pain with different levels of kinesiophobia in patients with RA. Additionally, the educational background of the patient was considered a predictor of whether or not a patient suffered from kinesiophobia.

摘要

本研究的主要目的是确定类风湿关节炎(RA)患者的运动恐惧症与疼痛(全身疼痛和足部疼痛)、足部功能和疾病活动之间的关系。对 124 名 RA 患者进行了访谈。参与者是从西班牙格拉纳达的 Virgen de las Nieves 大学医院招募的。访谈于 2021 年 1 月进行。参与者在与风湿病专家预约时完成了以下问卷:足部功能指数(FFI)、Tampa 运动恐惧症量表(TSK-11)和足部疼痛视觉模拟量表(VAS Pain)。此外,简化疾病活动指数(SDAI)用于衡量疾病活动。在 124 名参与者中,73%为女性,平均年龄为 59.44 岁(SD 11.26 岁)。在统计分析中,TSK-11 与 VAS(与全身疼痛或足部疼痛相关)和 FFI(在其三个子量表中)之间存在正线性相关(p<0.001)。此外,TSK-11 与教育背景之间存在负相关。本研究提供了有关 RA 患者不同程度运动恐惧症与足部功能和疼痛之间关系的信息。此外,患者的教育背景被认为是预测患者是否患有运动恐惧症的一个因素。

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本文引用的文献

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Front Pain Res (Lausanne). 2022 Apr 27;3:874205. doi: 10.3389/fpain.2022.874205. eCollection 2022.
2
Psychological factors associated with foot and ankle pain: a mixed methods systematic review.与足部和踝关节疼痛相关的心理因素:混合方法系统评价。
J Foot Ankle Res. 2022 Feb 3;15(1):10. doi: 10.1186/s13047-021-00506-3.
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Morpho-structural characteristics of feet in patients with rheumatoid arthritis: A cross sectional study.类风湿关节炎患者足部的形态结构特征:一项横断面研究。
Int J Med Sci. 2021 Mar 30;18(11):2269-2275. doi: 10.7150/ijms.56935. eCollection 2021.
4
Symmetry Criterion for Patients with Rheumatoid Arthritis of the Foot: A Cross-Sectional Study.类风湿关节炎患者足部对称性的评估:一项横断面研究。
Int J Environ Res Public Health. 2021 Mar 31;18(7):3619. doi: 10.3390/ijerph18073619.
5
Comparison of the lower extremity function of patients with foot problems according to the level of kinesiophobia.根据运动恐惧症水平比较足部问题患者的下肢功能。
Somatosens Mot Res. 2020 Dec;37(4):284-287. doi: 10.1080/08990220.2020.1823362. Epub 2020 Sep 30.
6
Kinesiophobia Levels in Fibromyalgia Syndrome and the Relationship Between Pain, Disease Activity, Depression.纤维肌痛综合征中的运动恐惧水平以及疼痛、疾病活动与抑郁之间的关系。
Arch Rheumatol. 2020 Feb 7;35(2):214-219. doi: 10.46497/ArchRheumatol.2020.7432. eCollection 2020 Jun.
7
Foot health and quality of life in patients with rheumatoid arthritis: a cross-sectional study.类风湿关节炎患者的足部健康和生活质量:一项横断面研究。
BMJ Open. 2020 May 17;10(5):e036903. doi: 10.1136/bmjopen-2020-036903.
8
Investigation of the relationship between kinesiophobia and sensory processing in fibromyalgia patients.纤维肌痛患者运动恐惧与感觉加工之间关系的研究。
Somatosens Mot Res. 2020 Jun;37(2):92-96. doi: 10.1080/08990220.2020.1742104. Epub 2020 Mar 25.
9
A single-arm, non-randomized investigation into the short-term effects and follow-up of a 4-week lower limb exercise programme on kinesiophobia in individuals with knee osteoarthritis.一项单臂、非随机研究调查了为期 4 周的下肢运动方案对膝骨关节炎患者运动恐惧的短期影响和后续影响。
Physiother Res Int. 2020 Jul;25(3):e1831. doi: 10.1002/pri.1831. Epub 2020 Jan 24.
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