社会决定因素与健康和体力活动与腕管综合征患者的疼痛强度和心理健康有关。

Social determinants of health and physical activity are related to pain intensity and mental health in patients with carpal tunnel syndrome.

机构信息

Physiotherapy in Motion Multispeciality Research Group (PTinMOTION), Department of Physiotherapy, University of Valencia, Valencia, Spain; Department of Physical Therapy, Faculty of Medicine, University of Chile, Santiago, Chile; Section of Clinical Research, Hospital Clínico La Florida, Santiago, Chile.

Physiotherapy in Motion Multispeciality Research Group (PTinMOTION), Department of Physiotherapy, University of Valencia, Valencia, Spain; Department of Physical Therapy, Faculty of Medicine, University of Chile, Santiago, Chile; Section of Research, Innovation and Development in Kinesiology, Kinesiology Unit, San José Hospital, Santiago, Chile.

出版信息

Musculoskelet Sci Pract. 2023 Feb;63:102723. doi: 10.1016/j.msksp.2023.102723. Epub 2023 Jan 31.

DOI:10.1016/j.msksp.2023.102723

PMID:36740566

Abstract

BACKGROUND

Carpal tunnel syndrome (CTS) is the most common peripheral neuropathy of the upper limb and a frequent cause of disability.

OBJECTIVE

To analyze the association between social determinants of health (SDH) and physical activity with pain intensity and mental health in patients with CTS.

DESIGN

A cross-sectional study was conducted in patients with CTS awaiting surgery in two public hospitals in Chile.

METHODS

The SDH collected included: employment status, educational level and monetary income. The level of physical activity was defined according to compliance with WHO recommendations. Outcome measures included: Pain intensity (Visual Analog Scale), Symptoms of anxiety and depression (Hospital Anxiety and Depression Scale), and catastrophic thinking (Pain Catastrophizing Scale). The adjusted regression coefficient (β) for the association between SDH and physical activity with each outcome was obtained using multivariable linear regression models controlling for age, sex, body mass index and symptom duration.

RESULTS

Eighty-six participants were included (mean age 50.9 ± 10 years, 94% women). A high level of physical activity was associated with a 12.41 mm decrease in pain intensity (β = -12.41, 95%CI: -23.87 to -0.95) and a 3.29 point decrease in depressive symptoms (β = -3.29, 95%CI: -5.52 to -1.06). In addition, being employed was associated with a 2.30 point decrease in anxiety symptoms (β = -2.30; 95%CI: -4.41 to -0.19) and a high educational level was associated with a 7.71 point decrease in catastrophizing (β = -7.71; 95%CI: -14.06 to -1.36).

CONCLUSION

Multidisciplinary care teams should be aware of the association between SDH and physical activity with physical and mental health.

摘要

背景

腕管综合征（CTS）是上肢最常见的周围神经病变，也是导致残疾的常见原因。

目的

分析健康的社会决定因素（SDH）和体力活动与 CTS 患者疼痛强度和心理健康之间的关系。

设计

这是在智利两家公立医院等待手术的 CTS 患者中进行的一项横断面研究。

方法

收集的 SDH 包括：就业状况、教育水平和货币收入。体力活动水平根据符合世卫组织建议的情况来定义。结果测量包括：疼痛强度（视觉模拟量表）、焦虑和抑郁症状（医院焦虑和抑郁量表）以及灾难性思维（疼痛灾难化量表）。使用多变量线性回归模型，在控制年龄、性别、体重指数和症状持续时间后，获得 SDH 和体力活动与每个结果之间关联的调整后的回归系数（β）。

结果

共纳入 86 名参与者（平均年龄 50.9±10 岁，94%为女性）。高水平的体力活动与疼痛强度降低 12.41mm（β=-12.41，95%CI：-23.87 至-0.95）和抑郁症状降低 3.29 分（β=-3.29，95%CI：-5.52 至-1.06）相关。此外，就业与焦虑症状降低 2.30 分（β=-2.30；95%CI：-4.41 至-0.19）相关，而高教育水平与灾难化降低 7.71 分（β=-7.71；95%CI：-14.06 至-1.36）相关。