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慢性下腰痛患者运动恐惧与腰椎关节位置觉之间关系的中介效应:一项横断面研究。

The Mediation Effect of Pain on the Relationship between Kinesiophobia and Lumbar Joint Position Sense in Chronic Low Back Pain Individuals: A Cross-Sectional Study.

机构信息

Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh 11362, Saudi Arabia.

Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, King Khalid University, Abha 61421, Saudi Arabia.

出版信息

Int J Environ Res Public Health. 2023 Mar 15;20(6):5193. doi: 10.3390/ijerph20065193.


DOI:10.3390/ijerph20065193
PMID:36982105
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10049448/
Abstract

(1) Background: Fear of movement (kinesiophobia) and impaired lumbar joint position sense (LJPS) play a vital role in developing and maintaining non-specific chronic low back pain (CLBP). However, how kinesiophobia impacts LJPS is still being determined. The aims of this study are to (1) assess the correlation between kinesiophobia and LJPS in individuals with chronic low back pain; (2) compare LJPS between individuals with CLBP and those who are asymptomatic; and (3) evaluate if pain can mediate the relationship between kinesiophobia and LJPS in CLBP individuals. (2) Methods: Eighty-three individuals (mean age = 48.9 ± 7.5 years) with a diagnosis of CLBP and 95 asymptomatic individuals (mean age = 49.4 ± 7.0 years) were recruited into this cross-sectional study. Fear of movement in CLBP individuals was assessed using the Tampa Scale for Kinesiophobia (TSK). LJPS was determined using the active target repositioning technique using a dual-digital inclinometer. LJPS was evaluated in lumbar flexion, extension, and side-bending left and right directions, and the repositioning accuracy was determined in degrees using a dual digital inclinometer. (3) Results: Kinesiophobia showed a significant ( < 0.001) moderate positive correlation with LJPS (flexion: r = 0.51, extension: r = 0.41, side-bending left: r = 0.37 and side-bending right: r = 0.34). LJPS errors were larger in CLBP individuals compared to asymptomatic individuals ( < 0.05). Mediation analyses showed that pain significantly mediated the relationship between kinesiophobia and LJPS ( < 0.05) in CLBP individuals. (4) Conclusions: Kinesiophobia and LJPS were positively associated. LJPS is impaired in CLBP individuals compared to asymptomatic individuals. Pain may mediate adverse effects on LJPS. These factors must be taken into account when assessing and developing treatment plans for those with CLBP.

摘要

(1) 背景:运动恐惧(运动恐惧症)和腰椎关节位置感(LJPS)受损在非特异性慢性下腰痛(CLBP)的发展和维持中起着至关重要的作用。然而,运动恐惧症如何影响 LJPS 仍有待确定。本研究的目的是:(1) 评估慢性下腰痛患者运动恐惧症与 LJPS 之间的相关性;(2) 比较 CLBP 患者与无症状患者之间的 LJPS;(3) 评估疼痛是否可以调节 CLBP 患者运动恐惧症与 LJPS 之间的关系。(2) 方法:本横断面研究共纳入 83 名 CLBP 患者(平均年龄=48.9±7.5 岁)和 95 名无症状个体(平均年龄=49.4±7.0 岁)。采用 Tampa 运动恐惧症量表(TSK)评估 CLBP 患者的运动恐惧。使用双数字倾角仪采用主动目标重定位技术来确定 LJPS。评估腰椎前屈、后伸和左右侧弯的 LJPS,使用双数字倾角仪以度为单位确定重定位精度。(3) 结果:运动恐惧症与 LJPS 呈显著(<0.001)中度正相关(前屈:r=0.51,后伸:r=0.41,左侧侧弯:r=0.37,右侧侧弯:r=0.34)。与无症状个体相比,CLBP 患者的 LJPS 误差更大(<0.05)。中介分析显示,疼痛在 CLBP 患者中显著中介了运动恐惧症与 LJPS 之间的关系(<0.05)。(4) 结论:运动恐惧症与 LJPS 呈正相关。与无症状个体相比,CLBP 患者的 LJPS 受损。疼痛可能对 LJPS 产生不良影响。在评估和制定 CLBP 患者的治疗计划时,必须考虑这些因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e13/10049448/6c6ddee112ed/ijerph-20-05193-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e13/10049448/0e62b04e4e3b/ijerph-20-05193-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e13/10049448/6c6ddee112ed/ijerph-20-05193-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e13/10049448/0e62b04e4e3b/ijerph-20-05193-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e13/10049448/6c6ddee112ed/ijerph-20-05193-g002.jpg

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引用本文的文献

[1]
Exploring the Interplay of Muscular Endurance, Functional Balance, and Limits of Stability: A Comparative Study in Individuals with Lumbar Spondylosis Using a Computerized Stabilometric Force Platform.

Life (Basel). 2023-10-23

[2]
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Biomedicines. 2023-7-23

[3]
Shoulder Proprioception and Its Correlation with Pain Intensity and Functional Disability in Individuals with Subacromial Impingement Syndrome-A Cross-Sectional Study.

Diagnostics (Basel). 2023-6-17

本文引用的文献

[1]
Mediation Effect of Pain on the Relationship between Kinesiophobia and Postural Control: Comparison and Correlations in Individuals with Fibromyalgia Syndrome and Asymptomatic Individuals-A Cross-Sectional Study.

Life (Basel). 2023-1-6

[2]
Comparison of gait speed, dynamic balance, and dual-task balance performance according to kinesiophobia level in older adults.

Somatosens Mot Res. 2023-9

[3]
Influence of kinesiophobia on pain intensity, disability, muscle endurance, and position sense in patients with chronic low back pain-a case-control study.

Trials. 2022-6-6

[4]
Chronic Pain in Musculoskeletal Diseases: Do You Know Your Enemy?

J Clin Med. 2022-5-6

[5]
Correlation and comparison of quadriceps endurance and knee joint position sense in individuals with and without unilateral knee osteoarthritis.

BMC Musculoskelet Disord. 2022-5-12

[6]
Characteristics of Persons Seeking Care for Moderate to Severe Pain Due to Chronic Low Back Pain and Osteoarthritis: A Cross-Sectional Study.

J Pain Res. 2022-4-19

[7]
The relationship between kinesiophobia and self-reported outcomes and physical function differs between women and men with femoroacetabular impingement syndrome.

Braz J Phys Ther. 2022

[8]
Relationship between Kinesiophobia and Ankle Joint Position Sense and Postural Control in Individuals with Chronic Ankle Instability-A Cross-Sectional Study.

Int J Environ Res Public Health. 2022-2-27

[9]
Effect of external lumbar supports on joint position sense, postural control, and postural adjustment: a systematic review.

Disabil Rehabil. 2023-3

[10]
Association between Kinesiophobia and Knee Pain Intensity, Joint Position Sense, and Functional Performance in Individuals with Bilateral Knee Osteoarthritis.

Healthcare (Basel). 2022-1-7

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