Arcadia University, Department of Physical Therapy, Glenside, PA, 19038, USA.
Rutgers School of Health Professions, Department of Rehabilitation and Movement Sciences, Blackwood, NJ, 08012, USA.
Phys Ther Sport. 2024 Mar;66:43-52. doi: 10.1016/j.ptsp.2024.01.003. Epub 2024 Jan 17.
The purpose of this study was to describe the relationship between behavioral and psychological traits with indicators of central sensitization in female runners with patellofemoral pain (PFP), and to determine if behavioral and psychological traits improve with strength training.
Cross-sectional study.
University laboratory.
Twenty-eight active females (mean age 32 ± 8.1 years) with PFP completed testing at baseline, 8 weeks (post intervention), and 12 weeks.
Behavioral and psychological questionnaires included the General Anxiety Disorder-7, Patient Health Questionairre-9, Pain Catastrophizing Scale, Tampa Scale of Kinesiophobia-11, and Central Sensitization Inventory. Quantitative sensory testing (QST) measures were also collected. After baseline testing, subjects were instructed in a hip and knee strengthening intervention to be completed twice daily over 8 weeks.
A statistically significant improvement was found at 12 weeks for anxiety (p = .015; ηp (Boling et al., 2010) = 0.099) and kinesiophobia (p = .041; ηp (Boling et al., 2010) = 0.076). There was no significant improvement for depression, catastrophizing, or subjective central sensitization. No significant correlations were found between any of the behavioral and psychological questionnaires with baseline QST variables.
No relationship was found for behavioral and psychological characteristics with QST measures in female runners with persistent PFP.
本研究旨在描述行为和心理特征与髌股疼痛（PFP）女性跑步者的中枢敏化指标之间的关系，并确定行为和心理特征是否随着力量训练而改善。
横断面研究。
大学实验室。
28 名活跃的女性（平均年龄 32±8.1 岁）在基线、8 周（干预后）和 12 周完成测试。
行为和心理问卷包括广泛性焦虑障碍 7 项、患者健康问卷 9 项、疼痛灾难化量表、坦帕运动恐惧量表 11 项和中枢敏化量表。还收集了定量感觉测试（QST）测量值。基线测试后，嘱患者进行髋关节和膝关节强化干预，每天完成两次，共 8 周。
12 周时焦虑（p=.015；Boling 等人，2010 年的ηp（Boling 等人，2010 年）=0.099）和运动恐惧（p=.041；Boling 等人，2010 年的ηp（Boling 等人，2010 年）=0.076）有统计学意义的改善。抑郁、灾难化或主观中枢敏化无显著改善。行为和心理问卷与基线 QST 变量之间没有显著相关性。
在持续患有 PFP 的女性跑步者中，行为和心理特征与 QST 测量值之间没有关系。
