Department of Physical Therapy, Faculdade de Integração do Sertão (FIS), Serra Talhada, Pernambuco, Brazil.
Department of Physical Therapy, Universidade Federal de Pernambuco (UFPE), Av. Jornalista Aníbal Fernandes, 173, Cidade Universitária, Recife, Pernambuco, 50740 - 560, Brazil.
Clin Rheumatol. 2024 Sep;43(9):2993-3003. doi: 10.1007/s10067-024-07073-5. Epub 2024 Jul 20.
Chikungunya fever (CF) is a viral disease, transmitted by alphavirus through Aedes aegypti, and albopictus mosquitoes, affecting several people, mainly in tropical countries, when its transmitter is not under control, and the main symptom of the chronic phase of CF is joint pain.
The primary objective of this study was to observe the prevalence, most affected joints, and intensity of chronic joint pain in individuals affected by CF, and also identify the factors associated with chronic joint pain in these individuals.
Cross-sectional study that evaluated one hundred and thirty volunteers, of both sexes, aged between 20-65 years, with a clinical and/or laboratory diagnosis of CF. The presence of joint pain was investigated using the Brazilian version of the Nordic Questionnaire of Musculoskeletal Symptoms and the intensity of pain using the Visual Analogue Scale.
Of the 130 volunteers evaluated, n = 112 (86%) reported currently experiencing chronic joint pain, persistent, for approximately 38.6 ± 1.73 months, with the greatest predominance in the morning (58%). The joints most affected by pain were: the ankles (65.5%), interphalangeal joints of the hands (59.2%), and knees (59.2%). The joints that presented the greatest intensity of pain were: the ankles (5.13 ± 0.34), interphalangeal joints of the hands (4.63 ± 0.34), and knees (4.33 ± 0.33). Sedentary behavior (p = 0.037), increasing age (p = 0.000), and overweight/obesity (p = 0.002) were factors associated with chronic joint pain.
A high prevalence of chronic, persistent joint pain was observed, with a greater prevalence in the morning. The joints most affected by chronic pain and with the greatest pain intensity were the ankles, and interphalangeal joints of the hands and knees. Sedentary behavior, increasing age, and overweight/obesity were the factors associated with chronic joint pain in individuals affected by CF in this study. Key Points • Individuals affected by CF had a high prevalence of chronic joint pain, persistent and more prevalent in the mornings • The ankles and interphalangeal joints of the hands and knees were the joints with the highest prevalence of pain • The ankles and interphalangeal joints of the hands and knees were the joints with the greatest pain intensity • Sedentary behavior, increasing age, and overweight/obesity were factors associated with chronic joint pain in individuals affected by CF.
基孔肯雅热（CF）是一种由甲病毒通过埃及伊蚊和白纹伊蚊传播的病毒性疾病，影响到许多人，主要在热带国家，当传播媒介不受控制时，CF 的慢性期的主要症状是关节疼痛。
本研究的主要目的是观察 CF 患者慢性关节痛的患病率、最受影响的关节和强度，并确定这些患者慢性关节痛的相关因素。
这是一项横断面研究，评估了 130 名年龄在 20-65 岁之间的志愿者，他们均有 CF 的临床和/或实验室诊断。使用巴西版北欧肌肉骨骼症状问卷评估关节疼痛的存在，使用视觉模拟量表评估疼痛的强度。
在评估的 130 名志愿者中，n=112（86%）报告目前患有慢性关节痛，持续约 38.6±1.73 个月，早晨疼痛最为明显（58%）。受疼痛影响最大的关节是：踝关节（65.5%）、手部指间关节（59.2%）和膝关节（59.2%）。疼痛强度最大的关节是：踝关节（5.13±0.34）、手部指间关节（4.63±0.34）和膝关节（4.33±0.33）。久坐行为（p=0.037）、年龄增长（p=0.000）和超重/肥胖（p=0.002）是与慢性关节痛相关的因素。
本研究发现 CF 患者慢性、持续性关节痛的患病率较高，早晨更为明显。受慢性疼痛影响最大且疼痛强度最大的关节是踝关节、手部指间关节和膝关节。久坐行为、年龄增长和超重/肥胖是 CF 患者慢性关节痛的相关因素。
CF 患者慢性关节痛的患病率较高，持续且早晨更为明显。
踝关节、手部指间关节和膝关节是疼痛最常见的关节。
踝关节、手部指间关节和膝关节是疼痛强度最大的关节。
久坐行为、年龄增长和超重/肥胖是 CF 患者慢性关节痛的相关因素。
