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恐动症及其与手腕/手部受伤个体上肢和手部功能的相关性:一项横断面研究。

Kinesiophobia and Its Correlation with Upper Limb and Hand Functionality Among Individuals with Wrist/Hand Injury: A Cross-Sectional Study.

作者信息

Villalobos-García Atenea, Cruz-Gambero Leire, Ucero-Lozano Roberto, Valdes Kristin, Cantero-Téllez Raquel

机构信息

Tecan Hand Center, 29002 Málaga, Spain.

Physiotherapy Department, IBIMA Hand Research Group FE-17, Faculty of Health Sciences, University of Malaga, C/Arquitecto Francisco Peñalosa (Ampliación Campus Teatinos), 29010 Málaga, Spain.

出版信息

J Clin Med. 2024 Dec 13;13(24):7604. doi: 10.3390/jcm13247604.

Abstract

: Wrist/hand injury incidences in the general population are high and contribute to a significant health problem. Fear of pain from movement can impact physical recovery, contributing to prolonged disability and impaired function in an upper limb after wrist/hand injury. The study's objectives are (1) to evaluate the relationship between kinesiophobia, pain catastrophizing, DASH, and Patient-Rated Wrist Evaluation and (2) to evaluate the data regarding the influence that basal kinesiophobia may have on upper limb functionality after wrist/hand immobilization. : Participants referred from different medical centers with a wrist or hand injury that required immobilization were enrolled in the study. Data were collected just after the post-immobilization period. The following outcome measures were evaluated: the DASH, the PRWE (Patient-Rated Wrist Evaluation), the TSK (Tampa Scale of Kinesiophobia), and the PCS (Pain Catastrophizing Scale). Demographics were summarized with descriptive statistics and linear relationships between variables using Pearson's correlation coefficient. Furthermore, multivariate linear regression analysis was performed to determine whether kinesiophobia could predict upper functional performance. : 64 patients (40 women, 24 men) participated in the study. Significant kinesiophobia positive correlations were found between the TSK and the DASH ( = 0.848, < 0.001) as well as the TSK and the PCS error ( = 0.521, < 0.001). The regression model explains 30.4% of the variance in upper limb function, suggesting that the PRWE, the Pain Catastrophizing Scale, and the DASH are important in predicting dysfunction. : Kinesiophobia may contribute to but is not a significant predictor of dysfunction in this model.

摘要

普通人群中手腕/手部损伤的发生率很高,这导致了一个严重的健康问题。对运动疼痛的恐惧会影响身体恢复,导致手腕/手部受伤后上肢长期残疾和功能受损。本研究的目的是:(1)评估运动恐惧、疼痛灾难化、DASH(上肢功能障碍量表)和患者自评手腕评估之间的关系;(2)评估基础运动恐惧对手腕/手部固定后上肢功能可能产生的影响的数据。:从不同医疗中心转诊来的因手腕或手部损伤需要固定的参与者被纳入研究。在固定期结束后立即收集数据。评估了以下结果指标:DASH、PRWE(患者自评手腕评估)、TSK(坦帕运动恐惧量表)和PCS(疼痛灾难化量表)。使用描述性统计和Pearson相关系数总结人口统计学数据以及变量之间的线性关系。此外,进行多元线性回归分析以确定运动恐惧是否可以预测上肢功能表现。:64名患者(40名女性,24名男性)参与了研究。在TSK与DASH之间(r = 0.848,P < 0.001)以及TSK与PCS误差之间(r = 0.521,P < 0.001)发现了显著的运动恐惧正相关。回归模型解释了上肢功能30.4%的方差,表明PRWE、疼痛灾难化量表和DASH在预测功能障碍方面很重要。:在这个模型中,运动恐惧可能导致功能障碍,但不是功能障碍的显著预测因素。

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