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一项随机、双盲、平行对照试验:通过渐进性肌肉松弛训练和指压法解决半月板成形术后患者的运动恐惧。

A Randomized, Double-Blind, Parallel-Controlled Trial: Addressing Kinesiophobia in Post-Meniscoplasty Patients Through Progressive Muscle Relaxation Training and Acupressure.

作者信息

Xu Rui, Miao Junfang, Gong Yingxia, Jia Hongan, Wu Huijuan, Wang Weizhao, Wang Huijuan, Dong Mengmeng, Zhang Ying

机构信息

School of Nursing, Gansu University of Chinese Medicine, Lanzhou, China.

Nursing Department, The First People's Hospital of Baiyin, Baiyin, China.

出版信息

Pain Res Manag. 2025 Mar 31;2025:1270985. doi: 10.1155/prm/1270985. eCollection 2025.


DOI:10.1155/prm/1270985
PMID:40201731
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11976047/
Abstract

The increasing prevalence of kinesiophobia, or the fear of movement, among patients following meniscectomy has necessitated the exploration of effective rehabilitative interventions. Traditional methods of rehabilitation often do not adequately address the psychological components of recovery, leading to prolonged recovery times and decreased quality of life. The objective of this study is to explore the effectiveness of psychological and traditional Chinese medical techniques, including progressive muscle relaxation training (PMRT) and acupressure, in treating kinesiophobia among patients after meniscus surgery. This randomized clinical trial commenced in December 2021 at the Sports Medicine Department of a hospital in Gansu Province and concluded in February 2023. Seventy hospital inpatients with movement disorders who had undergone meniscus shaping surgery participated in the study (experimental Group 35 people, control Group 35 people). The control group received standard care. In addition to receiving routine care, the experimental group underwent an additional 30 min of PMRT and 5-10 min of acupressure. The kinesiophobia scores and pain scores were assessed using the Tampa Scale for Kinesiophobia (TSK) and Visual Analogue Scale (VAS) before the intervention, the first day after the intervention, the fifth day after the intervention, and on the day of discharge. On the day of discharge, the Knee Society Score (KSS) was used to assess the knee joint function of the patients. Statistical analysis was performed using repeated measures ANOVA. The study included 70 kinesiophobia patients following meniscoplasty, equally split between the experimental and control groups. Attrition resulted in 3 experimental group withdrawals and 2 from the control group, leaving 65 for the final analysis (32 experimental, 33 control). The average age of the patients was (67.03 ± 8.26) years, with an average BMI of (25.09 ± 2.88) kg/cm. Females accounted for 66.10% of the participants. There were no statistically significant differences between the two groups in terms of their preintervention TSK scores, VAS scores, and other baseline data ( > 0.05).There were no statistically significant differences in the kinesiophobia scores (TSK scores) and pain scores (VAS scores) between the experimental group and the routine care group both before the intervention and on the first day after the intervention ( > 0.05). However, the fifth-day and discharge assessments revealed significant score improvements in the experimental group ( < 0.05), along with KSS scores indicating enhanced knee joint function compared to controls ( < 0.05). PMRT combined with acupressure effectively decreases kinesiophobia levels post-meniscoplasty, mitigates pain, fosters early functional exercise participation, and promotes knee joint function recovery. ClinicalTrials.gov identifier: NCT06409715.

摘要

半月板切除术后患者中,运动恐惧症(即对运动的恐惧)的患病率日益增加,这使得探索有效的康复干预措施成为必要。传统的康复方法往往不能充分解决康复过程中的心理因素,导致康复时间延长和生活质量下降。本研究的目的是探讨心理和中医技术,包括渐进性肌肉松弛训练(PMRT)和穴位按摩,在治疗半月板手术后患者运动恐惧症方面的有效性。这项随机临床试验于2021年12月在甘肃省一家医院的运动医学科开始,并于2023年2月结束。70名接受半月板塑形手术的住院运动障碍患者参与了该研究(实验组35人,对照组35人)。对照组接受标准护理。实验组除接受常规护理外,还额外进行30分钟的PMRT和5至10分钟的穴位按摩。在干预前、干预后第一天、干预后第五天和出院当天,使用坦帕运动恐惧量表(TSK)和视觉模拟量表(VAS)评估运动恐惧得分和疼痛得分。在出院当天,使用膝关节协会评分(KSS)评估患者的膝关节功能。采用重复测量方差分析进行统计分析。该研究纳入了70名半月板塑形术后的运动恐惧症患者,实验组和对照组各半。损耗导致实验组3人退出,对照组2人退出,最终分析留下65人(实验组32人,对照组33人)。患者的平均年龄为(67.03±8.26)岁,平均体重指数为(25.09±2.88)kg/cm²。女性占参与者的66.10%。两组在干预前的TSK评分、VAS评分和其他基线数据方面无统计学显著差异(P>0.05)。在干预前和干预后第一天,实验组与常规护理组的运动恐惧得分(TSK评分)和疼痛得分(VAS评分)无统计学显著差异(P>0.05)。然而,在第五天和出院评估中,实验组的得分有显著改善(P<0.05),与对照组相比,KSS评分表明膝关节功能增强(P<0.05)。PMRT联合穴位按摩可有效降低半月板塑形术后的运动恐惧水平,减轻疼痛,促进早期功能锻炼参与,并促进膝关节功能恢复。ClinicalTrials.gov标识符:NCT06409715。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c93/11976047/4cdc9f810a08/PRM2025-1270985.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c93/11976047/8feb2f01f153/PRM2025-1270985.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c93/11976047/cf511ce85a2c/PRM2025-1270985.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c93/11976047/4cdc9f810a08/PRM2025-1270985.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c93/11976047/8feb2f01f153/PRM2025-1270985.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c93/11976047/cf511ce85a2c/PRM2025-1270985.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c93/11976047/4cdc9f810a08/PRM2025-1270985.003.jpg

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本文引用的文献

[1]
Identifying potential action points for reducing kinesiophobia among atrial fibrillation patients: a network and DAG analysis.

Qual Life Res. 2025-5

[2]
Current status and factors influencing kinesiophobia in patients with meniscus injury: a cross-sectional study.

J Orthop Surg Res. 2025-1-30

[3]
Immersive and Nonimmersive Virtual Reality-Assisted Active Training in Chronic Musculoskeletal Pain: Systematic Review and Meta-Analysis.

J Med Internet Res. 2024-8-19

[4]
Decreasing Incidence of Partial Meniscectomy and Increasing Incidence of Meniscus Preservation Surgery From 2010 to 2020 in the United States.

Arthroscopy. 2025-6

[5]
Features, measurements, determinants, treatments, and outcomes of musculoskeletal symptoms in postmenopausal women: A scoping review.

Geriatr Nurs. 2024

[6]
Correlations of The Central Sensitization Inventory, conditioned pain modulation, cognitions and psychological factors in individuals with chronic neck pain: A cross-sectional study.

Pain Ther. 2024-8

[7]
Effect of cognitive behavioral therapy on pain, knee function, and psychological status in patients after primary total knee arthroplasty: a systematic review and meta-analysis.

BMC Musculoskelet Disord. 2024-4-11

[8]
Acupuncture vs Massage for Pain in Patients Living With Advanced Cancer: The IMPACT Randomized Clinical Trial.

JAMA Netw Open. 2023-11-1

[9]
[Analysis of the correlation between media meniscus displacement index and medial tibiofemoral articular cartilage damage].

Zhongguo Gu Shang. 2023-10-25

[10]
Factors associated with meniscus volume in knees free of degenerative features.

Osteoarthritis Cartilage. 2023-12

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