The relationship of behavioral and psychological traits with pain sensitivity in females with patellofemoral pain: A cross-sectional study

IF 2.2 3区医学 Q1 REHABILITATION Physical Therapy in Sport Pub Date : 2024-01-17 DOI:10.1016/j.ptsp.2024.01.003

Brian J. Eckenrode , David M. Kietrys , Allison Brown , J. Scott Parrott , Brian Noehren

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Abstract

Objective

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.

Design

Cross-sectional study.

Setting

University laboratory.

Participants

Twenty-eight active females (mean age 32 ± 8.1 years) with PFP completed testing at baseline, 8 weeks (post intervention), and 12 weeks.

Main outcome measures

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.

Results

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.

Conclusions

No relationship was found for behavioral and psychological characteristics with QST measures in female runners with persistent PFP.

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女性髌骨股骨痛患者的行为和心理特征与疼痛敏感性的关系：横断面研究

本研究旨在描述患有髌骨股骨痛（PFP）的女性跑步者的行为和心理特征与中枢敏感化指标之间的关系，并确定行为和心理特征是否会随着力量训练而得到改善。主要结果测量行为和心理问卷包括一般焦虑症-7、患者健康问卷-9、疼痛灾难化量表、运动恐惧症坦帕量表-11 和中枢敏感性量表。此外，还收集了定量感觉测试（QST）的测量数据。基线测试后，受试者接受了髋关节和膝关节强化干预指导，每天两次，持续 8 周。结果 12 周后，受试者的焦虑（p = .015；ηp（Boling 等人，2010 年）= 0.099）和运动恐惧（p = .041；ηp（Boling 等人，2010 年）= 0.076）均有显著改善。抑郁、灾难化或主观中枢敏感性没有明显改善。任何行为和心理问卷与基线 QST 变量之间都没有发现明显的相关性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physical Therapy in Sport 医学-康复医学

CiteScore

4.50

自引率

8.30%

发文量

125

审稿时长

39 days

期刊介绍： Physical Therapy in Sport is an international peer-reviewed journal that provides a forum for the publication of research and clinical practice material relevant to the healthcare professions involved in sports and exercise medicine, and rehabilitation. The journal publishes material that is indispensable for day-to-day practice and continuing professional development. Physical Therapy in Sport covers topics dealing with the diagnosis, treatment, and prevention of injuries, as well as more general areas of sports and exercise medicine and related sports science. The journal publishes original research, case studies, reviews, masterclasses, papers on clinical approaches, and book reviews, as well as occasional reports from conferences. Papers are double-blind peer-reviewed by our international advisory board and other international experts, and submissions from a broad range of disciplines are actively encouraged.