Relationship between disability and physical activity frequency after cervical spine surgery: A linear mixed model analysis.

IF 1.4 4区医学 Q3 ORTHOPEDICS Journal of Back and Musculoskeletal Rehabilitation Pub Date : 2024-01-01 DOI:10.3233/BMR-230428

Yu Kondo, Daisuke Higuchi, Takahiro Miki, Yuta Watanabe, Tsuneo Takebayashi

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Abstract

Background: There is a paucity of data on physical activity and its effects in patients after cervical spine surgery.

Objective: This study aimed to examine the association between physical activity and disability in patients after cervical spine surgery while also considering age, sex, pain, and central sensitization (CS)-related symptoms.

Methods: Participants included individuals with a cervical degenerative condition who had undergone surgery. Neck disability index, physical activity frequency, numerical rating scale for pain intensity, and short form of the CS inventory were recorded more than 1 year postoperatively. The linear mixed model was performed to examine the association between physical activity and disability.

Results: The responses of 145 participants were analyzed. The linear mixed model results showed that the stretching and light-intensity exercise frequency (β=-0.14, p= 0.039) was independently associated with disability, adjusted for age, sex, pain, and CS-related symptoms. Conversely, other physical activities, such as walking and muscle strength exercises, were not associated with a disability.

Conclusion: The findings emphasize the importance of performing regular physical activity, regardless of pain and CS-related symptoms.

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颈椎手术后残疾与体育活动频率之间的关系：线性混合模型分析

背景：有关颈椎手术后患者体育锻炼及其影响的数据很少：本研究旨在考察颈椎手术后患者体育锻炼与残疾之间的关系，同时考虑年龄、性别、疼痛和中枢敏感（CS）相关症状：参与者包括接受过手术的颈椎退行性病变患者。记录术后一年以上的颈部残疾指数、体力活动频率、疼痛强度的数字评分量表以及CS清单的简表。采用线性混合模型研究了体力活动与残疾之间的关系：结果：对 145 名参与者的回答进行了分析。线性混合模型结果显示，拉伸和轻强度运动频率（β=-0.14，p= 0.039）与残疾独立相关，已对年龄、性别、疼痛和 CS 相关症状进行调整。相反，步行和肌肉力量锻炼等其他体育活动与残疾无关：结论：研究结果强调了无论疼痛和 CS 相关症状如何，定期进行体育锻炼的重要性。

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

Journal of Back and Musculoskeletal Rehabilitation 医学-康复医学

CiteScore

2.70

自引率

0.00%

发文量

194

审稿时长

6 months

期刊介绍： The Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty. In each issue clinicians can find information which they can use in their patient setting the very next day.