单侧与双侧髌骨股骨痛对体育活动、疼痛自我效能感和残疾的影响。

IF 2.2 3区 医学 Q1 REHABILITATION Musculoskeletal Science and Practice Pub Date : 2024-08-20 DOI:10.1016/j.msksp.2024.103167
Sungwan Kim , L. Colby Mangum , Neal R. Glaviano
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引用次数: 0

摘要

背景:髌骨股骨痛(PFP)会影响身体和心理健康:髌骨股骨痛(PFP)会影响身体和社会心理健康;然而,单侧和双侧PFP是否会导致类似程度的损伤,目前尚不清楚:我们旨在比较单侧和双侧髌骨股骨痛患者的体力活动(PA)、疼痛自我效能感和残疾程度,并将这些群体与无痛对照组进行比较:设计:横断面病例对照:62 名 PFP 患者(25 名单侧患者和 37 名双侧患者)和 20 名无痛对照者使用加速度计完成了每日步数、轻度 PA 和中强度 PA(MVPA)的 PA 评估。我们还计算了每个 PA 变量的变异性。疼痛自我效能问卷和膝关节前部疼痛量表分别测量了疼痛自我效能和残疾情况:结果:与无痛对照组相比,双侧 PFP 患者每天走的步数较少(9568.1 ± 3827.0 vs. 12285.8 ± 2821.2 步/天;P = 0.018,Cohen d = 0.79),而单侧 PFP 患者每天走的步数较少(11099.2 ± 3547.1 步/天;P = 0.503,Cohen d = 0.37)。与单侧 PFP 患者(42.9 ± 23.1 vs. 29.0 ± 15.9;P = 0.011,Cohen d = 0.91)和无痛对照组(42.9 ± 23.1 vs. 17.6 ± 6.1;P 结论:与无痛对照组相比,双侧 PFP 患者的 MVPA 变异更大:与无痛对照组相比,双侧 PFP 患者的 MVPA 变异性高于单侧 PFP 患者。然而,值得注意的是,单侧 PFP 对 MVPA 所花费的时间、每日步数的可变性、疼痛自我效能感和残疾的影响程度与双侧 PFP 相似。
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Influence of unilateral versus bilateral patellofemoral pain on physical activity, pain self-efficacy, and disability

Background

Patellofemoral pain (PFP) affects physical and psychosocial health; however, it is unclear if unilateral and bilateral PFP induce similar levels of impairments.

Objectives

We aimed to compare physical activity (PA), pain self-efficacy, and disability between individuals with unilateral and bilateral PFP, and to compare these groups against pain-free controls.

Design

Cross-sectional case-control.

Method

Sixty-two individuals with PFP (25 unilateral and 37 bilateral) and 20 pain-free controls completed the PA assessment using an accelerometer by daily steps, light PA, and moderate-to-vigorous PA (MVPA). We also calculated variability in each PA variable. Pain self-efficacy and disability were measured using the Pain Self-Efficacy Questionnaire and Anterior Knee Pain Scale, respectively.

Results

Individuals with bilateral PFP took fewer daily steps compared to pain-free controls (9568.1 ± 3827.0 vs. 12,285.8 ± 2821.2 steps/day; P = 0.018, Cohen d = 0.79), whereas individuals with unilateral PFP did not (11,099.2 ± 3547.1 steps/day; P = 0.503, Cohen d = 0.37). Individuals with bilateral PFP showed greater variability in MVPA compared to individuals with unilateral PFP (42.9 ± 23.1 vs. 29.0 ± 15.9; P = 0.011, Cohen d = 0.91) and pain-free controls (42.9 ± 23.1 vs. 17.6 ± 6.1; P < 0.001, Cohen d = 1.21). Individuals with unilateral and bilateral PFP similarly exhibited less time spent in MVPA, greater variability in daily steps, lower pain self-efficacy, and greater disability compared to pain-free controls (P < 0.001, Cohen d = 1.14–3.89).

Conclusions

Versus pain-free controls, individuals with bilateral PFP displayed greater variability in MVPA than individuals with unilateral PFP. However, it is important to note that unilateral PFP influenced time spent in MVPA, variability in daily steps, pain self-efficacy, and disability at similar levels to bilateral PFP.

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来源期刊
Musculoskeletal Science and Practice
Musculoskeletal Science and Practice Health Professions-Physical Therapy, Sports Therapy and Rehabilitation
CiteScore
4.10
自引率
8.70%
发文量
152
审稿时长
48 days
期刊介绍: Musculoskeletal Science & Practice, international journal of musculoskeletal physiotherapy, is a peer-reviewed international journal (previously Manual Therapy), publishing high quality original research, review and Masterclass articles that contribute to improving the clinical understanding of appropriate care processes for musculoskeletal disorders. The journal publishes articles that influence or add to the body of evidence on diagnostic and therapeutic processes, patient centered care, guidelines for musculoskeletal therapeutics and theoretical models that support developments in assessment, diagnosis, clinical reasoning and interventions.
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