The Influence of Psychological Factors on Physical Activity in Individuals With Patellofemoral Pain.

IF 1.3 4区 医学 Q3 REHABILITATION
Journal of Sport Rehabilitation Pub Date : 2024-07-19 Print Date: 2024-08-01 DOI:10.1123/jsr.2023-0427
Timothy J Gilgallon, Sungwan Kim, Neal R Glaviano
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引用次数: 0

Abstract

Context: Patellofemoral pain (PFP) is a prevalent chronic condition characterized by retropatellar or peripatellar pain exacerbated by various knee flexion-based activities. Previous research has highlighted the impact of psychological constructs on pain and function in chronic musculoskeletal pain conditions, yet their influence on physical activity in PFP cohorts remains unexplored. We aimed to evaluate whether pain self-efficacy and pain catastrophizing predict variations in steps per day and moderate to vigorous physical activity (MVPA) among individuals with PFP.

Design: Cross-sectional observational study.

Methods: Thirty-nine participants (11 males) with PFP were included. Dependent variables were steps per day and minutes of MVPA. Independent variables were pain self-efficacy and pain catastrophizing, measured by the pain self-efficacy questionnaire and the pain catastrophizing scale. Participants were given an ActiGraph wGT3X-BT for 7 days to assess physical activity. Correlations were assessed between psychological measures and physical activity, and a simple linear regression was performed on psychological variables that correlated with physical activity. Alpha was set a priori at P < .05.

Results: Pain self-efficacy scores displayed a moderate association with steps per day (rho = .45, P = .004) and a weak association with MVPA (rho = .38, P = .014). Pain catastrophizing scores exhibited no significant associations with physical activity (P < .05). Regression models affirmed pain self-efficacy scores as significant predictors of both steps per day (F1,37 = 10.30, P = .002) and MVPA (F1,37 = 8.98, P = .004).

Conclusions: Psychological measures continue to demonstrate value to clinicians treating PFP. Pain self-efficacy scores were moderately associated with steps per day and weakly associated with MVPA, explaining nearly a fifth of the variation in physical activity. Clinicians should prioritize the assessment of pain self-efficacy when treating individuals with PFP, potentially employing psychological interventions to improve physical activity in the PFP population.

髌骨股骨痛患者心理因素对体育锻炼的影响
背景:髌骨股骨痛(PFP)是一种常见的慢性疾病,其特点是髌骨后或髌骨周围疼痛,并因各种膝关节屈曲活动而加剧。以往的研究强调了心理结构对慢性肌肉骨骼疼痛患者的疼痛和功能的影响,但这些心理结构对 PFP 患者体育活动的影响仍未得到探讨。我们的目的是评估疼痛自我效能感和疼痛灾难化是否能预测 PFP 患者每天运动步数和中度至剧烈运动(MVPA)的变化:设计:横断面观察研究:纳入 39 名 PFP 患者(11 名男性)。因变量为每日步数和 MVPA 分钟数。自变量为疼痛自我效能和疼痛灾难化,由疼痛自我效能问卷和疼痛灾难化量表测量。参与者使用 ActiGraph wGT3X-BT 进行为期 7 天的体力活动评估。评估了心理测量与体力活动之间的相关性,并对与体力活动相关的心理变量进行了简单的线性回归。阿尔法先验设定为 P <.05:结果:疼痛自我效能感得分与每天步数呈中度相关(rho = .45,P = .004),与 MVPA 呈弱相关(rho = .38,P = .014)。疼痛灾难化评分与体育锻炼无明显关联(P < .05)。回归模型证实,疼痛自我效能得分对每天的运动步数(F1,37 = 10.30,P = .002)和 MVPA(F1,37 = 8.98,P = .004)有显著的预测作用:心理测量对临床医生治疗 PFP 仍有价值。疼痛自我效能感评分与每日步数呈中度相关,与 MVPA 呈弱相关,可解释近五分之一的体力活动差异。临床医生在治疗PFP患者时应优先评估疼痛自我效能感,并有可能采用心理干预来改善PFP人群的体力活动。
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来源期刊
Journal of Sport Rehabilitation
Journal of Sport Rehabilitation 医学-康复医学
CiteScore
3.20
自引率
5.90%
发文量
143
审稿时长
>12 weeks
期刊介绍: The Journal of Sport Rehabilitation (JSR) is your source for the latest peer-reviewed research in the field of sport rehabilitation. All members of the sports-medicine team will benefit from the wealth of important information in each issue. JSR is completely devoted to the rehabilitation of sport and exercise injuries, regardless of the age, gender, sport ability, level of fitness, or health status of the participant. JSR publishes peer-reviewed original research, systematic reviews/meta-analyses, critically appraised topics (CATs), case studies/series, and technical reports that directly affect the management and rehabilitation of injuries incurred during sport-related activities, irrespective of the individual’s age, gender, sport ability, level of fitness, or health status. The journal is intended to provide an international, multidisciplinary forum to serve the needs of all members of the sports medicine team, including athletic trainers/therapists, sport physical therapists/physiotherapists, sports medicine physicians, and other health care and medical professionals.
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