The mediating role of kinesiophobia in pain intensity, physical function, and physical activity level in inflammatory arthritis.

IF 1.5 4区 医学 Q3 REHABILITATION
Larissa Nakahata Medrado, Silvio Assis de Oliveira-Junior, Paula Felippe Martinez
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引用次数: 0

Abstract

Pain is the main symptom of inflammatory arthritis and it can impair physical functional performance and physical activity level. Some individuals can develop kinesiophobia and experience a vicious circle of worsening health. This study aimed to investigate the association between pain and physical functional performance/physical activity and determine whether kinesiophobia mediates this association. This was a cross-sectional study with individuals diagnosed with inflammatory arthritis (rheumatoid arthritis or spondyloarthritis) treated at a Rheumatology Outpatient Clinic. We assessed pain (Visual Analogue Scale), physical activity (International Physical Activity Questionnaire - long form), kinesiophobia (Tampa Scale for Kinesiophobia), and physical functional performance (Handgrip Strength Dynamometry, 30-second Sit-to-Stand test, Static Muscular Endurance test, and Timed Up and Go test). The mediating effect of kinesiophobia on the relationship between pain intensity and physical functional performance/physical activity was analyzed, and the significance of the mediating effect (kinesiophobia) was tested through a bootstrap approach. Thirty-three individuals with inflammatory arthritis (mean age: 48 ± 12 years) participated in the study. Kinesiophobia mediates the relationship between pain intensity and physical functional performance analyzed by the 30-second Sit-to-Stand test [indirect effect (IE)overall = -0.343, bootstrap 95% confidence interval (CI): -0.698 to -0.002] and by knee flexion at 90º of the dominant limb (IEoverall = -1.55, bootstrap 95% CI: -3.43 to -0.237). In conclusion, pain intensity can affect physical functional performance through kinesiophobia in individuals with inflammatory arthritis.

运动恐惧在炎症性关节炎的疼痛强度、身体功能和运动水平中的中介作用。
疼痛是炎症性关节炎的主要症状,会影响身体机能和运动水平。有些人可能会患上运动恐惧症,从而导致健康状况恶化的恶性循环。本研究旨在调查疼痛与身体机能表现/体育锻炼之间的关系,并确定运动恐惧是否会介导这种关系。这是一项横断面研究,研究对象是在风湿病学门诊接受治疗的炎症性关节炎患者(类风湿性关节炎或脊柱关节炎)。我们评估了疼痛(视觉模拟量表)、体力活动(国际体力活动问卷--长表)、运动恐惧(坦帕运动恐惧量表)和身体功能表现(手握力测定法、30 秒坐立测试、静态肌肉耐力测试和定时起立测试)。分析了运动恐惧对疼痛强度和身体功能表现/体力活动之间关系的中介效应,并通过引导法检验了中介效应(运动恐惧)的显著性。33 名炎症性关节炎患者(平均年龄:48 ± 12 岁)参加了研究。通过 30 秒坐立测试(间接效应(IE)总值 = -0.343,自引导 95% 置信区间(CI):-0.698 至 -0.002)和优势肢体屈膝 90 度(IE 总值 = -1.55,自引导 95% 置信区间(CI):-3.43 至 -0.237)分析,运动恐惧在疼痛强度和身体功能表现之间起到了中介作用。总之,疼痛强度会通过运动恐惧影响炎症性关节炎患者的身体功能表现。
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
CiteScore
3.10
自引率
0.00%
发文量
88
审稿时长
6-12 weeks
期刊介绍: International Journal of Rehabilitation Research is a quarterly, peer-reviewed, interdisciplinary forum for the publication of research into functioning, disability and contextual factors experienced by persons of all ages in both developed and developing societies. The wealth of information offered makes the journal a valuable resource for researchers, practitioners, and administrators in such fields as rehabilitation medicine, outcome measurement nursing, social and vocational rehabilitation/case management, return to work, special education, social policy, social work and social welfare, sociology, psychology, psychiatry assistive technology and environmental factors/disability. Areas of interest include functioning and disablement throughout the life cycle; rehabilitation programmes for persons with physical, sensory, mental and developmental disabilities; measurement of functioning and disability; special education and vocational rehabilitation; equipment access and transportation; information technology; independent living; consumer, legal, economic and sociopolitical aspects of functioning, disability and contextual factors.
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