Bruno Ruocco Verengue, Patrícia Gabrielle Dos Santos, Barbara Greco Miura, Aron Charles Barbosa, Gabriela Nascimento de Santana, Almir Vieira Dibai-Filho, Soraia Micaela Silva, Cid André Fidelis de Paula Gomes
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引用次数: 0
Abstract
Background: Knee osteoarthritis (KOA) is a complex condition influenced by cognitive, physical, functional, sensory, and pain-processing-related factors, all of which contribute to pain and limitations in daily activities. Understanding how these factors are connected is vital for better disease management.
Objectives: To use network analysis to explore the relationships among cognitive (self-efficacy and catastrophizing), physical/functional (functionality and strength), sensory (central sensitization symptoms), and pain-processing-related factors (pain intensity) in individuals with KOA.
Methods: Two hundred and forty individuals with KOA participated in this cross-sectional study. The assessments included: Numeric Pain Rating Scale (NPRS), Central Sensitization Inventory (CSI), Pain Catastrophizing Scale (PCS), Pain Self-Efficacy Questionnaire (PSEQ), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), World Health Organization Disability Assessment Schedule (WHODAS), and quadriceps isometric strength (QIS). The network was estimated using the graphical LASSO method combined with a walktrap algorithm to identify clusters and connections between nodes (factors).
Results: The estimated network indicates that pain self-efficacy plays a key role in linking clinical and psychosocial factors, such as physical disability, pain during activities, and maladaptive pain thoughts. Its prominent position underscores its importance as a potential target for assessment and intervention in individuals with KOA.
Conclusion: Self-efficacy, as measured by the PSEQ, appears to be a central factor connected to physical/functional and sensory factors in individuals with KOA.
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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