Characterisation of musculoskeletal health problems encountered following critical illness and their relationship with physical function: a prospective observational study.

IF 2.2 4区医学 Q1 REHABILITATION

Disability and Rehabilitation Pub Date : 2026-10-19 DOI:10.1080/09638288.2026.2748408

Owen Gustafson, Elizabeth King, Helen Dawes, Mark Williams

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引用次数: 0

Abstract

Purpose: Poor musculoskeletal (MSK) health is common following critical illness, negatively impacting quality of life. Holistic MSK assessment of critical care survivors has not previously been undertaken. The aim was to characterise MSK problems following critical illness and explore disability in patients with poor MSK health.

Materials and methods: A holistic MSK assessment was undertaken in participants six months after admission to intensive care. Participants with poor MSK health underwent an exploratory, functional assessment mirroring the domains of the International Classification of Functioning Disability and Health framework (ICF).

Results: Sixty-one participants underwent MSK assessment and 11 the functional assessment. Multisite problems (n = 33, 54.1%) and high levels of fear-avoidance related to physical activity (n = 15, 24.6%) were common. MSK health correlated with pain (p = 0.008), strength (p = 0.002), and fear-avoidance beliefs related to physical activity and work (p < 0.001). Participants with upper limb problems had high levels of disability with mean QuickDASH scores of 48.14 (SD24.49). Participants were sedentary for a median (IQR) of 21.7 h (20.5-22.1) per day.

Conclusions: Participants had high pain levels and experienced problems across all ICF domains. These results highlight an urgent need for research into targeted rehabilitation interventions to improve MSK health following critical illness.

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危重疾病后遇到的肌肉骨骼健康问题的特征及其与身体功能的关系：一项前瞻性观察研究

目的：肌肉骨骼（MSK）健康状况不佳是严重疾病后常见的，对生活质量产生负面影响。以前没有对重症监护幸存者进行全面的MSK评估。其目的是描述危重疾病后的MSK问题，并探索MSK健康状况不佳的患者的残疾。材料和方法：在参与者进入重症监护6个月后进行全面的MSK评估。MSK健康状况不佳的参与者进行了探索性的功能评估，反映了国际功能残疾和健康分类框架（ICF）的领域。结果：61例接受MSK评估，11例接受功能评估。多部位问题（n = 33, 54.1%）和与体育活动相关的高水平恐惧回避（n = 15, 24.6%）是常见的。MSK健康与疼痛（p = 0.008）、力量（p = 0.002）以及与体力活动和工作相关的恐惧回避信念(p)相关。结论：参与者在所有ICF领域都有高疼痛水平和经历问题。这些结果强调了迫切需要研究有针对性的康复干预措施，以改善危重疾病后的MSK健康。

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

Disability and Rehabilitation 医学-康复医学

CiteScore

5.00

自引率

9.10%

发文量

415

审稿时长

3-6 weeks

期刊介绍： Disability and Rehabilitation along with Disability and Rehabilitation: Assistive Technology are international multidisciplinary journals which seek to encourage a better understanding of all aspects of disability and to promote rehabilitation science, practice and policy aspects of the rehabilitation process.