International Journal of Rehabilitation Research最新文献

The mediating role of kinesiophobia in pain intensity, physical function, and physical activity level in 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。

IF 1.5 4区医学

International Journal of Rehabilitation Research Pub Date : 2024-10-22 DOI: 10.1097/MRR.0000000000000650

Larissa Nakahata Medrado, Silvio Assis de Oliveira-Junior, Paula Felippe Martinez

{"title":"The mediating role of kinesiophobia in pain intensity, physical function, and physical activity level in inflammatory arthritis.","authors":"Larissa Nakahata Medrado, Silvio Assis de Oliveira-Junior, Paula Felippe Martinez","doi":"10.1097/MRR.0000000000000650","DOIUrl":"https://doi.org/10.1097/MRR.0000000000000650","url":null,"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.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142500486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Technology for helping people with neuromotor, intellectual, and speech disabilities engage in leisure and communication activities: a proof-of-concept study. 帮助神经运动、智力和语言残疾人参与休闲和交流活动的技术：概念验证研究。

IF 1.5 4区医学

International Journal of Rehabilitation Research Pub Date : 2024-10-18 DOI: 10.1097/MRR.0000000000000649

Giulio E Lancioni, Jorge Navarro, Antonella Mellino, Elena Bortolozzi, Nirbhay N Singh, Mark F O'Reilly, Jeff Sigafoos, Gloria Alberti

{"title":"Technology for helping people with neuromotor, intellectual, and speech disabilities engage in leisure and communication activities: a proof-of-concept study.","authors":"Giulio E Lancioni, Jorge Navarro, Antonella Mellino, Elena Bortolozzi, Nirbhay N Singh, Mark F O'Reilly, Jeff Sigafoos, Gloria Alberti","doi":"10.1097/MRR.0000000000000649","DOIUrl":"10.1097/MRR.0000000000000649","url":null,"abstract":"We extended the assessment of our recently developed technology to help people with neuromotor, intellectual, and speech disabilities access (listen to) music, communicate with distant partners, and answer questions. The technology included a tablet (1) fitted with an Internet connection, a SIM card, WhatsApp Messenger, and MacroDroid application, and (2) interfaced with different pairs of response sensors. Six participants were included in the study, which was carried out according to a nonconcurrent multiple baseline design across participants. During the baseline phase (5-8 sessions carried out over 1-2 weeks), participants were unable to access music, make video calls, or answer questions using a regular tablet. During the intervention phase (50-102 sessions carried out with the technology over 2-4 months), however, they activated means of 4.7-7.6 songs and 0.4-3.6 video calls per session. Moreover, they answered correctly a mean of 69-96% of the questions presented to them. These results suggest that our technology solution is a viable and potentially valuable resource for people with extensive disabilities.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11520330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142465423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Efficacy of continuous passive motion compared to physiotherapy in rehabilitation after total knee replacement: a prospective randomized controlled non-inferiority trial. 持续被动运动与物理治疗在全膝关节置换术后康复中的疗效比较：一项前瞻性随机对照非劣效试验。

IF 1.5 4区医学

International Journal of Rehabilitation Research Pub Date : 2024-10-09 DOI: 10.1097/MRR.0000000000000646

Johannes Schröter, Julian Renz, Natascha Raisig, Per Otto Schüller, Yama Afghanyar, Charlotte Arand, Michael Nienhaus, Erol Gercek

{"title":"Efficacy of continuous passive motion compared to physiotherapy in rehabilitation after total knee replacement: a prospective randomized controlled non-inferiority trial.","authors":"Johannes Schröter, Julian Renz, Natascha Raisig, Per Otto Schüller, Yama Afghanyar, Charlotte Arand, Michael Nienhaus, Erol Gercek","doi":"10.1097/MRR.0000000000000646","DOIUrl":"https://doi.org/10.1097/MRR.0000000000000646","url":null,"abstract":"Successful total knee replacement (TKR) heavily depends on postoperative rehabilitation. This study aims to investigate the efficacy of continuous passive motion (CPM) partially replacing group physiotherapy in an inpatient rehabilitation setting in order to contribute to the lack of physiotherapists in patients' care. Adult patients after TKR were included. A prospective randomized controlled two-center trial was conducted across inpatient rehabilitation facilities in Germany. Participants were randomly assigned to CPM or group physiotherapy. In addition, all participants received the same standard rehabilitation program. Primary outcome was the Staffelstein Score, and secondary outcome measures included Oxford Knee Score, range of motion (ROM), pain, and return to work. Non-inferiority margin for Staffelstein Score was set at ±5% of maximum scores based on previous collected data. Results indicate no significant differences between CPM and physiotherapy groups in the Staffelstein Score (CPM: 94 ± 10 points; group physiotherapy: 92 ± 10 points; P > 0.05), ROM, or pain management at discharge from rehabilitation facility. This study underscores the potential of CPM as a valuable component of TKR rehabilitation, providing comparable outcomes to traditional physiotherapy. However, individualized physiotherapy remains integral to optimizing long-term success. Future research should explore extended follow-up periods and diverse patient populations to further elucidate CPM's role in TKR rehabilitation.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Understanding the multidimensionality of a concern for falling in people with unilateral transtibial amputation: a cross-sectional study. 了解单侧经胫骨截肢者对跌倒担忧的多面性：一项横断面研究。

IF 1.5 4区医学

International Journal of Rehabilitation Research Pub Date : 2024-10-09 DOI: 10.1097/MRR.0000000000000647

Kristin Nugent, Ricardo Viana, Michael W Payne, Janelle Unger, Susan W Hunter

{"title":"Understanding the multidimensionality of a concern for falling in people with unilateral transtibial amputation: a cross-sectional study.","authors":"Kristin Nugent, Ricardo Viana, Michael W Payne, Janelle Unger, Susan W Hunter","doi":"10.1097/MRR.0000000000000647","DOIUrl":"https://doi.org/10.1097/MRR.0000000000000647","url":null,"abstract":"People with lower limb loss often experience psychological concerns related to falling. A concern for falling (CFF) includes four subdomains: fear of falling, self-efficacy, consequences of falling, and perceptions of falls. Limited research exists on how these subdomains are influenced by clinical factors and falls history. This cross-sectional online survey evaluated: (1) associations among CFF outcome measures; (2) relationships between falls history and outcome measures; and (3) clinical and demographic factors related with outcome measures. Inclusion criteria: ≥18 years old, unilateral transtibial amputation and ambulating with a prosthesis. Eight measures assessed CFF: visual analog scale fear of falling, Modified Survey of Activities and Fear of Falling in the Elderly (mSAFFE), Activities-specific Balance Confidence (ABC), Falls Efficacy Scale International (FES-I), Prosthetic Limb Users Survey - Mobility (PLUS-M), Locomotor Capabilities Index, Consequences of Falling Scale, and Perceived Ability to Manage Falls. Pearson bivariate correlation analysis assessed associations among outcome measures. T tests evaluated the association of falls status on outcome scores. Multiple linear regression modelled the clinical and demographic factors related to each measure. Sixty-eight adults (mean 61.8 ± 12.0) participated. Moderate statistically significant (P < 0.001) correlations were found across most outcome measures, with the strongest between PLUS-M and mSAFFE (r = -0.841), and ABC and FES-I (r = -0.821). Faller status was not associated with any measure (P > 0.05). Quality of life was associated with fear of falling, activity avoidance, self-efficacy, and certainty to managing falls (R2 ranged from 0.27 to 0.47). CFF should be evaluated independently of falls history.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Responsiveness of the Australian Spasticity Assessment Scale to botulinum neurotoxin injection into spastic wrist flexors after acquired brain injury. 澳大利亚痉挛评估量表对后天性脑损伤后痉挛性腕屈肌注射肉毒杆菌神经毒素的反应。

IF 1.5 4区医学

International Journal of Rehabilitation Research Pub Date : 2024-09-27 DOI: 10.1097/MRR.0000000000000644

Korhan Bariş Bayram, İlker Şengül, Nazrin Aghazada, Ayhan Aşkin, Ferhan Elmali

{"title":"Responsiveness of the Australian Spasticity Assessment Scale to botulinum neurotoxin injection into spastic wrist flexors after acquired brain injury.","authors":"Korhan Bariş Bayram, İlker Şengül, Nazrin Aghazada, Ayhan Aşkin, Ferhan Elmali","doi":"10.1097/MRR.0000000000000644","DOIUrl":"https://doi.org/10.1097/MRR.0000000000000644","url":null,"abstract":"The Australian Spasticity Assessment Scale (ASAS) is a relatively new scale used to rate the severity of spasticity. Although the reliability of the ASAS has been investigated, its ability to detect a clinically important change (responsiveness) has not. The objective of this study was to investigate the responsiveness of the ASAS in adult patients with acquired brain injury-related wrist flexor spasticity treated with botulinum neurotoxin A. The responsiveness of the ASAS was assessed by the standardized response mean at the group level. At the individual level, responsiveness was assessed by the percentage of responders and nonresponders. Those who had at least a 1 grade reduction in spasticity severity were considered responders. In addition, the magnitude of the goniometric change in R1 (angle of catch response) across the responders and nonresponders was studied as a distribution of frequency. Significant improvements in R1 and ASAS were achieved with the treatment. The standardized response mean based on the ASAS grades was 1.50 with a 95% confidence interval of 1.16-1.89. At the individual level, 40 of all cases (78.4%) were responders, and 11 (21.6%) were nonresponders. Three of the 11 nonresponders (27.3%) improved R1 beyond the 10 ° margin of error (20, 50, and 50 °). In contrast, the percentage of responders who had a change within the margin of error was 27.5% (11 out of 40). Although ASAS can reveal a decrease in wrist flexor spasticity, it has some shortcomings in detecting the potentially clinically important response at the individual level.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142346598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Identifying discriminant factors between phantom limb pain, residual limb pain, and both in people with lower limb amputations: a cross-sectional study. 识别下肢截肢者幻肢痛、残肢痛及两者的判别因素：一项横断面研究。

IF 1.5 4区医学

International Journal of Rehabilitation Research Pub Date : 2024-09-01 Epub Date: 2024-07-15 DOI: 10.1097/MRR.0000000000000634

Sanaz Pournajaf, Carlo Damiani, Francesco Agostini, Giovanni Morone, Stefania Proietti, Roberto Casale, Marco Franceschini, Michela Goffredo

{"title":"Identifying discriminant factors between phantom limb pain, residual limb pain, and both in people with lower limb amputations: a cross-sectional study.","authors":"Sanaz Pournajaf, Carlo Damiani, Francesco Agostini, Giovanni Morone, Stefania Proietti, Roberto Casale, Marco Franceschini, Michela Goffredo","doi":"10.1097/MRR.0000000000000634","DOIUrl":"10.1097/MRR.0000000000000634","url":null,"abstract":"Postamputation pain is a common condition in patients with lower limb amputation (LLA), which compromises amputees' rehabilitation, use of the prosthesis, and quality of life. The aim of our study was to investigate the prevalence of phantom limb pain (PLP), residual limb pain (RLP), or both types of pain among individuals with LLA, and to identify the factors associated with the presence of one type of pain versus the other. Patients who underwent amputation for traumatic or vascular reasons and who reported on RLP or PLP were analyzed and divided into three groups: PLP, RLP, or a group of subjects that presented both pains. We searched for factors that affect the occurrence of limb pain using univariate analyses, followed by multinomial logistic regression. Among the 282 participants with transtibial and transfemoral amputations, 192 participants (150 male and 42 female) presented PLP, RLP, or both types of pain, while 90 participants declared to perceive no pain. The estimated prevalence of any type of pain after transfemoral and transtibial amputation was therefore 68% (27% PLP, 10% RLP, and 31% both). Among the studied characteristics, only amputation level was associated with the type of pain ( P = 0.001). Multinomial logistic regression identified transfemoral amputation as the only statistically significant predictor for PLP (odds ratio = 2.8; P = 0.002). Hence, it was estimated that individuals with transfemoral amputation have nearly three times higher odds of experiencing PLP compared with those with transtibial amputation.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11424063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141590315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Usefulness of the Kansas University Standing Balance Scale in inpatient rehabilitation: a retrospective validation study. 堪萨斯大学站立平衡量表在住院康复中的实用性：一项回顾性验证研究。

IF 1.5 4区医学

International Journal of Rehabilitation Research Pub Date : 2024-09-01 Epub Date: 2024-07-09 DOI: 10.1097/MRR.0000000000000635

Asall Kim, Younji Kim, Myungki Ji, Jae-Young Lim

{"title":"Usefulness of the Kansas University Standing Balance Scale in inpatient rehabilitation: a retrospective validation study.","authors":"Asall Kim, Younji Kim, Myungki Ji, Jae-Young Lim","doi":"10.1097/MRR.0000000000000635","DOIUrl":"10.1097/MRR.0000000000000635","url":null,"abstract":"Adequate balance assessment is essential for designing rehabilitation programs and preventing falls. This study aimed to report the cross-cultural adaptation of the Korean version of the Kansas University Standing Balance Scale (KUSBS), investigate its concurrent and predictive validities, and examine aging-related differences. The adaptation was performed using a standard protocol. In this retrospective study, 1179 patients were included and classified into adult, young-old, old-old, and oldest-old groups. Furthermore, we compared the concurrent, discriminant, and predictive validities of the KUSBS and Berg Balance Scale (BBS). Nonparametric analysis was also conducted. The Spearman rho test revealed strong correlation coefficients between the KUSBS and BBS (r s > 0.7; P < 0.001). At admission, the relationship was strong in the adult, young-old, and old-old groups (r s = 0.931, 0.913, and 0.914, respectively; P < 0.001) but not the oldest-old group (r s = 0.790; P < 0.001). At discharge, the correlation coefficients were above 0.9 in all groups. Additionally, the relationship between the changes in both scales was moderate-to-strong (r s > 0.68; P < 0.001). The predictive validity for independent walking of the KUSBS was strong (r s = 0.791; P < 0.001) and significantly lower than that of the BBS (r s = 0.833; P < 0.001; Z = -3.001; P = 0.003). Furthermore, the cutoff value of the KUSBS at admission to predict independent ambulatory walkers at discharge was 3.5 in ordinal ranking in all age groups. The KUSBS is a reliable and effective tool for measuring balance in patients in inpatient rehabilitation.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141491858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of proprioceptive neuromuscular facilitation combined with threshold inspiratory muscle training on respiratory function in neurocritical patients with weaning failure: a randomized controlled trial. 本体感觉神经肌肉促进联合阈值吸气肌训练对断奶失败的神经重症患者呼吸功能的影响：随机对照试验。

IF 1.5 4区医学

International Journal of Rehabilitation Research Pub Date : 2024-09-01 Epub Date: 2024-04-19 DOI: 10.1097/MRR.0000000000000627

Qian Zhou, Yuanyuan Zhang, Wei Yao, Sijie Liang, Hui Feng, Huaping Pan

{"title":"Effects of proprioceptive neuromuscular facilitation combined with threshold inspiratory muscle training on respiratory function in neurocritical patients with weaning failure: a randomized controlled trial.","authors":"Qian Zhou, Yuanyuan Zhang, Wei Yao, Sijie Liang, Hui Feng, Huaping Pan","doi":"10.1097/MRR.0000000000000627","DOIUrl":"10.1097/MRR.0000000000000627","url":null,"abstract":"The purpose of this study was to determine the effects of combining proprioceptive neuromuscular facilitation (PNF) with threshold inspiratory muscle training (TIMT), compared with TIMT alone, on respiratory function in neurocritical patients who experienced a weaning failure. Forty-seven participants (mostly after a stroke), were randomly divided into the experimental group ( n = 24) and the control group ( n = 23). The control group received usual care and TIMT, whereas the experimental group, in addition, underwent four 90-s periods of manual PNF. Both groups performed training in the ICU twice a day for 5 consecutive days. The main outcome measures included maximum inspiratory pressure, diaphragmatic excursions, diaphragm thickening fraction, oxygenation index, and forced expiratory volume in 1 s/forced vital capacity. The results showed a significant group-by-time interaction effect for maximum inspiratory pressure [ F (1, 45) = 17.84, η2 = 0.328, P < 0.001] and oxygenation index [ F [1, 45) = 5.58, η2 = 0.11, P = 0.023]. When compared with the control group, the experimental group showed overall significantly higher maximum inspiratory pressure [mean difference = 4.37 cm H 2 O, 95% confidence interval (CI) 0.25-8.50, P = 0.038]. No other significant group differences were found. Combining PNF with TIMT may improve respiratory function in neurocritical patients with weaning failure. This combination approach may increase the likelihood of survival of neurocritical patients in the ICU.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11288388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140863868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Physical activity as mediator between back pain and disability. 体育活动是腰痛与残疾之间的中介。

IF 1.5 4区医学

International Journal of Rehabilitation Research Pub Date : 2024-09-01 Epub Date: 2024-07-22 DOI: 10.1097/MRR.0000000000000638

Aleksandra E Karklins, Katri I Pernaa, Mikhail Saltychev, Juhani E Juhola, Jari P A Arokoski

引用次数: 0

Factors associated with depression in patients undergoing rehabilitation for chronic pain: a cross-sectional analytical study at a referral hospital in Peru. 接受慢性疼痛康复治疗的患者抑郁的相关因素：秘鲁一家转诊医院的横断面分析研究。

IF 1.5 4区医学

International Journal of Rehabilitation Research Pub Date : 2024-09-01 Epub Date: 2024-05-20 DOI: 10.1097/MRR.0000000000000630

Roger De la Cerna-Luna, Daniel Fernandez-Guzman, Ines Machicado-Chipana, Vanessa Martinez-Zapata, Paola Serna-Chavez, Katherine Paz-Cuellar

{"title":"Factors associated with depression in patients undergoing rehabilitation for chronic pain: a cross-sectional analytical study at a referral hospital in Peru.","authors":"Roger De la Cerna-Luna, Daniel Fernandez-Guzman, Ines Machicado-Chipana, Vanessa Martinez-Zapata, Paola Serna-Chavez, Katherine Paz-Cuellar","doi":"10.1097/MRR.0000000000000630","DOIUrl":"10.1097/MRR.0000000000000630","url":null,"abstract":"Despite the well-known impact of depression on patients with chronic pain and its association, few studies have evaluated its related factors in Physical Medicine and Rehabilitation settings. The objective of the present study was to assess the factors associated with depression in adult patients undergoing rehabilitation for chronic pain at Hospital Rebagliati (HNERM) in Peru. A cross-sectional analytical study was conducted between June and August 2023, involving 212 adult patients with chronic pain undergoing rehabilitation at HNERM. Data were collected through a survey, including sociodemographic information, pain characteristics, and depression assessment using the Patient Health Questionnaire-9 (PHQ-9). Statistical analysis included descriptive statistics and generalized linear models to identify factors associated with depression. Among 212 participants, 17.9% had a depression diagnosis based on the PHQ-9 (cutoff score: 10 points). Factors associated with a higher frequency of depression included a time since pain diagnosis of 3-6 months [adjusted prevalence ratios (aPR): 1.15, 95% confidence interval (CI): 1.04-1.27], severe pain (aPR: 1.17, 95% CI: 1.04-1.32), comorbidities (for 1: aPR: 1.21, 95% CI: 1.08-1.35; for 2: aPR: 1.17, 95% CI: 1.06-1.29; for ≥3: aPR: 1.27, 95% CI: 1.10-1.47), use of ≥2 medications for pain management (aPR: 1.27, 95% CI: 1.13-1.42), and receipt of psychological therapy (aPR: 1.26, 95% CI: 1.09-1.46). Nonpharmacological interventions did not show an association with an increased prevalence of depression. These findings underscore the significance of adopting a comprehensive approach to chronic pain management, including the screening, assessment, and treatment of associated depression.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141064753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0