膝盖咯吱咯吱响有必要担心吗?对膝关节疼痛患者观点的定性研究。

IF 1.5 Q3 RHEUMATOLOGY
Musculoskeletal Care Pub Date : 2023-12-01 Epub Date: 2023-06-21 DOI:10.1002/msc.1793
Elise E Drum, Alexandre Kovats, Matthew D Jones, Sarah Dennis, Justine Naylor, Kathryn Mills, Jeanette M Thom
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引用次数: 0

摘要

目的:膝关节疼痛是骨关节炎的一个特征,可能会影响患者参加锻炼。我们需要了解人们对膝关节疼痛的看法以及疼痛如何影响他们的运动行为。本研究旨在调查膝关节嘎吱声在运动和膝关节健康观念中可能扮演的角色:方法:对患有膝关节疼痛的参与者进行了焦点小组和个人在线访谈。通过归纳法对访谈记录进行了主题分析:结果:从 24 名参与者中确定了五大主题:(1) 膝盖异响的个体差异;(2) 膝盖异响的发生;(3) 膝盖异响的含义;(4) 关于膝盖异响的态度和运动行为;(5) 关于运动中膝盖异响的知识缺陷和需求。所描述的各种咯吱声都是在一系列运动或不运动后出现的。对于那些已经患有骨关节炎或出现其他症状的人来说,与疼痛等症状相比,吱吱声并不那么令人担忧。大多数参与者并没有停止锻炼,但可能会因为嘎吱声和相关症状而改变运动方式;一些人增加了有意的力量训练,试图缓解嘎吱声。参与者一致认为,更多地了解引起皱褶的过程以及哪些运动对膝关节健康是安全的将是有益的:结论:膝关节挛缩似乎并不是引起膝关节挛缩的主要原因。然而,与疼痛一样,它也是影响运动行为的一个因素。如果医疗专业人员能够指导那些对膝关节挛缩感到担忧的人,他们可能会更有信心进行有益于关节健康的锻炼。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Creaky knees: Is there a reason for concern? A qualitative study of the perspectives of people with knee crepitus.

Objective: Crepitus is a feature of osteoarthritis that may affect one's participation in exercise. An informed understanding is required of the perceptions that people have of their knee crepitus and how it affects their exercise behaviours. This study aims to investigate the role that crepitus may play in beliefs about exercise and knee health.

Methods: Focus group and individual interviews were conducted online with participants who had knee crepitus. The transcripts were thematically analysed through an inductive approach.

Results: Five main themes were identified from 24 participants: (1) individual variation of, (2) occurrence of, (3) meaning of knee crepitus, (4) attitudes and exercise behaviours regarding crepitus, and (5) knowledge deficits and needs concerning crepitus during exercise. The variety of crepitus sounds described occurred with a range of exercises or after inactivity. For those already with osteoarthritis or other symptoms, crepitus was of less concern than symptoms such as pain. Most participants had not ceased exercise but may have modified movement due to crepitus and associated symptoms; some had increased intentional strength training to try alleviating it. Participants agreed that more understanding about the processes causing crepitus and what exercise was safe for knee health would be beneficial.

Conclusion: Crepitus does not appear to be a major cause of concern for people who experience it. However, it is a factor that influences exercise behaviours as is pain. If health professionals could guide people with concerns about their crepitus, they may be more confident in exercising to benefit their joint health.

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来源期刊
Musculoskeletal Care
Musculoskeletal Care RHEUMATOLOGY-
CiteScore
2.30
自引率
7.70%
发文量
88
期刊介绍: Musculoskeletal Care is a peer-reviewed journal for all health professionals committed to the clinical delivery of high quality care for people with musculoskeletal conditions and providing knowledge to support decision making by professionals, patients and policy makers. This journal publishes papers on original research, applied research, review articles and clinical guidelines. Regular topics include patient education, psychological and social impact, patient experiences of health care, clinical up dates and the effectiveness of therapy.
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