慢性颈部疼痛上班族的斜方肌上部剪切波弹性成像：与疼痛相关的颈部残疾、恐惧回避信念和工作能力的关系

IF 1.5 4区医学 Q2 REHABILITATION

Physiotherapy Theory and Practice Pub Date : 2025-10-06 DOI:10.1080/09593985.2025.2570368

Hio Teng Leong, Chung Yee Cecilia Ho

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引用次数: 0

摘要

目的：本研究采用剪切波弹性成像（SWE）方法比较了慢性颈痛上班族和非慢性颈痛上班族的上斜方肌（UT）僵硬度，并探讨UT肌肉僵硬度与疼痛相关颈残疾、恐惧回避信念和工作能力之间的关系。方法：88名办公室工作人员（66名慢性颈部疼痛患者，22名健康对照者，平均年龄= 32.7±8.3岁）参加本研究。用SWE测量UT肌肉僵硬度。颈部残疾指数（NDI）、恐惧回避信念问卷（FABQ）和工作能力指数（WAI）也进行了评估。结果：慢性颈痛上班族的UT剪切模量显著高于健康对照组（p s = 0.472, p s = 0.350, p = 0.472）。001)，且与WAI呈负相关（rs = -0.330, p = .002）。结论：UT肌肉僵硬度增加与颈部残疾程度加重、恐惧回避信念升高和工作能力下降有关。这些发现强调了解决UT肌肉的机械特性和心理社会因素在慢性颈部疼痛管理中的重要性，这需要进一步的研究和调查。并需要进一步的研究。

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Shear-wave elastography of the upper trapezius in office workers with chronic neck pain: Associations with pain-related neck disability, fear-avoidance beliefs, and work ability.

Purpose: This study compared upper trapezius (UT) muscle stiffness between office workers with and without chronic neck pain using shear-wave elastography (SWE), and investigated the relationship between UT muscle stiffness, pain-related neck disability, fear-avoidance beliefs, and work ability.

Methods: Eighty-eight office workers (66 individuals with chronic neck pain and 22 healthy controls, mean age = 32.7 ± 8.3 years) participated in this study. UT muscle stiffness was measured using SWE. The Neck Disability Index (NDI), Fear-Avoidance Beliefs Questionnaire (FABQ), and Work Ability Index (WAI) were also assessed.

Results: Office workers with chronic neck pain exhibited significantly higher UT shear modulus compared to healthy controls (p < .001). UT shear modulus was positively correlated with NDI (r_s = 0.472, p < .001) and FABQ score (r_s = 0.350, p = .001), and negatively correlated with WAI (r_s = -0.330, p = .002).

Conclusion: Increased UT muscle stiffness is associated with greater neck disability, higher fear-avoidance beliefs, and reduced work ability. These findings highlight the importance of addressing both the mechanical properties of the UT muscle and psychosocial factors in the management of chronic neck pain, and this warrants further research and investigation. and warrant further research.

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来源期刊

Physiotherapy Theory and Practice REHABILITATION-

CiteScore

3.40

自引率

10.00%

发文量

300

期刊介绍： The aim of Physiotherapy Theory and Practice is to provide an international, peer-reviewed forum for the publication, dissemination, and discussion of recent developments and current research in physiotherapy/physical therapy. The journal accepts original quantitative and qualitative research reports, theoretical papers, systematic literature reviews, clinical case reports, and technical clinical notes. Physiotherapy Theory and Practice; promotes post-basic education through reports, reviews, and updates on all aspects of physiotherapy and specialties relating to clinical physiotherapy.