Levels of physical activity in people with chronic pain
Levels of physical activity in people with chronic pain
复制标题
慢性疼痛患者的体力活动水平
DOI：
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发表时间：
2017
影响因子：
1.1
通讯作者：
Matthew Wills
中科院分区：
文献类型：
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作者：
R. Parker;E. Bergman;Anelisiwe Mntambo;S. Stubbs;Matthew Wills
与健康人相比，患有慢性疼痛的人被认为具有较低的体力活动水平。然而，缺乏关于南非慢性疼痛患者身体活动水平的证据。目的比较南非慢性疼痛患者样本与匹配对照组的体力活动水平。方法采用横断面研究方法，对24例慢性疼痛患者和12例年龄、性别、居住地相匹配的对照组进行研究。采用方便取样法。患有慢性疼痛的参与者（12名）是从Groote Schuur医院慢性疼痛管理诊所（CPMC）等候名单中确定的，尚未接受任何慢性疼痛管理干预。健康匹配的对照组选自社区志愿者。将期望的α水平设置为0.05，功效设置为0.9，要求45名参与者检测到使用计步器测量的每天步数的身体活动水平之间至少有50%的差异。使用国际体力活动问卷（IPAQ）和简明疼痛量表（BPI）作为体力活动和疼痛的测量指标。使用的体力活动客观指标包括6分钟步行试验（6 MWT）、重复坐立试验（RSST）、7天计步器和体重指数（BMI）。结果慢性疼痛组在6 MWT（335 m [30-430] vs 680 m [430-795]; U = 0.5; p < 0.01）和RSST（17.9 s [11.83-105] vs 7.85 s [5.5-11.5]; U = 0; p < 0.01）方面的表现明显较差。慢性疼痛组的计步器评分也显著较低（平均每日：2985.1 [32.8-13785.4] vs 6409.4 [4207.1-15313.6]; U = 35; p < 0.03）。慢性疼痛组的BMI显著高于匹配的对照组（29.36 kg/m2 [18.94-34.63] vs 22.16 kg/m2 [17.1-30.86]; U = 34; p < 0.03）。结论慢性疼痛患者的体力活动能力降低。计步器的结果说明了一系列适应不良的策略，这些慢性疼痛。大多数患有慢性疼痛的人似乎避免体力活动，导致更大的残疾，因为不动和肌肉萎缩。然而，一小群人似乎忽略了他们的疼痛，尽管他们疼痛，他们还是在身体上推动自己。这种坚持不懈的行为会导致肌肉和关节过度使用的结果。这两种适应不良的行为反应导致中枢神经系统的进一步敏感化。在治疗计划中应考虑用于这些患者身体活动的方法，特别是物理治疗。
Background People who suffer from chronic pain are thought to have lower levels of physical activity compared to healthy individuals. However, there is a lack of evidence concerning levels of physical activity in South Africans with chronic pain. Objectives To compare levels of physical activity in a South African sample of people with chronic pain compared to matched controls. Methods A cross-sectional study was conducted with 24 participants (12 with chronic pain and 12 in the control group matched for age, gender and residential area). Convenience sampling was used. The participants with chronic pain (12) were identified from the Groote Schuur Hospital, Chronic Pain Management Clinic (CPMC) waiting list and had not yet received any chronic pain management intervention. Healthy matched controls were selected from volunteers in the community. With the desired alpha level set at 0.05 and the power at 0.9, 45 participants were required to detect a minimum of a 50 per cent difference between groups in levels of physical activity as measured in steps per day using pedometers. The international physical activity questionnaire (IPAQ) and the brief pain inventory (BPI) were used as measures of physical activity and pain. Objective indicators of physical activity that were used included the 6-minute walk test (6MWT), repeated sit-to-stand test (RSST), 7 days of pedometry and body mass index (BMI). Results The chronic pain group performed significantly worse on the 6MWT (335 m [30–430] vs 680 m [430–795]; U = 0.5; p < 0.01) and on the RSST (17.9 s [11.83–105] vs 7.85 s [5.5–11.5]; U = 0; p < 0.01). The chronic pain group also had significantly lower scores on pedometry (mean daily: 2985.1 [32.8–13785.4] vs 6409.4 [4207.1–15313.6]; U = 35; p < 0.03). The BMI for the chronic pain group was significantly higher than matched controls (29.36 kg/m2 [18.94–34.63] vs 22.16 kg/m2 [17.1–30.86]; U = 34; p < 0.03). Conclusion Participants with chronic pain had a reduced capacity for physical activity. The pedometry results illustrate a range of maladaptive strategies adopted by those with chronic pain. The majority of people with chronic pain appear to avoid physical activity leading to greater disability as a result of immobility and muscle atrophy. However, a small subgroup appears to ignore their pain and push themselves physically despite their pain. This perseverance behaviour leads to further pain as a consequence of muscle and joint overuse. Both maladaptive behavioural responses result in further sensitisation of the central nervous system. The method used to target physical activity in these patients should be considered in treatment planning, specifically for physiotherapy.
影响因子：
5.1
作者：
Pietrobelli, A;Faith, MS;Heymsfield, SB
通讯作者：
Heymsfield, SB