Determinants of reduced walking speed in people with musculoskeletal pain.
Determinants of reduced walking speed in people with musculoskeletal pain.
复制标题
肌肉骨骼疼痛患者步行速度降低的决定因素。
作者：
S. Ayis;S. Ebrahim;Susan Williams;P. Jüni;P. Dieppe
客观的
保持良好的步行速度对于独立生活至关重要。患有肌肉骨骼疾病的人步行速度通常会降低。我们研究了除肌肉骨骼疾病之外的缓慢行走的决定因素，这可能为治疗提供有价值的额外目标。
方法
我们分析了萨默塞特和雅芳健康调查的数据，这是一项针对 35 岁以上人群的社区调查。共有 2703 名在基线（1994/1995 年）报告有髋部或膝部疼痛的参与者接受了研究，并在 2002-2003 年进行了重新评估； 1696 人可进行随访，1074 人测试了步行速度。步行速度（米/秒）用作结果衡量标准。使用多元线性回归分析测试基线特征（包括合并症和社会经济因素）预测步行速度降低的能力。
结果
年龄、女性性别和基线不动是步行速度减慢的预测因素。其他独立危险因素包括白内障、社会经济地位低下、间歇性跛行和其他心血管疾病。患有白内障与 0.10 m/s 的下降相关（95% CI 0.03, 0.16）。社会等级 V 的步行速度比社会等级 I 的人慢 0.22 m/s (95% CI 0.126, 0.31)。
结论
合并症、年龄、女性和较低的社会经济地位决定了关节疼痛患者的行走速度。视力不佳和社会经济不利等问题可能会加剧肌肉骨骼疾病的影响，这表明需要对这些患者采取整体方法进行管理。
OBJECTIVE
Maintenance of good walking speed is essential to independent living. People with musculoskeletal disease often have reduced walking speed. We investigated determinants of slower walking, other than musculoskeletal disease, that might provide valuable additional targets for therapy.
METHODS
We analyzed data from the Somerset and Avon Survey of Health, a community based survey of people aged over 35 years. A total of 2703 participants who reported hip or knee pain at baseline (1994/1995) were studied, and reassessed in 2002-2003; 1696 were available for followup, and walking speed was tested in 1074. Walking speed (m/s) was used as outcome measure. Baseline characteristics, including comorbidities and socioeconomic factors, were tested for their ability to predict reduced walking speed using multiple linear regression analysis.
RESULTS
Age, female sex, and immobility at baseline were predictive of slower walking speed. Other independent risk factors included the presence of cataract, low socioeconomic status, intermittent claudication, and other cardiovascular conditions. Having a cataract was associated with a decrease of 0.10 m/s (95% CI 0.03, 0.16). Those in social class V had a walking speed 0.22 m/s (95% CI 0.126, 0.31) slower than those in social class I.
CONCLUSION
Comorbidities, age, female sex, and lower socioeconomic position determine walking speed in people with joint pain. Issues such as poor vision and social-economic disadvantage may add to the effect of musculoskeletal disease, suggesting the need for a holistic approach to management of these patients.