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Abstract：
OBJECTIVE: This study aims to investigate the occurrence of postoperative kinesiophobia in patients with CSM and compare the postoperative recovery of patients with and without kinesiophobia to understand its influence on clinical outcomes in CSM.
METHODS: Between November 2020 and November 2022, surgical treatment was performed in the neurosurgical wards of 2 Grade III Class A general public hospitals in the Fujian Province. The demographic and disease data of the patients were collected, and patients were divided into a kinesiophobia group and non-kinesiophobia group according to the Tampa kinesiophobia Scale (TSK). The cervical dysfunction index, cervical Japanese Orthopaedic Association (JOA) rating, self-anxiety rating, and activity of daily living rating scales were collected three months postoperatively. The influence of postoperative kinesiophobia on early rehabilitation was also analysed.
RESULTS: A total of 122 patients were an average age of (55.2 ± 10.3) years included in this study. The average score of kinesophobia after surgery was 41.2 ± 4.5, with an incidence of 75.4%. Multivariate logistic regression analysis showed that age (OR = 1.105, 95% CI = 1.014-1.204), neck disability index (NDI) (OR = 1.268, 95% CI = 1.108-1.451), diabetes mellitus (OR = 0.026, 95% CI = 0.001-0.477), and Japanese Orthopaedic Association (JOA) score (OR = 0.698, 95% CI = 0.526-0.927) were associated with the occurren.
CONCLUSIONS: Doctors should be aware of kinesiophobia in patients with CSM. Education regarding kinesiophobia, strategies to avoid it, and treatment strategies using a multidisciplinary approach can improve recovery outcomes.
METHODS: Between November 2020 and November 2022, surgical treatment was performed in the neurosurgical wards of 2 Grade III Class A general public hospitals in the Fujian Province. The demographic and disease data of the patients were collected, and patients were divided into a kinesiophobia group and non-kinesiophobia group according to the Tampa kinesiophobia Scale (TSK). The cervical dysfunction index, cervical Japanese Orthopaedic Association (JOA) rating, self-anxiety rating, and activity of daily living rating scales were collected three months postoperatively. The influence of postoperative kinesiophobia on early rehabilitation was also analysed.
RESULTS: A total of 122 patients were an average age of (55.2 ± 10.3) years included in this study. The average score of kinesophobia after surgery was 41.2 ± 4.5, with an incidence of 75.4%. Multivariate logistic regression analysis showed that age (OR = 1.105, 95% CI = 1.014-1.204), neck disability index (NDI) (OR = 1.268, 95% CI = 1.108-1.451), diabetes mellitus (OR = 0.026, 95% CI = 0.001-0.477), and Japanese Orthopaedic Association (JOA) score (OR = 0.698, 95% CI = 0.526-0.927) were associated with the occurren.
CONCLUSIONS: Doctors should be aware of kinesiophobia in patients with CSM. Education regarding kinesiophobia, strategies to avoid it, and treatment strategies using a multidisciplinary approach can improve recovery outcomes.
摘要：
目的：本研究旨在调查CSM患者术后运动恐惧症的发生情况，并比较有无运动恐惧症患者的术后恢复情况，以了解其对CSM临床结局的影响。
方法：2020年11月至2022年11月，在福建省2所三级甲等综合性公立医院神经外科病房进行手术治疗。收集患者的人口统计学和疾病数据，根据坦帕运动恐惧症量表（TSK）将患者分为运动恐惧症组和非运动恐惧症组。宫颈功能障碍指数，颈椎日本骨科协会（JOA）评级，自我焦虑评分，术后3个月收集日常生活活动能力评定量表。还分析了术后运动恐惧症对早期康复的影响。
结果：本研究共纳入122例患者，平均年龄（55.2±10.3）岁。术后食管恐惧症的平均得分为41.2±4.5，发生率为75.4%。多因素logistic回归分析显示年龄(OR=1.105,95%CI=1.014-1.204),颈部残疾指数（NDI）（OR=1.268，95%CI=1.108-1.451），糖尿病（OR=0.026，95%CI=0.001-0.477），和日本骨科协会（JOA）评分（OR=0.698，95％CI=0.526-0.927）与发生相关。
结论：医生应注意CSM患者的运动恐惧症。关于运动恐惧症的教育，避免它的策略，和使用多学科方法的治疗策略可以改善恢复结果。
方法：2020年11月至2022年11月，在福建省2所三级甲等综合性公立医院神经外科病房进行手术治疗。收集患者的人口统计学和疾病数据，根据坦帕运动恐惧症量表（TSK）将患者分为运动恐惧症组和非运动恐惧症组。宫颈功能障碍指数，颈椎日本骨科协会（JOA）评级，自我焦虑评分，术后3个月收集日常生活活动能力评定量表。还分析了术后运动恐惧症对早期康复的影响。
结果：本研究共纳入122例患者，平均年龄（55.2±10.3）岁。术后食管恐惧症的平均得分为41.2±4.5，发生率为75.4%。多因素logistic回归分析显示年龄(OR=1.105,95%CI=1.014-1.204),颈部残疾指数（NDI）（OR=1.268，95%CI=1.108-1.451），糖尿病（OR=0.026，95%CI=0.001-0.477），和日本骨科协会（JOA）评分（OR=0.698，95％CI=0.526-0.927）与发生相关。
结论：医生应注意CSM患者的运动恐惧症。关于运动恐惧症的教育，避免它的策略，和使用多学科方法的治疗策略可以改善恢复结果。
