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.
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。