膝关节疼痛与身体活动水平关系量性研究的范围综述  

The relationship between experience of knee pain and physical activity participation:A scoping review of quantitative studies

作　　者：杨璐 王培培 BRONWYN McGILL Lu Yang;Peipei Wang;Bronwyn McGill(Sydney School of Public Health,University of Sydney,NSW,Australia;Department of Hematology,Huashan Hospital,Shanghai,China;Prevention Research Collaboration,Charles Perkins Centre,University of Sydney,NSW,Australia)

机构地区：[1]Sydney School of Public Health,University of Sydney,NSW,Australia [2]Department of Hematology,Huashan Hospital,Shanghai,China [3]Prevention Research Collaboration,Charles Perkins Centre,University of Sydney,NSW,Australia

出　　处：《International Journal of Nursing Sciences》2023年第2期258-267,共10页国际护理科学（英文）

摘　　要：目的身体活动对于膝关节疼痛有缓解作用并且能够预防其他健康问题.然而,进行身体活动对于有膝关节疼痛的人极具有挑战性.理解膝关节疼痛是如何影响身体活动能够帮助降低这一类患病人群因为膝关节疼痛不敢参与身体活动而造成的负面影响.本文旨在对膝关节疼痛与身体活动水平之间的定量关系及其影响因素进行范围综述.方法依据PRISMA-ScR流程和Peter的方法学框架,在Medline、PsycINFO、CINAHL及Scopus数据库通过关键词进行检索.结果共纳入9篇文献.其中,1篇文献发现膝关节疼痛水平的增高会导致身体活动水平的增高;4篇文献研究发现膝关节疼痛与身体活动水平之间存在负相关;1篇文献发现膝关节疼痛水平的增高会带来中等强度的身体活动水平下降,但并不影响低强度的身体活动水平;3篇文献发现膝关节疼痛水平对身体活动水平并没有影响.同时,负面情绪的放大、疼痛相关的活动干扰和某些特定的日常活动会降低膝关节疼痛人群的身体活动水平.结论目前针对膝关节疼痛和身体活动的定量关系研究有限且结论不一致,需要后续进一步的探索.两者之间的关系同时会被心理因素及不同的身体活动强度和类型所影响.因此,在设计提高膝关节疼痛人群身体活动水平的干预措施时,应当综合考虑多种因素的共同作用,从而达到有效提高该人群的身体活动水平的目的.Objectives Physical activity(PA)in people with knee pain can help to relieve pain and prevent health problems.However,engaging in regular PA is challenging for them due to chronic musculoskeletal pain.An understanding of how the experience of knee pain affects PA is important to minimize the negative effects of knee pain on participation in PA among this population.We examined the quantitative evidence describing the relationship between the experience of knee pain and participation in PA.Methods We conducted a scoping review based on the PRISMA-ScR process across 27 items and Peters’methodological framework.Searches using keywords were performed in Medline,PsycINFO,CINAHL and Scopus.Results Nine studies were included in this review.While one study clearly showed that increased knee pain increased PA,four studies indicated that knee pain decreased PA among individuals with knee pain.One study revealed that increased knee pain decreased moderate PA,but no significant difference with light intensity PA.Three studies showed that knee pain had no impact on PA.Moreover,psychological factors(catastrophizing and pain-related activity interference)and certain activities of daily living were risk factors for insufficient PA among people with knee pain.Conclusions The limited quantitative evidence on the relationship between the experience of knee pain and PA participation highlights a gap in the knowledge base.The review findings found mixed results,with a negative,positive or no relationship between knee pain and levels of PA among individuals with knee pain.The findings also suggest that the relationship can be affected by psychological factors and different levels and types of PA.Therefore,practitioners should consider multi-component interventions which aim to increase PA levels of individuals with knee pain,after considering the above mediating factors.

关 键 词：运动 膝 长期状况 疼痛 身体活动 

分 类 号：R68[医药卫生—骨科学]