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首页> 外文期刊>Physiotherapy theory and practice >The relationship between knowledge of pain neurophysiology and fear avoidance in people with chronic pain: A point in time, observational study
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The relationship between knowledge of pain neurophysiology and fear avoidance in people with chronic pain: A point in time, observational study

机译：慢性疼痛患者的疼痛神经生理学知识与避免恐惧之间的关系：一个时点的观察性研究

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Chronic pain is prevalent in the western world; however fear of pain often has a greater impact than the degree of initial injury. The aim of this study was to explore the relationship between knowledge of the neurophysiology of pain and fear avoidance in individuals diagnosed with chronic pain. Twenty-nine people with chronic musculoskeletal pain were recruited and completed questionnaires to determine their understanding of pain neurophysiology and the degree of their fear avoidance beliefs. There was an inverse relationship between knowledge of pain neurophysiology and the level of fear avoidance. Patients with higher pain knowledge reported less fear avoidance and lower perceived disability due to pain. There was no relationship with the educational level or compensable status for either variable. The findings suggest that fear avoidance is positively influenced by neurophysiology of pain education, so that a higher level of pain knowledge is associated with less activity-related fear. The clinical implication is that reducing fear avoidance/kinesiophobia using neurophysiology of pain education in people with chronic pain may provide an effective strategy to help manage fear avoidance and related disability in the chronic pain population in order to improve treatment outcomes.
机译：慢性疼痛在西方世界很普遍。但是，对疼痛的恐惧通常比初始伤害的程度具有更大的影响。这项研究的目的是探讨被诊断为慢性疼痛的人的疼痛神经生理学知识与避免恐惧之间的关系。招募了29名患有慢性肌肉骨骼疼痛的人并完成了问卷调查，以确定他们对疼痛神经生理学的了解以及他们对避免恐惧的信念的程度。疼痛神经生理学知识与避免恐惧的程度之间存在反比关系。具有较高疼痛知识的患者报告的避免恐惧感较少，并且因疼痛而导致的感知残疾较低。与这两个变量的受教育程度或可补偿身份均没有关系。这些发现表明，避免恐惧受到疼痛教育的神经生理学的积极影响，因此，较高水平的疼痛知识与较少的与活动相关的恐惧相关。临床意义在于，通过对慢性疼痛患者进行疼痛教育的神经生理学来减少恐惧避免/运动恐惧症可能提供一种有效的策略，以帮助管理慢性疼痛人群的恐惧避免和相关残疾，从而改善治疗效果。

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