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首页> 外文期刊>Pain. >Brief time-based activity pacing instruction as a singular behavioral intervention was not effective in participants with symptomatic osteoarthritis
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Brief time-based activity pacing instruction as a singular behavioral intervention was not effective in participants with symptomatic osteoarthritis

机译：对于有症状的骨关节炎患者，以时间为基础的简短活动起搏指导作为单一的行为干预无效

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Osteoarthritis (OA) of the lower extremities is a prevalent cause of disability in which symptoms interfere with mobility and activity participation. Behavioral self-management for OA symptomatology is commonly recommended; but these interventions are underutilized, unstandardized in application, and at times, unavailable in the context of clinical care. For people with chronic pain, rehabilitation professionals may select to apply activity pacing instruction as one behavioral strategy to manage symptoms. Activity pacing is widely used in combination with other pharmacological and behavioral interventions but has not been studied as a singular behavioral intervention for people with OA. The purpose of this study was to evaluate the effectiveness of an occupational therapist-delivered, time-based activity pacing program for treatment of pain, fatigue, and physical function in people with symptomatic knee or hip OA. A 3-arm randomized controlled trial was conducted in which 193 people were randomized into tailored activity pacing, general activity pacing, or usual care arms. Assessments were done at 10 weeks and 6 months after baseline. Using linear mixed models, Western Ontario and McMaster Universities Osteoarthritis Index pain scores changed over time, decreasing the most in the general and usual care groups; only the usual care group had decreased pain over 6 months. The tailored and general activity pacing groups reported higher frequency of pacing behaviors than the usual care group at 10 weeks, but pacing was not sustained at 6 months. This trial does not support the use of time-based pacing as a singular behavioral strategy for people with knee or hip OA.
机译：下肢骨关节炎（OA）是导致残疾的普遍原因，其症状会干扰活动能力和活动参与。通常建议对OA症状进行行为自我管理。但是这些干预措施未得到充分利用，在应用中不规范，有时在临床护理中也无法获得。对于患有慢性疼痛的人，康复专业人员可以选择应用活动节奏指导作为一种管理症状的行为策略。活动起搏已广泛与其他药理和行为干预措施结合使用，但尚未作为OA患者的单一行为干预措施进行研究。这项研究的目的是评估由职业治疗师提供的基于时间的活动起搏计划对有症状的膝或髋骨关节炎患者的疼痛，疲劳和身体功能的治疗效果。进行了一项3组随机对照试验，其中193人被随机分为量身定制的活动起搏，一般活动起搏或常规护理组。在基线后10周和6个月进行评估。使用线性混合模型，西安大略省和麦克马斯特大学的骨关节炎指数疼痛评分随时间变化，在普通和普通护理组中下降幅度最大;只有普通护理组在6个月内疼痛减轻。量身定做的和常规活动的起搏组在10周时的起搏行为频率比普通护理组高，但在6个月时没有持续起搏。该试验不支持将基于时间的起搏作为膝或髋关节炎患者的单一行为策略。

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