| 郁冰冰,李永杰,刘梦玲,刘洪举.运动恐惧在中老年女性单侧膝骨关节炎严重程度与本体感觉间的中介作用[J].中国康复,2026,41(5):280-284 |
| 运动恐惧在中老年女性单侧膝骨关节炎严重程度与本体感觉间的中介作用 |
| The mediating effect of fear of movement on the relationship between the severity of unilateral knee osteoarthritis and proprioception in middle-aged and elderly women |
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| DOI：10.3870/zgkf.2026.05.005 |
| 中文关键词: 膝骨关节炎 本体感觉 运动恐惧 中介作用 |
| 英文关键词: knee osteoarthritis proprioception fear of movement mediating effect |
| 基金项目:2023年度贵州省科技支撑计划［黔科合支撑(2023)一般179 ］ |
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| 中文摘要: |
| 目的：探讨在患有单侧膝骨关节炎（KOA）的中老年女性群体中，运动恐惧在KOA严重程度与膝关节本体感觉准确性间的中介效应。方法：回顾性分析109例单侧KOA中老年女性患者临床评估资料，主要包括凯尔格伦-劳伦斯（K-L）分级、膝关节本体感觉准确性指标—绝对误差（AE）和恐动症评估量表（TSK）评分等。首先进行描述性统计、差异性与相关分析，其次对运动恐惧水平的中介效应进行检验。结果：K-L分级与AE呈正相关（r=0.495，P<0 .01），与TSK评分呈正相关（r=0.537，P<0.01），TSK评分与AE呈正相关（r=0.462，P<0.01）。中介模型显示，TSK评分在K-L分级与AE间起部分中介作用，效应值为0.184 ［95%CI=(0.040,0.360)］，这种中介效应占了总效应的39.316%。结论：在单侧患KOA的中老年女性群体中，随着KOA严重程度的增加，运动恐惧水平升高，膝关节本体感觉准确性降低，运动恐惧水平在KOA严重程度和膝关节本体感觉准确性之间起到部分中介作用，提示运动康复方案应将运动恐惧及本体感觉作为KOA患者常规评估内容，同时将运动恐惧作为重要的干预靶点。 |
| 英文摘要: |
| Objective: To explore the mediating effect of fear of movement between the severity of knee osteoarthritis and the accuracy of proprioception in middle-aged and elderly women with unilateral knee osteoarthritis (KOA).Methods: The clinical evaluation data of 109 middle-aged and elderly female patients with unilateral KOA were retrospectively analyzed, including Kellgren-Lawrence (K-L) classification, knee proprioception accuracy index-absolute error (AE) and Tampa scale of kinesiophobia (TSK) score. Firstly, descriptive statistics, difference and correlation analysis were carried out, and then the mediating effect of sports fear level was tested. Results: K-L grade was positively correlated with AE (r=0.495, P<0.01) and TSK score (r=0.537, P<0.01). TSK score was positively correlated with AE (r=0.462, P<0.01). The mediating model showed that TSK score played a partial mediating role between K-L grade and AE, and the effect value was 0.184 ［95% CI=(0.040,0.360)］, which accounted for 39.316% of the total effect.Conclusion: In the middle-aged and elderly women with unilateral KOA, with the increase of the severity of knee osteoarthritis, the level of fear of movement increases, and the accuracy of knee proprioception decreases. The level of fear of movement plays a partial mediating role between the severity of knee osteoarthritis and the accuracy of knee proprioception. It is suggested that fear of movement and proprioception should be used as the routine evaluation content of KOA patients in the exercise rehabilitation program, and the fear of movement should be used as an important intervention target. |
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