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Gait Speeds Associated with Anxiety Responses to Pain in Osteoarthritis Patients.
Hayashi, Kazuhiro; Kako, Masato; Suzuki, Kentaro; Hattori, Keiko; Fukuyasu, Saori; Sato, Koji; Kadono, Izumi; Sakai, Tadahiro; Hasegawa, Yukiharu; Nishida, Yoshihiro.
Afiliación
  • Hayashi K; *Department of Rehabilitation, Nagoya University Hospital, Nagoya, Aichi, Japan hayashi.k@med.nagoya-u.ac.jp.
  • Kako M; *Department of Rehabilitation, Nagoya University Hospital, Nagoya, Aichi, Japan.
  • Suzuki K; *Department of Rehabilitation, Nagoya University Hospital, Nagoya, Aichi, Japan.
  • Hattori K; *Department of Rehabilitation, Nagoya University Hospital, Nagoya, Aichi, Japan.
  • Fukuyasu S; *Department of Rehabilitation, Nagoya University Hospital, Nagoya, Aichi, Japan.
  • Sato K; *Department of Rehabilitation, Nagoya University Hospital, Nagoya, Aichi, Japan.
  • Kadono I; *Department of Rehabilitation, Nagoya University Hospital, Nagoya, Aichi, Japan.
  • Sakai T; Department of Orthopaedic Surgery, Nagoya University Graduate School and School of Medicine, Nagoya, Aichi, Japan.
  • Hasegawa Y; Department of Orthopaedic Surgery, Nagoya University Graduate School and School of Medicine, Nagoya, Aichi, Japan.
  • Nishida Y; Department of Orthopaedic Surgery, Nagoya University Graduate School and School of Medicine, Nagoya, Aichi, Japan.
Pain Med ; 17(3): 606-613, 2016 03.
Article en En | MEDLINE | ID: mdl-26352158
OBJECTIVE: Patients with lower limbs osteoarthritis (OA) had slower walking speeds than healthy. Gait speed, which is associated with leg muscle strength, is a consistent predictor of health and functional status. The effects of pain and pain-related psychological constructs for gait speeds have been uncertain. Therefore, we investigated whether gait speed in patients with OA of lower limbs is associated with pain-related psychological constructs using a performance-based measure. METHODS: The study group comprised 59 patients with advanced knee or hip OA. Gait speeds were measured at comfortable and maximum levels during 10-m walks. Covariates included 1) pain intensity measured with a visual analogue scale (VAS), 2) psychological constructs measured with a short-version pain anxiety symptoms scale (PASS-20) and the hospital anxiety and depression scale (HADS), and 3) bilateral knee extensor and hip abductor muscle strength. Each variable was subjected to multivariate analysis with gait speed. RESULTS: Single regression analysis showed that gait speeds were significantly correlated with VAS and PASS-20 scores, and muscle strength, not with HADS. Multiple regression analysis showed that PASS-20 score was significant correlating factor for gait speeds. CONCLUSIONS: Anxiety-related responses to pain were significant correlating factor for gait speeds, in patients with OA of lower limbs.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ansiedad / Dolor / Osteoartritis de la Cadera / Osteoartritis de la Rodilla / Marcha Tipo de estudio: Etiology_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Pain Med Asunto de la revista: NEUROLOGIA / PSICOFISIOLOGIA Año: 2016 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ansiedad / Dolor / Osteoartritis de la Cadera / Osteoartritis de la Rodilla / Marcha Tipo de estudio: Etiology_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Pain Med Asunto de la revista: NEUROLOGIA / PSICOFISIOLOGIA Año: 2016 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido