Functional disorders and related psychological factors in patients with chronic hip pain
10.3969/j.issn.1006-9771.2022.12.015
- VernacularTitle:慢性髋关节疼痛患者的功能障碍及相关心理因素分析
- Author:
Xiaotan ZHANG
1
;
Jun LI
1
;
Lingling ZHANG
2
;
Huimin XIE
1
;
Lijun SUN
3
;
Yu PAN
4
;
Chunbao LI
5
;
Zishan JIA
1
;
Lining ZHANG
1
Author Information
1. Department of Rehabilitation Medicine, the First Medical Center, Chinese PLA General Hospital, Beijing 100853, China
2. College of Physical Education, Hebei Normal University, Shijiazhuang, Hebei 050010, China
3. Institute of Orthopaedics, the First Medical Center, Chinese PLA General Hospital, Beijing 100853, China
4. Department of Psychology, the First Medical Center, Chinese PLA General Hospital, Beijing 100853, China
5. Department of Orthopedics, the First Medical Center, Chinese PLA General Hospital, Beijing 100853, China
- Publication Type:Journal Article
- Keywords:
chronic hip pain;
dysfunction;
Pain Catastrophizing Scale;
anxiety;
depression
- From:
Chinese Journal of Rehabilitation Theory and Practice
2022;28(12):1484-1488
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo analyze the characteristics of dysfunction in patients with chronic hip pain and clarify the relationship between dysfunction and psychological factors. MethodsA total of 55 patients with chronic hip pain admitted to the First Medical Center, Chinese PLA General Hospital from April, 2021 to March, 2022 were selected as experimental group, and 34 healthy subjects were selected as control group. The basic information and clinical data were collected by questionnaire. They were evaluated with the Hip Outcome Score Activities of Daily Living (HOS-ADL), the Hip Outcome Score sport-specific subscale (HOS-SSS), modified Harris Hip Score (mHHS), the 12-Item Short-Form Health Survey (SF-12), Visual Analogue Scale (VAS), Hospital Anxiety and Depression Scale (HADS including HADS: A and HADS:D), State-Trait Anxiety Inventory (STAI) and Pain Catastrophizing Scale (PCS), and their corelation with clinical indicators were analyzed. ResultsThe scores of mHHS、HOS-ADL、HOS-SSS and SF-12 were significantly lower in the experimental group than in the control group (|Z| > 6.251, P < 0.001). The scores of mHHS, HOS-ADL, HOS-SSS and SF-12 were negatived related with the score of Pain Catastrophizing Scale (PCS) (|r| > 0.480, P < 0.01). The risk factors of PCS were HADS:A, HADS:D and HOS-ADL. ConclusionThe functional level of patients with chronic hip pain is closely related to the catastrophic pain, and the influencing factors of catastrophic pain are anxiety, depression, and the motor function required for daily life of the hip joint.
