Objective To explore the relationship between kinesiophobia, psychological resilience, and rehabilitation self-efficacy in postoperative patients with lumbar disc herniation (LDH) and constructing a nomogram prediction model for postoperative kinesiophobia. Methods LDH patients admitted to Shengjing Hospital of China Medical University between July 2021 and June 2024 were selected. Patients with LDH were assessed using a general information questionnaire, the Tampa Scale for Kinesiophobia, the Connor-Davidson Resilience Scale, and the Self-Efficacy for Rehabilitation Outcome Scale. Logistic regression was used to analyze the influencing factors of kinesiophobia in postoperative LDH patients, and a nomogram prediction model was constructed based on these factors. Results A total of 256 LDH patients were included. Among them, the average kinesiophobia score was (38.16±4.24) points, the average psychological resilience score was (55.36±4.26) points, and the average rehabilitation self-efficacy score was (96.06±6.06) points. Kinesiophobia was present in 149 patients (58.20%) after surgery. Kinesiophobia showed a negative correlation with both psychological resilience and rehabilitation self-efficacy (P<0.01). The results of multiple logistic regression analysis showed that, Age≥60 years, female gender, lack of pain guidance, low psychological resilience score, and low rehabilitation self-efficacy score were identified as independent risk factors for kinesiophobia in postoperative patients with lumbar disc herniation (P<0.05). The validation results of the nomogram model showed a C-index of 0.809, with the calibration curve approaching the ideal curve, and an area under the curve of 0.811. Conclusions Age ≥60 years, female gender, lack of pain guidance, low rehabilitation self-efficacy scores, and low rehabilitation self-efficacy scores were significantly associated with the risk of kinesiophobia in postoperative patients with LDH. The nomogram model constructed based on these factors demonstrated good predictive value for the occurrence of kinesiophobia in these patients.
Objective This study aimed to analyze the current status and influencing factors of physical activity in children with epilepsy, providing evidence for developing targeted intervention strategies. Methods A cross-sectional survey was conducted from July 2024 to March 2025, involving 97 children with epilepsy aged 6 ~ 19 years with undergoing 24-hour electroencephalogram monitoring and parents of pediatric patients from a tertiary hospital in Shandong Province, China. The General Information Questionnaire, the Physical Activity Intention Scale for Children and Adolescents with Cancer, the Godin Leisure Time Physical Activity Questionnaire, and Tampa Scale for Kinesiophobia-11 were used to investigate general information about children and adolescents with epilepsy and parents, attitudes, perceived behavioral control, and behavioral intentions, the physical activity, and kinesiophobia levels of children and adolescents with epilepsy. Multi-factor ordinal logistic regression analysis was employed to identify influencing factors of physical activity levels. Results The median physical activity score for children with epilepsy was 52.00 MET (IQR: 47.00 ~ 57.00). None of the children aged 6 ~ 17 years met the minimum weekly moderate-to-vigorous physical activity (MVPA) standards recommended by the Chinese Physical Activity Guidelines for Children and Adolescents or WHO (420 minutes/week, 60 minutes/day × 7 days). The daily average sedentary time was (6.79±3.24) hours, significantly exceeding the WHO-recommended threshold (<2 hours/day).Univariate analysis demonstrated statistically significant differences in the children's physical activity levels with epilepsy based on parental perceptions of activity importance and parental encouragement for physical activity (H=15.779; H=8.034, all P<0.05). Spearman correlation analysis revealed significant positive associations between physical activity levels and activity attitudes (r=0.275), perceived behavioral control (r=0.330), and behavioral intentions (r=0.281) (all P<0.01), while kinesiophobia exhibited a significant negative correlation (r=?0.237, P<0.05). Multi-factor ordinal logistic regression analysis identified perceived behavioral control [OR=0.751, 95%CI (?0.509, ?0.065)], occasional parental companionship in physical activities [OR=0.157, 95%CI (?3.660, ?0.043)], and frequent parental encouragement [OR=0.000, 95%CI (?16.577, ?14.272)] as protective factors for adequate physical activity (all P<0.05). Conversely, kinesiophobia emerged as a significant risk factor [OR=1.113, 95%CI (0.007, 0.207), P<0.05]. Conclusion Insufficient physical activity levels and excessive sedentary behavior are prevalent among children with epilepsy. Enhancing perceived behavioral control, increasing parental companionship during and encouragement for children's engagement in physical activities and reducing kinesiophobia may serve as critical intervention targets to improve physical activity levels in this population.