I investigated the psychological factors and somatosensory characteristics in persons who had patellofemoral pain (PFP). I did this by studying how psychological factors and pain profiles: (1) presented in PFP, (2) differed between those with and without the condition, (3) related to pain and disability, (4) differed between subgroups of different PFP severities and (5) changed over time. Pain is the poorly understood primary symptom of PFP that may have a range of underpinning mechanisms. The presence of patellofemoral joint dysfunction may result in nociception. When prolonged, nociception may catalyse altered inhibitory and sensitising processes1 that create a combined nociceptive/nociplastic profile. In lieu of tissue pathology, PFP may be purely nociplastic and driven by factors beyond the site of pain.2 Psychological factors are known to influence the experience of pain.3 In chronic musculoskeletal pain conditions, psychological factors such as anxiety, …

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髌股关节疼痛的心理特征和体感特征（博士奥斯卡奖）

我调查了髌股关节疼痛 (PFP​​) 患者的心理因素和躯体感觉特征。我通过研究心理因素和疼痛特征如何做到这一点：(1) 在 PFP 中呈现，(2) 在有和没有疾病的人之间有所不同，(3) 与疼痛和残疾有关，(4) 在不同 PFP 严重程度的亚组之间有所不同(5) 随时间变化。疼痛是 PFP 的主要症状知之甚少，它可能具有一系列基础机制。髌股关节功能障碍的存在可能导致伤害感受。当时间延长时，伤害感受可能会催化改变的抑制和敏化过程，从而产生组合的伤害感受/伤害塑性特征。代替组织病理学，PFP 可能纯粹是伤害性的，并由疼痛部位以外的因素驱动。