Prevalence of Spinal Segmental Sensitization Syndrome in Outpatients Attending Physical Medicine and Rehabilitation Centers for Chronic Musculoskeletal Pain: A Multicenter Study

IF 3.6 2区医学 Q1 REHABILITATION

Archives of physical medicine and rehabilitation Pub Date : 2025-02-01 DOI:10.1016/j.apmr.2024.08.013

Tomas Nakazato-Nakamine MD , Franco Romani MD, MSc , Cesar Gutierrez MD, MSc , Pablo Quezada MD , Ruth Vera MD , Karina Artica MD

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引用次数: 0

Abstract

Objective

To determine the prevalence of spinal segmental sensitization (SSS) syndrome, a regional pain disorder, among patients visiting physical medicine and rehabilitation centers (PM&RCs) for chronic musculoskeletal pain (CMSP).

Design

An observational, descriptive, cross-sectional study conducted from March to July 2023.

Setting

Seven PM&RCs from 5 cities, representing 3 care systems: Social Security (SS), Ministry of Health (MH), and private practice (PP).

Participants

All patients, regardless of age, attending a physiatry consultation for CMSP for the first time and who provided informed consent to participate were included. Nonprobabilistic sampling was employed.

Interventions

Not applicable.

Main Outcome Measure

We estimated the overall prevalence of SSS syndrome as a percentage among patients with CMSP, stratified by health care institution, sex, age, and occupation type. We also recorded the spinal segments involved and any concomitant painful disorders (CPDs). SSS syndrome was diagnosed using standardized criteria.

Results

Of the eligible participants, 319 with CMSP were enrolled; 73.4% were women, and the median age of participants was 56.9 (range, 13-89y) years. The overall prevalence of SSS syndrome was 53.3%. Of these, 69.1%, 42.2%, and 13.8% were in the SS, MH, and PP systems, respectively. The most affected were female participants (56.4%), those aged 50-64 years (60.4%), and those with active jobs (58.8%). Most commonly, the lumbosacral and lumbar segments were affected, followed by the lower and middle cervical levels. Spine pathologies were the most common CPDs.

Conclusion

The prevalence of SSS syndrome was high among patients who visited PM&RCs for CMSP and varied according to the care system. Further research on SSS syndrome is warranted to relieve the burden it poses on patients with CMSP and ensure proper diagnosis in clinical practice.

查看原文本刊更多论文

因慢性肌肉骨骼疼痛到物理医学和康复中心就诊的门诊病人中脊柱节段敏感综合征的患病率：一项多中心研究。

目的确定因慢性肌肉骨骼疼痛（CMSP）而前往物理医学与康复中心（PM&RCs）就诊的患者中脊柱节段敏感化（SSS）综合征（一种区域性疼痛疾病）的患病率：设计：2023年3月至7月进行的观察性描述性横断面研究：五个城市的七家 PM&RC，代表三种医疗体系：社会保障（SS）、卫生部（MH）和私人诊所（PP）：所有首次就诊并在知情同意的情况下就诊于CMSP的患者，无论年龄大小，均被纳入调查范围。干预措施：不适用：主要结果测量：根据医疗机构、性别、年龄和职业类型，我们估算了SSS综合征在CMSP患者中的总体患病率。我们还记录了所涉及的脊柱节段以及任何伴随的疼痛性疾病（CPD）。SSS综合征的诊断采用标准化标准：在符合条件的参与者中，319 人患有 CMSP；73.4% 为女性，参与者的中位年龄为 56.9 岁（范围：13-89 岁）。SSS综合征的总体发病率为53.3%。其中，69.1%、42.2% 和 13.8% 分别属于 SS、MH 和 PP 系统。受影响最严重的是女性参与者（56.4%）、50-64 岁人群（60.4%）和工作繁忙人群（58.8%）。最常受影响的是腰骶部和腰椎节段，其次是颈椎中下段。脊柱病变是最常见的 CPD：结论：在前往 PM&RC 就诊的 CMSP 患者中，SSS 综合征的发病率较高，且因护理系统而异。为了减轻SSS综合征给CMSP患者带来的负担，并确保临床实践中的正确诊断，有必要对SSS综合征进行进一步研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of physical medicine and rehabilitation 医学-康复医学

CiteScore

6.20

自引率

4.70%

发文量

495

审稿时长

38 days

期刊介绍： The Archives of Physical Medicine and Rehabilitation publishes original, peer-reviewed research and clinical reports on important trends and developments in physical medicine and rehabilitation and related fields. This international journal brings researchers and clinicians authoritative information on the therapeutic utilization of physical, behavioral and pharmaceutical agents in providing comprehensive care for individuals with chronic illness and disabilities. Archives began publication in 1920, publishes monthly, and is the official journal of the American Congress of Rehabilitation Medicine. Its papers are cited more often than any other rehabilitation journal.