腰痛患者对腰痛的认知是否与中枢致敏性量表相关？横断面研究

IF 3 3区医学 Q1 REHABILITATION

Physiotherapy Pub Date : 2025-05-22 DOI:10.1016/j.physio.2025.101803

Larissa Bragança Falcão Marques , Leandro Martins Diniz , Leandro Alberto Calazans Nogueira , Marcia R. Franco , Julia Beatriz Rodrigues , Bruna Christinna Marques Santana , Lucas Rodrigues Arruda , Lucas André Costa Ferreira , Ana Flávia Guimarães , James H. McAuley , Rafael Zambelli Pinto

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引用次数: 0

摘要

背景：中枢致敏性量表是一种用于识别中枢致敏性（CS）症状患者的工具。中枢致敏量表显示与社会心理和认知因素有关，这些因素通常被认为有助于维持中枢致敏机制。另一个可能在中枢致敏中起作用的潜在因素是对腰痛的信念。目的探讨慢性腰痛患者对腰痛的认知是否与中枢致敏性量表相关。设计横断面研究。参与者119例在门诊寻求物理治疗的非特异性慢性腰痛患者。主要结果测量：收集人口统计学数据和临床特征，如疼痛强度、残疾、背部疼痛信念（即用背部信念问卷测量）和cs相关症状（即用中枢致敏量表测量）。分析采用多变量线性回归分析。结果根据中心致敏性量表，大多数参与者（60%）被分类为亚临床或轻度严重程度。多变量回归分析显示，在控制了性别、疼痛强度和残疾因素后，与当前证据不一致的LBP信念与中枢敏化量表得分较高相关。结论与现有证据不一致的LBP信念的患者更有可能在中枢致敏性量表中获得更高的分数。•关于LBP的信念也可以被认为是与中枢敏感性量表相关的结构。•慢性下腰痛患者和在中枢致敏量表上得分较高的患者更有可能对下腰痛表现出消极的信念。

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Are beliefs about low back pain associated with central sensitization inventory in patients with low back pain? A cross-sectional study

Background

The Central Sensitization Inventory is a tool used to identify patients with central sensitization (CS) symptoms. The Central Sensitization Inventory has shown to be associated with psychosocial and cognitive factors commonly thought to contribute to and sustain the mechanism of central sensitization. Another potential factor that might play a role in central sensitization is beliefs about low back pain (LBP).

Objectives

To investigate whether beliefs about LBP are associated with Central Sensitization Inventory in patients with chronic LBP.

Design

A cross-sectional study.

Participants

119 patients with nonspecific chronic LBP seeking physical therapy care in outpatient clinics.

Main outcome measures

Demographic data and clinical characteristics such as pain intensity, disability, back pain beliefs (i.e., measured with Back Beliefs Questionnaire) and CS-related symptoms (i.e., measured with Central Sensitization Inventory) were collected. Multivariable linear regression analysis was used in the analysis.

Results

Most participants (60%) were classified as having subclinical or mild severity levels according to the Central Sensitization Inventory. Multivariable regression analysis showed that LBP beliefs not aligned with the current evidence were associated with higher scores of Central Sensitization Inventory, after controlling for sex, pain intensity and disability.

Conclusions

Patients with LBP beliefs not aligned with the current evidence were more likely to present with higher scores on the Central Sensitization Inventory.

Contribution of the Paper

•
Beliefs about LBP might also be considered a construct correlated with the Central Sensitization Inventory.
•
Patients with chronic LBP and higher scores on the Central Sensitization Inventory are more likely to present negative beliefs about LBP.

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来源期刊

Physiotherapy 医学-康复医学

CiteScore

6.40

自引率

3.00%

发文量

377

审稿时长

82 days

期刊介绍： Physiotherapy aims to publish original research and facilitate continuing professional development for physiotherapists and other health professions worldwide. Dedicated to the advancement of physiotherapy through publication of research and scholarly work concerned with, but not limited to, its scientific basis and clinical application, education of practitioners, management of services and policy. We are pleased to receive articles reporting original scientific research, systematic reviews or meta-analyses, theoretical or debate articles, brief reports and technical reports. All papers should demonstrate methodological rigour.