Differences in Postural Balance, Pain Sensitivity and Depression between Individuals with Acute and Chronic Back Pain.

Autor: Mingorance JA; Research Institute on Health Sciences (IUNICS-IdISBa), University of the Balearic Islands, 07122 Palma de Mallorca, Spain.; Department of Nursing and Physiotherapy, University of the Balearic Islands, 07122 Palma de Mallorca, Spain., Montoya P; Research Institute on Health Sciences (IUNICS-IdISBa), University of the Balearic Islands, 07122 Palma de Mallorca, Spain., Vivas Miranda JG; Laboratory of Byosystems, Institute of Physics, Federal University of Bahia, Salvador 40170-115, Brazil., Riquelme I; Research Institute on Health Sciences (IUNICS-IdISBa), University of the Balearic Islands, 07122 Palma de Mallorca, Spain.; Department of Nursing and Physiotherapy, University of the Balearic Islands, 07122 Palma de Mallorca, Spain.
Jazyk: angličtina
Zdroj: Journal of clinical medicine [J Clin Med] 2022 May 10; Vol. 11 (10). Date of Electronic Publication: 2022 May 10.
DOI: 10.3390/jcm11102700
Abstrakt: To compare differences in postural balance, pain and depression in patients with chronic and acute low back pain, twenty patients with chronic and twenty patients with acute low back pain from the Edward Francis Small Hospital (Banjul, Gambia), as well as 20 age-matched healthy controls participated in the study. A modified Romberg test was used to assess postural balance during one minute with closed eyes. Body sway in the anteroposterior and mediolateral axes was video-recorded during test performance and further analyzed with an open source software for movement analyses (CvMob). Pain sensitivity was assessed by means of pressure pain thresholds and depression by a self-report questionnaire (PHQ-9). As results, patients with chronic low back pain displayed higher body sway in the anteroposterior and mediolateral axes, as well as faster body sway than patients with acute low back pain and healthy controls. Nevertheless, group differences disappeared when depression was introduced as a covariate, indicating a major role of depression in postural balance deficits of patients with pain disorders. As conclusions, the assessment of postural balance and depression should be implemented in the clinical routine for the design of tailored interventions in pain conditions.
Databáze: MEDLINE
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