Sensory profiles and their role in the persistence of central sensitization symptoms in low back pain. A prospective cohort study.

Autor: Gräper PJ; Faculty of Physical Education and Physiotherapy, Department of Physiotherapy, Human Physiology and Anatomy, Experimental Anatomy research group, Vrije Universiteit Brussel, Brussels, Belgium., Hartvigsen J; Center for Muscle and Joint Health, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark., Scafoglieri A; Faculty of Physical Education and Physiotherapy, Department of Physiotherapy, Human Physiology and Anatomy, Experimental Anatomy research group, Vrije Universiteit Brussel, Brussels, Belgium.; Department of Master Education, SOMT University of Physiotherapy, Amersfoort, The Netherlands., Clark JR; Faculty of Physical Education and Physiotherapy, Department of Physiotherapy, Human Physiology and Anatomy, Experimental Anatomy research group, Vrije Universiteit Brussel, Brussels, Belgium.; Pains & Brains, Omokoroa, New Zealand., van Trijffel E; Ziekenhuisgroep Twente, ZGT Academy, Almelo, The Netherlands., Hallegraeff JM; Faculty of Physical Education and Physiotherapy, Department of Physiotherapy, Human Physiology and Anatomy, Experimental Anatomy research group, Vrije Universiteit Brussel, Brussels, Belgium.
Jazyk: angličtina
Zdroj: Physiotherapy theory and practice [Physiother Theory Pract] 2024 Mar 11, pp. 1-10. Date of Electronic Publication: 2024 Mar 11.
DOI: 10.1080/09593985.2024.2326592
Abstrakt: Introduction: Acute lower back pain can lead to neuroplastic changes in the central nervous system, and symptoms of central sensitization after 12 weeks. While sensory sensitivity has been shown to predict symptoms of central sensitization, trait sensory profiles may be prognostic in the persistence of central sensitization symptoms in low back pain over time.
Objective: To examine sensory profiles as prognostic symptoms of central sensitization in people with acute low back pain.
Methods: A longitudinal type 2 prognostic factor research study was performed according to the PROGRESS framework. Baseline and 12-week follow-up measures were taken using the Adolescent/Adult Sensory Profile and the Central Sensitization Inventory measures. Study participants were consecutively included from primary care physiotherapy practices. Univariable, and multivariable regression analyses were performed to adjust sensory profiles based on previous history of low back pain, baseline Central Sensitization Inventory scores, level of pain, disability, age, and duration of low back pain.
Results: After adjustment, the sensory profiles of Low Registration B = 0.44, 95%CI (0.18, 0.70), Sensation Seeking B = 0.38, 95%CI (0.19, 0.57), Sensory Sensitive B = 0.49, 95%CI (0.25, 0.74), Sensation Avoiding B = 0.40, 95% CI (0.15, 0.65) was significantly associated with the persistence of central sensitization symptoms ( N  = 103).
Conclusion: Sensory profiles may predict symptoms of central sensitization after 12 weeks in people with acute low back pain.
Databáze: MEDLINE
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