Hypervigilance for Bodily Sensations in the Back During a Movement Task in People With Chronic and Recurrent Low Back Pain

Autor: Jessica Van Oosterwijck, Amanda Clauwaert, Lieven Danneels, Stefaan Van Damme, Stijn Schouppe
Rok vydání: 2020
Předmět:
AWARENESS QUESTIONNAIRE
CATASTROPHIZING SCALE
TAMPA SCALE
FEAR-AVOIDANCE MODEL
0302 clinical medicine
030202 anesthesiology
Fibromyalgia
Medicine and Health Sciences
EEG
FIBROMYALGIA
health care economics and organizations
Catastrophization
somatosensory attention
Fear
Fear-avoidance model
Low back pain
Chronic low back pain
SEP
population characteristics
medicine.symptom
SOMATOSENSORY CORTEX
medicine.medical_specialty
Depression scale
Movement
Clinical Neurology
HOSPITAL ANXIETY
Tactile stimuli
03 medical and health sciences
Physical medicine and rehabilitation
health services administration
medicine
Humans
TACTILE STIMULI
CONFIRMATORY FACTOR-ANALYSIS
business.industry
social sciences
Hypervigilance
equipment and supplies
medicine.disease
recurrent low back pain
DEPRESSION SCALE
Anesthesiology and Pain Medicine
Touch
chronic low back pain
Neurology (clinical)
business
Recurrent Low Back Pain
Low Back Pain
human activities
030217 neurology & neurosurgery
Zdroj: CLINICAL JOURNAL OF PAIN
ISSN: 0749-8047
1536-5409
DOI: 10.1097/ajp.0000000000000823
Popis: Objectives. The current study assessed the role of hypervigilance for bodily sensations in the back in long term low back pain (LBP) problems. Methods. People with chronic low back pain (CLBP), recurrent low back pain (RLBP), and no LBP were compared on the extent to which they attended to somatosensory stimuli on the back during a movement task. To measure hypervigilance, somatosensory event-related potentials (SEP) to task-irrelevant tactile stimuli on the back were measured when preparing movements in either a threatening or a neutral condition, indicated by a cue signaling possible pain on the back during movement or not. Results. Results showed stronger attending to stimuli on the back in the threat condition than in the neutral condition, as reflected by increased amplitude of the N96 SEP. However, this effect did not differ between groups. The CLBP group showed a larger P171 SEP than the other groups, but this effect was not dependent upon condition, suggesting a more general state of arousal resulting in increased somatosensory responsiveness. No significant associations were found between somatosensory attending to the back and theorized antecedents such as pain catastrophizing, pain-related fear and pain vigilance. Discussion. The current study confirmed that individuals preparing a movement attended more towards somatosensory stimuli at the lower back when anticipating back pain during the movement, as measured by the N96 SEP. However, no differences were found for this component between participants suffering from CLBP or RLBP, or the healthy controls.
Databáze: OpenAIRE