Association between central sensitivity syndrome and psychological factors in people with presurgical low back pain: A cross-sectional study |
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| Authors: | Takahiro Miki Tomohiko Nishigami Tsuneo Takebayashi Taro Yamauchi |
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| Affiliation: | 1. Faculty of Health Sciences, Hokkaido University, Hokkaido, Japan;2. Department of Rehabilitation, Sapporo Maruyama Orthopedic Hospital, Hokkaido, Japan;3. Department of Physical Therapy, Faculty of Health and Welfare, Prefectural University of Hiroshima, Hiroshima, Japan;4. Department of Orthopedic, Sapporo Maruyama Orthopedic Hospital, Hokkaido, Japan;1. Department of Orthopedic Surgery, Nihon University Hospital, Tokyo, Japan;2. Department of Rehabilitation Medicine, Yokohama City University Medical Center, Kanagawa, Japan;3. Department of Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, Aichi, Japan;4. Department of Rehabilitation Medicine, Teikyo University School of Medicine University Hospital, Mizonokuchi, Japan;5. Department of Clinical Nutrition and Food Service, Yasuoka Hospital, Yamaguchi, Japan;6. Department of Physical Therapy, Kyorin University Hospital, Tokyo, Japan;1. Department of Orthopaedic Surgery, National Defense Medical College, Saitama, Japan;2. Department of Orthopaedic Surgery, Japan Self-Defense Forces Central Hospital, Tokyo, Japan;3. Department of Rehabilitation Medicine, National Defense Medical College Hospital, Saitama, Japan;4. Department of Orthopaedic Surgery, Minamitama Hospital, Tokyo, Japan;1. Department of Neurosurgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan;2. Department of Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, IA, USA;1. Department of Orthopedic Surgery, Akita Kosei Medical Center, 1-1-1 Nishibukuro Iijima, Akita, 011-0948, Japan;2. Department of Orthopedic Surgery, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita, 010-8543, Japan;3. Department of Orthopedic Surgery, Omagari Medical Center, 8-65 Toorimachi, Daisen, Akita, 014-0027, Japan |
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| Abstract: | BackgroundLow back pain (LBP) is a major problem; it causes significant burden, incurs considerable economic and human costs, and adversely affects the quality of life (QoL). Central sensitivity syndrome (CSS) is known as a group of overlapping conditions that share a common pathophysiological mechanism of central sensitization. Previous studies have shown that CSS is present in several disorders. However, it has been studied for people with presurgical LBP. The purpose of the study was to investigate the proportion of patients with CSS for presurgical LBP and to analyse the association of CSS with clinical symptoms and psychological factors.MethodsData of demographics, the central sensitization inventory (CSI), psychological measures, clinical symptoms of 238 patients with presurgical LBP were evaluated. The patients were divided into two groups depending on the CSI scores (≥40 and < 40). The two groups were compared, and the correlation between the CSI scores and other outcomes was analysed. Furthermore, multiple regression analysis was performed to identify factors contributing to the CSI scores.Results13.0% of participants were CSS. All outcomes were significantly different between the groups and significant associations were found between the CSI scores and all other outcomes. In addition, Pain Catastrophizing Scale (PCS) was most significant associated scale for the CSI scores.ConclusionWe found that certain patients had CSS with presurgical LBP. The CSI scores were significantly associated with the majority of the factors. The PCS was the factor with the most influence on the CSI scores. |
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