Javier Martinez-Calderon1, Mira Meeus2, Filip Struyf3, Juan Luis Diaz-Cerrillo4, Susana Clavero-Cano4, Jose Miguel Morales-Asencio5, Alejandro Luque-Suarez6. 1. Universidad de Malaga, Facultad Ciencias de la Salud, Departamento de Fisioterapia, Malaga, Spain; Department of Rehabilitation Sciences and Physiotherapy, University of Antwerp, Antwerp, Belgium. 2. Department of Rehabilitation Sciences and Physiotherapy, University of Antwerp, Antwerp, Belgium; Department of Rehabilitation Sciences and Physiotherapy Department, Ghent University, Ghent, Belgium; Pain in Motion International Research Group, Belgium. Electronic address: mira.meeus@uantwerpen.be. 3. Department of Rehabilitation Sciences and Physiotherapy, University of Antwerp, Antwerp, Belgium. 4. Distrito Sanitario Costa del Sol (Servicio andaluz de salud), Malaga, Spain. 5. Universidad de Malaga, Facultad Ciencias de la Salud, Departamento de Enfermería, Malaga, Spain; Instituto de Investigación Biomédica de Málaga (IBIMA), Spain. 6. Universidad de Malaga, Facultad Ciencias de la Salud, Departamento de Fisioterapia, Malaga, Spain; Instituto de Investigación Biomédica de Málaga (IBIMA), Spain.
Abstract
OBJECTIVES: To explore the association between psychological factors and shoulder pain intensity, function, as well as local and generalized pressure pain hypersensitivity. DESIGN: a cross-sectional study. METHODS: 90 participants with chronic shoulder pain were included. Pressure pain thresholds determined the presence of pain hypersensitivity. Pain intensity, function, pain self-efficacy, emotional distress, and pain catastrophizing were also assessed. Analyses were adjusted for gender and age. RESULTS: The diagnosis of depression (yes/no answer) was associated with both greater local (standardized β = -0.19[95%CI -0.37 to -0.00]) and generalized (standardized β = -0.20[95%CI -0.39 to -0.01]) pressure pain hypersensitivity. Greater pain self-efficacy was associated with lower local pressure pain hypersensitivity (standardized β = 0.19[95%CI 0.04 to 0.38]). The standardized beta coefficient for the diagnosis of depression indicated that this variable showed the strongest association with pressure pain hypersensitivity. Additionally, greater pain self-efficacy was associated with lower pain intensity (standardized β = -0.34[95%CI -0.51 to -0.17]) and better function (standardized β = -0.47[95%CI -0.63 to -0.30]). Greater pain catastrophizing was associated with more pain intensity (standardized β = 0.35[95%CI 0.18 to 0.52]) and worse function (standardized β = 0.26[95%CI 0.10 to 0.43]). The standardized beta coefficients for pain catastrophizing and pain self-efficacy indicated that both variables showed the strongest association with shoulder pain intensity and function, respectively CONCLUSION: Psychological factors were associated with local and generalized pressure pain hypersensitivity, pain intensity, and function in people with chronic shoulder pain.
OBJECTIVES: To explore the association between psychological factors and shoulder pain intensity, function, as well as local and generalized pressure pain hypersensitivity. DESIGN: a cross-sectional study. METHODS: 90 participants with chronic shoulder pain were included. Pressure pain thresholds determined the presence of pain hypersensitivity. Pain intensity, function, pain self-efficacy, emotional distress, and pain catastrophizing were also assessed. Analyses were adjusted for gender and age. RESULTS: The diagnosis of depression (yes/no answer) was associated with both greater local (standardized β = -0.19[95%CI -0.37 to -0.00]) and generalized (standardized β = -0.20[95%CI -0.39 to -0.01]) pressure pain hypersensitivity. Greater pain self-efficacy was associated with lower local pressure pain hypersensitivity (standardized β = 0.19[95%CI 0.04 to 0.38]). The standardized beta coefficient for the diagnosis of depression indicated that this variable showed the strongest association with pressure pain hypersensitivity. Additionally, greater pain self-efficacy was associated with lower pain intensity (standardized β = -0.34[95%CI -0.51 to -0.17]) and better function (standardized β = -0.47[95%CI -0.63 to -0.30]). Greater pain catastrophizing was associated with more pain intensity (standardized β = 0.35[95%CI 0.18 to 0.52]) and worse function (standardized β = 0.26[95%CI 0.10 to 0.43]). The standardized beta coefficients for pain catastrophizing and pain self-efficacy indicated that both variables showed the strongest association with shoulder pain intensity and function, respectively CONCLUSION: Psychological factors were associated with local and generalized pressure pain hypersensitivity, pain intensity, and function in people with chronic shoulder pain.
Authors: Fabrizio Brindisino; Elena Silvestri; Chiara Gallo; Davide Venturin; Giovanni Di Giacomo; Annalise M Peebles; Matthew T Provencher; Tiziano Innocenti Journal: Arthrosc Sports Med Rehabil Date: 2022-05-21
Authors: Nathan Edgar; Christopher Clifford; Seth O'Neill; Carles Pedret; Paul Kirwan; Neal L Millar Journal: BMJ Open Sport Exerc Med Date: 2022-08-01
Authors: Olof Skogberg; Linn Karlsson; Björn Börsbo; Lars Arendt-Nielsen; Thomas Graven-Nielsen; Björn Gerdle; Emmanuel Bäckryd; Dag Lemming Journal: J Rehabil Med Date: 2022-04-29 Impact factor: 3.959