Cristina Roldán-Jiménez1,2, David Pérez-Cruzado1,3, Randy Neblett4, Robert Gatchel5, Antonio Cuesta-Vargas1,6. 1. Department of Physiotherapy, Faculty of Health Science, University of Malaga, Malaga, Spain. 2. The Institute of Biomedical Research in Malaga (IBIMA), Malaga, Spain. 3. Department of Health Science, University Católica San Antonio de Murcia, Murcia, Spain. 4. PRIDE Research Foundation, Dallas, Texas. 5. Center of Excellence for the Study of Health & Chronic Illnesses, Department of Psychology, College of Science, The University of Texas, Arlington, Texas, USA. 6. School of Clinical Science, Faculty of Health, Queensland University of Technology, Brisbane, Australia.
Abstract
OBJECTIVE: Chronic musculoskeletal pain disorders (CMPDs) are among the leading causes of disabilities across populations, resulting in high social and financial burden. This persistent pain condition may include the central sensitization (CS) phenomenon, which implies a wide range of symptoms and that may be taken into account in CMPD treatment. CS symptoms can be measured by the Central Sensitization Inventory (CSI). The aims of the study were to describe CS symptoms in patients suffering from several CMPDs and to analyze differences due to gender, age, and body mass index (BMI). DESIGN: This cross-sectional study recruited a total of 395 Spanish participants suffering from several CMPDs. SETTING: CS symptoms were measured with the Spanish Version of the CSI. The total score (0-100) and a cutoff score of 40 were recorded. SUBJECTS: A total of 395 participants were included. RESULTS: The mean CSI total score for the whole sample was 24.6 ± 12.0 points. CSI total score had subclinical values in the whole sample, whereas participants with scores >40 were found across different CMPDs, such as low back pain (37.8%) and neck pain (32.4%); 14.6% of females and 1.7% of males presented CSI scores >40. Patients showed significant differences in CSI cutoff point by gender (P = 0.010) and CSI total score by age (P = 0.014). CONCLUSIONS: Given the high prevalence of clinically relevant CSI scores (>40) in people with a CMPD, especially low back pain and neck pain, we recommend that clinicians supplement their assessment with the CSI for improved decision-making during treatment.
OBJECTIVE:Chronic musculoskeletal pain disorders (CMPDs) are among the leading causes of disabilities across populations, resulting in high social and financial burden. This persistent pain condition may include the central sensitization (CS) phenomenon, which implies a wide range of symptoms and that may be taken into account in CMPD treatment. CS symptoms can be measured by the Central Sensitization Inventory (CSI). The aims of the study were to describe CS symptoms in patients suffering from several CMPDs and to analyze differences due to gender, age, and body mass index (BMI). DESIGN: This cross-sectional study recruited a total of 395 Spanish participants suffering from several CMPDs. SETTING: CS symptoms were measured with the Spanish Version of the CSI. The total score (0-100) and a cutoff score of 40 were recorded. SUBJECTS: A total of 395 participants were included. RESULTS: The mean CSI total score for the whole sample was 24.6 ± 12.0 points. CSI total score had subclinical values in the whole sample, whereas participants with scores >40 were found across different CMPDs, such as low back pain (37.8%) and neck pain (32.4%); 14.6% of females and 1.7% of males presented CSI scores >40. Patients showed significant differences in CSI cutoff point by gender (P = 0.010) and CSI total score by age (P = 0.014). CONCLUSIONS: Given the high prevalence of clinically relevant CSI scores (>40) in people with a CMPD, especially low back pain and neck pain, we recommend that clinicians supplement their assessment with the CSI for improved decision-making during treatment.
Authors: Jani Mikkonen; Hannu Luomajoki; Olavi Airaksinen; Randy Neblett; Tuomas Selander; Ville Leinonen Journal: BMC Neurol Date: 2021-03-31 Impact factor: 2.474
Authors: Laura Lorenzo-Gallego; Beatriz Arranz-Martín; Helena Romay-Barrero; Virginia Prieto-Gómez; Enrique Lluch; María Torres-Lacomba Journal: Int J Environ Res Public Health Date: 2022-03-29 Impact factor: 3.390