Central sensitization patients present different characteristics compared with other musculoskeletal patients: A case–control study.

The aims of this study were to identify the prevalence of a clinical dominance of musculoskeletal pain type and to compare pain characteristics among patients with musculoskeletal disorders. A case-sectional study was conducted at a physiotherapy outpatient service in 149 consecutive patients with c...

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Publicado en:European Journal of Physiotherapy Vol. 18; no. 3; pp. 147 - 154
Autores principales: Nogueira, Leandro Alberto Calazans, Chaves, Aline De Oliveira, Wendt, Ariane Dos Santos, Souza, Raphael Luz Soares De, Reis, Felipe José Jandre, Andrade, Fernanda Guimarães De
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Sep2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2016
      vid: 18
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.3109/21679169.2016.1150509
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        atl: Central sensitization patients present different characteristics compared with other musculoskeletal patients: A case–control study.
      aug:
        au:
          Nogueira, Leandro Alberto Calazans
          Chaves, Aline De Oliveira
          Wendt, Ariane Dos Santos
          Souza, Raphael Luz Soares De
          Reis, Felipe José Jandre
          Andrade, Fernanda Guimarães De
        affil: Department of Physiotherapy, Rio de Janeiro Federal Institute, Rio de Janeiro, Brazil
      sug:
        subj:
          Pain Measurement
          Musculoskeletal Diseases
          Central Nervous System Physiopathology
          Human
          Case Control Studies
          Prevalence
          Scales
          Questionnaires
          Nociceptive Pain
          Funding Source
          Female
          Male
          Adult
          Middle Age
          Aged
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Female
          Male
      ab: The aims of this study were to identify the prevalence of a clinical dominance of musculoskeletal pain type and to compare pain characteristics among patients with musculoskeletal disorders. A case-sectional study was conducted at a physiotherapy outpatient service in 149 consecutive patients with complaints of musculoskeletal pain. Participants completed a sociodemographic and pain characteristics questionnaire. The dominance of nociceptive (NO), peripheral neuropathic (PN) and central sensitization (CS) mechanisms of musculoskeletal pain was based on clinical classification. The most prevalent clinical predominance was NO pain (53.57%), followed by PN (25.00%) and CS (21.43%). Age, gender and sedentary behaviour did not show differences between pain groups. Patients with CS predominance had a higher number of separated areas (CS 8.1 vs NO 3.0 vs PN 4.9;p < 0.001) and widespread pain (CS 0.52 cm2vs NO 0.14 cm2vs PN 0.28 cm2;p = 0.001). Patients with CS predominance had an average pain intensity of 7.90, and the majority of patients were classified as having severe pain. In conclusion, patients with a predominance of CS pain showed higher pain intensity, pain duration and number of pain areas and more widespread pain than those with PN and NO. Chronicity of pain is not sufficient to distinguish CS predominance.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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