Relationship Between Central Sensitization-Related Symptoms and Pain-Related Disability After Cervical Spine Surgery: A Structural Equation Model.
Pain Manag Nurs
; 25(2): e126-e131, 2024 Apr.
Article
em En
| MEDLINE
| ID: mdl-38272764
ABSTRACT
BACKGROUND:
It is unknown if central sensitization (CS)-related symptoms have an intermediate role that might explain how disability develops from pain after cervical spinal surgery.AIMS:
The study aim was to investigate the role of CS-related symptoms in the relationship between pain and disability reported after cervical spinal surgery.DESIGN:
Cross-sectional study. SETTINGS Tertiary care spinal surgery center. PARTICIPANTS/SUBJECTS:
The participants included individuals with a cervical degenerative condition who had undergone surgery.METHODS:
The following patient-reported outcome measures were evaluated (1) Numerical Rating Scale; (2) Neck Disability Index; and (3) Short Form of the Central Sensitization Inventory. A hypothesized model containing the CS-related symptoms and the relationships between pain and disability was constructed and tested by structural equation modeling.RESULTS:
Questionnaires were mailed to 280 individuals, and responses were obtained from 145 participants. Of these respondents, 99 (68.3%) were males and 46 (31.7%) were females, with a mean age of 64.4 ± 12.3 years. The latent variable for pain, represented by the neck (coefficient 0.856, p < .001) and upper limb pain (0.568, p < .001), influenced CS-related symptoms (coefficient 0.504, p < .001). Pain directly affected disability (coefficient 0.497, p < .001) and indirectly through CS-related symptoms. Bootstrap analysis confirmed this indirect effect (point estimate 2.85, 95% confidence interval 1.04 to 6.30, p = .04).CONCLUSIONS:
The results revealed that neck and upper limb pain affected disabilities both directly and through CS-related symptoms. Future research should focus on the efficacy of biopsychosocial approaches for patients after cervical spine surgery with a high risk of disability due to CS-related symptoms.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Dor
/
Sensibilização do Sistema Nervoso Central
Tipo de estudo:
Diagnostic_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Pain Manag Nurs
Assunto da revista:
ENFERMAGEM
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NEUROLOGIA
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PSICOFISIOLOGIA
Ano de publicação:
2024
Tipo de documento:
Article