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Associations of Central Sensitization-Related Symptoms with Low Back Pain-Related Factors and Work Status in Caregivers

Author

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  • Hayato Shigetoh

    (Department of Physical Therapy, Faculty of Health Science, Kyoto Tachibana University, 34 Yamada-cho, Oyake, Yamashina-ku, Kyoto 607-8175, Japan)

  • Teppei Abiko

    (Department of Physical Therapy, Faculty of Health Science, Kyoto Tachibana University, 34 Yamada-cho, Oyake, Yamashina-ku, Kyoto 607-8175, Japan)

  • Michie Ohyama

    (Non-Profit Organization NPO Fukusiyogunet, Ita, Tagawa 825-0002, Japan)

  • Eiji Sakata

    (Non-Profit Organization NPO Fukusiyogunet, Ita, Tagawa 825-0002, Japan)

  • Shin Murata

    (Department of Physical Therapy, Faculty of Health Science, Kyoto Tachibana University, 34 Yamada-cho, Oyake, Yamashina-ku, Kyoto 607-8175, Japan)

Abstract

Low back pain (LBP) is associated with psychological factors and central sensitization-related symptoms (CSSs). The relationship between CSSs, LBP-related factors, and work status in caregivers remain unclear. This multicentre, collaborative, cross-sectional study aimed to determine the association between CSS severity, LBP-related factors, and work status in caregivers with LBP. We measured LBP intensity, pain duration, pain sites, CSSs (using the Central Sensitization Inventory-9: CSI-9), psychological factors (using the Pain Catastrophizing and Pain Self-Efficacy scales), and work status (interference, amount of assistance, frequency of assistance, and work environment) in 660 caregivers. CSS severity was categorised as no (CSI-9:0–9), mild (CSI-9:10–19), or moderate/severe (CSI-9:20–36). We further performed multiple comparison analyses and adjusted the residual chi-square to reveal differences between CSS severity groups. Caregivers with more severe CSSs tended to exhibit worse LBP intensity ( p < 0.01), widespread pain ( p < 0.01), catastrophic thinking ( p < 0.01), and pain self-efficacy ( p < 0.01), and they also tended to experience work interference ( p < 0.01). Caregivers without CSSs tended to receive a smaller amount of assistance with a lower frequency ( p < 0.05). The number of participants with an adequate environment and equipment was significantly less in the moderate/severe CSS group ( p < 0.01). Thus, our findings may suggest that CSS severity is associated with LBP intensity, widespread pain, psychological factors, and work status in caregivers.

Suggested Citation

  • Hayato Shigetoh & Teppei Abiko & Michie Ohyama & Eiji Sakata & Shin Murata, 2022. "Associations of Central Sensitization-Related Symptoms with Low Back Pain-Related Factors and Work Status in Caregivers," IJERPH, MDPI, vol. 19(16), pages 1-8, August.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:16:p:10135-:d:889446
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    References listed on IDEAS

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    1. Tomohiko Nishigami & Katsuyoshi Tanaka & Akira Mibu & Masahiro Manfuku & Satoko Yono & Akihito Tanabe, 2018. "Development and psychometric properties of short form of central sensitization inventory in participants with musculoskeletal pain: A cross-sectional study," PLOS ONE, Public Library of Science, vol. 13(7), pages 1-16, July.
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