central sensitization; chronic pain; chronic spinal pain; insomnia; polysomnography; Leadership and Management; Health Policy; Health Informatics; Health Information Management
Abstract :
[en] [en] BACKGROUND: Chronic spinal pain (CSP) is a major public health problem worldwide, frequently related to sleep problems. Central sensitization (CS) may worsen the clinical picture of CSP patients with insomnia. The aim of this study was to compare self-reported and objectively measured clinical outcomes between insomniac CSP patients with comorbid insomnia with and without symptoms of CS.
METHODS: A case-control study on baseline self-reported sleep, functioning, and psychological distress through online questionnaires. Objective sleep and physical activity parameters and pressure pain thresholds (PPTs) were assessed through polysomnography, actigraphy, and digital algometry, respectively. Independent sample t-test and Mann-Whitney U tests were used to examine possible differences in the outcome measures between the groups.
RESULTS: Data from 123 participants were included and revealed no statistically significant group for objective sleep and physical activity parameters. The CS group, however, presented with worse self-reported sleep (quality sleep, insomnia severity, and dysfunctional beliefs about sleep), increased mental and physical fatigue, and higher psychological distress (anxiety and depressive symptoms), and reported lower PPTs.
CONCLUSIONS: symptoms of CS may influence perceived sleep and affect functional health and well-being perception but do not seem to affect objective sleep and physical activity.
Disciplines :
Orthopedics, rehabilitation & sports medicine
Author, co-author :
Araújo Almeida, Lucas ; Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy (KIMA), Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Laarbeeklaan 103-Building F, 1090 Brussel, Belgium ; Laboratory of Analysis and Intervention of the Shoulder Complex, Department of Physical Therapy, Universidade Federal de São Carlos, São Carlos 13565-905, SP, Brazil ; Department of Physical Therapy, University of Florida, Gainesville, FL 32611, USA
Bilterys, Thomas ; Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy (KIMA), Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Laarbeeklaan 103-Building F, 1090 Brussel, Belgium ; Pain in Motion International Research Group, 1090 Brussel, Belgium ; Department of Psychology, University of Warwick, Coventry CV4 7AL, UK ; Institute of Advanced Study, University of Warwick, Coventry CV4 7AL, UK
Van Looveren, Eveline ; Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy (KIMA), Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Laarbeeklaan 103-Building F, 1090 Brussel, Belgium ; Pain in Motion International Research Group, 1090 Brussel, Belgium ; Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Ghent University, Campus Heymans-Building B3, De Pintelaan 185, 9000 Ghent, Belgium
Mairesse, Olivier ; Brain, Body and Cognition (BBCO), Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel, 1090 Brussels, Belgium
Cagnie, Barbara ; Université de Liège - ULiège > Département des Sciences de l'activité physique et de la réadaptation ; Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Ghent University, Campus Heymans-Building B3, De Pintelaan 185, 9000 Ghent, Belgium
Meeus, Mira ; Pain in Motion International Research Group, 1090 Brussel, Belgium ; Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Ghent University, Campus Heymans-Building B3, De Pintelaan 185, 9000 Ghent, Belgium ; Department of Rehabilitation Sciences and Physiotherapy (MOVANT), Faculty of Medicine and Health Sciences, University of Antwerp, Campus Drie Eiken, Universiteitsplein 1, 2610 Wilrijk, Belgium
Moens, Maarten ; Pain in Motion International Research Group, 1090 Brussel, Belgium ; Department of Neurosurgery and Radiology, University Hospital Brussels, 1090 Brussels, Belgium ; Stimulus Research Group, Vrije Universiteit Brussel, 1090 Brussels, Belgium ; Center of Neurosciences, Vrije Universiteit Brussel, 1090 Brussels, Belgium
Goubert, Dorien ; Pain in Motion International Research Group, 1090 Brussel, Belgium ; Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Ghent University, Campus Heymans-Building B3, De Pintelaan 185, 9000 Ghent, Belgium
Munneke, Wouter ; Université de Liège - ULiège > Evaluation-Revalidation (EVAREVA) ; Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy (KIMA), Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Laarbeeklaan 103-Building F, 1090 Brussel, Belgium ; Pain in Motion International Research Group, 1090 Brussel, Belgium
Danneels, Lieven ; Université de Liège - ULiège > Département des Sciences de l'activité physique et de la réadaptation ; Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Ghent University, Campus Heymans-Building B3, De Pintelaan 185, 9000 Ghent, Belgium
Ickmans, Kelly ; Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy (KIMA), Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Laarbeeklaan 103-Building F, 1090 Brussel, Belgium ; Pain in Motion International Research Group, 1090 Brussel, Belgium ; Chronic Pain Rehabilitation, Department of Physical Medicine and Physiotherapy, University Hospital Brussels, 1090 Brussels, Belgium ; Movement & Nutrition for Health & Performance Research Group (MOVE), Department of Movement and Sport Sciences, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Pleinlaan 2, 1050 Brussels, Belgium
Rezende Camargo, Paula; Laboratory of Analysis and Intervention of the Shoulder Complex, Department of Physical Therapy, Universidade Federal de São Carlos, São Carlos 13565-905, SP, Brazil
Nijs, Jo ; Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy (KIMA), Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Laarbeeklaan 103-Building F, 1090 Brussel, Belgium ; Pain in Motion International Research Group, 1090 Brussel, Belgium ; Chronic Pain Rehabilitation, Department of Physical Medicine and Physiotherapy, University Hospital Brussels, 1090 Brussels, Belgium ; Department of Health and Rehabilitation, Unit of Physiotherapy, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, 41390 Göterbog, Sweden
Malfliet, Anneleen ; Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy (KIMA), Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Laarbeeklaan 103-Building F, 1090 Brussel, Belgium ; Pain in Motion International Research Group, 1090 Brussel, Belgium ; Chronic Pain Rehabilitation, Department of Physical Medicine and Physiotherapy, University Hospital Brussels, 1090 Brussels, Belgium ; Research Foundation-Flanders (FWO), 1000 Brussels, Belgium
De Baets, Liesbet; Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy (KIMA), Faculty of Physical Education & Physiotherapy, Vrije Universiteit Brussel, Laarbeeklaan 103-Building F, 1090 Brussel, Belgium ; Pain in Motion International Research Group, 1090 Brussel, Belgium
FAPESP - São Paulo Research Foundation [BR] NIH - National Institutes of Health [US-MD] FWO - Fonds Wetenschappelijk Onderzoek Vlaanderen [BE]
Funding text :
Funding: Lucas Araújo Almeida was funded by the São Paulo Research Foundation (FAPESP; Grant #2018/26103-4 and Grant #2021/09520-3) and received salary support from R01 AR080058 from the National Institute of Health. This study was funded by Fonds Wetenschappelijk Onderzoek— Toegepast Biomedisch Onderzoek (FWO–TBM, grant no. T001117N). The funder did not have any role in the design and conduct of the study; the collection, management, analysis, and interpretation of the data; the preparation, review, approval, or submission of this study.Lucas Araújo Almeida was funded by the São Paulo Research Foundation (FAPESP; Grant #2018/26103-4 and Grant #2021/09520-3) and received salary support from R01 AR080058 from the National Institute of Health. This study was funded by Fonds Wetenschappelijk Onderzoek—Toegepast Biomedisch Onderzoek (FWO–TBM, grant no. T001117N). The funder did not have any role in the design and conduct of the study; the collection, management, analysis, and interpretation of the data; the preparation, review, approval, or submission of this study.
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