(164) Correlation of clinical pain scales with disability rating scales to predict outcomes in patients with radicular low back pain

2015 ◽  
Vol 16 (4) ◽  
pp. S17
Author(s):  
N. Mittal ◽  
N. Joshi
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Rating Scales ◽  
Low Back ◽  
Clinical Pain ◽  
Pain Scales ◽  
Disability Rating

Provisional Statistics for MMPI-2 Dependency, Prejudice, Social Status, Control, and Low Back Pain Scales

1996 ◽  
Vol 78 (3_suppl) ◽  
pp. 1075-1078 ◽  
Author(s):  
Alfred L. Brophy
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Social Status ◽  
Low Back ◽  
Normative Sample ◽  
Men And Women ◽  
Pain Scales

Provisional statistics are provided for MMPI-2 Dependency ( Dy), Prejudice ( Pr), Social Status ( St), Control ( Cn), and Low Back Pain ( Lb) scales. The statistics were derived primarily from the 1957 MMPI normative sample of Hathaway and Briggs, but means also are given for the MMPI-2 normative group. Both men and women in the MMPI-2 group scored higher than the MMPI sample on St and Lb but lower on Dy, Pr, and Cn.

Acupuncture Treatment of Chronic Low Back Pain Reverses An Abnormal Brain Default Mode Network in Correlation with Clinical Pain Relief

2014 ◽  
Vol 32 (2) ◽  
pp. 102-108 ◽  
Author(s):  
Ji Li ◽  
Jun-Hai Zhang ◽  
Tao Yi ◽  
Wei-Jun Tang ◽  
Song-Wei Wang ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Prefrontal Cortex ◽  
Back Pain ◽  
Default Mode Network ◽  
Chronic Low Back Pain ◽  
Therapeutic Effects ◽  
Healthy Controls ◽  
Low Back ◽  
Default Mode ◽  
Clinical Pain

Background Acupuncture is gaining in popularity as a treatment for chronic low back pain (cLBP); however, its therapeutic mechanisms remain controversial, partly because of the absence of an objective way of measuring subjective pain. Resting-state functional MRI (rsfMRI) has demonstrated aberrant default mode network (DMN) connectivity in patients with chronic pain, and also shown that acupuncture increases DMN connectivity in pain-modulator and affective-emotional brain regions of healthy subjects. Objective This study sought to explore how cLBP influences the DMN and whether, and how, the altered DMN connectivity is reversed after acupuncture for clinical pain. Methods RsfMRI data from 20 patients with cLBP, before and after 4 weeks of treatment, and 10 age- and gender-matched healthy controls (without treatment) were analysed using independent components analyses to determine connectivity within the DMN, and combined with correlation analyses to compute covariance between changes in DMN connectivity and changes in clinical pain. Visual analogue scale data were assessed to rate clinical pain levels. Results Less connectivity within the DMN was found in patients with cLBP than in healthy controls, mainly in the dorsolateral prefrontal cortex, medial prefrontal cortex, anterior cingulate gyrus and precuneus. After acupuncture, patients’ connectivities were restored almost to the levels seen in healthy controls. Furthermore, reductions in clinical pain were correlated with increases in DMN connectivity. Conclusions This result suggests that modulation of the DMN by acupuncture is related to its therapeutic effects on cLBP. Imaging of the DMN provides an objective method for assessment of the effects of acupuncture-induced analgesia.

scholarly journals High Attention-Deficit/Hyperactivity Disorder Scale Scores Among Patients with Persistent Chronic Nonspecific Low Back Pain

2021 ◽  
pp. E299-E307
Author(s):  
Satoshi Kasahara
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Low Back Pain ◽  
Back Pain ◽  
Attention Deficit ◽  
Rating Scales ◽  
Rating Scale ◽  
Pain Clinic ◽  
Low Back ◽  
Hyperactivity Disorder ◽  
Scale Scores

Background: Associations between attention-deficit/hyperactivity disorder (ADHD) and chronic pain disorders, such as fibromyalgia, have been reported. However, associations between persistent chronic nonspecific low back pain (CNLBP) and ADHD have not yet been investigated. Objectives: This study aimed to investigate the positive rates of possible ADHD, as assessed by selfreported ADHD scales, in patients with persistent CNLBP, using data from self-reported questionnaires completed by patients and their families. This study also aimed to compare the self-reported scores obtained from existing standardized data for healthy individuals, and to examine whether the ADHD scale scores of patients with persistent CNLBP are associated with pain variables. Study Design: Cross-sectional study. Setting: The specialized pain clinic at our university hospital. Methods: This cross-sectional study included 60 consecutive patients with persistent CNLBP who were diagnosed with a possible somatic symptom disorder and were referred to a psychiatrist in our pain clinic. The Conners’ Adult ADHD Rating Scales (CAARS) self-report (CAARS-S) and observer-rated (CAARS-O) questionnaires were utilized. We investigated the CAARS scores, and the association between the CAARS subscale scores and pain variables (pain duration and pain Numeric Rating Scale) in patients with persistent CNLBP. Results: Of the 60 patients, 19 (31.7%) were positive on both CAARS-S and CAARS-O questionnaires (T-score > 65). The ADHD indices, which comprised subscales of the CAARS estimating the necessity of treatment for ADHD, were significantly higher in both male and female patients with persistent CNLBP than in the Japanese standardized sample (P < 0.005). CAARS-S hyperactivity/restlessness, CAARS-O hyperactivity/restlessness, and the Diagnostic and Statistical Manual of Mental Disorders, fourth edition hyperactive-impulsive symptom subscale scores also correlated with the pain intensity (P < 0.05). Limitations: In this study, ADHD tendency was evaluated using only a self-reported questionnaire. Hence in the future, accurate and precise assessments of ADHD symptoms using structured clinical interviews conducted by ADHD experts are warranted. Additionally, the study only included patients with persistent CNLBP. Therefore in the future, it will be valuable to investigate ADHD scale scores (e.g., CAARS) among patients with CNLBP and nonspecific low back pain with larger sample sizes. Conclusions: Our findings revealed that the subscale scores on an ADHD scale were considerably high in patients with persistent CNLBP. As a previous study of our clinical experience indicates that persistent CNLBP can be substantially relieved by administering ADHD medications, ADHD screening is warranted in the treatment of persistent CNLBP. Key words: Attention-deficit/hyperactivity disorder, neurodevelopmental disorders, chronic nonspecific low back pain, chronic pain, Conners’ Adult ADHD Rating Scales (CAARS), Numeric Rating Scale, pain duration, pain clinic, somatic symptom disorder

scholarly journals Psychosocial subgroups in high-performance athletes with low back pain: eustress-endurance is most frequent, distress-endurance most problematic!

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Christina Titze ◽  
Daniela Fett ◽  
Katharina Trompeter ◽  
Petra Platen ◽  
Hannah Gajsar ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
High Performance ◽  
Low Back ◽  
Response Patterns ◽  
Fear Avoidance ◽  
Cross Sectional ◽  
Clinical Pain ◽  
Pain Outcomes ◽  
Pain Responses

AbstractObjectivesIn non-athletes, fear-avoidance and endurance-related pain responses appear to influence the development and maintenance of low back pain (LBP). The avoidance-endurance model (AEM) postulates three dysfunctional pain response patterns that are associated with poorer pain outcomes. Whether comparable relationships are present in athletes is currently unclear. This cross-sectional case-control study explored frequencies and behavioral validity of the AEM-based patterns in athletes with and without LBP, as well as their outcome-based validity in athletes with LBP.MethodsBased on the Avoidance-Endurance Fast-Screen, 438 (57.1% female) young adult high-performance athletes with and 335 (45.4% female) without LBP were categorized as showing a “distress-endurance” (DER), “eustress-endurance” (EER), “fear-avoidance” (FAR) or “adaptive” (AR) pattern.ResultsOf the athletes with LBP, 9.8% were categorized as FAR, 20.1% as DER, 47.0% as EER, and 23.1% as AR; of the athletes without LBP, 10.4% were categorized as FAR, 14.3% as DER, 47.2% as EER, and 28.1% as AR. DER and EER reported more pronounced endurance- and less pronounced avoidance-related pain responses than FAR, and vice versa. DER further reported the highest training frequency. In athletes with LBP, all dysfunctional groups reported higher LBP intensity, with FAR and DER displaying higher disability scores than AR.ConclusionsThe results indicate that also in athletes, patterns of endurance- and fear-avoidance-related pain responses appear dysfunctional with respect to LBP. While EER occurred most often, DER seems most problematic.ImplicationsEndurance-related pain responses that might be necessary during painful exercise should therefore be inspected carefully when shown in response to clinical pain.

scholarly journals Brief Self-Compassion Training Alters Neural Responses to Evoked Pain for Chronic Low Back Pain: A Pilot Study

Pain Medicine ◽  
2020 ◽  
Vol 21 (10) ◽  
pp. 2172-2185
Author(s):  
Michael P Berry ◽  
Jacqueline Lutz ◽  
Zev Schuman-Olivier ◽  
Christopher Germer ◽  
Susan Pollak ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pilot Study ◽  
Pain Intensity ◽  
Chronic Low Back Pain ◽  
Interoceptive Awareness ◽  
Low Back ◽  
Self Compassion ◽  
Clinical Pain ◽  
The Right

Abstract Objective Self-compassion meditation, which involves compassion toward the self in moments of suffering, shows promise for improving pain-related functioning, but its underlying mechanisms are unknown. This longitudinal, exploratory pilot study investigated the effects of a brief (eight contact hours, two weeks of home practice) self-compassion training on pain-related brain processing in chronic low back pain (cLBP). Methods We evaluated functional magnetic resonance imaging (fMRI) response to evoked pressure pain and its anticipation during a self-compassionate state and compared altered brain responses following training with changes on self-reported measures of self-compassion (Self-Compassion Scale [SCS]), interoceptive awareness (Multidimensional Assessment of Interoceptive Awareness [MAIA]), and clinical pain intensity. Results In a sample of participants with cLBP (N = 20 total, N = 14 with complete longitudinal data) who underwent self-compassion training, we observed reduced clinical pain intensity and disability (P &lt; 0.01) and increased trait self-compassion and interoceptive awareness (all P &lt; 0.05) following training. Evoked pressure pain response in the right temporo-parietal junction (TPJ) was reduced following training, and decreases were associated with reduced clinical pain intensity. Further, increased fMRI responses to pain anticipation were observed in the right dorsolateral prefrontal cortex (dlPFC) and ventral posterior cingulate cortex (vPCC), and these increases were associated with mean post-training changes in SCS scores and scores from the body listening subscale of the MAIA. Discussion These findings, though exploratory and lacking comparison with a control condition, suggest that self-compassion training supports regulation of pain through the involvement of self-referential (vPCC), salience-processing (TPJ), and emotion regulatory (dlPFC) brain areas. The results also suggest that self-compassion could be an important target in the psychotherapeutic treatment of cLBP, although further studies using controlled experimental designs are needed to determine the specificity of these effects.

scholarly journals Associations of pain severity and mobility with age in chronic low back pain: does the type of assessment matter?

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 893-893
Author(s):  
Taylor Buchanan ◽  
Deanna Rumble ◽  
Kristen Allen-Watts ◽  
Katie O'Neal ◽  
Tammie Quinn ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Chronic Low Back Pain ◽  
Pain Severity ◽  
Future Research ◽  
Low Back ◽  
Chi Square ◽  
Clinical Pain ◽  
Pain Symptoms

Abstract Chronic low back pain (cLBP) can lead to severe pain symptoms as well as disability in adults. As individuals age, pain symptoms and mobility outcomes can become increasingly debilitating. However, current findings regarding the influence of age on symptoms and outcomes are mixed and may be attributed to the assessment methodologies for pain and mobility. Therefore, we sought to examine the association of age with broad and specific assessments of pain severity and mobility commonly implemented in adults with cLBP. cLBP participants (n = 158) completed questionnaires regarding pain intensity and disability including demographics, Clinical Pain Assessment (CPA) and the Oswestry Low Back Pain questionnaire (OLBP). Participants also completed assessments of movement-evoked pain and difficulty by performing the Short Physical Performance Battery (SPPB). Pearson’s chi-square tests and regression-based analyses were conducted using SPSS version 26.0. Among cLBP participants, age was associated with pain-related disability indexed by section one of the OLBPS regarding pain intensity (F= 5.0, p&lt;.05), and mobility via total SPPB score (F= 11.7, p&lt;.05). Interestingly, age predicted greater self-reported difficulty climbing stairs (F= 21.7, p&lt;.05), performing chores (F= 17.0, p&lt;.05), walking (F= 14.0, p&lt;.05), and running errands (F= 13.4, p&lt;.05) from the CPA. Further, age predicted total balance (F= 3.2, p&lt;.05), gait speed (F= 7.8, p&lt;.05), and chair stand (F= 6.5, p&lt;.05) scores of SPPB. Age is associated with questionnaires assessing cLBP pain severity and is also associated with mobility outcomes. Future research should seek to understand the influence of age on movement-evoked pain in cLBP.

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