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首页> 外文期刊>Health Psychology Research >Psychosocial factors, disability and quality of life in chronic shoulder pain patients with central sensitization
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Psychosocial factors, disability and quality of life in chronic shoulder pain patients with central sensitization

机译：心理社会因素，慢性肩痛患者中央敏感性的心理因素，残疾和生活质量

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Chronic shoulder pain is a complex and multidimensional phenomenon with multiple causative factors involved in its perpetuation. Alteration of central nervous system processing along with the central sensitization is a predominant feature in chronic pain. Reduction in physical function has an impact on the psychological well-being of an individual. The aim of the study was to compare pain, kinesiophobia, catastrophizing, disability and quality of life in chronic shoulder pain patients with and without central sensitization. Eighty chronic unilateral shoulder pain patients in the age group of 40 to 60 years were recruited. Of them, 38 were chronic shoulder pain with central sensitization and 42 without central sensitization, classified on the basis of central sensitization inventory. Pain catastrophizing was measured using the pain catastrophizing scale, kinesiophobia using Tampa scale of kinesiophobia, disability using Shoulder pain and disability index and quality of life using 36-Item Short Form Health Survey questionnaire was evaluated in both the groups. Increased pain catastrophizing (p=0.000), kinesiophobia (p=0.000) and disability (p=0.000) was observed in centrally sensitized chronic shoulder pain patients. Also, physical component summary (p=0.000) and mental component summary (p=0.000) of SF-36 quality of life were reduced in chronic shoulder pain with central sensitization as compared to without central sensitization. Hence, these components should be included during assessment which will provide a holistic and multimodal approach towards the understanding, planning and management of chronic shoulder pain patients.
机译：慢性肩痛是一种复杂和多维现象，具有多种致病因素，涉及其永久性。中枢神经系统加工的改变以及中央致敏是慢性疼痛的主要特征。物理功能的减少对个人的心理福祉产生影响。该研究的目的是比较慢性肩痛患者的疼痛，运动恐惧症，灾难性，残疾和生活质量，没有中央敏感。招募了八十慢性单侧肩痛患者40至60岁的患者。其中，38例是慢性肩痛，中央致敏和42例，没有中央致敏，根据中央敏感性库存进行分类。使用止痛性灾难性规模测量疼痛灾难性，使用坦帕恐惧症的坦帕恐惧症，使用肩痛和残疾指数和使用36项短型健康调查问卷的残疾在两组中进行了评估。疼痛灾害增加（p = 0.000），在中央敏化慢性肩痛患者中观察到动力学恐惧症（P = 0.000）和残疾（P = 0.000）。此外，与没有中央敏感的情况相比，SF-36寿命寿命寿命的慢性肩痛的物理成分摘要（P = 0.000）和精神组分摘要（P = 0.000）减少。因此，应在评估期间包括这些组件，这将为慢性肩痛患者的理解，规划和管理提供全面和多式联算方法。

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