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Pain Sensitivity Subgroups in Individuals With Spine Pain: Potential Relevance to Short-Term Clinical Outcome

Rogelio A. Coronado, Joel E. Bialosky, Michael E. Robinson, Steven Z. George
DOI: 10.2522/ptj.20130372 Published 1 August 2014
Rogelio A. Coronado
R.A. Coronado, PT, PhD, CSCS, FAAOMPT, Department of Physical Therapy, University of Florida, Box 100154, Gainesville, FL 32610-0154 (USA).
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Joel E. Bialosky
J.E. Bialosky, PT, PhD, OCS, FAAOMPT, Department of Physical Therapy, University of Florida.
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Michael E. Robinson
M.E. Robinson, PhD, Department of Clinical and Health Psychology, University of Florida.
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Steven Z. George
S.Z. George, PT, PhD, Department of Physical Therapy and Center for Pain Research and Behavioral Health, University of Florida, Box 100154, Gainesville, FL 32610-0154 (USA).
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Figure.

Cluster subgroups based on pain sensitivity measures. Data for thermal head threshold and tolerance are reflected. Higher z scores denote higher pain sensitivity for all measures.

Tables

Table 1.
Table 1.

Demographic Characteristics, Psychological Measures, Pain Sensitivity, and Clinical Outcome for Individuals With Spine Pain (N=157)a

  • ↵a Values are X̅ (SD) unless otherwise indicated. PCS=Pain Catastrophizing Scale, FABQ-PA=Fear-Avoidance Beliefs Questionnaire physical activity subscale, FABQ-W=Fear-Avoidance Beliefs Questionnaire work subscale, TSK=Tampa Scale of Kinesiophobia.

Table 2.
Table 2.

Standardized Canonical Coefficients and Correlation (Pooled Within-Group) Coefficients of the Pain Sensitivity Variables of the Discriminant Function

Table 3.
Table 3.

Baseline Demographic Characteristics, Psychological Measures, and Pain Sensitivity Factors Based on Pain Sensitivity Subgroupsa

  • ↵a Values are X̅ (SD) unless otherwise indicated. LBP=low back pain, PCS=Pain Catastrophizing Scale, FABQ-PA=Fear-Avoidance Beliefs Questionnaire physical activity subscale, FABQ-W=Fear-Avoidance Beliefs Questionnaire work subscale, TSK=Tampa Scale of Kinesiophobia.

  • b Italicized P values denote significance.

  • c Difference in sex between high thermal static sensitivity group and low pain sensitivity group (P<.05).

  • d Difference in baseline pain intensity between high pressure and thermal dynamic sensitivity group and low pain sensitivity group (P<.05) and between high thermal static sensitivity group and low pain sensitivity group (P<.05).

  • e Difference in 2-wk pain intensity between high pressure and thermal dynamic sensitivity group and low pain sensitivity group (P<.05).

Table 4.
Table 4.

Influence of Pain Sensitivity Subgroup on Pain Intensity Outcome (Proportion of Individuals Meeting 30% Change)a

  • ↵a HPTDS=high pressure and thermal dynamic sensitivity, HTSS=high thermal static sensitivity, LPS=low pain sensitivity, OR=odds ratio, 95% CI=95% confidence interval.

  • b Italicized P values denote significance.

  • c Adjusted for age, sex, pain duration, and baseline pain intensity.

Table 5.
Table 5.

Influence of Pain Sensitivity Subgroup on Disability Outcome (Proportion of Individuals Meeting 30% Change)a

  • ↵a HPTDS=high pressure and thermal dynamic sensitivity, HTSS=high thermal static sensitivity, LPS=low pain sensitivity, OR=odds ratio, 95% CI=95% confidence interval.

  • b Adjusted for age, sex, pain duration, and baseline disability.

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Vol 94 Issue 8 Table of Contents
Physical Therapy: 94 (8)

Issue highlights

  • Gait-Related Outcomes in Youth With Neuromuscular Diagnoses
  • Trigger Point Dry Needling for Plantar Heel Pain
  • A Multidisciplinary Treatment Guideline for de Quervain Disease
  • Pain Sensitivity in Individuals With Spine Pain
  • Balance and Cognition in Patients With Cognitive Impairment and Alzheimer Disease
  • Experiences of Exercise During Pregnancy
  • Activity and Blood Pressure in Children With Cerebral Palsy
  • Hip Abductor Strength and Physical Function After Unilateral Total Knee Arthroplasty
  • Sedentary Behavior and Youth With Cerebral Palsy
  • Maximal Exercise Testing in Multiple Sclerosis
  • Treadmill Training After Surgical Removal of Spinal Tumor in Infancy
  • Postmilitary Adjustment to Civilian Life
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Pain Sensitivity Subgroups in Individuals With Spine Pain: Potential Relevance to Short-Term Clinical Outcome
Rogelio A. Coronado, Joel E. Bialosky, Michael E. Robinson, Steven Z. George
Physical Therapy Aug 2014, 94 (8) 1111-1122; DOI: 10.2522/ptj.20130372

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Pain Sensitivity Subgroups in Individuals With Spine Pain: Potential Relevance to Short-Term Clinical Outcome
Rogelio A. Coronado, Joel E. Bialosky, Michael E. Robinson, Steven Z. George
Physical Therapy Aug 2014, 94 (8) 1111-1122; DOI: 10.2522/ptj.20130372
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