Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-29561
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dc.contributor.authorDietrich, Nicole-
dc.contributor.authorLuomajoki, Hannu-
dc.contributor.authorHotz Boendermaker, Sabina-
dc.date.accessioned2024-01-12T14:06:55Z-
dc.date.available2024-01-12T14:06:55Z-
dc.date.issued2023-12-08-
dc.identifier.issn1471-2474de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/29561-
dc.description.abstractBackground: Persons with acute low back pain (LBP) have a good prognosis for regaining function, while pain often persists. Neurobiological and psychosocial factors are recognized to amplify pain responses, as reported for central sensitization. This study investigated the combination of mechanical temporal summation (TS) chosen to characterize central sensitization and state anxiety representing a psychological factor and their association with persistent pain. Methods: A longitudinal prospective cohort study including 176 participants aged between 18 and 65 with acute LBP was performed. The following independent variables were analyzed at baseline: The mechanical TS at the lower back, of whom the Wind-up ratio (WUR) was calculated, and the state anxiety level measured with the State and Trait Anxiety Inventory (STAI-S). The outcome pain intensity was assessed at baseline and 2,3,6 and 12 months after the onset of acute LBP with the Numeric Rating Scale 0–10 (NRS). Linear mixed models (LMM) were used to analyze the association of the independent variables with pain intensity over time. Results: The mean baseline WUR was 1.3 (SD 0.6) for the right and 1.5 (SD 1.0) for the left side. STAI-S revealed a mean score of 43.1 (SD 5.2). Pain intensity was, on average, 5.4 points (SD 1.6) on the NRS and decreased over one year to a mean of 2.2 (SD 2.4). After one year, 56% of the participants still experienced pain. The LMM revealed a considerable variation, as seen in large confidence intervals. Therefore, associations of the independent variables (WUR and STAI-S) with the course of the outcome pain intensity over one year were not established. Conclusion: This investigation did not reveal an association of mechanical TS and state anxiety at baseline with pain intensity during the one year measurement period. Pain persistence, mediated by central sensitization, is a complex mechanism that single mechanical TS and state anxiety cannot capture.de_CH
dc.language.isoende_CH
dc.publisherBioMed Centralde_CH
dc.relation.ispartofBMC Musculoskeletal Disordersde_CH
dc.rightshttp://creativecommons.org/licenses/by/4.0/de_CH
dc.subjectLinear mixed modelde_CH
dc.subjectLow back painde_CH
dc.subjectMechanical temporal summationde_CH
dc.subjectState anxietyde_CH
dc.subjectWind-up ratiode_CH
dc.subjectHumande_CH
dc.subjectYoung adultde_CH
dc.subjectMiddle agedde_CH
dc.subjectProspective studyde_CH
dc.subjectAnxiety disorderde_CH
dc.subjectPain measurementde_CH
dc.subjectRückenschmerzde_CH
dc.subject.ddc617.5: Orthopädische Chirurgiede_CH
dc.titleThe association between mechanical temporal summation, state anxiety at baseline, and persistent low back pain : a 12-month prospective cohort studyde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementGesundheitde_CH
zhaw.organisationalunitInstitut für Physiotherapie (IPT)de_CH
dc.identifier.doi10.1186/s12891-023-07046-wde_CH
dc.identifier.doi10.21256/zhaw-29561-
dc.identifier.pmid38066474de_CH
zhaw.funding.euNode_CH
zhaw.issue1de_CH
zhaw.originated.zhawYesde_CH
zhaw.pages.start957de_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume24de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
zhaw.funding.snf173297de_CH
zhaw.funding.zhawBi-directional interactions of sensory perception, motor performance and fear of movement in the development of persistent low back painde_CH
zhaw.author.additionalNode_CH
zhaw.display.portraitYesde_CH
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Dietrich, N., Luomajoki, H., & Hotz Boendermaker, S. (2023). The association between mechanical temporal summation, state anxiety at baseline, and persistent low back pain : a 12-month prospective cohort study. BMC Musculoskeletal Disorders, 24(1), 957. https://doi.org/10.1186/s12891-023-07046-w
Dietrich, N., Luomajoki, H. and Hotz Boendermaker, S. (2023) ‘The association between mechanical temporal summation, state anxiety at baseline, and persistent low back pain : a 12-month prospective cohort study’, BMC Musculoskeletal Disorders, 24(1), p. 957. Available at: https://doi.org/10.1186/s12891-023-07046-w.
N. Dietrich, H. Luomajoki, and S. Hotz Boendermaker, “The association between mechanical temporal summation, state anxiety at baseline, and persistent low back pain : a 12-month prospective cohort study,” BMC Musculoskeletal Disorders, vol. 24, no. 1, p. 957, Dec. 2023, doi: 10.1186/s12891-023-07046-w.
DIETRICH, Nicole, Hannu LUOMAJOKI und Sabina HOTZ BOENDERMAKER, 2023. The association between mechanical temporal summation, state anxiety at baseline, and persistent low back pain : a 12-month prospective cohort study. BMC Musculoskeletal Disorders. 8 Dezember 2023. Bd. 24, Nr. 1, S. 957. DOI 10.1186/s12891-023-07046-w
Dietrich, Nicole, Hannu Luomajoki, and Sabina Hotz Boendermaker. 2023. “The Association between Mechanical Temporal Summation, State Anxiety at Baseline, and Persistent Low Back Pain : A 12-Month Prospective Cohort Study.” BMC Musculoskeletal Disorders 24 (1): 957. https://doi.org/10.1186/s12891-023-07046-w.
Dietrich, Nicole, et al. “The Association between Mechanical Temporal Summation, State Anxiety at Baseline, and Persistent Low Back Pain : A 12-Month Prospective Cohort Study.” BMC Musculoskeletal Disorders, vol. 24, no. 1, Dec. 2023, p. 957, https://doi.org/10.1186/s12891-023-07046-w.


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