Perceived Body Distortion Rather Than Actual Body Distortion Is Associated With Chronic Low Back Pain in Adults With Cerebral Palsy: A Preliminary Investigation.


Journal

Pain practice : the official journal of World Institute of Pain
ISSN: 1533-2500
Titre abrégé: Pain Pract
Pays: United States
ID NLM: 101130835

Informations de publication

Date de publication:
11 2019
Historique:
received: 06 03 2019
revised: 20 06 2019
accepted: 24 06 2019
pubmed: 3 7 2019
medline: 1 4 2020
entrez: 3 7 2019
Statut: ppublish

Résumé

The aim of the present study was to investigate whether distorted body perception is a feature of the low back pain (LBP) experience in people with cerebral palsy (CP) and whether any distortions noted are confounded by the presence of motor and postural impairments commonly seen in CP. Forty-five individuals participated in this study: 15 adults with CP with LBP (CP_Pain group), 15 adults with CP without LBP (CP_noPain group), and 15 age-matched adults with LBP but no CP (Pain group). Body perception was evaluated using the Fremantle Back Awareness Questionnaire (FreBAQ) and by assessing 2-point discrimination thresholds over the low back. A comprehensive assessment of motor function was also undertaken in the CP population, and postural function was assessed in all 3 groups. Significant differences between the 3 groups were found for FreBAQ scores (P < 0.0001). The TPD threshold in the low back of the CP_Pain group was significantly larger than that of the CP_noPain group (P = 0.01), though we found no difference between the CP_noPain group and the Pain group (P = 0.21). We found no difference in motor or postural function between the 2 CP groups. The present results suggest that body image is disrupted in people with CP who experience LBP. The disruptions in perception were similar to those seen in people with LBP and no CP, suggesting that the distortions may be more related to the presence of pain than the presence of CP.

Identifiants

pubmed: 31264357
doi: 10.1111/papr.12815
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

826-835

Informations de copyright

© 2019 World Institute of Pain.

Références

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Auteurs

Hirofumi Yamashita (H)

Department of Rehabilitation, SKY Orthopaedics Clinic, Ibaraki, Japan.

Tomohiko Nishigami (T)

Department of Nursing and Physical Therapy, Konan Women's University, Kobe, Japan.

Akira Mibu (A)

Department of Rehabilitation, Tanabe Orthopaedics, Osaka, Japan.

Katsuyoshi Tanaka (K)

Department of Rehabilitation, Tanabe Orthopaedics, Osaka, Japan.

Masahiro Manfuku (M)

Breast Care Sensyu Clinic, Kishiwada, Japan.

Hikaru Fukuhara (H)

Day-care and Rehabilitation Center for Disabled Children "Asashioen", Osaka, Japan.

Koichi Yoshino (K)

Department of Orthopaedic Surgery, SKY Orthopaedics Clinic, Ibaraki, Japan.

Yoichi Seto (Y)

Department of Orthopaedic Surgery, SKY Orthopaedics Clinic, Ibaraki, Japan.

Benedict M Wand (BM)

The School of Physiotherapy, The University of Notre Dame Australia, Fremantle, Western Australia, Australia.

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