Impact of Psychological Factors in the Experience of Pain

Linton, Steven J.; Shaw, William S.

doi:10.2522/ptj.20100330

Cited by 561 publications

(435 citation statements)

References 42 publications

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“…At this stage, the precise mechanisms through which psychological factors link with chronicity of musculoskeletal disorders are not yet fully understood. However, one plausible explanation is that high psychological job demand leads to high psychological stress, which in turn adversely affects health 46) .…”

Section: Discussionmentioning

confidence: 99%

Predictors for chronic neck and low back pain in office workers: a 1‐year prospective cohort study

Sihawong

Sitthipornvorakul

Paksaichol

et al. 2016

Journal of Occupational Health

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Predictors for chronic neck and low back pain in office workers: a 1‐year prospective cohort study: Rattaporn Sihawong, et al. Faculty of Allied Health Sciences, Chulalongkorn University, Thailand Objective All occupations expose workers to varied and unique conditions. The nature of work has been recognized as influencing the health of workers. Whether predictors for chronic neck and low back pain would be occupation‐specific is unknown. This study aimed to identify predictors for chronic neck and low back pain in a cohort of office workers. Methods A prospective study was carried out among 669 healthy office workers. At baseline, risk factors were assessed using a questionnaire and standardized physical examination. A symptomatic case was defined as an individual who reported pain greater than 30 mm on a 100‐mm VAS, and chronic pain was defined as experiencing ongoing neck or low back pain for greater than 3 months over the past 6 months. Two regression models were built to analyze the risk factors for developing chronic neck and low back pain. Results Of the sample, 17 and 27% of office workers who reported a new onset of neck or low back pain developed chronicity, respectively. Predictors for chronic neck pain were high body mass index, frequent neck extension during the work day, high initial pain intensity, and high psychological job demands. The development of chronic low back pain was associated with history of low back pain and high initial pain intensity. Conclusions The findings suggest that predictors for chronic musculoskeletal pain in a subpopulation may be a subset of predictors identified in a general population or occupation specific. Successful management to prevent chronic musculoskeletal pain may also need to consider the patient's occupation.

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Section: Discussionmentioning

confidence: 99%

Predictors for chronic neck and low back pain in office workers: a 1‐year prospective cohort study

Sihawong

Sitthipornvorakul

Paksaichol

et al. 2016

Journal of Occupational Health

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“…44,45 This model encompasses more than just the biological factors (i.e. anatomy, physiology, and neurophysiology) in headaches, by addressing the psychological (i.e.…”

Section: Manual Therapy Strategies For Headachesmentioning

confidence: 99%

Clinical reasoning for manual therapy management of tension type and cervicogenic headache

Fernández‐de‐las‐Peñas

Courtney

2013

Journal of Manual & Manipulative Therapy

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In recent years, there has been an increasing knowledge in the pathogenesis and better management of chronic headaches. Current scientific evidence supports the role of manual therapies in the management of tension type and cervicogenic headache, but the results are still conflicting. These inconsistent results can be related to the fact that maybe not all manual therapies are appropriate for all types of headaches; or maybe not all patients with headache will benefit from manual therapies. There are preliminary data suggesting that patients with a lower degree of sensitization will benefit to a greater extent from manual therapies, although more studies are needed. In fact, there is evidence demonstrating the presence of peripheral and central sensitization in chronic headaches, particularly in tension type. Clinical management of patients with headache needs to extend beyond local tissue-based pathology, to incorporate strategies directed at normalizing central nervous system sensitivity. In such a scenario, this paper exposes some examples of manual therapies for tension type and cervicogenic headache, based on a nociceptive pain rationale, for modulating central nervous system hypersensitivity: trigger point therapy, joint mobilization, joint manipulation, exercise, and cognitive pain approaches.

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“…Concerning pain, it is well known that the pain experience may be modulated by psychological factors (e.g. emotional, cognitive) [25]. In this regard, patients with hereditary disorders of the connective tissue, especially Ehlers-Danlos syndrome hypermobility type, have a tendency to suffer from pathological anxiety and other negative emotions, as well as enhanced interoception and somatosensory amplification [26].…”

Section: Up-to-date Clinical Practice For Edsmentioning

confidence: 99%

Ehlers-Danlos Syndrome or Disease?

2015

J Syndr

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Impact of Psychological Factors in the Experience of Pain

Cited by 561 publications

References 42 publications

Predictors for chronic neck and low back pain in office workers: a 1‐year prospective cohort study

Predictors for chronic neck and low back pain in office workers: a 1‐year prospective cohort study

Clinical reasoning for manual therapy management of tension type and cervicogenic headache

Ehlers-Danlos Syndrome or Disease?

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