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Development of a physiotherapy algorithm for musculoskeletal pain based on assessment of central sensitization

Research Project

Project/Area Number 17K01543
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Rehabilitation science/Welfare engineering
Research InstitutionPrefectural University of Hiroshima (2019-2021)
Konan Women's University (2017-2018)

Principal Investigator

Nishigami Tomohiko  県立広島大学, 保健福祉学部(三原キャンパス), 教授 (60515691)

Project Period (FY) 2017-04-01 – 2022-03-31
Project Status Completed (Fiscal Year 2021)
Budget Amount *help
¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000)
Fiscal Year 2019: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2018: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2017: ¥2,600,000 (Direct Cost: ¥2,000,000、Indirect Cost: ¥600,000)
Keywords疼痛 / 中枢性感作 / 理学療法 / 能力障害 / 中枢性感作症候群 / 疼痛神経科学教育 / 乳がん / 筋骨格系障害疼痛 / 慢性痛 / アルゴリズム / 教育 / 筋骨格系疼痛
Outline of Final Research Achievements

We examined whether the severity level of central sensitization syndrome prior to the start of physical therapy could predict pain and disability after 3 months of physical therapy. 150 patients with musculoskeletal disorders were evaluated before and after the start of physical therapy for CSI, an assessment of central sensitization syndrome; EQ5D, an assessment of quality of life; and BPI, an assessment of pain and disability. 3 months later, patients with moderate to high baseline CSI severity had lower baseline CSI severity and The rate was significantly higher (p<0.001) than that of patients with On the other hand, pain was not predicted by CSI. The results of this study led to the development of a physiotherapy algorithm based on CSI.

Academic Significance and Societal Importance of the Research Achievements

中枢性感作は治療反応性に深く関与することが示唆されながら,理学療法の治療効果に影響するか明らかではなかった.本研究結果によって,中枢性感作の理学療法の治療効果への寄与が明らかになった.具体的には,CSI質問表で理学療法開始前に30点以上の場合は能力障害が改善しない可能性が高いことから,教育や有酸素運動などを行う必要性が有り,医学的,社会的意義は高い.

Report

(6 results)
  • 2021 Annual Research Report   Final Research Report ( PDF )
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • 2017 Research-status Report
  • Research Products

    (8 results)

All 2021 2020 2019 2018 2017

All Journal Article (8 results) (of which Int'l Joint Research: 3 results,  Peer Reviewed: 8 results,  Open Access: 2 results)

  • [Journal Article] Effect of perioperative pain neuroscience education in patients with post-mastectomy persistent pain: a retrospective, propensity score-matched study.2021

    • Author(s)
      Manfuku M, Nishigami T, Mibu A, Yamashita H, Imai R, Tanaka K, Kitagaki K, Hiroe K, Sumiyoshi K.
    • Journal Title

      Support Care Cancer

      Volume: 29 Issue: 9 Pages: 5351-5359

    • DOI

      10.1007/s00520-021-06103-1

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Establishing Central Sensitization-Related Symptom Severity Subgroups: A Multicountry Study Using the Central Sensitization Inventory2020

    • Author(s)
      Cuesta-Vargas AI, Neblett R, Nijs J, Chiarotto A, Kregel J, van Wilgen CP, Pitance L, Knezevic A, Gatchel RJ, Mayer TG, Viti C, Roldan-Jimnez C, Testa M, Caumo W, Jeremic-Knezevic M, Nishigami T, Feliu-Soler A, Luciano JV.
    • Journal Title

      Pain Medicine

      Volume: 21 Issue: 6 Pages: 2430-2440

    • DOI

      10.1111/papr.13005

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Embodying the illusion of a strong, fit back in people with chronic low back pain. A pilot proof-of-concept study.2019

    • Author(s)
      Nishigami T, Wand BM, Newport R, Ratcliffe N, Themelis K, Moen D, Jones C, Moseley GM, Stanton TR.
    • Journal Title

      Musculoskeletal science & practice.

      Volume: 39 Pages: 178-183

    • DOI

      10.1016/j.msksp.2018.07.002

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Validation of the Japanese Version of the Fremantle Back Awareness Questionnaire in Patients with Low Back Pain.2018

    • Author(s)
      Nishigami T, Mibu A, Tanaka K, Yamashita Y, Shimizu ME, Wand BM, Catley MJ, Stanton TR, Moseley GL.
    • Journal Title

      Pain Practice

      Volume: 18 Issue: 2 Pages: 170-179

    • DOI

      10.1111/papr.12586

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Differences in Risk Factors for Rotator Cuff Tears between Elderly Patients and Young Patients2018

    • Author(s)
      Watanabe A, Ono Q, Nishigami T, Hirooka T, Machida H.
    • Journal Title

      Acta Medica Okayama

      Volume: 72 Issue: 1 Pages: 67-72

    • DOI

      10.18926/AMO/55665

    • NAID

      120006398865

    • URL

      https://ousar.lib.okayama-u.ac.jp/55665

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Association between the Critical Shoulder Angle and Rotator Cuff Tears in Japan2018

    • Author(s)
      Watanabe A, Ono Q, Nishigami T, Hirooka T, Machida H.
    • Journal Title

      Acta Medica Okayama

      Volume: 72 Issue: 6 Pages: 547-551

    • DOI

      10.18926/AMO/56371

    • NAID

      120006545156

    • URL

      https://ousar.lib.okayama-u.ac.jp/56371

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Development and psychometric properties of short form of central sensitization inventory in participants with musculoskeletal pain: A cross-sectional study2018

    • Author(s)
      Nishigami T, Tanaka K, Mibu A, Manfuku M, Yono S, Tanabe A.
    • Journal Title

      Plos One

      Volume: 13 Issue: 7 Pages: e0200152-e0200152

    • DOI

      10.1371/journal.pone.0200152

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Validation of the Japanese version of the Central Sensitization Inventory in patients with musculoskeletal disorders2017

    • Author(s)
      Katsuyoshi Tanaka, Tomohiko Nishigami, Akira Mibu, Masahiro Manfuku, Satoko Yono, Yoshikazu Shinohara, Akihito Tanabe, Rei Ono
    • Journal Title

      PLOS ONE

      Volume: 12 Issue: 12 Pages: e0188719-e0188719

    • DOI

      10.1371/journal.pone.0188719

    • NAID

      120006377641

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access

URL: 

Published: 2017-04-28   Modified: 2023-01-30  

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