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

2021 Fiscal Year Final Research Report

• Project/Area Number: 17K01543
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Rehabilitation science/Welfare engineering
• Research Institution: Prefectural 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
• Keywords: 疼痛 / 中枢性感作 / 理学療法 / 能力障害

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.

Free Research Field

理学療法

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．