Responsiveness and minimal important change of the Pain Catastrophizing Scale in people with chronic low back pain undergoing multidisciplinary rehabilitation

Monticone, Marco; Portoghese, Igor; Rocca, Barbara; Giordano, Andrea; Campagna, Marcello; Franchignoni, F

doi:10.23736/s1973-9087.21.06729-0

Cited by 18 publications

(13 citation statements)

References 37 publications

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“…Cronbach's alpha coefficients were 0.89 -0.95. 24,25 Cronbach alpha reliability for the current study was 0.92.…”

Section: Measurementsmentioning

confidence: 58%

Characteristics of patients with myofascial pain syndrome of the low back

Tsai,

Edison,

Wang

et al. 2023

Preprint

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Objective: Identify characteristics of patients with myofascial pain syndrome (MPS) of the low back. Methods: Twenty-five subjects with myofascial trigger point(s) [MTrP(s)] on the low back participated in this cross-sectional study. The location, number and type (active or latent) of MTrPs were verified by ultrasound; additionally, data on pain pressure threshold, physical function, quality of life, disability, pain catastrophizing, pain self-efficacy, kinesiophobia, emotional health, exercise motivation and pain were collected. Descriptive statistics, Chi-square, one-way ANOVAs and factorial ANCOVA were used to achieve study objectives. Results: No statistically significant differences in variables were found between types of MTrPs: Group 1 (Active, n=13), 2 (Latent, n=5) 3 (Atypical, no twitching but with spontaneous pain, n=2) and 4 (Atypical, no twitching and no spontaneous pain, n=5) except the number of MTrPs, current pain, and worst pain (p=.01-.001). There were interaction effects between spontaneous pain and twitching response on reports of physical function, current pain level, and worst pain level (p=.04-.002). Participants in Group 3 reported lower levels of physical function, higher levels of current pain, and higher levels of worst pain compared to those in Group 4. Participants in Group 1 and 2 had similar levels of physical function, current pain and worst pain. Discussion: Number of MTrPs is most closely associated with the level of pain. Spontaneous pain report seems to be a decisive factor associated with poor physical function; however, twitching response is not.

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“…Cronbach's alpha coefficients were 0.89 -0.95. 24,25 Cronbach alpha reliability for the current study was 0.92.…”

Section: Measurementsmentioning

confidence: 58%

Characteristics of patients with myofascial pain syndrome of the low back

Tsai,

Edison,

Wang

et al. 2023

Preprint

View full text Add to dashboard Cite

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“…The correlations coefficients between changes in the T-UW-CAP6 and T-UW-PRSE6 scores and the associated GPEs scale rating at 4 weeks assessment were in the expected directions; that is, they evidenced a positive association for the T-UW-CAP6 and negative association for the T-UW-PRSE6 scale, consistent with prior research. 24,38 Moreover, after 4 weeks, participants who reported much improvement evidenced larger changes in both the T-UW-CAP6 and the T-UW-PRSE6-and in the expected directions-than those who reported less overall improvement.…”

Section: Responsivenessmentioning

confidence: 93%

Responsiveness of the UW Concerns About Pain Scale and UW Pain-Related Self-Efficacy Scale in Individuals With Chronic Low Back Pain

Akkarakittichoke¹,

Janwantanakul

Kanlayanaphotporn

et al. 2022

The Clinical Journal of Pain

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Objectives: The aim was to examine the responsiveness, presence of floor or ceiling effects, and minimal clinically important differences (MCIDs) for 2 new measures of pain-related catastrophizing and self-efficacy in individuals with chronic low back pain. Methods: A total of 183 individuals with chronic low back pain recruited from physical therapy clinics in Thailand completed the Thai versions of the 6-item University of Washington Concerns About Pain scale (T-UW-CAP6) and 6-item University of Washington Pain-Related Self-Efficacy scale (T-UW-PRSE6) at baseline and at 4 weeks follow-up. Perceived change in low back symptom was assessed at 4 weeks using a 7-point measure of Global Perceived Effect (GPE). Responsiveness of the T-UW-CAP6 and the T-UW-PRSE6 scale scores were evaluated by computing the effect sizes and standardized response means for change over time, and examining these as a function of the GPE ratings. Floor and ceiling effects were examined by evaluating the score distributions. Scale core MCIDs were estimated by computing a half a SD and SE of measurement statistics for each scale. Results: Responsiveness of the scales to pain treatment was supported by differences found in the mean change scores as a function of the treatment response categories. No significant floor or ceiling effects were found for either measure. Changes of 4.38 and 3.68 appeared to be the smallest change score perceived as clinical meaningful for the T-UW-CAP6 and T-UW-PRSE 6 scale scores, respectively. Discussion: The T-UW-CAP6 and T-UW-PRSE6 demonstrated good ability to detect perceived changes over time in patients with chronic low back pain. The MCIDs values provide a benchmark for assessing individual improvement in this clinical context.

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“…Pain catastrophizing will be assessed using the Pain Catastrophizing Scale (PCS). This is a valid and reliable tool that assesses the excessively negative orientation towards actual or perceived pain (ICC = .90; SEM = 2.79 points; minimal detectable change [MDC] = 7.73 points) ( 34 , 40 ). The questionnaire consists of 13 items with statements related to catastrophizing and participants are instructed to respond to what degree they describe their thoughts or feelings at the time of pain, with ratings ranging from “not at all” to “all the time”.…”

Section: Methodsmentioning

confidence: 99%

Patellofemoral pain over time: Protocol for a prospective, longitudinal study investigating physical and non-physical features

Botta

Waiteman

Ducatti

et al. 2023

Front. Sports Act. Living

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BackgroundThis is a protocol for a prospective longitudinal study that aims to investigate: (1) group-by-time changes over a minimum of 15 months follow-up in patellofemoral pain (PFP) symptoms, biomechanical, muscle function, pain processing, and psychological features; (2) the extent to which changes in biomechanical, muscle function, pain processing, and psychological features are associated with changes in self-reported pain, physical performance measures, self-reported function, health-related quality of life (HRQOL), and physical activity level.MethodsIndividuals with PFP (n = 144) and control individuals (n = 85) without PFP were assessed at baseline. Outcomes assessed included: 3D kinematics and kinetics during single leg squat, step-down and single leg hop; maximal torque and rate of torque development of hip abductors and knee extensors/flexors; force steadiness of hip abductors and knee extensors; anterior and lateral trunk endurance; pressure pain thresholds at the center of patella and contralateral shoulder; kinesiophobia (Tampa Scale for Kinesiophobia); pain catastrophizing (Pain Catastrophizing Scale); worst self-reported pain (Visual Analogue Scale); physical performance measures (Single Leg Hop Test and Forward Step-Down Test); self-reported function (Anterior Knee Pain Scale); HRQOL (Medical Outcome Short-Form 36), and physical activity level (Baecke’s Questionnaire). Follow-up assessments will be identical to the baseline and will be performed after a minimum of 15 months. Generalized linear mixed model (GLMM) will be used to investigate group-by-time differences. Linear regression models will be used to determine the extent to which changes in biomechanical, muscle function, pain processing, and psychological features are associated with changes in self-reported pain, physical performance measures, self-reported function, HRQOL, and physical activity level.DiscussionPhysical and non-physical features have been previously associated with PFP. However, the present study will be the first to investigate their integrated evolution as part of the natural history of PFP and its progression. In doing so, we will be able to determine their behavior in the long-term, as well as how they prospectively associate with each other and with clinical outcomes. Ultimately, this will provide a greater understanding of predictors of long-term outcome and possible targets for interventions.

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Responsiveness and minimal important change of the Pain Catastrophizing Scale in people with chronic low back pain undergoing multidisciplinary rehabilitation

Cited by 18 publications

References 37 publications

Characteristics of patients with myofascial pain syndrome of the low back

Characteristics of patients with myofascial pain syndrome of the low back

Responsiveness of the UW Concerns About Pain Scale and UW Pain-Related Self-Efficacy Scale in Individuals With Chronic Low Back Pain

Patellofemoral pain over time: Protocol for a prospective, longitudinal study investigating physical and non-physical features

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