Search

Your search keyword '"Neblett, Randy"' showing total 15 results
Start Over Author "Neblett, Randy" Journal pain practice
15 results on '"Neblett, Randy"'

1. To what degree patient-reported symptoms of central sensitization, kinesiophobia, disability, sleep, and life quality associated with 24-h heart rate variability and actigraphy measurements?

Author

Mikkonen, Jani, Kupari, Saana, Tarvainen, Mika, Neblett, Randy, Airaksinen, Olavi, Luomajoki, Hannu, Leinonen, Ville, Mikkonen, Jani, Kupari, Saana, Tarvainen, Mika, Neblett, Randy, Airaksinen, Olavi, Luomajoki, Hannu, and Leinonen, Ville

Abstract

Objectives: Chronic musculoskeletal pain is associated with decreased parasympathetic and increased sympathetic activity in the autonomic nervous system. The objective of this study was to determine the associations between objective measures of heart rate variability (a measure of autonomic nervous system function), actigraphy (a measure of activity and sleep quality), respiration rates, and subjective patient-reported outcome measures (PROMs) of central sensitization, kinesiophobia, disability, the effect of pain on sleep, and life quality. Methods: Thirty-eight study subjects were divided into two subgroups, including low symptoms of central sensitization (n = 18) and high symptoms of central sensitization (n = 20), based on patient-reported scores on the Central Sensitization Inventory (CSI). Heart rate variability (HRV) and actigraphy measurements were carried out simultaneously in 24 h measurement during wakefulness and sleep. Results: A decrease in HRV during the first 2 h of sleep was stronger in the low CSI subgroup compared to the high CSI subgroup. Otherwise, all other HRV and actigraphy parameters and subjective measures of central sensitization, disability, kinesiophobia, the effect of pain on sleep, and quality of life showed only little associations. Discussion: The high CSI subgroup reported significantly more severe symptoms of disability, kinesiophobia, sleep, and quality of life compared to the low CSI subgroup. However, there were only small and nonsignificant trend in increased sympathetic nervous system activity and poorer sleep quality on the high central sensitization subgroup. Moreover, very little differences in respiratory rates were found between the groups.

Published
2024

12. Cross‐Cultural Adaptation and Psychometric Validation of the Serbian Version of the Central Sensitization Inventory.

Author

Knezevic, Aleksandar, Neblett, Randy, Jeremic‐Knezevic, Milica, Tomasevic‐Todorovic, Snezana, Boskovic, Ksenija, Colovic, Petar, and Cuesta‐Vargas, Antonio

Subjects
*CHI-squared test, *CHRONIC pain, *STATISTICAL correlation, *DISCRIMINANT analysis, *FACTOR analysis, *FIBROMYALGIA, *MEDICAL screening, *NEUROPHYSIOLOGY, *PSYCHOMETRICS, *STATISTICAL reliability, *PAIN measurement, *SEVERITY of illness index, *RESEARCH methodology evaluation, *DESCRIPTIVE statistics, *INTRACLASS correlation, RESEARCH evaluation
Abstract

Abstract: Objectives: It has been increasingly recognized that many chronic pain conditions are associated with central sensitization (CS). The Central Sensitization Inventory (CSI) is a potentially useful tool for screening patients whose presenting symptoms are suspected of being related to CS, so that additional diagnostic evaluation can be performed and appropriate treatment can be initiated. The original English version is currently not available in Serbian. Methods: The CSI was translated into Serbian (CSI‐Serb) and then psychometrically evaluated in a sample of 363 chronic pain subjects. Results: The CSI‐Serb showed a high degree of internal consistency (Cronbach's α = 0.909), excellent test‐retest reliability (intraclass correlation coefficient type 2.1 = 0.947), and a significant goodness of fit test result (χ2 = 888.44; P < 0.001). A factor analysis confirmed a 4‐factor solution, as found by the original authors of the CSI, with all items retained. Higher CSI‐Serb scores were associated with higher pain severity and longer pain duration. Total CSI scores distinguished between 3 subject groups with presumably different levels of CS, including fibromyalgia (53.3, SD = 11.2), chronic regional pain only (29.7, SD = 11.6), and a pain‐free control group (20.9, SD = 9.1). Conclusions: The results of the present study indicate strong psychometric properties, including evidence of convergent and discriminant validity, of the CSI‐Serb. These results correspond with those of other translated versions of the CSI that have been psychometrically evaluated and published. Due to the current interest in CS, and its relationship with many chronic pain conditions, it is anticipated that the CSI‐Serb will benefit Serbian‐speaking clinicians in the evaluation of patients with chronic pain conditions. [ABSTRACT FROM AUTHOR]

Published
2018
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results