Physical activity behavior in the first month after mild traumatic brain injury is associated with physiological and psychological risk factors for chronic pain

Abstract. Objective:. The purpose of this study was to determine whether self-reported physical activity (PA) in the first month after mild traumatic brain injury (mTBI) predicts endogenous pain modulatory function and pain catastrophizing at 1 to 2 weeks and 1 month after injury in patients with mT...

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Autores principales:	Kelly M. Naugle, Sam Corrona, Jared A. Smith, Tyler Nguyen, Jonathan Saxe, Fletcher A. White
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer 2021
Materias:	Anesthesiology RD78.3-87.3
Acceso en línea:	https://doaj.org/article/50107bfa45884f338a53aaf26516efb7
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spelling	oai:doaj.org-article:50107bfa45884f338a53aaf26516efb72021-11-25T07:59:39ZPhysical activity behavior in the first month after mild traumatic brain injury is associated with physiological and psychological risk factors for chronic pain2471-253110.1097/PR9.0000000000000969https://doaj.org/article/50107bfa45884f338a53aaf26516efb72021-11-01T00:00:00Zhttp://journals.lww.com/painrpts/fulltext/10.1097/PR9.0000000000000969https://doaj.org/toc/2471-2531Abstract. Objective:. The purpose of this study was to determine whether self-reported physical activity (PA) in the first month after mild traumatic brain injury (mTBI) predicts endogenous pain modulatory function and pain catastrophizing at 1 to 2 weeks and 1 month after injury in patients with mTBI. Methods:. Patients with mild traumatic brain injury completed study sessions at 1 to 2 weeks and 1 month after injury. Assessments included a headache survey, Pain Catastrophizing Scale, International Physical Activity Questionnaire-Short Form, and several quantitative sensory tests to measure endogenous pain modulatory function including conditioned pain modulation (CPM), temporal summation, and pressure pain thresholds of the head. Hierarchical linear regressions determined the relationship between the PA variables (predictors) and pain catastrophizing and pain modulation variables (dependent variables) cross-sectionally and longitudinally, while controlling for potential covariates. Results:. In separate hierarchical regression models, moderate PA, walking, and total PA at 1 to 2 weeks after injury predicted pain inhibition on the CPM test at 1 month, after controlling for significant covariates. In addition, a separate regression revealed that minutes sitting at 1 month predicted CPM at 1 month. Regarding predicting pain catastrophizing, the regression results showed that sitting at 1 to 2 weeks after injury significantly predicted pain catastrophizing at 1 month after injury. Conclusion:. Greater self-reported PA, especially moderate PA, 1 to 2 weeks after injury longitudinally predicted greater pain inhibitory capacity on the CPM test at 1 month after injury in patients with mTBI. In addition, greater sedentary behavior was associated with worse pain inhibition on the CPM test and greater pain catastrophizing at 1 month after injury.Kelly M. NaugleSam CorronaJared A. SmithTyler NguyenJonathan SaxeFletcher A. WhiteWolters KluwerarticleAnesthesiologyRD78.3-87.3ENPAIN Reports, Vol 6, Iss 4, p e969 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Anesthesiology RD78.3-87.3
spellingShingle	Anesthesiology RD78.3-87.3 Kelly M. Naugle Sam Corrona Jared A. Smith Tyler Nguyen Jonathan Saxe Fletcher A. White Physical activity behavior in the first month after mild traumatic brain injury is associated with physiological and psychological risk factors for chronic pain
description	Abstract. Objective:. The purpose of this study was to determine whether self-reported physical activity (PA) in the first month after mild traumatic brain injury (mTBI) predicts endogenous pain modulatory function and pain catastrophizing at 1 to 2 weeks and 1 month after injury in patients with mTBI. Methods:. Patients with mild traumatic brain injury completed study sessions at 1 to 2 weeks and 1 month after injury. Assessments included a headache survey, Pain Catastrophizing Scale, International Physical Activity Questionnaire-Short Form, and several quantitative sensory tests to measure endogenous pain modulatory function including conditioned pain modulation (CPM), temporal summation, and pressure pain thresholds of the head. Hierarchical linear regressions determined the relationship between the PA variables (predictors) and pain catastrophizing and pain modulation variables (dependent variables) cross-sectionally and longitudinally, while controlling for potential covariates. Results:. In separate hierarchical regression models, moderate PA, walking, and total PA at 1 to 2 weeks after injury predicted pain inhibition on the CPM test at 1 month, after controlling for significant covariates. In addition, a separate regression revealed that minutes sitting at 1 month predicted CPM at 1 month. Regarding predicting pain catastrophizing, the regression results showed that sitting at 1 to 2 weeks after injury significantly predicted pain catastrophizing at 1 month after injury. Conclusion:. Greater self-reported PA, especially moderate PA, 1 to 2 weeks after injury longitudinally predicted greater pain inhibitory capacity on the CPM test at 1 month after injury in patients with mTBI. In addition, greater sedentary behavior was associated with worse pain inhibition on the CPM test and greater pain catastrophizing at 1 month after injury.
format	article
author	Kelly M. Naugle Sam Corrona Jared A. Smith Tyler Nguyen Jonathan Saxe Fletcher A. White
author_facet	Kelly M. Naugle Sam Corrona Jared A. Smith Tyler Nguyen Jonathan Saxe Fletcher A. White
author_sort	Kelly M. Naugle
title	Physical activity behavior in the first month after mild traumatic brain injury is associated with physiological and psychological risk factors for chronic pain
title_short	Physical activity behavior in the first month after mild traumatic brain injury is associated with physiological and psychological risk factors for chronic pain
title_full	Physical activity behavior in the first month after mild traumatic brain injury is associated with physiological and psychological risk factors for chronic pain
title_fullStr	Physical activity behavior in the first month after mild traumatic brain injury is associated with physiological and psychological risk factors for chronic pain
title_full_unstemmed	Physical activity behavior in the first month after mild traumatic brain injury is associated with physiological and psychological risk factors for chronic pain
title_sort	physical activity behavior in the first month after mild traumatic brain injury is associated with physiological and psychological risk factors for chronic pain
publisher	Wolters Kluwer
publishDate	2021
url	https://doaj.org/article/50107bfa45884f338a53aaf26516efb7
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Physical activity behavior in the first month after mild traumatic brain injury is associated with physiological and psychological risk factors for chronic pain

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