Objective: The term flare is commonly used to describe low back pain (LBP) fluctuations, but individuals with LBP consider that it does not always correspond to increased pain. This case cross-over study aimed to: (1) determine the extent to which days with a flare identified according to a multidimensional definition (self-reported flare, SRF) corresponded to days with greater than average pain (pain-defined flare, PDF) and (2) to investigate whether physical and psychosocial features differ between PDF and SRF.
Materials And Methods: Individuals with LBP for ≥3 months (N=126) provided data on flares, physical, and psychosocial features daily for 28 days using a smartphone application.
Results: Most days with SRF (68%) did not have greater than average pain (ie, PDF), but most days with greater than average pain (64%) were reported as an SRF. On days with SRF-only all physical and psychosocial features were worse than nonflare days. SRF+PDF had lower sleep quality and higher pain intensity, fatigue, disability, pain catastrophizing, and fear avoidance than SRF-only. SRF+PDF had higher pain in the afternoon and evening, disability and pain catastrophizing than PDF-only. Self-efficacy at work and during leisure activities was worse on SRF+PDF days than SRF-only and PDF-only days.
Discussion: These findings highlight that when individuals with LBP consider they have a flare, they do not always have greater than average pain, but have worse psychosocial features. This emphasizes that flare has broader dimensions than pain alone. Consideration of flare according to broad dimensions is important when investigating symptom fluctuations across different LBP trajectories.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/AJP.0000000000000926 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Molecular Mechanisms of Grain Chalkiness Variation in Rice Panicles.
Plants (Basel)
January 2025
Rice Research Institute, Anhui Academy of Agricultural Sciences, Hefei 230031, China.
Grain chalkiness adversely affects rice quality, and the positional variation of grain chalkiness within a rice panicle presents a substantial obstacle to quality improvement in China. However, the molecular mechanism underlying this variation is unclear. This study conducted a genetic and physiological analysis of grains situated at distinct positions (upper, middle, and bottom primary branches of the rice panicle, denoted as Y1, Y2, and Y3) within a rice panicle using the Yangdao 6 variety.
View Article and Find Full Text PDFEffects of Intercropping and Mowing Frequency on Biological Nitrogen Fixation Capacity, Nutritive Value, and Yield in Alfalfa ( L. cv. Vernal).
Plants (Basel)
January 2025
Jiyuan Forestry Bureau, Jiyuan 454650, China.
Intercropping with legume forages is recognized as an effective strategy for enhancing nitrogen levels in agroforestry, while mowing may influence nitrogen fixation capacity and yield. This study investigated the rooting, nitrogen fixation, nutritive value, and yield of alfalfa ( L.) under intercropping and varying mowing frequencies (CK, 2, and 3) from 2021 to 2023, using walnut ( L.
View Article and Find Full Text PDFClimate Change-Induced Decline in Succulent in Namibia's Arid Regions.
Plants (Basel)
January 2025
Department of Plant and Soil Sciences, University of Pretoria, Hatfield, Pretoria P.O. Box X20, South Africa.
The global rise in temperatures due to climate change has made it difficult even for specialised desert-adapted plant species to survive on sandy desert soils. Two of Namibia's iconic desert-adapted plant species, and the quiver tree , have recently been shown to be under threat because of climate change. In the current study, three ecologically important Namibian milk bushes were evaluated for their climate change response.
View Article and Find Full Text PDFUrinary Fluoride Levels Among Youth in the National Health and Nutrition Examination Survey (NHANES) 2015-2016: Potential Differences According to Race.
Nutrients
January 2025
College of Public Health and Health Professions, University of Florida, Gainesville, FL 32611, USA.
Background/objectives: Urinary fluoride (UF) is the most well-established biomarker for fluoride exposure, and understanding its distribution can inform risk assessment for potential adverse systemic health effects. To our knowledge, this study is the first to report distributions of UF among youth according to sociodemographic factors in a nationally representative United States (US) sample.
Methods: The study included 1191 children aged 6-11 years and 1217 adolescents aged 12-19 years from the National Health and Nutrition Examination Survey (NHANES) 2015-2016.
Impact of Combined Thermo- and Photo-Oxidation on the Physicochemical Properties of Oxo-Biodegradable Low-Density Polyethylene Films.
Polymers (Basel)
January 2025
Unidad de Materiales, Centro de Investigación Científica de Yucatán, Calle 43 No. 130 Col. Chuburná de Hidalgo, Merida 97205, Mexico.
This research addresses the study of the combined effect of two abiotic treatments, a thermo-oxidative treatment followed by a photo-oxidative treatment with ultraviolet light, on the physicochemical properties of commercially available low-density polyethylene films with an oxo-degradant additive (OXOLDPE) and without (LDPE). The change in the oxidized film properties was characterized using FTIR, XRD, TGA, GPC, and SEM analytical techniques. The results indicated that the increment in carbonyl index (CI) and crystallinity percentage (X) was higher for those films that received the combined oxidative treatments compared with those that received only one of them, thermo- or photo-oxidative treatment.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!