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Updated: Jul 15, 2026

Dynamic Quantitative Sensory Testing to Characterize Central Pain Processing
Published on: February 16, 2017
Are beliefs about low back pain associated with central sensitization inventory in patients with low back pain? A
Larissa Bragança Falcão Marques1, Leandro Martins Diniz2, Leandro Alberto Calazans Nogueira3
1Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil.
Background:
The Central Sensitization Inventory is a tool used to identify patients with central sensitization (CS) symptoms. The Central Sensitization Inventory has shown to be associated with psychosocial and cognitive factors commonly thought to contribute to and sustain the mechanism of central sensitization. Another potential factor that might play a role in central sensitization is beliefs about low back pain (LBP).
Objectives:
To investigate whether beliefs about LBP are associated with Central Sensitization Inventory in patients with chronic LBP.
Design:
A cross-sectional study.
Participants:
119 patients with nonspecific chronic LBP seeking physical therapy care in outpatient clinics.
Main Outcome Measures:
Demographic data and clinical characteristics such as pain intensity, disability, back pain beliefs (i.e., measured with Back Beliefs Questionnaire) and CS-related symptoms (i.e., measured with Central Sensitization Inventory) were collected. Multivariable linear regression analysis was used in the analysis.
Results:
Most participants (60%) were classified as having subclinical or mild severity levels according to the Central Sensitization Inventory. Multivariable regression analysis showed that LBP beliefs not aligned with the current evidence were associated with higher scores of Central Sensitization Inventory, after controlling for sex, pain intensity and disability.
Conclusions:
Patients with LBP beliefs not aligned with the current evidence were more likely to present with higher scores on the Central Sensitization Inventory. CONTRIBUTION OF THE PAPER.
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