Lennard Voogt - Academia.edu (original) (raw)

Papers by Lennard Voogt

Research paper thumbnail of Additional file 6 of Cross-cultural adaptation and validation of the Dutch language version of the Pictorial Fear of Activity Scale – Cervical

Additional file 6. Rotated factor loadings of the exploratory 4-factor analysis using oblimin rot... more Additional file 6. Rotated factor loadings of the exploratory 4-factor analysis using oblimin rotation.

Research paper thumbnail of Specific versus Non-Specific Exercises for Chronic Neck or Shoulder Pain: A Systematic Review

Journal of Clinical Medicine, 2021

The current systematic review aimed to compare the effect of injury-focused (specific) exercises ... more The current systematic review aimed to compare the effect of injury-focused (specific) exercises versus more general (non-specific) exercises on pain in patients with chronic neck or shoulder pain. We searched PubMed, EMBASE, and Web of Science. Two reviewers screened and selected studies, extracted outcomes, assessed risk of bias, and rated the quality of evidence. A total of nine eligible studies, represented in 13 articles, were identified, with a considerable risk of bias. One article investigated the acute effect of single bouts of exercise on pain and reported an immediate pain reduction after non-specific exercise. Regarding short-term effects, seven out of the nine studies found no differences in pain between interventions, with inconsistent results among two other studies. Concerning the long-term effects, while pain reduction seems to be favored by specific exercises (two out of four articles), the best format is still unclear. Based on the acute effects, a single bout of ...

Research paper thumbnail of Re: Central sensitization pain should be included in (central) neuropathic pain

Research paper thumbnail of Author Response

Research paper thumbnail of Can Patient Expectations Modulate the Short-Term Effects of Dry Needling on Sensitivity Outcomes in Patients with Mechanical Neck Pain? A Randomised Clinical Trial

Pain medicine, 2021

OBJECTIVE Dry needling is commonly used for the management of musculoskeletal pain patients. Howe... more OBJECTIVE Dry needling is commonly used for the management of musculoskeletal pain patients. However, the effects of patient expectations are uncertain. Our aim was to determine the effect of patient expectations on short-term clinical outcomes after the application of a single session of dry needling in individuals with neck pain. METHODS We conducted a randomized, placebo controlled, clinical trial including fifty patients with mechanical neck pain. Participants received a single session of dry needling or sham needling in a blinded design. Predicted patient expectation was categorized as positive, neutral, or negative. Outcomes including neck pain intensity (visual analogue scale, 0-100), pressure pain thresholds (PPTs) and self-perceived improvement (Global Rating of Change [GROC], -7 to + 7) were assessed at baseline, one day (immediately post), and 7 days (one week) after the intervention by a blinded assessor. Repeated measures ANCOVAs were conducted to assess the effects of ...

Research paper thumbnail of Central Sensitization Pain Should Be Included in (Central) Neuropathic Pain: Central sensitization pain should be included in (central) neuropathic pain

Pain Physician, 2014

Dr. Nijs et al (1) provided criteria for the classification of central sensitization (CS) pain. P... more Dr. Nijs et al (1) provided criteria for the classification of central sensitization (CS) pain. Peripheral neuropathic pain and nociceptive pain cause CS in the central nervous system if the 2 kinds of pain persist. Therefore, pure peripheral neuropathic pain and pure nociceptive pain are rare in clinical practice. I believe that CS is one of causes of central neuropathic pain. CS pain may be the center of (central) neuropathic pain. I disagree with a hypothesis that CS pain is differentiated with neuropathic pain. Fibromyalgia will be often diagnosed as CS pain based on the classification of CS pain, because fibromyalgia is a typical CS pain. First, what is the purpose of differentiating CS pain from neuropathic pain? It is very important that we differentiate neuropathic pain from nociceptive pain because treatment, including medication, of the 2 kinds of pain are complete different. Treatment for neuropathic pain is similar except in cases of complex regional pain syndrome, trigeminal neuralgia, migraine, and cluster headache. In all likelihood, fibromyalgia is a disease (or disorder) with the highest number of evidence-based efficacious treatment options among neuropathic pain. Treatment for fibromyalgia is useful in patients with other neuropathic pain based on evidence and my experience. Second, differentiation between lesion/disease and dysfunction in the central nervous system makes no sense. Parkinson's disease and multiple sclerosis were functional diseases in the sixth century. In all likelihood, dysfunction of the central nervous system in patients with CS pain such as fibromyalgia will be lesion in the twenty-fourth century. Differentiating CS pain from neuropathic pain confuses clinical practice. CS pain should be included in (central) neuropathic pain.

Research paper thumbnail of In response : Central sensitization pain should be included in neuropathic pain

Research paper thumbnail of Central sensitization pain should be included in (central) neuropathic pain: response

Pain Physician, 2014

Dr. Nijs et al (1) provided criteria for the classification of central sensitization (CS) pain. P... more Dr. Nijs et al (1) provided criteria for the classification of central sensitization (CS) pain. Peripheral neuropathic pain and nociceptive pain cause CS in the central nervous system if the 2 kinds of pain persist. Therefore, pure peripheral neuropathic pain and pure nociceptive pain are rare in clinical practice. I believe that CS is one of causes of central neuropathic pain. CS pain may be the center of (central) neuropathic pain. I disagree with a hypothesis that CS pain is differentiated with neuropathic pain. Fibromyalgia will be often diagnosed as CS pain based on the classification of CS pain, because fibromyalgia is a typical CS pain. First, what is the purpose of differentiating CS pain from neuropathic pain? It is very important that we differentiate neuropathic pain from nociceptive pain because treatment, including medication, of the 2 kinds of pain are complete different. Treatment for neuropathic pain is similar except in cases of complex regional pain syndrome, trigeminal neuralgia, migraine, and cluster headache. In all likelihood, fibromyalgia is a disease (or disorder) with the highest number of evidence-based efficacious treatment options among neuropathic pain. Treatment for fibromyalgia is useful in patients with other neuropathic pain based on evidence and my experience. Second, differentiation between lesion/disease and dysfunction in the central nervous system makes no sense. Parkinson's disease and multiple sclerosis were functional diseases in the sixth century. In all likelihood, dysfunction of the central nervous system in patients with CS pain such as fibromyalgia will be lesion in the twenty-fourth century. Differentiating CS pain from neuropathic pain confuses clinical practice. CS pain should be included in (central) neuropathic pain.

Research paper thumbnail of Cervico-ocular Reflex in Nonspecific Neck Pain

L.P. Voogt, PhD, Department of Physical Therapy, Rotterdam Uni­ versity of Applied Sciences. Back... more L.P. Voogt, PhD, Department of Physical Therapy, Rotterdam Uni­ versity of Applied Sciences. Background. Neck pain is a widespread complaint. People experiencing neck pain often present an altered timing in contraction of cervical muscles. This altered afferent information elicits the cervico-ocular reflex (COR), which stabilizes the eye in response to trunk-to-head movements. The vestibulo-ocular reflex (VOR) elicited by the vestibulum is thought to be unaffected by afferent information from the cervical spine.

Research paper thumbnail of In the spine or in the brain? Recent advances in pain neuroscience applied in the intervention for low back pain

Clinical and experimental rheumatology, 2017

Conservative, surgical and pharmacological strategies for chronic low back pain (CLBP) management... more Conservative, surgical and pharmacological strategies for chronic low back pain (CLBP) management offer at best modest effect sizes in reducing pain and related disability, indicating a need for improvement. Such improvement may be derived from applying contemporary pain neuroscience to the management of CLBP. Current interventions for people with CLBP are often based entirely on a "biomedical" or "psychological" model without consideration of information concerning underlying pain mechanisms and contemporary pain neuroscience. Here we update readers with our current understanding of pain in people with CLBP, showing that CLBP is not limited to spinal impairments, but is also characterised by brain changes, including functional connectivity reorganisation in several brain regions and increased activation in brain regions of the so-called 'pain matrix' (or 'pain connectome'). Indeed, in a subgroup of the CLBP population brain changes associated wit...

Research paper thumbnail of Physiotherapy in nursing homes. A qualitative study of physiotherapists’ views and experiences

Background There are distinct differences in the implementation of physiotherapeutic care in nurs... more Background There are distinct differences in the implementation of physiotherapeutic care in nursing homes. Both nationally and internationally staffing levels of physiotherapy differ significantly between and within nursing homes. Since legislation or guidelines that specify the parameters of physiotherapy required in nursing homes are lacking, it is unknown how physiotherapists currently estimate the usefulness and necessity of physiotherapy in individual situations in long-term care. The purpose of this study was to describe how physiotherapists actually work, and how they want to work, in daily practice in Dutch nursing homes. Methods We performed a qualitative study with an online questionnaire. We asked 72 physiotherapists working in Dutch nursing homes to describe as accurately as possible usual care in nine different cases in long-term care. Furthermore we asked them to describe their role in the prevention and treatment of a number of indicators that measure the quality of ...

Research paper thumbnail of Using Visual Feedback Manipulation in Virtual Reality to Influence Pain‐Free Range of Motion in People with Nonspecific Neck Pain

Based on associative learning theories it is hypothesized that pain might be a conditioned respon... more Based on associative learning theories it is hypothesized that pain might be a conditioned response. In people with musculoskeletal pain, the occurrence of movement‐induced pain might be a protective response, influenced by visual cues suggesting that the person is approaching a painful position. This study aimed to determine (1) whether the pain‐free range of motion (ROM) increased and decreased when visual feedback understated or overstated true rotation in people with neck pain and (2) whether this effect was more pronounced if pain was chronic.

Research paper thumbnail of Sensorimotor incongruence and visual feedback in patients with musculoskeletal pain: A systematic review

Research paper thumbnail of Attitudes and beliefs concerning low back pain among physiotherapy students in Belgium: A cross-sectional study

Musculoskeletal Science and Practice

Research paper thumbnail of Rehabilitation Succeeds Where Technology and Pharmacology Failed: Effective Treatment of Persistent Pain across the Lifespan

Journal of Clinical Medicine

Chronic pain affects up to 30% of the adult population Chronic pain affects up to 30% of the adul... more Chronic pain affects up to 30% of the adult population Chronic pain affects up to 30% of the adult population [...]

Research paper thumbnail of Low back pain: Applying contemporary pain neuroscience in clinical practice

Research paper thumbnail of Nociplastic Pain Criteria or Recognition of Central Sensitization? Pain Phenotyping in the Past, Present and Future

Journal of Clinical Medicine

Recently, the International Association for the Study of Pain (IASP) released clinical criteria a... more Recently, the International Association for the Study of Pain (IASP) released clinical criteria and a grading system for nociplastic pain affecting the musculoskeletal system. These criteria replaced the 2014 clinical criteria for predominant central sensitization (CS) pain and accounted for clinicians’ need to identify (early) and correctly classify patients having chronic pain according to the pain phenotype. Still, clinicians and researchers can become confused by the multitude of terms and the variety of clinical criteria available. Therefore, this paper aims at (1) providing an overview of what preceded the IASP criteria for nociplastic pain (‘the past’); (2) explaining the new IASP criteria for nociplastic pain in comparison with the 2014 clinical criteria for predominant CS pain (‘the present’); and (3) highlighting key areas for future implementation and research work in this area (‘the future’). It is explained that the 2021 IASP clinical criteria for nociplastic pain are i...

Research paper thumbnail of Convergent Validity of the Central Sensitization Inventory in Chronic Whiplash-Associated Disorders; Associations with Quantitative Sensory Testing, Pain Intensity, Fatigue, and Psychosocial Factors

Pain Medicine

ObjectiveCentral sensitization is present in different pain conditions, including chronic whiplas... more ObjectiveCentral sensitization is present in different pain conditions, including chronic whiplash-associated disorders. In the absence of a gold standard method of assessment to determine the presence of central sensitization, quantitative sensory testing is currently understood as an optimal proxy. Laboratory sensory testing is, however, not feasible in clinical practice, and the Central Sensitization Inventory was developed as an alternative. The aim of the current study was to evaluate the convergent validity of the Central Sensitization Inventory in chronic whiplash-associated patients by determining the association between the Central Sensitization Inventory and quantitative sensory testing, pain intensity, fatigue, and psychosocial factors.MethodsA total of 125 chronic whiplash-associated patients completed multiple questionnaires and were subjected to pressure pain thresholds and temporal summation.Results. The Central Sensitization Inventory showed a strong association with...

Research paper thumbnail of Cross-cultural adaptation and validation of the Dutch language version of the Pictorial Fear of Activity Scale – Cervical

BMC Musculoskeletal Disorders

Background The Pictorial Fear of Activity Scale-Cervical (PFActS-C) is a reliable and valid instr... more Background The Pictorial Fear of Activity Scale-Cervical (PFActS-C) is a reliable and valid instrument to assess fear of movement in people with whiplash associated disorders. It is not available in Dutch and has not been evaluated in other neck pain populations. This study aimed to systematically translate the PFActS-C into Dutch and evaluate the psychometric properties of this Dutch Language Version (DLV) in people with non-specific neck pain. Methods The PFActS-C was translated according to international guidelines. Internal consistency, test-retest reliability, floor and ceiling effects, face validity and construct validity (convergent and discriminant validity by hypotheses testing and structural validity by confirmatory and exploratory factor-analyses) of the PFActS-C-DLV were tested in 125 people with non-specific neck pain. Results The PFActS-C-DLV showed good to excellent internal consistency (Cronbach’s alpha: 0.98) and stability over time (ICC: 0.90 [95%CI: 0.82–0.93). Fo...

Research paper thumbnail of Attitudes and beliefs on low back pain in physical therapy education: A cross-sectional study

Brazilian Journal of Physical Therapy

Research paper thumbnail of Additional file 6 of Cross-cultural adaptation and validation of the Dutch language version of the Pictorial Fear of Activity Scale – Cervical

Additional file 6. Rotated factor loadings of the exploratory 4-factor analysis using oblimin rot... more Additional file 6. Rotated factor loadings of the exploratory 4-factor analysis using oblimin rotation.

Research paper thumbnail of Specific versus Non-Specific Exercises for Chronic Neck or Shoulder Pain: A Systematic Review

Journal of Clinical Medicine, 2021

The current systematic review aimed to compare the effect of injury-focused (specific) exercises ... more The current systematic review aimed to compare the effect of injury-focused (specific) exercises versus more general (non-specific) exercises on pain in patients with chronic neck or shoulder pain. We searched PubMed, EMBASE, and Web of Science. Two reviewers screened and selected studies, extracted outcomes, assessed risk of bias, and rated the quality of evidence. A total of nine eligible studies, represented in 13 articles, were identified, with a considerable risk of bias. One article investigated the acute effect of single bouts of exercise on pain and reported an immediate pain reduction after non-specific exercise. Regarding short-term effects, seven out of the nine studies found no differences in pain between interventions, with inconsistent results among two other studies. Concerning the long-term effects, while pain reduction seems to be favored by specific exercises (two out of four articles), the best format is still unclear. Based on the acute effects, a single bout of ...

Research paper thumbnail of Re: Central sensitization pain should be included in (central) neuropathic pain

Research paper thumbnail of Author Response

Research paper thumbnail of Can Patient Expectations Modulate the Short-Term Effects of Dry Needling on Sensitivity Outcomes in Patients with Mechanical Neck Pain? A Randomised Clinical Trial

Pain medicine, 2021

OBJECTIVE Dry needling is commonly used for the management of musculoskeletal pain patients. Howe... more OBJECTIVE Dry needling is commonly used for the management of musculoskeletal pain patients. However, the effects of patient expectations are uncertain. Our aim was to determine the effect of patient expectations on short-term clinical outcomes after the application of a single session of dry needling in individuals with neck pain. METHODS We conducted a randomized, placebo controlled, clinical trial including fifty patients with mechanical neck pain. Participants received a single session of dry needling or sham needling in a blinded design. Predicted patient expectation was categorized as positive, neutral, or negative. Outcomes including neck pain intensity (visual analogue scale, 0-100), pressure pain thresholds (PPTs) and self-perceived improvement (Global Rating of Change [GROC], -7 to + 7) were assessed at baseline, one day (immediately post), and 7 days (one week) after the intervention by a blinded assessor. Repeated measures ANCOVAs were conducted to assess the effects of ...

Research paper thumbnail of Central Sensitization Pain Should Be Included in (Central) Neuropathic Pain: Central sensitization pain should be included in (central) neuropathic pain

Pain Physician, 2014

Dr. Nijs et al (1) provided criteria for the classification of central sensitization (CS) pain. P... more Dr. Nijs et al (1) provided criteria for the classification of central sensitization (CS) pain. Peripheral neuropathic pain and nociceptive pain cause CS in the central nervous system if the 2 kinds of pain persist. Therefore, pure peripheral neuropathic pain and pure nociceptive pain are rare in clinical practice. I believe that CS is one of causes of central neuropathic pain. CS pain may be the center of (central) neuropathic pain. I disagree with a hypothesis that CS pain is differentiated with neuropathic pain. Fibromyalgia will be often diagnosed as CS pain based on the classification of CS pain, because fibromyalgia is a typical CS pain. First, what is the purpose of differentiating CS pain from neuropathic pain? It is very important that we differentiate neuropathic pain from nociceptive pain because treatment, including medication, of the 2 kinds of pain are complete different. Treatment for neuropathic pain is similar except in cases of complex regional pain syndrome, trigeminal neuralgia, migraine, and cluster headache. In all likelihood, fibromyalgia is a disease (or disorder) with the highest number of evidence-based efficacious treatment options among neuropathic pain. Treatment for fibromyalgia is useful in patients with other neuropathic pain based on evidence and my experience. Second, differentiation between lesion/disease and dysfunction in the central nervous system makes no sense. Parkinson's disease and multiple sclerosis were functional diseases in the sixth century. In all likelihood, dysfunction of the central nervous system in patients with CS pain such as fibromyalgia will be lesion in the twenty-fourth century. Differentiating CS pain from neuropathic pain confuses clinical practice. CS pain should be included in (central) neuropathic pain.

Research paper thumbnail of In response : Central sensitization pain should be included in neuropathic pain

Research paper thumbnail of Central sensitization pain should be included in (central) neuropathic pain: response

Pain Physician, 2014

Dr. Nijs et al (1) provided criteria for the classification of central sensitization (CS) pain. P... more Dr. Nijs et al (1) provided criteria for the classification of central sensitization (CS) pain. Peripheral neuropathic pain and nociceptive pain cause CS in the central nervous system if the 2 kinds of pain persist. Therefore, pure peripheral neuropathic pain and pure nociceptive pain are rare in clinical practice. I believe that CS is one of causes of central neuropathic pain. CS pain may be the center of (central) neuropathic pain. I disagree with a hypothesis that CS pain is differentiated with neuropathic pain. Fibromyalgia will be often diagnosed as CS pain based on the classification of CS pain, because fibromyalgia is a typical CS pain. First, what is the purpose of differentiating CS pain from neuropathic pain? It is very important that we differentiate neuropathic pain from nociceptive pain because treatment, including medication, of the 2 kinds of pain are complete different. Treatment for neuropathic pain is similar except in cases of complex regional pain syndrome, trigeminal neuralgia, migraine, and cluster headache. In all likelihood, fibromyalgia is a disease (or disorder) with the highest number of evidence-based efficacious treatment options among neuropathic pain. Treatment for fibromyalgia is useful in patients with other neuropathic pain based on evidence and my experience. Second, differentiation between lesion/disease and dysfunction in the central nervous system makes no sense. Parkinson's disease and multiple sclerosis were functional diseases in the sixth century. In all likelihood, dysfunction of the central nervous system in patients with CS pain such as fibromyalgia will be lesion in the twenty-fourth century. Differentiating CS pain from neuropathic pain confuses clinical practice. CS pain should be included in (central) neuropathic pain.

Research paper thumbnail of Cervico-ocular Reflex in Nonspecific Neck Pain

L.P. Voogt, PhD, Department of Physical Therapy, Rotterdam Uni­ versity of Applied Sciences. Back... more L.P. Voogt, PhD, Department of Physical Therapy, Rotterdam Uni­ versity of Applied Sciences. Background. Neck pain is a widespread complaint. People experiencing neck pain often present an altered timing in contraction of cervical muscles. This altered afferent information elicits the cervico-ocular reflex (COR), which stabilizes the eye in response to trunk-to-head movements. The vestibulo-ocular reflex (VOR) elicited by the vestibulum is thought to be unaffected by afferent information from the cervical spine.

Research paper thumbnail of In the spine or in the brain? Recent advances in pain neuroscience applied in the intervention for low back pain

Clinical and experimental rheumatology, 2017

Conservative, surgical and pharmacological strategies for chronic low back pain (CLBP) management... more Conservative, surgical and pharmacological strategies for chronic low back pain (CLBP) management offer at best modest effect sizes in reducing pain and related disability, indicating a need for improvement. Such improvement may be derived from applying contemporary pain neuroscience to the management of CLBP. Current interventions for people with CLBP are often based entirely on a "biomedical" or "psychological" model without consideration of information concerning underlying pain mechanisms and contemporary pain neuroscience. Here we update readers with our current understanding of pain in people with CLBP, showing that CLBP is not limited to spinal impairments, but is also characterised by brain changes, including functional connectivity reorganisation in several brain regions and increased activation in brain regions of the so-called 'pain matrix' (or 'pain connectome'). Indeed, in a subgroup of the CLBP population brain changes associated wit...

Research paper thumbnail of Physiotherapy in nursing homes. A qualitative study of physiotherapists’ views and experiences

Background There are distinct differences in the implementation of physiotherapeutic care in nurs... more Background There are distinct differences in the implementation of physiotherapeutic care in nursing homes. Both nationally and internationally staffing levels of physiotherapy differ significantly between and within nursing homes. Since legislation or guidelines that specify the parameters of physiotherapy required in nursing homes are lacking, it is unknown how physiotherapists currently estimate the usefulness and necessity of physiotherapy in individual situations in long-term care. The purpose of this study was to describe how physiotherapists actually work, and how they want to work, in daily practice in Dutch nursing homes. Methods We performed a qualitative study with an online questionnaire. We asked 72 physiotherapists working in Dutch nursing homes to describe as accurately as possible usual care in nine different cases in long-term care. Furthermore we asked them to describe their role in the prevention and treatment of a number of indicators that measure the quality of ...

Research paper thumbnail of Using Visual Feedback Manipulation in Virtual Reality to Influence Pain‐Free Range of Motion in People with Nonspecific Neck Pain

Based on associative learning theories it is hypothesized that pain might be a conditioned respon... more Based on associative learning theories it is hypothesized that pain might be a conditioned response. In people with musculoskeletal pain, the occurrence of movement‐induced pain might be a protective response, influenced by visual cues suggesting that the person is approaching a painful position. This study aimed to determine (1) whether the pain‐free range of motion (ROM) increased and decreased when visual feedback understated or overstated true rotation in people with neck pain and (2) whether this effect was more pronounced if pain was chronic.

Research paper thumbnail of Sensorimotor incongruence and visual feedback in patients with musculoskeletal pain: A systematic review

Research paper thumbnail of Attitudes and beliefs concerning low back pain among physiotherapy students in Belgium: A cross-sectional study

Musculoskeletal Science and Practice

Research paper thumbnail of Rehabilitation Succeeds Where Technology and Pharmacology Failed: Effective Treatment of Persistent Pain across the Lifespan

Journal of Clinical Medicine

Chronic pain affects up to 30% of the adult population Chronic pain affects up to 30% of the adul... more Chronic pain affects up to 30% of the adult population Chronic pain affects up to 30% of the adult population [...]

Research paper thumbnail of Low back pain: Applying contemporary pain neuroscience in clinical practice

Research paper thumbnail of Nociplastic Pain Criteria or Recognition of Central Sensitization? Pain Phenotyping in the Past, Present and Future

Journal of Clinical Medicine

Recently, the International Association for the Study of Pain (IASP) released clinical criteria a... more Recently, the International Association for the Study of Pain (IASP) released clinical criteria and a grading system for nociplastic pain affecting the musculoskeletal system. These criteria replaced the 2014 clinical criteria for predominant central sensitization (CS) pain and accounted for clinicians’ need to identify (early) and correctly classify patients having chronic pain according to the pain phenotype. Still, clinicians and researchers can become confused by the multitude of terms and the variety of clinical criteria available. Therefore, this paper aims at (1) providing an overview of what preceded the IASP criteria for nociplastic pain (‘the past’); (2) explaining the new IASP criteria for nociplastic pain in comparison with the 2014 clinical criteria for predominant CS pain (‘the present’); and (3) highlighting key areas for future implementation and research work in this area (‘the future’). It is explained that the 2021 IASP clinical criteria for nociplastic pain are i...

Research paper thumbnail of Convergent Validity of the Central Sensitization Inventory in Chronic Whiplash-Associated Disorders; Associations with Quantitative Sensory Testing, Pain Intensity, Fatigue, and Psychosocial Factors

Pain Medicine

ObjectiveCentral sensitization is present in different pain conditions, including chronic whiplas... more ObjectiveCentral sensitization is present in different pain conditions, including chronic whiplash-associated disorders. In the absence of a gold standard method of assessment to determine the presence of central sensitization, quantitative sensory testing is currently understood as an optimal proxy. Laboratory sensory testing is, however, not feasible in clinical practice, and the Central Sensitization Inventory was developed as an alternative. The aim of the current study was to evaluate the convergent validity of the Central Sensitization Inventory in chronic whiplash-associated patients by determining the association between the Central Sensitization Inventory and quantitative sensory testing, pain intensity, fatigue, and psychosocial factors.MethodsA total of 125 chronic whiplash-associated patients completed multiple questionnaires and were subjected to pressure pain thresholds and temporal summation.Results. The Central Sensitization Inventory showed a strong association with...

Research paper thumbnail of Cross-cultural adaptation and validation of the Dutch language version of the Pictorial Fear of Activity Scale – Cervical

BMC Musculoskeletal Disorders

Background The Pictorial Fear of Activity Scale-Cervical (PFActS-C) is a reliable and valid instr... more Background The Pictorial Fear of Activity Scale-Cervical (PFActS-C) is a reliable and valid instrument to assess fear of movement in people with whiplash associated disorders. It is not available in Dutch and has not been evaluated in other neck pain populations. This study aimed to systematically translate the PFActS-C into Dutch and evaluate the psychometric properties of this Dutch Language Version (DLV) in people with non-specific neck pain. Methods The PFActS-C was translated according to international guidelines. Internal consistency, test-retest reliability, floor and ceiling effects, face validity and construct validity (convergent and discriminant validity by hypotheses testing and structural validity by confirmatory and exploratory factor-analyses) of the PFActS-C-DLV were tested in 125 people with non-specific neck pain. Results The PFActS-C-DLV showed good to excellent internal consistency (Cronbach’s alpha: 0.98) and stability over time (ICC: 0.90 [95%CI: 0.82–0.93). Fo...

Research paper thumbnail of Attitudes and beliefs on low back pain in physical therapy education: A cross-sectional study

Brazilian Journal of Physical Therapy