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Pain catastrophizing mediates rapid benefits of accessing in-person chiropractic care during the COVID-19 lockdown.
Gevers-Montoro, Carlos; Deldar, Zoha; Conesa-Buendía, Francisco Miguel; Lazar, Eric Arthur; Mahillo-Fernandez, Ignacio; Khatibi, Ali; Ortega de Mues, Arantxa.
  • Gevers-Montoro C; Madrid College of Chiropractic - RCU María Cristina, Madrid, Spain.
  • Deldar Z; Department of Anatomy, Université du Québec à Trois-Rivières, Trois-Rivières, Quebec, Canada.
  • Conesa-Buendía FM; Department of Anatomy, Université du Québec à Trois-Rivières, Trois-Rivières, Quebec, Canada.
  • Lazar EA; Department of Psychology, McGill University, Montreal, Quebec, Canada.
  • Mahillo-Fernandez I; Bone and Joint Research Unit, Institute of Health Research (IIS-Fundación Jiménez Díaz), Madrid, Spain.
  • Khatibi A; Madrid College of Chiropractic - RCU María Cristina, Madrid, Spain.
  • Ortega de Mues A; Epidemiology and Biostatistics Unit (IIS-Fundación Jiménez Díaz), Madrid, Spain.
Eur J Pain ; 26(2): 463-479, 2022 02.
Article in English | MEDLINE | ID: covidwho-1453577
ABSTRACT

BACKGROUND:

In March 2020, the COVID-19 pandemic forced the Spanish government to declare a state of emergency. A stringent lockdown was enforced, restricting access to healthcare services, including chiropractic. Reduced access to care provision in combination with psychological stress, social isolation and physical inactivity during the lockdown were shown to negatively influence pain conditions. However, data on strategies to mitigate the impact of the pandemic on these conditions are lacking.

METHODS:

Upon easing of restrictions in May 2020, 51 chiropractic clinics throughout Spain pseudo-randomly invited patients, recruiting a total of 385 participants. During a 14-day period, participants were exposed to in-person chiropractic care in either one (n = 177) or multiple encounters (n = 109) or to no care (n = 99). The effects of access to chiropractic care on patients' pain-related and psychological outcomes were assessed online through validated self-reported questionnaires before and after the period of care. Coprimary outcomes included pain intensity, pain interference and pain cognitions.

RESULTS:

When comparing to participants without access to care, pain intensity and interference were significantly decreased at follow-up, irrespective of the number of encounters. Kinesiophobia was also significantly reduced at follow-up, though only after multiple encounters. The relationship between fear of movement, changes in pain intensity and interference was mediated by catastrophizing.

CONCLUSION:

Access to in-person chiropractic care may provide pain relief, associated with reductions in interference and pain cognitions. Prioritizing in-person care for patients with maladaptive pain cognitions may help dampen the detrimental consequences of the pandemic on physical and psychological well-being.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Chiropractic / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Language: English Journal: Eur J Pain Journal subject: Neurology / Psychophysiology Year: 2022 Document Type: Article Affiliation country: Ejp.1872

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Chiropractic / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Language: English Journal: Eur J Pain Journal subject: Neurology / Psychophysiology Year: 2022 Document Type: Article Affiliation country: Ejp.1872