ArticleEuropean journal of pain (London, England)2022
Pain catastrophizing mediates rapid benefits of accessing in-person chiropractic care during the COVID-19 lockdown.
Article in European journal of pain (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 6 citations in OpenAlex.
- A comprehensive review of machine learning for heart disease prediction: challenges, trends, ethical considerations, and future directions.Frontiers in artificial intelligence · 2025Review
- A network analysis on biopsychosocial factors and pain-related outcomes assessed during a COVID-19 lockdown.Scientific reports · 2023Article
- From hands-on to remote: Moderators of response to a novel self-management telehealth programme during the COVID-19 pandemic.European journal of pain (London, England) · 2022Article
- Pain catastrophizing mediates rapid benefits of accessing in-person chiropractic care during the COVID-19 lockdown.European journal of pain (London, England) · 2022Article
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Authors and funding
7 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn 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.
methodsUpon 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.
resultsWhen 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.
conclusionAccess 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.
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