Evidence map›Paper›PMID 40321690›Full record

ArticlePhysical therapy research2025

Prediction of Chronic Fracture Pain in Patients with Osteoporotic Fractures Using the Japanese Short-form Central Sensitization Inventory: A Single-center Retrospective Observational Study in a Convalescent Rehabilitation Ward.

Shotaro Tamura, Sayo Miura, Ryo Matsuda

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Article in Physical therapy research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Shotaro TamuraDepartment of Rehabilitation, IMS Group IMS Sapporo Internal Medicine Rehabilitation Hospital, Japan.
Sayo MiuraDepartment of Rehabilitation, Japan Health Care College, Japan.
Ryo MatsudaDepartment of Physical Therapy, Faculty of Health Sciences, Hokkaido University of Science, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesChronic fracture pain (CFP) is a significant issue in patients with osteoporotic fractures (OFs) in convalescent rehabilitation wards (CRWs). This study aimed to examine the association between CFP and the Japanese short-form Central Sensitization Inventory (CSI-9) and verify the predictive validity of CSI-9 in patients with OF admitted to a CRW.

methodsThis single-center retrospective study included 71 patients with OF (median age: 85.3 years, 54 females). CFP was defined as pain of Numerical Rating Scale (NRS) score ≥4 persisting at discharge, despite >3 months post-fracture. Multiple logistic regression and receiver operating characteristic curve analyses were performed to assess the association and predictive validity of the CSI-9 for CFP.

resultsThe incidence of CFP was 38.0%. CSI-9 was independently associated with CFP at admission (odds ratio = 1.12, 95% confidence interval [CI]: 1.01-1.24) and discharge (odds ratio = 1.15, 95% CI: 1.03-1.29). The area under the curve for the CSI-9 was 0.727 (95% CI: 0.605-0.850) at admission and 0.752 (95% CI: 0.637-0.867) at discharge, indicating fair predictive accuracy. The optimal cutoff values for the CSI-9 were 8 points at admission and 6 points at discharge.

conclusionsCSI-9 was independently associated with CFP and demonstrated moderate predictive accuracy in patients with OF in CRWs. Assessing central sensitization-related symptoms using the CSI-9 may be useful for evaluating and preventing CFP in this population. Further validation using large-scale prospective studies is required.

Indexed as

Chronic fracture painChronic pain assessmentConvalescent rehabilitation wardOsteoporotic fracturesShort form Central Sensitization Inventory

Identifiers

PMID40321690
PMCPMC12047042

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