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Perceived body distortion rather than actual body distortion is associated with chronic low back pain in adults with cerebral palsy: A preliminary investigation

Pain Practice Oct 18, 2019

Yamashita H, Nishigami T, Mibu A, et al. - Researchers examined if among people with cerebral palsy (CP), distorted body perception is a feature of the low back pain (LBP) and if any distortions heeded are confounded by the presence of motor and postural impairments usually seen in CP. In this study, participants comprised 15 adults with CP with LBP (CP_Pain group), 15 adults with CP without LBP (CP_noPain group), and 15 age-matched adults with LBP but no CP (Pain group). The Fremantle Back Awareness Questionnaire (FreBAQ) and 2-point discrimination thresholds over the low back were used to evaluate body perception. The 3 groups exhibited significant differences in FreBAQ scores. The CP_Pain group displayed a significantly larger TPD threshold in the low back than the CP_noPain group, though no difference was observed between the CP_noPain group and the Pain group. These findings suggest that people with CP who experience LBP exhibit disruptions of body image. The disruptions in discernment were similar to those observed in people with LBP and no CP, implying that the presence of pain influences the distortions more than the presence of CP.
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