000000397 001__ 397
000000397 005__ 20260302122740.0
000000397 0247_ $$2DOI$$a10.6083/M4K0727Q
000000397 037__ $$aETD
000000397 245__ $$aInvestigating the transition from chronic low back or neck pain to widespread pain and fibromyalgia
000000397 260__ $$bOregon Health and Science University
000000397 269__ $$a2009
000000397 336__ $$aDissertation
000000397 502__ $$bPh.D.
000000397 520__ $$aChronic low back pain, chronic neck pain, widespread pain (WSP), and fibromyalgia (FM) may share a common mechanism of central sensitization. Many individuals with WSP or FM, and some with chronic regional spinal pain (CRSP), show altered pain processing consistent with this neuroplastic change. Recent research suggests that some people with CRSP later develop WSP or FM, but the risk factors driving this transition remain unclear. This study followed 2,256 patients previously evaluated for chronic spinal pain to determine how often they progressed to WSP or FM and to identify predictors of this shift. Understanding these risk factors may help clinicians identify high‑risk patients earlier and intervene to prevent worsening pain and disability.
000000397 540__ $$fCC BY
000000397 542__ $$fIn copyright - single owner
000000397 650__ $$aNeck Pain$$031678
000000397 650__ $$aFibromyalgia$$019029
000000397 650__ $$aLow Back Pain$$029699
000000397 650__ $$aChronic Disease$$016715
000000397 650__ $$aRisk Factors$$025522
000000397 650__ $$aCentral Nervous System Sensitization$$039546
000000397 650__ $$aChronic Pain$$039552
000000397 691__ $$aSchool of Nursing$$041370
000000397 7001_ $$aKindler, Lindsay$$uOregon Health and Science University$$041354
000000397 8564_ $$9670566c4-b776-46f1-8427-40bbe207a28b$$s537664$$uhttps://digitalcollections.ohsu.edu/record/397/files/398_etd.pdf$$ePublic$$2449afb0d16279db32aff79472812e8f4$$31
000000397 905__ $$a/rest/prod/qf/85/nb/29/qf85nb29f
000000397 909CO $$ooai:digitalcollections.ohsu.edu:397$$pstudent-work
000000397 956__ $$aGet Accessible Copy$$uhttps://ohsu.libwizard.com/f/requestaccessibledocument
000000397 980__ $$aTheses and Dissertations