The Usefulness of the Armchair Sign for the Diagnosis of Psychosomatic-Prone Myofascial Pain Syndrome in Patients with Incurable Cancer: A Secondary Analysis of a Prospective Multicenter Observational Clinical Study
Background: Because psychosomatic diseases are pathological conditions, it is difficult to identify their degrees. The armchair sign is a test used to assess voluntary muscle relaxation. Objective: We aimed to evaluate the usefulness of the armchair sign for the diagnosis of psychosomatic-prone myof...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Mary Ann Liebert
2021-09-01
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| Series: | Palliative Medicine Reports |
| Subjects: | |
| Online Access: | https://www.liebertpub.com/doi/full/10.1089/PMR.2021.0033 |
| _version_ | 1797346069624913920 |
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| author | Hideaki Hasuo Hiroto Ishiki Yoshinobu Matsuda Hiromichi Matsuoka Shuji Hiramoto Junya Kinkawa Masanori Nojima |
| author_facet | Hideaki Hasuo Hiroto Ishiki Yoshinobu Matsuda Hiromichi Matsuoka Shuji Hiramoto Junya Kinkawa Masanori Nojima |
| author_sort | Hideaki Hasuo |
| collection | DOAJ |
| description | Background: Because psychosomatic diseases are pathological conditions, it is difficult to identify their degrees. The armchair sign is a test used to assess voluntary muscle relaxation.
Objective: We aimed to evaluate the usefulness of the armchair sign for the diagnosis of psychosomatic-prone myofascial pain syndrome (MPS) in patients with incurable cancer.
Design: This was a secondary analysis of a prospective multicenter observational clinical study.
Setting/Patients: Patients with incurable cancer who were referred to palliative care services at five institutions in Japan between March 2018 and December 2018.
Results: A total of 101 patients were enrolled, of whom 44 met MPS diagnostic criteria. Of these, 27 patients (61.3%) had psychosomatic-prone MPS. There was a significant association between the armchair sign and psychosomatic-prone MPS (p?=?0.002). Sensitivity and specificity were 40.7% (95% confidence interval [CI]: 18.0?63.4) and 100.0%, respectively. The area under the curve score was 0.704 (95% CI: 0.553?0.855).
Conclusions: The armchair sign may be useful as an ancillary test for the diagnosis of psychosomatic-prone MPS in patients with incurable cancer.
Trial Registration: UMIN000031338. Registered February 16, 2018. |
| first_indexed | 2024-03-08T11:27:32Z |
| format | Article |
| id | doaj.art-1865867b2fc04b00859051362738472b |
| institution | Directory Open Access Journal |
| issn | 2689-2820 |
| language | English |
| last_indexed | 2024-03-08T11:27:32Z |
| publishDate | 2021-09-01 |
| publisher | Mary Ann Liebert |
| record_format | Article |
| series | Palliative Medicine Reports |
| spelling | doaj.art-1865867b2fc04b00859051362738472b2024-01-26T04:53:18ZengMary Ann LiebertPalliative Medicine Reports2689-28202021-09-012125025410.1089/PMR.2021.0033The Usefulness of the Armchair Sign for the Diagnosis of Psychosomatic-Prone Myofascial Pain Syndrome in Patients with Incurable Cancer: A Secondary Analysis of a Prospective Multicenter Observational Clinical StudyHideaki HasuoHiroto IshikiYoshinobu MatsudaHiromichi MatsuokaShuji HiramotoJunya KinkawaMasanori NojimaBackground: Because psychosomatic diseases are pathological conditions, it is difficult to identify their degrees. The armchair sign is a test used to assess voluntary muscle relaxation. Objective: We aimed to evaluate the usefulness of the armchair sign for the diagnosis of psychosomatic-prone myofascial pain syndrome (MPS) in patients with incurable cancer. Design: This was a secondary analysis of a prospective multicenter observational clinical study. Setting/Patients: Patients with incurable cancer who were referred to palliative care services at five institutions in Japan between March 2018 and December 2018. Results: A total of 101 patients were enrolled, of whom 44 met MPS diagnostic criteria. Of these, 27 patients (61.3%) had psychosomatic-prone MPS. There was a significant association between the armchair sign and psychosomatic-prone MPS (p?=?0.002). Sensitivity and specificity were 40.7% (95% confidence interval [CI]: 18.0?63.4) and 100.0%, respectively. The area under the curve score was 0.704 (95% CI: 0.553?0.855). Conclusions: The armchair sign may be useful as an ancillary test for the diagnosis of psychosomatic-prone MPS in patients with incurable cancer. Trial Registration: UMIN000031338. Registered February 16, 2018.https://www.liebertpub.com/doi/full/10.1089/PMR.2021.0033armchair signincurable cancermyofascial pain syndromepsychosomatic disease |
| spellingShingle | Hideaki Hasuo Hiroto Ishiki Yoshinobu Matsuda Hiromichi Matsuoka Shuji Hiramoto Junya Kinkawa Masanori Nojima The Usefulness of the Armchair Sign for the Diagnosis of Psychosomatic-Prone Myofascial Pain Syndrome in Patients with Incurable Cancer: A Secondary Analysis of a Prospective Multicenter Observational Clinical Study Palliative Medicine Reports armchair sign incurable cancer myofascial pain syndrome psychosomatic disease |
| title | The Usefulness of the Armchair Sign for the Diagnosis of Psychosomatic-Prone Myofascial Pain Syndrome in Patients with Incurable Cancer: A Secondary Analysis of a Prospective Multicenter Observational Clinical Study |
| title_full | The Usefulness of the Armchair Sign for the Diagnosis of Psychosomatic-Prone Myofascial Pain Syndrome in Patients with Incurable Cancer: A Secondary Analysis of a Prospective Multicenter Observational Clinical Study |
| title_fullStr | The Usefulness of the Armchair Sign for the Diagnosis of Psychosomatic-Prone Myofascial Pain Syndrome in Patients with Incurable Cancer: A Secondary Analysis of a Prospective Multicenter Observational Clinical Study |
| title_full_unstemmed | The Usefulness of the Armchair Sign for the Diagnosis of Psychosomatic-Prone Myofascial Pain Syndrome in Patients with Incurable Cancer: A Secondary Analysis of a Prospective Multicenter Observational Clinical Study |
| title_short | The Usefulness of the Armchair Sign for the Diagnosis of Psychosomatic-Prone Myofascial Pain Syndrome in Patients with Incurable Cancer: A Secondary Analysis of a Prospective Multicenter Observational Clinical Study |
| title_sort | usefulness of the armchair sign for the diagnosis of psychosomatic prone myofascial pain syndrome in patients with incurable cancer a secondary analysis of a prospective multicenter observational clinical study |
| topic | armchair sign incurable cancer myofascial pain syndrome psychosomatic disease |
| url | https://www.liebertpub.com/doi/full/10.1089/PMR.2021.0033 |
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