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Хроническая боль в спине и нарушения сна
Хроническая боль в спине и нарушения сна
Ткачев А.М., Акарачкова Е.С., Смирнова А.В. и др. Хроническая боль в спине и нарушения сна. Consilium Medicum. 2017; 19 (2.3. Неврология и Ревматология): 48–52. DOI: 10.26442/2075-1753_19.2.3.48-52
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Аннотация
Распространенным последствием хронической неспецифической боли в спине является нарушение сна. Учитывая более высокую распространенность нарушений сна у данной категории пациентов, можно предполагать, что либо болевой синдром предрасполагает к развитию нарушений сна, либо нарушения сна способствуют хронизации болевого синдрома. В настоящее время не подлежит сомнению, что нарушение сна является фактором риска заболеваемости, а также прогноз пациентов. На фоне хронической боли в спине у пациентов наблюдаются снижение качества сна, увеличение времени засыпания, снижение эффективности сна, повышение активности и беспокойства во время сна, снижение продолжительности сна, а также нарушения при проведении полисомнографического исследования (уменьшение продолжительности медленноволнового сна) и электроэнцефалографии (нарушение реакций активации). Часто данные синдромы сопровождаются тревожными и депрессивными расстройствами, что может отрицательно сказываться на лечении данных состояний.
Ключевые слова: боль в спине, нарушения сна, качество жизни, тревога, депрессия, психологический дистресс.
Key words: low back pain, sleep disturbance, quality of life, anxiety, depression, psychologic distress.
Ключевые слова: боль в спине, нарушения сна, качество жизни, тревога, депрессия, психологический дистресс.
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Key words: low back pain, sleep disturbance, quality of life, anxiety, depression, psychologic distress.
Полный текст
Список литературы
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28. Fernandes GL, Araujo P, Tufik S, Andersen ML. The role of IL-6 and STAT in sleep and neuroinflammation. Clin Immunol 2017; 180: 58–9.
29. Haack M, Sanchez E, Mullington JM. Elevated inflammatory markers in response to prolonged sleep restriction are associated with increased pain experience in healthy volunteers. Sleep 2007; 30: 1145–52.
30. Heffner KL, France CR, Trost Z et al. Chronic low back pain, sleep disturbance, and interleukin-6. Clin J Pain 2011; 27: 35–41.
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32. Marty M, Rozenberg S, Duplan B et al. Quality of sleep in patients with chronic low back pain: a case-control study. Eur Spine J 2008; 17: 839–44.
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2. Chigrina N.V., Dolgova I.N. Nekotorye osobennosti bol'nykh s khronicheskoi bol'iu v spine. Ros. zhurn. boli. 2017; 1 (52): 41–2. [in Russian]
3. Ulger O, Demirel A, Oz M, Tamer S. The effect of manual therapy and exercise in patients with chronic low back pain: Double blind randomized controlled trial. J Back Musculoskelet Rehabil 2017; 30 (6): 1303–9.
4. Golubenko E.O., Silina E.V., Orlova A.S. Personifitsirovannyi podkhod v lechenii bolevykh sindromov. Sovremennaia nauka: aktual'nye problemy teorii i praktiki (Estestvennye i tekhnicheskie nauki). 2017; 7–8: 107–12. [in Russian]
5. Shevtsova G.E., Medvedeva L.A., Zagorul'ko O.I. Narusheniia sna u patsientov s khronicheskoi bol'iu. Ros. zhurn. boli. 2017; 1 (52): 42–3. [in Russian]
6. Kovacs FM, Seco J, Royuela A et al. The association between sleep quality, low back pain and disability: A prospective study in routine practice. Eur J Pain 2017. Aug 27. DOI: 10.1002/ejp.1095
7. Chung KF, Yeung WF, Ho FY et al. Cross-cultural and comparative epidemiology of insomnia: the Diagnostic and statistical manual (DSM), International classification of diseases (ICD) and International classification of sleep disorders (ICSD). Sleep Med 2015; 16 (4): 477–82.
8. Grønli J, Soulé J, Bramham CR. Sleep and protein synthesis-dependent synaptic plasticity: impacts of sleep loss and stress. Front Behav Neurosci 2014; 7: 224.
9. Iacovides S, George K, Kamerman P, Baker FC. Sleep Fragmentation Hypersensitizes Healthy Young Women to Deep and Superficial Experimental Pain. J Pain 2017; 18 (7): 844–54.
10. Tang NK, Sanborn AN. Better quality sleep promotes daytime physical activity in patients with chronic pain? A multilevel analysis of the within-person relationship. PLoS One 2014; 9 (3): e92158.
11. Tang NK, Wright KJ, Salkovskis PM. Prevalence and correlates of clinical insomnia co-occurring with chronic back pain. J Sleep Res 2007; 16: 85–95.
12. Hagen EM, Svensen E, Eriksen HR et al. Comorbid subjective health complaints in low back pain. Spine 2006; 31: 1491–5.
13. Sribastav SS, Peiheng H, Jun L et al. Interplay among pain intensity, sleep disturbance and emotion in patients with non-specific low back pain. Peer J 2017; 5: 3282.
14. Posada-Quintero HF, Bolkhovsky JB, Reljin N, Chon KH. Sleep Deprivation in Young and Healthy Subjects Is More Sensitively Identified by Higher Frequencies of Electrodermal Activity than by Skin Conductance Level Evaluated in the Time Domain. Front Physiol 2017; 8: 409.
15. Le Borgne M, Boudoukha AH, Petit A, Roquelaure Y. Chronic low back pain and the transdiagnostic process: How do cognitive and emotional dysregulations contribute to the intensity of risk factors and pain? Scand J Pain 2017. DOI: 10.1016/j.sjpain.2017.08.008
16. Cabo-Meseguer A, Cerdá-Olmedo G, Trillo-Mata JL. Fibromyalgia: Prevalence, epidemiologic profiles and economic costs. Med Clin (Barc) 2017; 149 (10): 441–8. DOI: 10.1016/j.medcli.2017.06.008
17. Cotrim T, Carvalhais J, Neto C et al. Determinants of sleepiness at work among railway control workers. Appl Ergon 2017; 58: 293–300.
18. Watling CN, Armstrong KA, Obst PL, Smith SS. Continuing to drive while sleepy: the influence of sleepiness countermeasures, motivation for driving sleepy, and risk perception. Accid Anal Prev 2014; 73: 262–8.
19. Dimsdale JE, Norman D, DeJardin D, Wallace MS. The effect of opioids on sleep architecture. J Clin Sleep Med 2007; 3 (1): 33–6.
20. Gerhart JI, Burns JW, Post KM et al. Relationships Between Sleep Quality and Pain-Related Factors for People with Chronic Low Back Pain: Tests of Reciprocal and Time of Day Effects. Ann Behav Med 2017; 51 (3): 365–75.
21. Yeung WK, Morgan K, Mckenna F. Comparison of sleep structure and psychometric profiles in patients with fibromyalgia, osteoarthritis and healthy controls. J Sleep Res 2017. Doi: 10.1111/jsr.12588
22. Alsaadi SM, McAuley JH, Hush JM et al. Detecting insomnia in patients with low back pain: accuracy of four self-report sleep measures. BMC Musculoskelet Disord 2013; 14: 196.
23. Alsaadi SM, McAuley JH, Hush JM et al. The bidirectional relationship between pain intensity and sleep disturbance/quality in patients with low back pain. Clin J Pain 2014; 30 (9): 755–65.
24. Sezgin M, Hasanefendioğlu EZ, Sungur MA et al. Sleep quality in patients with chronic low back pain: a cross-sectional study assesing its relations with pain, functional status and quality of life. J Back Musculoskelet Rehabil 2015; 28 (3): 433–41.
25. Auvinen JP, Tammelin TH, Taimela SP et al. Is insufficient quantity and quality of sleep a risk factor for neck, shoulder and low back pain? A longitudinal study among adolescents. Eur Spine J 2010; 19 (4): 641–9.
26. Rumiantseva S.A., Orlova A.S., Orlov V.A., Silin S.V. Ranniaia diagnostika i profilaktika postinsul'tnoi depressii. Sovremennaia med. nauka. 2011; 1: 104–15. [in Russian]
27. Wang HY, Fu TS, Hsu SC, Hung CI. Association of depression with sleep quality might be greater than that of pain intensity among outpatients with chronic low back pain. Neuropsychiatr Dis Treat 2016; 12: 1993–8.
28. Fernandes GL, Araujo P, Tufik S, Andersen ML. The role of IL-6 and STAT in sleep and neuroinflammation. Clin Immunol 2017; 180: 58–9.
29. Haack M, Sanchez E, Mullington JM. Elevated inflammatory markers in response to prolonged sleep restriction are associated with increased pain experience in healthy volunteers. Sleep 2007; 30: 1145–52.
30. Heffner KL, France CR, Trost Z et al. Chronic low back pain, sleep disturbance, and interleukin-6. Clin J Pain 2011; 27: 35–41.
31. Tang NK, Goodchild CE, Sanborn AN et al. Deciphering the temporal link between pain and sleep in a heterogeneous chronic pain patient sample: a multilevel daily process study. Sleep 2012; 35: 675–87.
32. Marty M, Rozenberg S, Duplan B et al. Quality of sleep in patients with chronic low back pain: a case-control study. Eur Spine J 2008; 17: 839–44.
33. Raak R, Wahren LK. Health experiences and employment status in subjects with chronic back pain: a long-term perspective. Pain Manag Nurs 2006; 7: 64–70.
34. Salkovskis PM. Obsessive-compulsive disorder is uncommon but associated with high levels of comorbid neuroses, impaired function and increased suicidal acts in people in the UK. Evid Based Ment Health 2007; 10 (3): 93.
35. Hashizaki M, Kume K. Medical questionnaire, sleep diary, actigraphy. Nihon Rinsho 2015; 73 (6): 965–70.
36. Rasskazova E.I., Zavalko I.M., Kovrov G.V. i dr. Povedencheskie reaktsii bol'nykh insomniei i polisomnograficheskaia struktura sna. Psikhicheskoe zdorov'e. 2014; 2: 52–8. [in Russian]
37. Bulthuis Y, Vollenbrock-Hutten M, Hermens H et al. Psychological distress, disturbed sleep and physical activity during the night in chronic low-back pain patients. J Back Musculoskelet Rehabil 2004; 17: 69–76.
38. Harman K, Pivik RT, D’Eon JL et al. Sleep in depressed and nondepressed participants with chronic low back pain: electroencephalographic and behaviour findings. Sleep 2002; 25: 775–83.
39. Atkinson JH, Ancoli-Israel S, Slater MA et al. Subjective sleep disturbance in chronic back pain. Clin J Pain 1988; 4: 225–32.
40. Marin R, Cyhan T, Miklos W. Sleep disturbance in patients with chronic low back pain. Am J Phys Med Rehabil 2006; 85: 430–5.
2. Чигрина Н.В., Долгова И.Н. Некоторые особенности больных с хронической болью в спине. Рос. журн. боли. 2017; 1 (52): 41–2. / Chigrina N.V., Dolgova I.N. Nekotorye osobennosti bol'nykh s khronicheskoi bol'iu v spine. Ros. zhurn. boli. 2017; 1 (52): 41–2. [in Russian]
3. Ulger O, Demirel A, Oz M, Tamer S. The effect of manual therapy and exercise in patients with chronic low back pain: Double blind randomized controlled trial. J Back Musculoskelet Rehabil 2017; 30 (6): 1303–9.
4. Голубенко Е.О., Силина Е.В., Орлова А.С. Персонифицированный подход в лечении болевых синдромов. Современная наука: актуальные проблемы теории и практики (Естественные и технические науки). 2017; 7–8: 107–12. / Golubenko E.O., Silina E.V., Orlova A.S. Personifitsirovannyi podkhod v lechenii bolevykh sindromov. Sovremennaia nauka: aktual'nye problemy teorii i praktiki (Estestvennye i tekhnicheskie nauki). 2017; 7–8: 107–12. [in Russian]
5. Шевцова Г.Е., Медведева Л.А., Загорулько О.И. Нарушения сна у пациентов с хронической болью. Рос. журн. боли. 2017; 1 (52): 42–3. / Shevtsova G.E., Medvedeva L.A., Zagorul'ko O.I. Narusheniia sna u patsientov s khronicheskoi bol'iu. Ros. zhurn. boli. 2017; 1 (52): 42–3. [in Russian]
6. Kovacs FM, Seco J, Royuela A et al. The association between sleep quality, low back pain and disability: A prospective study in routine practice. Eur J Pain 2017. Aug 27. DOI: 10.1002/ejp.1095
7. Chung KF, Yeung WF, Ho FY et al. Cross-cultural and comparative epidemiology of insomnia: the Diagnostic and statistical manual (DSM), International classification of diseases (ICD) and International classification of sleep disorders (ICSD). Sleep Med 2015; 16 (4): 477–82.
8. Grønli J, Soulé J, Bramham CR. Sleep and protein synthesis-dependent synaptic plasticity: impacts of sleep loss and stress. Front Behav Neurosci 2014; 7: 224.
9. Iacovides S, George K, Kamerman P, Baker FC. Sleep Fragmentation Hypersensitizes Healthy Young Women to Deep and Superficial Experimental Pain. J Pain 2017; 18 (7): 844–54.
10. Tang NK, Sanborn AN. Better quality sleep promotes daytime physical activity in patients with chronic pain? A multilevel analysis of the within-person relationship. PLoS One 2014; 9 (3): e92158.
11. Tang NK, Wright KJ, Salkovskis PM. Prevalence and correlates of clinical insomnia co-occurring with chronic back pain. J Sleep Res 2007; 16: 85–95.
12. Hagen EM, Svensen E, Eriksen HR et al. Comorbid subjective health complaints in low back pain. Spine 2006; 31: 1491–5.
13. Sribastav SS, Peiheng H, Jun L et al. Interplay among pain intensity, sleep disturbance and emotion in patients with non-specific low back pain. Peer J 2017; 5: 3282.
14. Posada-Quintero HF, Bolkhovsky JB, Reljin N, Chon KH. Sleep Deprivation in Young and Healthy Subjects Is More Sensitively Identified by Higher Frequencies of Electrodermal Activity than by Skin Conductance Level Evaluated in the Time Domain. Front Physiol 2017; 8: 409.
15. Le Borgne M, Boudoukha AH, Petit A, Roquelaure Y. Chronic low back pain and the transdiagnostic process: How do cognitive and emotional dysregulations contribute to the intensity of risk factors and pain? Scand J Pain 2017. DOI: 10.1016/j.sjpain.2017.08.008
16. Cabo-Meseguer A, Cerdá-Olmedo G, Trillo-Mata JL. Fibromyalgia: Prevalence, epidemiologic profiles and economic costs. Med Clin (Barc) 2017; 149 (10): 441–8. DOI: 10.1016/j.medcli.2017.06.008
17. Cotrim T, Carvalhais J, Neto C et al. Determinants of sleepiness at work among railway control workers. Appl Ergon 2017; 58: 293–300.
18. Watling CN, Armstrong KA, Obst PL, Smith SS. Continuing to drive while sleepy: the influence of sleepiness countermeasures, motivation for driving sleepy, and risk perception. Accid Anal Prev 2014; 73: 262–8.
19. Dimsdale JE, Norman D, DeJardin D, Wallace MS. The effect of opioids on sleep architecture. J Clin Sleep Med 2007; 3 (1): 33–6.
20. Gerhart JI, Burns JW, Post KM et al. Relationships Between Sleep Quality and Pain-Related Factors for People with Chronic Low Back Pain: Tests of Reciprocal and Time of Day Effects. Ann Behav Med 2017; 51 (3): 365–75.
21. Yeung WK, Morgan K, Mckenna F. Comparison of sleep structure and psychometric profiles in patients with fibromyalgia, osteoarthritis and healthy controls. J Sleep Res 2017. Doi: 10.1111/jsr.12588
22. Alsaadi SM, McAuley JH, Hush JM et al. Detecting insomnia in patients with low back pain: accuracy of four self-report sleep measures. BMC Musculoskelet Disord 2013; 14: 196.
23. Alsaadi SM, McAuley JH, Hush JM et al. The bidirectional relationship between pain intensity and sleep disturbance/quality in patients with low back pain. Clin J Pain 2014; 30 (9): 755–65.
24. Sezgin M, Hasanefendioğlu EZ, Sungur MA et al. Sleep quality in patients with chronic low back pain: a cross-sectional study assesing its relations with pain, functional status and quality of life. J Back Musculoskelet Rehabil 2015; 28 (3): 433–41.
25. Auvinen JP, Tammelin TH, Taimela SP et al. Is insufficient quantity and quality of sleep a risk factor for neck, shoulder and low back pain? A longitudinal study among adolescents. Eur Spine J 2010; 19 (4): 641–9.
26. Румянцева С.А., Орлова А.С., Орлов В.А., Силин С.В. Ранняя диагностика и профилактика постинсультной депрессии. Современная мед. наука. 2011; 1: 104–15. / Rumiantseva S.A., Orlova A.S., Orlov V.A., Silin S.V. Ranniaia diagnostika i profilaktika postinsul'tnoi depressii. Sovremennaia med. nauka. 2011; 1: 104–15. [in Russian]
27. Wang HY, Fu TS, Hsu SC, Hung CI. Association of depression with sleep quality might be greater than that of pain intensity among outpatients with chronic low back pain. Neuropsychiatr Dis Treat 2016; 12: 1993–8.
28. Fernandes GL, Araujo P, Tufik S, Andersen ML. The role of IL-6 and STAT in sleep and neuroinflammation. Clin Immunol 2017; 180: 58–9.
29. Haack M, Sanchez E, Mullington JM. Elevated inflammatory markers in response to prolonged sleep restriction are associated with increased pain experience in healthy volunteers. Sleep 2007; 30: 1145–52.
30. Heffner KL, France CR, Trost Z et al. Chronic low back pain, sleep disturbance, and interleukin-6. Clin J Pain 2011; 27: 35–41.
31. Tang NK, Goodchild CE, Sanborn AN et al. Deciphering the temporal link between pain and sleep in a heterogeneous chronic pain patient sample: a multilevel daily process study. Sleep 2012; 35: 675–87.
32. Marty M, Rozenberg S, Duplan B et al. Quality of sleep in patients with chronic low back pain: a case-control study. Eur Spine J 2008; 17: 839–44.
33. Raak R, Wahren LK. Health experiences and employment status in subjects with chronic back pain: a long-term perspective. Pain Manag Nurs 2006; 7: 64–70.
34. Salkovskis PM. Obsessive-compulsive disorder is uncommon but associated with high levels of comorbid neuroses, impaired function and increased suicidal acts in people in the UK. Evid Based Ment Health 2007; 10 (3): 93.
35. Hashizaki M, Kume K. Medical questionnaire, sleep diary, actigraphy. Nihon Rinsho 2015; 73 (6): 965–70.
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36. Rasskazova E.I., Zavalko I.M., Kovrov G.V. i dr. Povedencheskie reaktsii bol'nykh insomniei i polisomnograficheskaia struktura sna. Psikhicheskoe zdorov'e. 2014; 2: 52–8. [in Russian]
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38. Harman K, Pivik RT, D’Eon JL et al. Sleep in depressed and nondepressed participants with chronic low back pain: electroencephalographic and behaviour findings. Sleep 2002; 25: 775–83.
39. Atkinson JH, Ancoli-Israel S, Slater MA et al. Subjective sleep disturbance in chronic back pain. Clin J Pain 1988; 4: 225–32.
40. Marin R, Cyhan T, Miklos W. Sleep disturbance in patients with chronic low back pain. Am J Phys Med Rehabil 2006; 85: 430–5.
Авторы
А.М.Ткачев*1,2, Е.С.Акарачкова3,4, А.В.Смирнова1, А.В.Илюшин1, Д.С.Арчаков2
1 Медицинский институт им. Березина Сергея. 191036, Россия, Санкт-Петербург, ул. 6-я Советская, д. 24–26;
2 Медицинский центр «ТММ-Клиник». 400120, Россия, Волгоград, ул. Новоузенская, д. 4А, оф. 1017;
3 Международное общество «Стресс под контролем». 115573, Россия, Москва, ул. Мусы Джалиля, д. 40;
4 ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М.Сеченова» Минздрава России. 119991, Россия, Москва, ул. Трубецкая, д. 8, стр. 2
*tkachevclinic@gmail.com
1 Dr. Berezin Medical Institute. 191036, Russian Federation, Saint Petersburg, ul. 6 Sovetskaya, d. 24–26;
2 Medical Сenter “TMM-Clinic”. 400120, Russian Federation, Volgograd, ul. Novouzenskaya, d. 4A, of. 1017;
3 International Society “Stress under control”. 115573, Russian Federation, ul. Musy Dzhalilya, d. 40;
4 I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation. 119991, Russian Federation, Moscow, ul. Trubetskaia, d. 8, str. 2
*tkachevclinic@gmail.com
1 Медицинский институт им. Березина Сергея. 191036, Россия, Санкт-Петербург, ул. 6-я Советская, д. 24–26;
2 Медицинский центр «ТММ-Клиник». 400120, Россия, Волгоград, ул. Новоузенская, д. 4А, оф. 1017;
3 Международное общество «Стресс под контролем». 115573, Россия, Москва, ул. Мусы Джалиля, д. 40;
4 ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М.Сеченова» Минздрава России. 119991, Россия, Москва, ул. Трубецкая, д. 8, стр. 2
*tkachevclinic@gmail.com
________________________________________________
1 Dr. Berezin Medical Institute. 191036, Russian Federation, Saint Petersburg, ul. 6 Sovetskaya, d. 24–26;
2 Medical Сenter “TMM-Clinic”. 400120, Russian Federation, Volgograd, ul. Novouzenskaya, d. 4A, of. 1017;
3 International Society “Stress under control”. 115573, Russian Federation, ul. Musy Dzhalilya, d. 40;
4 I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation. 119991, Russian Federation, Moscow, ul. Trubetskaia, d. 8, str. 2
*tkachevclinic@gmail.com
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