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Characterization of Long Covid Pain in Primary Care

Recruiting
Conditions
Musculoskeletal Pain
Long COVID
Chronic Pain
Interventions
Behavioral: 0
Registration Number
NCT05894642
Lead Sponsor
University of Valladolid
Brief Summary

Justification: among the sequelae of Covid-19 in clinical practice we frequently find persistent neuromusculoskeletal pain. Prevalence data and the underlying mechanisms of such pain are very limited in the scientific literature. Therefore, with this research we will try to answer these questions.

Main objective: to determine and characterize persistent musculoskeletal pain in Covid-19 patients.

Method: two phases. First, a descriptive cross-sectional study will be carried out to estimate the prevalence of Long Covid Pain (LCP). Second phase, a case-control study will be carried out using the sample obtained in the first phase as the population. The sample will be divided into two groups: post-Covid-19 patients with LCP and post-Covid-19 patients without persistent pain (control group). The two groups will be matched according to sex, age and level of severity of the pathology.

An assessment and comparison between groups will be made of the following variables: central sensitization, healthy physical condition and blood test values, which will be evaluated by means of physical examination, questionnaires and laboratory tests.

Applicability of the results: this is a pioneering project at the national level, which would determine more reliably the prevalence of LCP in postcovid and could be a first step in the search for the best therapeutic strategies for these patients. This would help to improve the quality of life of these patients and to better manage the social and healthcare resources used in their treatment.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
300
Inclusion Criteria
  • Patients who have had Covid-19, with a confirmatory PCR+ test or positive antigen test and recorded in their primary care medical record.
  • Subjects between 18-70 years old.
  • Musculoskeletal pain of more than 12 weeks of evolution since the beginning of the infection.
  • Agree to participate in the study and sign the informed consent form.
Exclusion Criteria
  • History of chronic musculoskeletal pain of more than 12 weeks of evolution prior to Covid-19.
  • History of diagnosed major depression.
  • Having a diagnosis of fibromyalgia prior to Covid-19 infection.
  • Pregnancy.
  • Pain of oncologic origin.
  • Fracture or surgical intervention on the spine in the last year.
  • Bladder or bowel incontinence.
  • Saddle anesthesia.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Long Covid Pain Patients0-
Primary Outcome Measures
NameTimeMethod
Quality of life (QoL)1 day

EQ-5D questionnaire (Qualitave of Life 5 Dimension): The EQ-5D-3L is a brief multi-attribute health status measure composed of five questions with Likert response options (descriptive system) and a visual analogue scale (EQ-VAS). The descriptive system covers five dimensions of health (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) with three levels of severity in each dimension (no problems, some problems, and extreme problems).

Secondary Outcome Measures
NameTimeMethod
Areas of pain1 day

body chart, McGill questionnaire

Handgrip Strength assessment1 day

With a manual dynamometer.

Pain Intensity1 day

Visual Analog Scale, VAS (0-100mm).

Quantitative sensory tests1 day

temporal summation, pain detection to pressure and conditioned modulation test

Trial Locations

Locations (1)

Universidad de Valladolid

🇪🇸

Valladolid, Spain

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