Central Pain Processing in Patients with Shoulder Pain: A Review of the Literature

Noten, Suzie; Struyf, Filip; Lluch, Enrique; D'Hoore, Marika; Looveren, Eveline Van; Meeus, Mira

doi:10.1111/papr.12502

Cited by 80 publications

(67 citation statements)

References 51 publications

(225 reference statements)

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“…Also, there is an imbalance observed between the inhibitory and facilitatory pathways, which in turn implies that central sensitization involves alteration in the sensory processing of the brain (Staud et al , 2007 ). Negative pain perception hinders the healing process and leads to cognitive behavioral changes in the individual (Noten et al ., 2017 ). The psychological and social factors play a mediating role between impairments and perceived disability by an individual (Lindenhovius, Buijze, Kloen, & Ring, 2008 ).…”

Section: Discussionmentioning

confidence: 99%

Psychosocial factors, disability and quality of life in chronic shoulder pain patients with central sensitization

2020

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Chronic shoulder pain is a complex and multidimensional phenomenon with multiple causative factors involved in its perpetuation. Alteration of central nervous system processing along with the central sensitization is a predominant feature in chronic pain. Reduction in physical function has an impact on the psychological well-being of an individual. The aim of the study was to compare pain, kinesiophobia, catastrophizing, disability and quality of life in chronic shoulder pain patients with and without central sensitization. Eighty chronic unilateral shoulder pain patients in the age group of 40 to 60 years were recruited. Of them, 38 were chronic shoulder pain with central sensitization and 42 without central sensitization, classified on the basis of central sensitization inventory. Pain catastrophizing was measured using the pain catastrophizing scale, kinesiophobia using Tampa scale of kinesiophobia, disability using Shoulder pain and disability index and quality of life using 36-Item Short Form Health Survey questionnaire was evaluated in both the groups. Increased pain catastrophizing (p=0.000), kinesiophobia (p=0.000) and disability (p=0.000) was observed in centrally sensitized chronic shoulder pain patients. Also, physical component summary (p=0.000) and mental component summary (p=0.000) of SF-36 quality of life were reduced in chronic shoulder pain with central sensitization as compared to without central sensitization. Hence, these components should be included during assessment which will provide a holistic and multimodal approach towards the understanding, planning and management of chronic shoulder pain patients.

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Section: Discussionmentioning

confidence: 99%

Psychosocial factors, disability and quality of life in chronic shoulder pain patients with central sensitization

2020

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“…Temporal summation of pain (TSP) and conditioned pain modulation (CPM) have been used to assess central pain gain and impaired pain inhibition in musculoskeletal pain conditions 10 . Enhanced TSP and/or impaired CPM have been shown in chronic pain conditions, such as osteoarthritis 11,12 , fibromyalgia 13 , whiplash-associated disorders 14 , shoulder pain 15 , and in computer users with high NSP intensity 8 . There is promising evidence suggesting that measures of central pain modulation may be prognostic factors to predict the outcome after e.g.…”

Section: Introductionmentioning

confidence: 99%

Clinical Outcomes and Central Pain Mechanisms are Improved After Upper Trapezius Eccentric Training in Female Computer Users With Chronic Neck/Shoulder Pain

Heredia-Rizo

Petersen²,

Madeleine³

et al. 2019

The Clinical Journal of Pain

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“…Some autors have suggested an involvement of central pain mechanisms secondary to continuous nociception characteristic of the early stages of FS [6]. Two systematic reviews showed preliminary evidence that central pain mechanisms may contribute to shoulder pain of different etiologies [7,8], but other studies questioned those ndings [9]. Importantly, these reviews did not included people with FS, so the role of the central nervous system (CNS) in FS remains speculative.…”

Section: Introductionmentioning

confidence: 99%

A Central Nervous System Focused Treatment Program for People with Frozen Shoulder: A Feasibility Study.

Horno

Dueñas

Lluch

et al. 2020

Preprint

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Background: Frozen shoulder (FS) is a highly disabling pathology of poorly understood etiology, which is characterized by the presence of intense pain and progressive loss of range of motion (ROM). The aim of this study was to evaluate the feasibility and clinical impact of a CNS-focused treatment program for people with frozen shoulder (FS).Methods: 10 subjects with primary FS received a 10 weeks CNS-focused intervention including sensory discrimination training and graded motor imagery techniques delivered as clinic sessions (60 minutes) and home therapy (30 minutes five times per week). Measurements were taken at baseline, after a 2-weeks washout period, after treatment and at three months follow-up. The Shoulder Pain and Disability Index (SPADI) was the primary outcome. Secondary measures were: feasibility-related outcomes, self-reported shoulder pain, active and passive range of motion, two-point discrimination threshold (TPDT), left/right judgement task (LRJT), fear-avoidance (Tampa Scale for Kinesiophobia), pain catastrophization (Pain Catastrophizing Scale) and pain sensitization (Central Sensitization Inventory).Results: 70% of participants completed the treatment. No significant changes were found after washout period except for TPDT (p=0.02) and SPADI (p=0.025). Improvements in self-reported shoulder pain (p=0.028) and active shoulder flexion (p=0.016) were shown after treatment (p=0.028) and follow-up (p=0.001) and in SPADI at follow-up (p=0.008). No significant changes were observed in TPDT, LRJT, fear-avoidance, pain catastrophization and pain sensitization. Conclusions: a CNS-focused treatment program might be a suitable approach to improve pain and disability in FS but further research is needed to draw firm conclusions.Trial registration: Clinical Trials. NCT03320200. Registered 25 October 25 2017, https://clinicaltrials.gov/ct2/show/NCT03320200?term=NCT03320200&draw=2&rank=1

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Central Pain Processing in Patients with Shoulder Pain: A Review of the Literature

Cited by 80 publications

References 51 publications

Psychosocial factors, disability and quality of life in chronic shoulder pain patients with central sensitization

Psychosocial factors, disability and quality of life in chronic shoulder pain patients with central sensitization

Clinical Outcomes and Central Pain Mechanisms are Improved After Upper Trapezius Eccentric Training in Female Computer Users With Chronic Neck/Shoulder Pain

A Central Nervous System Focused Treatment Program for People with Frozen Shoulder: A Feasibility Study.

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