MATLAB® Utility for Small Invasive Procedure to Confirm Objectively the New Disease – Chronic Pain

Skorupska, Elżbieta; Dybek, Tomasz; Jokiel, Marta; Rychlik, Michał; Dobrakowski, Paweł; Szyszka, Jarosław; Zmarzły, D.

doi:10.1007/978-3-030-72254-8_2

Cited by 2 publications

(3 citation statements)

References 20 publications

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“…The use of MATLAB software makes thermography more objective and reliable and allows the processing of big data [30]. The automated quantitative analysis used to analyze the thermograms recorded during the SP test renders the procedure results faster and provides lots of additional information concerning the AURP phenomenon and temperature changes that depend on the time of the procedure and the clinical state of the patient.…”

Section: Discussionmentioning

confidence: 99%

MATLAB Analysis of SP Test Results—An Unusual Parasympathetic Nervous System Activity in Low Back Leg Pain: A Case Report

et al. 2022

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The Skorupska Protocol (SP) test is a new validated tool used to confirm nociplastic pain related to muscles based on a pathological autonomic nervous system (ANS) activity due to muscle nociceptive noxious stimulation analyzed automatically. Two types of amplified vasomotor response are defined as possible: vasodilatation and vasoconstriction. Until now, amplified vasodilatation among low back leg pain and/or sciatica subjects in response to the SP test was confirmed. This case report presents an unusual vasomotor response to the SP test within the pain zone of a sciatica-like case. Conducted twice, the SP test confirmed amplified vasoconstriction within the daily complaint due to noxiously stimulated muscle-referred pain for the first time. Additionally, a new type of the SP test analysis using MATLAB was presented. The SP test supported by MATLAB seems to be an interesting solution to confirm nociplastic pain related to muscles based on the pathological autonomic reactivity within the lower leg back pain zone. Further studies using the SP test supported by MATLAB are necessary to compare the SP test results with the clinical state and other types of nociplastic pain examination.

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Section: Discussionmentioning

confidence: 99%

MATLAB Analysis of SP Test Results—An Unusual Parasympathetic Nervous System Activity in Low Back Leg Pain: A Case Report

et al. 2022

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“…In addition to that, in 2021, the IASP released clinical criteria for NcplP [ 10 ]. Other recently proposed methods of assessing NcplP are the Skorupska Protocol (SP) [ 4 , 58 ] and Nociplastic-based Fibromyalgia Features (NFF) [ 59 ]. The NFF criteria are focused on NcplP attributes and were reported to be helpful in the diagnosis of fibromyalgia [ 60 ].…”

Section: Diagnosismentioning

confidence: 99%

“…Currently, NcplP is defined as “pain that arises from altered nociception despite no clear evidence of actual or threatened tissue damage that causes peripheral nociceptors activation or evidence of disease or lesion of the somatosensory system causing the pain” [ 1 ]. Due to the novelty of this concept, it is difficult to define this phenomenon, creating a diagnostic problem for physicians [ 3 , 4 , 5 , 6 ]. Researchers are constantly debating the nature of NcplP but have not reached any agreement yet [ 2 , 7 , 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

What Do We Know about Nociplastic Pain?

et al. 2023

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Nociplastic pain is a recently distinguished type of pain, distinct from neuropathic and nociceptive pain, and is well described in the literature. It is often mistaken for central sensitization. Pathophysiology has not been clearly established with regard to alteration of the concentration of spinal fluid elements, the structure of the white and gray matter of the brain, and psychological aspects. Many different diagnostic tools, i.e., the painDETECT and Douleur Neuropathique 4 questionnaires, have been developed to diagnose neuropathic pain, but they can also be applied for nociplastic pain; however, more standardized instruments are still needed in order to assess its occurrence and clinical presentation. Numerous studies have shown that nociplastic pain is present in many different diseases such as fibromyalgia, complex regional pain syndrome type 1, and irritable bowel syndrome. Current pharmacological and nonpharmacological treatments for nociceptive and neuropathic pain are not entirely suitable for treating nociplastic pain. There is an ongoing effort to establish the most efficient way to manage it. The significance of this field has led to several clinical trials being carried out in a short time. The aim of this narrative review was to discuss the currently available evidence on pathophysiology, associated diseases, treatment possibilities, and clinical trials. It is important that physicians widely discuss and acknowledge this relatively new concept in order to provide optimized pain control for patients.

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MATLAB® Utility for Small Invasive Procedure to Confirm Objectively the New Disease – Chronic Pain

Cited by 2 publications

References 20 publications

MATLAB Analysis of SP Test Results—An Unusual Parasympathetic Nervous System Activity in Low Back Leg Pain: A Case Report

MATLAB Analysis of SP Test Results—An Unusual Parasympathetic Nervous System Activity in Low Back Leg Pain: A Case Report

What Do We Know about Nociplastic Pain?

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