Thermal and Pressure Pain Sensitivity in Patients with Unilateral Shoulder Pain: Comparison of Involved and Uninvolved Sides

Coronado, Rogelio A.; Kindler, Lindsay L.; Valencia, Carolina; George, Steven Z.

doi:10.2519/jospt.2011.3416

Cited by 37 publications

(57 citation statements)

References 54 publications

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“…Some authors suggest changes in central (Hidalgo-Lozano et al, 2010;Paul et al, 2012) and peripheral (Alburquerque-Sendín et al, 2013) nervous systems in individuals with unilateral SAPS. These previous studies observed hyperalgesic responses to different stimuli i.e., pressure and thermal, at different anatomic regions in individuals with unilateral shoulder pain compared to matched healthy controls (Alburquerque-Sendín et al, 2013;Coronado et al, 2011Coronado et al, , 2014Hidalgo-Lozano et al, 2010;Paul et al, 2012;Sanchis et al, 2015). Our results do not support the presence of these hyperalgesic responses to mechanical stimuli in patients with clinical diagnosis of SAPS.…”

Section: Discussioncontrasting

confidence: 79%

“…The presence of central and peripheral sensitization mechanisms as responsible for the changes of mechanical pain sensitivity observed in unilateral shoulder pain has been previously reported (Coronado et al, 2011(Coronado et al, , 2014. Some authors suggest changes in central (Hidalgo-Lozano et al, 2010;Paul et al, 2012) and peripheral (Alburquerque-Sendín et al, 2013) nervous systems in individuals with unilateral SAPS.…”

Section: Discussionmentioning

confidence: 86%

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Topographical pressure pain sensitivity maps of the shoulder region in individuals with subacromial pain syndrome

et al. 2016

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Section: Discussioncontrasting

confidence: 79%

Section: Discussionmentioning

confidence: 86%

Topographical pressure pain sensitivity maps of the shoulder region in individuals with subacromial pain syndrome

et al. 2016

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“…PPT results were compared using a 2 Â 2 mixed model ANCOVA, with gender used as a covariate, as the magnitude of PPT has been shown to vary by gender (Chesterton et al, 2003;Binderup et al, 2010;Coronado et al, 2011;Martinez-Segura et al, 2012). NPRS results were compared using a 2 Â 3 mixedmodel ANOVA using the factors of treatment group (thoracic SMT and sham thoracic SMT) and time (pre-treatment, post-treatment, and 24e48 h follow-up).…”

Section: Discussionmentioning

confidence: 99%

Immediate changes in pressure pain sensitivity after thoracic spinal manipulative therapy in patients with subacromial impingement syndrome: A randomized controlled study

et al. 2015

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“…41 PPT can be reliably measured using a handheld digital algometer in a clinical setting 4,20,35 and appears to be more reliable than a self-reported pain score using a visual analogue scale. 21 Variables that may influence PPT include sex, 1,6,10 age, 14 and sleep quality. 5,25 Age and sex also appear to influence the likelihood of successful recovery from whiplash.…”

Section: Pressure Pain Threshold Testing Demonstrates Predictive Abilmentioning

confidence: 99%

Pressure Pain Threshold Testing Demonstrates Predictive Ability in People With Acute Whiplash

Walton¹,

MacDermid²,

Nielson³

et al. 2011

J Orthop Sports Phys Ther

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Estimation of prognosis after acute trauma is an important concern for clinicians and rehabilitation funders. It has recently been estimated that approximately 50% of people with acute whiplash-associated disorder (WAD) will experience persistent disability, representing a significant direct and indirect cost on the individual and the community.2 The optimal clinical approach to treat acute T T STUDY DESIGN: Longitudinal cohort study. T T OBJECTIVES:To determine whether pressure pain threshold (PPT), tested at 2 standardized sites, could provide additional prognostic ability to predict short-term outcomes in people with acute whiplash, after controlling for age, sex, and baseline pain intensity. T T BACKGROUND:PPT may be a valuable assessment and prognostic indicator for people with whiplash-associated disorder. The extent to which PPT can predict short-term disability scores has yet to be explored in people with acute (of less than 30 days in duration) whiplash-associated disorder in a clinical setting. T T METHODS:Eligible patients were recruited from community-based physiotherapy clinics in Canada. Baseline measurements included PPT, as well as pain intensity, age, and sex. Neck-related disability was collected with the Neck Disability Index 1 to 3 months after PPT testing. Multiple linear regression models were constructed to evaluate the unique contribution of PPT in the prediction of follow-up disability scores. T T RESULTS:A total of 45 subjects provided complete data. A regression model that included sex, baseline pain intensity, and PPT at the distal tibialis anterior site was the most parsimonious model for predicting short-term Neck Disability Index scores 1 to 3 months after PPT testing, explaining 38.6% of the variance in outcome. None of the other variables significantly improved the predictive power of the model. T T CONCLUSION:Sex, pain intensity, and PPT measured at a site distal to the injury were the most parsimonious set of predictors of short-term neckrelated disability score, and represented promising additions to assessment of traumatic neck pain. Neither age nor PPT at the local site was able to explain significant variance beyond those 3 predictors. Limitations to interpretation are addressed.

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Thermal and Pressure Pain Sensitivity in Patients with Unilateral Shoulder Pain: Comparison of Involved and Uninvolved Sides

Cited by 37 publications

References 54 publications

Topographical pressure pain sensitivity maps of the shoulder region in individuals with subacromial pain syndrome

Topographical pressure pain sensitivity maps of the shoulder region in individuals with subacromial pain syndrome

Immediate changes in pressure pain sensitivity after thoracic spinal manipulative therapy in patients with subacromial impingement syndrome: A randomized controlled study

Pressure Pain Threshold Testing Demonstrates Predictive Ability in People With Acute Whiplash

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