Clinical ratings of pain sensitivity correlate with quantitative measures in people with chronic neck pain and healthy controls

Physiotherapy ◽  
2015 ◽  
Vol 101 ◽  
pp. e1265-e1266
Author(s):  
T. Rebbeck ◽  
N. Moloney ◽  
R. Azoory ◽  
M. Huebscher ◽  
R. Waller ◽  
...  
Keyword(s):  
Neck Pain ◽  
Pain Sensitivity ◽  
Chronic Neck Pain ◽  
Healthy Controls

scholarly journals Individuals With Chronic Neck Pain Have Lower Neck Strength Than Healthy Controls: A Systematic Review With Meta-Analysis

2019 ◽  
Vol 42 (8) ◽  
pp. 608-622
Author(s):  
Iã Ferreira Miranda ◽  
Edgar Santiago Wagner Neto ◽  
William Dhein ◽  
Guilherme A. Brodt ◽  
Jefferson F. Loss
Keyword(s):  
Systematic Review ◽  
Neck Pain ◽  
Meta Analysis ◽  
Chronic Neck Pain ◽  
Healthy Controls ◽  
Neck Strength ◽  
Lower Neck

scholarly journals Adaptations in Evoked Pain Sensitivity and Conditioned Pain Modulation after Development of Chronic Neck Pain

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Bahar Shahidi ◽  
Katrina S. Maluf
Keyword(s):  
Neck Pain ◽  
Pain Sensitivity ◽  
Time Course ◽  
Secondary Analysis ◽  
Chronic Neck Pain ◽  
Pain Modulation ◽  
Conditioned Pain Modulation ◽  
Healthy Individuals ◽  
Cold Pain

Numerous studies demonstrate elevated pain sensitivity and impaired conditioned pain modulation (CPM) in patients with chronic musculoskeletal pain compared to healthy individuals; however, the time course of changes in pain sensitivity and CPM after the development of a chronic pain condition is unclear. Secondary analysis of data from a prospective investigation examined changes in evoked pain sensitivity and CPM before and after development of chronic neck pain (CNP). 171 healthy office workers participated in a baseline assessment, followed by monthly online questionnaires to identify those who developed CNP over the subsequent year. These individuals (N=17) and a cohort of participants (N=10) who remained pain-free during the follow-up period returned for a 12-month follow-up assessment of mechanical and thermal pain sensitivity and CPM. Pain sensitivity measures did not differ between groups at baseline; however, cold pain threshold decreased in the CNP group at follow-up (p<0.05). CPM was lower at baseline in the CNP group compared to those who reported no neck pain (p<0.02) and remained unchanged one year later. These findings indicate that CPM is reduced in healthy individuals prior to the development of chronic neck pain and the subsequent reduction of thresholds for cold but not pressure pain.

Do measures of pain sensitivity predict pain and disability at 1-year follow up in people with chronic neck pain?

2016 ◽  
Vol 25 ◽  
pp. e39-e40 ◽  
Author(s):  
N. Moloney ◽  
T. Rebeck ◽  
R. Azoory ◽  
M. Huebscher ◽  
R. Waller ◽  
...  
Keyword(s):  
Neck Pain ◽  
Pain Sensitivity ◽  
Chronic Neck Pain

Are measures of pain sensitivity associated with pain and disability at 12‐month follow up in chronic neck pain?

2018 ◽  
Vol 16 (4) ◽  
pp. 415-424 ◽  
Author(s):  
Niamh Moloney ◽  
Darren Beales ◽  
Roxanne Azoory ◽  
Markus Hübscher ◽  
Robert Waller ◽  
...  
Keyword(s):  
Neck Pain ◽  
Pain Sensitivity ◽  
Chronic Neck Pain

scholarly journals Altered Pain Sensitivity in Elderly Women with Chronic Neck Pain

PLoS ONE ◽  
2015 ◽  
Vol 10 (6) ◽  
pp. e0128946 ◽  
Author(s):  
Sureeporn Uthaikhup ◽  
Romchat Prasert ◽  
Aatit Paungmali ◽  
Kritsana Boontha
Keyword(s):  
Neck Pain ◽  
Pain Sensitivity ◽  
Elderly Women ◽  
Chronic Neck Pain

scholarly journals Clinical Ratings of Pain Sensitivity Correlate With Quantitative Measures in People With Chronic Neck Pain and Healthy Controls: Cross-Sectional Study

2015 ◽  
Vol 95 (11) ◽  
pp. 1536-1546 ◽  
Author(s):  
Trudy Rebbeck ◽  
Niamh Moloney ◽  
Roxanne Azoory ◽  
Markus Hübscher ◽  
Robert Waller ◽  
...  
Keyword(s):  
Neck Pain ◽  
Pain Sensitivity ◽  
Chronic Neck Pain ◽  
Cross Sectional Study ◽  
Control Groups ◽  
Cross Sectional ◽  
Pressure Pain ◽  
Clinical Correlate ◽  
Pain Test ◽  
And Control

Background Correlations between clinical and quantitative measures of pain sensitivity are poor, making it difficult for clinicians to detect people with pain sensitivity. Clinical detection of pain sensitivity is important because these people have a different prognosis and may require different treatment. Objective The purpose of this study was to investigate the relationship between clinical and quantitative measures of pain sensitivity across individuals with and without neck pain. Methods This cross-sectional study included 40 participants with chronic neck pain and 40 age- and sex-matched controls. Participants underwent quantitative sensory testing of cold pain thresholds (CPTs) and pressure pain thresholds (PPTs). Clinical tests for pain sensitivity were the ice pain test and the pressure pain test. All tests were undertaken at standardized local (neck and upper trapezius muscles) and remote (wrist and tibialis anterior muscles) sites. Median and interquartile range (IQR) were calculated for neck pain and control groups, and parametric and nonparametric tests were used to compare groups. Correlation coefficients were calculated between quantitative and clinical measures. Results There were significant differences for clinical and quantitative measures of cold and pressure sensitivity between the neck pain and control groups (eg, CPT neck pain group: median=22.31°C, IQR=18.58°C; control group: median=5.0°C, IQR=0.74°C). Moderate-to-good correlations were found between the clinical ice pain test and CPT at all sites (.46 to .68) except at the wrist (.29 to .40). Fair correlations were found for the clinical pressure pain test and PPT (−.26 to −.45). Psychological variables contributing to quantitative measures of pain sensitivity included catastrophization, sleep quality, and female sex. Limitations Clinical pressure pain tests were not quantitatively standardized in this study. Conclusions The ice pain test may be useful as a clinical correlate of CPT at all sites except the wrist, whereas the pressure pain test is less convincing as a clinical correlate of PPT.

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