Assessment and correlation between subjective and physiological variables of
            chronic spinal pain

Moura, Caroline de Castro; Iunes, Denise Hollanda; Agostinho, Aline Aparecida Machado; Santos, Nara dos; Silva, Andréia Maria; Chaves, Eliane Corrêa

doi:10.5935/1806-0013.20170102

Cited by 8 publications

(10 citation statements)

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“…Lindgren et al [33] found an association between shoulder pain perception, assessed by a visual analogue scale, and upper extremity sensorimotor function, assessed by passive mobilizations or light touch, demonstrating the correlation between the results of a pain self-reported measure and objective assessments in post-stroke patients. Another earlier work [18] showed correlations between PPTs and NPRS scores in people with neck pain, and an inversely proportionate relation between PPTs and disability was also found in patients with chronic spinal pain by Moura et al [34]. Fernández de las Peñas et al [20] also discovered a correlation between pain intensity and bilateral PPTs in patients with carpal tunnel syndrome.…”

Section: Discussionmentioning

confidence: 86%

Association between Physiological and Subjective Aspects of Pain and Disability in Post-Stroke Patients with Shoulder Pain: A Cross-Sectional Study

Martín-Martín

Membrilla-Mesa

Lozano‐Lozano

et al. 2019

JCM

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Background: Patients often experience pain as a result of a stroke. However, the mechanism of this pain remains uncertain. Our aim was to investigate the relationship between pressure pain thresholds (PPTs) and disability pain in patients with hemiplegic shoulder pain (HSP). Methods: Twenty-six post-stroke patients (age 53.35 ± 13.09 years) and healthy controls (54.35 ± 12.37 years) participated. We investigated spontaneous shoulder pain, disability pain perception through the shoulder pain and disability index (SPADI), and the PPTs over joint C5–C6, upper trapezius, deltoid, epicondyle, second metacarpal, and tibialis anterior, bilaterally. Results: The analysis of variance (ANOVA) showed significant differences in pain between groups (p < 0.001) and differences in the SPADI (p < 0.001) between groups but not between sides for PPTs over deltoid (group: p = 0.007; side: p = 0.750), epicondyle (group: p = 0.001; side: p = 0.848), and tibialis anterior (group: p < 0.001; side: p = 0.932). Pain in the affected arm was negatively associated with PPTs over the affected epicondyle (p = 0.003) and affected tibialis anterior (p = 0.009). Pain (SPADI) appeared negatively correlated with PPTs over the affected epicondyle (p = 0.047), and disability (SPADI) was negatively associated with PPTs over the affected tibialis anterior (p = 0.041). Conclusions: Post-stroke patients showed a relationship between widespread pressure pain hypersensitivity with lower PPT levels and pain disability perception, suggesting a central sensitization mediated by bilateral and symmetric pain patterns.

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Section: Discussionmentioning

confidence: 86%

Association between Physiological and Subjective Aspects of Pain and Disability in Post-Stroke Patients with Shoulder Pain: A Cross-Sectional Study

Martín-Martín

Membrilla-Mesa

Lozano‐Lozano

et al. 2019

JCM

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“…Chronic pain in the spinal column is incapacitating, principally when in the lumbar region 23 . Studies 19 , 24 have demonstrated that the level of disability varies proportionally to the intensity and to the pain threshold, and causes limitations in daily activities (such as difficulties in dressing, sitting, standing up, walking and lifting objects), changes in sleep and constant worry, as well as absenteeism from work 25 . It is, therefore, necessary to identify interventions capable of reducing the disability of people with chronic pain in the spinal column.…”

Section: Discussionmentioning

confidence: 99%

“…In order to take the thermographic photograph 18 , the volunteers remained at rest for 15 minutes and for the capturing of the image, remained in an orthostatic position, with the region of their backs uncovered and with the arms crossed in front of the chest. Double-sided polystyrene markers were attached against the following previously standardized points to assist in the assessment of the images 19 : cervical region (mastoid process, bilaterally; at the level of C7, bilaterally); thoracic region (acromion, bilaterally; free extremity of the 12 th rib, bilaterally); and lumbar region (free extremity of the 12 th rib, bilaterally; iliac spine, bilaterally). The thermographic images were analyzed using the FLIR Tools software, version 5.2.15161.1001.…”

Section: Methodsmentioning

confidence: 99%

Action of ear acupuncture in people with chronic pain in the spinal column: a randomized clinical trial

Moura

Iunes

Ruginsk

et al. 2018

Rev. Latino-Am. Enfermagem

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Objectives:to assess the action of ear acupuncture on disability and tissue temperature in people with chronic pain in the spinal column. Method:a clinical trial with a sample of 110 people, randomized into three groups: Treatment, Placebo and Control. The assessment instruments were the Rolland Morris Disability Questionnaire (RMDQ) and a thermographic camera, administered before the first treatment session, one week after and 15 days after (follow-up) the fifth session of ear acupuncture. In the analysis of the data, the Kruskal Wallis, Student-Newman Keuls and Wilcoxon tests were applied. Results:there was a significant reduction in disability in the Treatment and Placebo groups between the initial and final assessments (p<0.05) and between the initial assessments and follow-up (p<0.05). In the final assessment, the Treatment group presented improvement of disability when compared with the Placebo and Control groups (p<0.05). There was an increase in mean tissue temperature of the dorsal region between the initial and follow-up assessments in Treatment and Control groups (p<0.05), and between the final assessments and follow-up in the Treatment and Placebo groups (p<0.05). Conclusion:ear acupuncture was efficacious in reducing disability and increasing tissue temperature in people with chronic pain in the spinal column. Brazilian Register of Clinical Trials ().

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“…This is considered a complex and heterogeneous medical condition, as it presents a variety of symptoms and impacts on people's daily lives (36) . It can favor physical and functional incapacity, which are responsible for causing a compromise in the development of daily activities, as well as impairing the quality of sleep (37) .…”

Section: Participants and Duration Auricular Points Intervention And mentioning

confidence: 99%

Auriculotherapy and reducing chronic musculoskeletal pain: integrative review

et al. 2020

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Objectives: to describe the scientific evidence on the use of auriculotherapy to reduce chronic musculoskeletal pain in adults and the elderly. Methods: integrative literature review conducted in the Latin American and Caribbean Health Sciences, SciVerse Scopus and MEDLINE databases (via National Library of Medicine), in March 2019, with no time frame. Results: 14 original scientific articles were analyzed, 64.3% of which were classified with level of evidence 2. All productions show the benefit of auriculotherapy in reducing chronic musculoskeletal pain, especially in the lumbar spine (42.9%). The treatment was developed in one or more sessions, using semi-permanent needles (42.9%) and electro-auriculotherapy (21.4%). Conclusions: auriculotherapy was effective in reducing chronic musculoskeletal pain, showing itself as an alternative to be used for the promotion and recovery of individuals' health.

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Assessment and correlation between subjective and physiological variables of chronic spinal pain

Cited by 8 publications

References 0 publications

Association between Physiological and Subjective Aspects of Pain and Disability in Post-Stroke Patients with Shoulder Pain: A Cross-Sectional Study

Association between Physiological and Subjective Aspects of Pain and Disability in Post-Stroke Patients with Shoulder Pain: A Cross-Sectional Study

Action of ear acupuncture in people with chronic pain in the spinal column: a randomized clinical trial

Auriculotherapy and reducing chronic musculoskeletal pain: integrative review

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