Cardiovascular and muscle activity during chewing in whiplash-associated disorders (WAD)

Kalezic, Nebojsa; Noborisaka, Yuka; Nakata, Minori; Crenshaw, Albert G.; Karlsson, Stig; Lyskov, Eugene; Eriksson, Per

doi:10.1016/j.archoralbio.2010.03.015

Cited by 21 publications

(22 citation statements)

References 19 publications

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“…These results for HRV measurements in chronic WAD are in line with the findings of Kalezic et al; namely, no differences in HRV parameter reactivity were found in people with chronic WAD compared with healthy controls [39]. To the best of our knowledge, this is the first report of HRV measurements in an acute WAD population.…”

Section: Discussionsupporting

confidence: 81%

Endogenous pain inhibition is unrelated to autonomic responses in acute whiplash-associated disorders

Kooning

Daenen

Roussel³

et al. 2015

J Rehabil Res Dev

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Abstract-Patients with acute whiplash-associated disorder (WAD) demonstrate an inefficient endogenous pain inhibition and may experience a dysfunction in autonomic nervous system reactivity to pain. This study compared the autonomic response to painful stimuli between patients with acute and chronic WAD and healthy controls. In addition, the role of the autonomic nervous system for explaining inefficient endogenous pain inhibition was examined in acute WAD. Seventeen patients with acute WAD, 30 patients with chronic WAD, and 31 healthy controls participated in an experiment evaluating the autonomic nervous system at rest and during painful stimuli. Skin conductance and heart rate variability (HRV) parameters were monitored continuously during conditioned pain modulation. A significant autonomic response to pain was present for skin conductance and two HRV parameters in all experimental groups. There was an interaction effect in the skin conductance response to pain but not in HRV responses in any of the groups. In patients with acute WAD, no significant correlations were present between pain, pressure pain thresholds, pain inhibition, and any of the autonomic parameters. This study refutes autonomic dysfunction at rest and in response to pain in acute WAD. The dysfunctional conditioned pain modulation appears unrelated to autonomic responses to pain.

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Section: Discussionsupporting

confidence: 81%

Endogenous pain inhibition is unrelated to autonomic responses in acute whiplash-associated disorders

Kooning

Daenen

Roussel³

et al. 2015

J Rehabil Res Dev

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“…Cardiovascular markers showed signs of sympathetic dominance among persons with neck pain (Gockel et al 1995), low back pain (Gockel et al 2008;Kalezic et al 2007), whiplash-associated disorders (Kalezic et al 2010;Passatore and Roatta 2006) and distal forearm pain among office workers (Gold et al 2004;Sharma et al 1997). Increased resting HR was found in subjects with trapezius myalgia, whereas stress reactivity was unaltered (Sjörs et al 2009).…”

Section: Introductionmentioning

confidence: 94%

Effects of static contraction and cold stimulation on cardiovascular autonomic indices, trapezius blood flow and muscle activity in chronic neck–shoulder pain

et al. 2011

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The aim of the present study was to investigate reactions in trapezius muscle blood flow (MBF), muscle activity, heart rate variability (HRV) and systemic blood pressure (BP) to autonomic tests in subjects with chronic neck-shoulder pain and healthy controls. Changes in muscle activity and blood flow due to stress and unfavourable muscle loads are known underlying factors of work-related muscle pain. Aberration of the autonomic nervous system (ANS) is considered a possible mechanism. In the present study, participants (n = 23 Pain, n = 22 Control) performed autonomic tests which included a resting condition, static hand grip test (HGT) at 30% of maximal voluntary contraction, a cold pressor test (CPT) and a deep breathing test (DBT). HRV was analysed in time and frequency domains. MBF and muscle activity were recorded from the upper trapezius muscles using photoplethysmography and electromyography (EMG). The pain group showed reduced low frequency-HRV (LF) and SDNN during rest, as well as a blunted BP response and increased LF-HRV during HGT (∆systolic 22 mm Hg; ∆LF(nu) 27%) compared with controls (∆systolic 27; ∆LF(nu) 6%). Locally, the pain group had attenuated trapezius MBF in response to HGT (Pain 122% Control 140%) with elevated trapezius EMG following HGT and during CPT. In conclusion, only HGT showed differences between groups in systemic BP and HRV and alterations in local trapezius MBF and EMG in the pain group. Findings support the hypothesis of ANS involvement at systemic and local levels in chronic neck-shoulder pain.

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“…Generally, cardiovascular markers reflect increased sympathetic activity concomitant with vagal withdrawal at rest and altered reactivity to stress (Gockel et al 1995;Kalezic et al 2007Kalezic et al , 2010; Leistad et al 2008). However, there is a need for non-invasive behavioral treatment to improve ANS regulation and pain among those suffering.…”

Section: Introductionmentioning

confidence: 99%

Effects of Heart Rate Variability Biofeedback in Subjects with Stress-Related Chronic Neck Pain: A Pilot Study

Hallman

Olsson

Schéele

et al. 2011

Appl Psychophysiol Biofeedback

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121

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Recent studies focusing on autonomic nervous system (ANS) dysfunctions, together with theoretical pathophysiological models of musculoskeletal disorders, indicate the involvement of ANS regulation in development and maintenance of chronic muscle pain. Research has demonstrated the effectiveness of heart rate variability (HRV) biofeedback (BF) in increasing HRV and reducing the symptoms of different disorders characterized by ANS aberration. The study investigated the effects of resonance frequency HRV BF on autonomic regulation and perceived health, pain, stress and disability in 24 subjects with stress-related chronic neckshoulder pain. Twelve subjects participated in 10 weekly sessions of resonant HRV BF and were compared to a control group. Subjective reports and HRV measures during relaxation and in response to a standardized stress protocol were assessed for both groups pre-and postintervention. Group X time interactions revealed a significantly stronger increase over time in perceived health (SF-36) for the treatment group, including vitality, bodily pain and social functioning. Interactions were also seen for HRV during relaxation and reactivity to stress.The present pilot study indicates improvement in perceived health over a 10 week intervention with HRV-biofeedback in subjects with chronic neck-pain. Increased resting HRV as well as enhanced reactivity to hand grip and cold pressor tests might reflect beneficial effects on ANS regulation, and suggest that this intervention protocol is suitable for a larger controlled trial.

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Cardiovascular and muscle activity during chewing in whiplash-associated disorders (WAD)

Cited by 21 publications

References 19 publications

Endogenous pain inhibition is unrelated to autonomic responses in acute whiplash-associated disorders

Endogenous pain inhibition is unrelated to autonomic responses in acute whiplash-associated disorders

Effects of static contraction and cold stimulation on cardiovascular autonomic indices, trapezius blood flow and muscle activity in chronic neck–shoulder pain

Effects of Heart Rate Variability Biofeedback in Subjects with Stress-Related Chronic Neck Pain: A Pilot Study

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