Perceived Pain Extent is Not Associated With Widespread Pressure Pain Sensitivity, Clinical Features, Related Disability, Anxiety, or Depression in Women With Episodic Migraine

Fernández‐de‐las‐Peñas, César; Falla, Deborah; Palacios‐Ceña, María; Fuensalida‐Novo, Stella; Arias-Buría, José Luis; Schneebeli, Alessandro; Arend-Nielsen, Lars; Barbero, Marco

doi:10.1097/ajp.0000000000000537

Cited by 12 publications

(13 citation statements)

References 33 publications

(42 reference statements)

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“…These findings would agree with the hypothesis that the presence of extra-median symptoms (14)(15)(16) that we did not find any significant association between pain extent and psychophysical outcomes of sensitization, i.e., widespread pressure pain or thermal pain hypersensitivity (except CPT over the carpal tunnel). Current findings would agree with the results previously found in some primary headaches such as migraine (40) or tension-type headache (41) but contrast with those previously reported in painful knee osteoarthritis (18) where larger pain extent was associated with higher pressure pain sensitivity. Similarly, the current study did not find any significant association between pain extent and clinical, psychological, and related-disability outcomes in women with CTS which is also in disagreement with previous findings found on painful knee osteoarthritis (18), whiplash-associated disorders (19), and fibromyalgia (20) where larger pain extent was associated with higher intensity of pain or worse psychological variables.…”

Section: Discussionsupporting

confidence: 92%

Perceived Pain Extent Is Not Associated with Physical, Psychological, or Psychophysical Outcomes in Women with Carpal Tunnel Syndrome

Fernández‐de‐las‐Peñas

Falla

Palacios‐Ceña

et al. 2018

Pain Medicine

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Section: Discussionsupporting

confidence: 92%

Perceived Pain Extent Is Not Associated with Physical, Psychological, or Psychophysical Outcomes in Women with Carpal Tunnel Syndrome

Fernández‐de‐las‐Peñas

Falla

Palacios‐Ceña

et al. 2018

Pain Medicine

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“…From the thirteen studies that were examined, two were excluded, the first one because it included asymptomatic individuals [ 11 ], and the second one because it was a randomized controlled clinical trial [ 19 ]. A total of eleven cross-sectional cohort studies [ 10 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 ] were included in the final literature data mapping ( Figure 3 ).…”

Section: Resultsmentioning

confidence: 99%

“…All studies used digital software-based computation for calculating pain extent with six of them collecting data with digitalized PDs on a tablet [ 10 , 20 , 21 , 24 , 27 , 28 ] and five using a pen-to-paper approach [ 22 , 23 , 25 , 26 , 29 ]. Across all studies, the pain extent ranged from 6.7% to 22% (mean ± SD: 12.1% ± 5.3%), and in all cases its computation was software-based as per the inclusion criteria.…”

Section: Resultsmentioning

confidence: 99%

Clinical Significance and Diagnostic Value of Pain Extent Extracted from Pain Drawings: A Scoping Review

et al. 2020

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The current scoping review aimed to map current literature investigating the relationship between pain extent extracted from pain drawings with clinical, psychological, and psycho-physiological patient-reported outcome measures in people with pain. Electronic databases were searched for cross-sectional cohort studies that collected pain drawings using digital technology or a pen-on-paper approach and assessed for correlations between pain extent and clinical, psychological or psycho-physical outcomes. Data were extracted by two different reviewers. The methodological quality of studies was assessed using the Newcastle–Ottawa Quality Assessment Scale. Mapping of the results included: 1, description of included studies; 2, summary of results; and 3, identification of gaps in the existing literature. Eleven cross-sectional cohort studies were included. The pain disorders considered were heterogeneous, ranging from musculoskeletal to neuropathic conditions, and from localized to generalized pain conditions. All studies included pain and/or pain-related disability as clinical outcomes. Psychological outcomes included depression and anxiety, kinesiophobia and catastrophism. Psycho-physical measures included pressure or thermal pain thresholds. Ten studies were considered of high methodological quality. There was heterogeneity in the associations between pain extent and patient-reported outcome measures depending on the pain condition. This scoping review found that pain extent is associated with patient-reported outcome measures more so in patients presenting with musculoskeletal pain, e.g., neck pain or osteoarthritis, rather than for those with neuropathic pain or headache.

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“…Pain drawings offer a practical way of quantifying pain extent and have been used to quantify the distribution of pain in patients with hip and knee OA, greater trochanteric pain syndrome, low back pain, fibromyalgia, carpal tunnel syndrome, chronic spinal pain, whiplash‐associated disorder, migraine, and tension‐type headaches . To date, only 1 study has examined the association between pain extent and clinical features of central sensitization in patients with OA .…”

Section: Introductionmentioning

confidence: 99%

The Extent of Pain Is Associated With Signs of Central Sensitization in Patients With Hip Osteoarthritis

et al. 2019

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Background Central sensitization may be present in some patients with hip osteoarthritis (OA), often reflected as widespread pain. We examine the association between pain extent with signs of central sensitization and other clinical and psychological features in patients with hip OA. Methods Thirty patients with hip OA were recruited for this cross‐sectional observational study. Participants completed pain drawings on a digital tablet, which displayed frontal and dorsal views of the body. The pain extent (%) for each participant was determined by combining the frontal and dorsal pixels shaded and dividing by the total pixels of the body chart area. Participants completed patient‐reported outcome measures to assess for signs and symptoms of central sensitization and psychosocial factors. Quantitative sensory testing including pain pressure thresholds (PPTs) and thermal pressure thresholds was performed at points anatomically local and distant from the hip. Results Women had significantly greater pain extent (6.71%) than men (2.65%) (z = −2.76, P < 0.01). Across all participants, increased pain extent was significantly associated with higher scores on the Widespread Pain Index (r2 = 0.426, P < 0.05), painDETECT questionnaire (r2 = 0.394, P < 0.05), and Pain Catastrophizing Scale (r2 = 0.413, P < 0.05), and with lower PPTs at the thenar eminence (r2 = −0.410, P < 0.05), vastus lateralis (r2 = −0.530, P < 0.01), vastus medialis (r2 = 0.363, P < 0.05), and greater trochanter (r2 = −0.373, P < 0.05). Conclusions Greater pain extent was associated with several measures of signs and symptoms of central sensitization in patients with hip OA. These results support the utility of the pain drawing for identifying signs of central sensitization in patients with hip OA.

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Perceived Pain Extent is Not Associated With Widespread Pressure Pain Sensitivity, Clinical Features, Related Disability, Anxiety, or Depression in Women With Episodic Migraine

Cited by 12 publications

References 33 publications

Perceived Pain Extent Is Not Associated with Physical, Psychological, or Psychophysical Outcomes in Women with Carpal Tunnel Syndrome

Perceived Pain Extent Is Not Associated with Physical, Psychological, or Psychophysical Outcomes in Women with Carpal Tunnel Syndrome

Clinical Significance and Diagnostic Value of Pain Extent Extracted from Pain Drawings: A Scoping Review

The Extent of Pain Is Associated With Signs of Central Sensitization in Patients With Hip Osteoarthritis

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