Tarsal Tunnel Mechanosensitivity Is Increased in Patients with Asthma: A Case-Control Study

Calvo‐Lobo, César; Painceira-Villar, Roi; López‐López, Daniel; Garcia‐Paz, Vanesa; Becerro-de-Bengoa-Vallejo, Ricardo; Iglesias, Marta Elena Losa; Palomo‐López, Patricia

doi:10.3390/jcm7120541

Cited by 11 publications

(16 citation statements)

References 47 publications

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“…In studies conducted on diseases that cause widespread chronic pain such as low back pain, knee osteoarthritis, and fibromyalgia, it has been observed that as the severity of pain increases, the balance ability deteriorates, postural stability oscillations increase, and risk of falling and fear of falling increase [ 9 , 11 – 13 , 28 , 29 ]. Patients with respiratory problems [ 20 , 21 ] and patients with foot problems [ 30 ] have also been shown to have increased fall risk. However, the number of studies looking at this relationship was limited in shoulder pain.…”

Section: Discussionmentioning

confidence: 99%

“…Literature studies have shown results such as age being associated with the risk of falls, pain in the musculoskeletal system and falls and also a relationship between pain and balance is shown [ 9 , 13 – 15 , 19 ]. Falls are a great concern for most patient groups, including even patients with respiratory problems, who also experience pain and musculoskeletal disorders which results in increased fall risk [ 20 , 21 ]. However, there is little published research investigating the relationship between different levels of shoulder pain, balance ability, falling risk and fear of falling, involving all age groups diagnosed with musculoskeletal shoulder problem.…”

Section: Introductionmentioning

confidence: 99%

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The effect of pain severity on balance, postural stability and fall risk in patients with shoulder pathologies

Eker

Kaygısız

2021

Arch Med Sci

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IntroductionThe study aimed to investigate how pain severity in the shoulder region affects balance ability, postural stability and fall risk.Material and methodsSixty participants with shoulder pain, aged 42.45 ±6.51 years, were assessed using a Visual Analog Scale (VAS); they were divided into 2 subgroups as a mild pain group (group 1) and a moderate/severe pain group (group 2). According to VAS-at rest the mild-pain group included 39 and the moderate/severe-pain group included 21 subjects. According to VAS-during movement, the mild-pain group included 19 and the moderate/severe-pain group included 41 subjects. Balance ability-postural stability, fall risk and fear of falling were assessed by the Sportkat System, Berg Balance Scale (BBS), and Fall Efficacy scale (FES) respectively. Differences of variables between mild pain and moderate/severe pain groups were analyzed by the independent groups t-test in groups conforming to a normal distribution and the Mann-Whitney U test for the variables that did not fit a normal distribution.ResultsA positive relationship was found between VAS-at rest and double-foot static balance test score right-left (RL) ratio, while a negative relationship was found between VAS-at rest and BBS score (p < 0.05). Significant differences were found between right foot static balance left score and RL ratio according to pain at rest (p < 0.05).ConclusionsThe results indicated that shoulder pain severity affects balance parameters. As pain level at rest increases, postural sway increases in a medio-lateral direction, and towards the left while standing on the right foot. Approaches regarding increasing balance and postural instability should be included in physiotherapy and rehabilitation programs of patients with shoulder pain at an early phase to protect patients from balance problems and fall risk.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The effect of pain severity on balance, postural stability and fall risk in patients with shoulder pathologies

Eker

Kaygısız

2021

Arch Med Sci

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“…These associations could be due to patients with asthma present respiratory alterations 5,6, including a reduced diaphragm contractility which have been linked to chronic ankle instability 14 and consequently high risk of falls 10. Indeed, a recent study has shown the presence of higher mechanosensitivity in the tarsal tunnel of patients with asthma with respect to healthy controls 36. According to this study, the sensitization of the soft tissues of the tarsal tunnel, including the plantar flexor tendons, blood vessels and tibial nerve, could decrease foot dorsiflexion range of motion and stability.…”

Section: Discussionmentioning

confidence: 99%

Falls rate increase and foot dorsal flexion limitations are exhibited in patients who suffer from asthma: A novel case-control study

et al. 2019

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Purpose: Based on the possible association between reduced foot dorsiflexion and high risk of falls, the main objective was to determine the ankle and 1º metatarsophalangeal joint (1 st MTTP) dorsiflexion range of motion and falls rate in patients with asthma compared to healthy matched-paired controls. Methods: A case-control study was carried out. Eighty participants were recruited and divided into patients with asthma (case group; n=40) and matched-paired healthy participants (control group; n=40). Foot dorsal flexion range of motion (assessed by the Weight-Bearing Lunge Test [WBLT]) and falls rate (evaluated as falls number during the prior year) were considered as the primary outcomes. Indeed, ankle dorsiflexion was measured by a mobile app (º) and a tape measure (cm) as well as 1 st MTTP dorsiflexion was determined by and universal goniometer (º). Results: Statistically significant differences ( P <.05) showed that patients with asthma presented a greater falls rate than healthy participants and reduced bilateral ankle and 1 st MTTP dorsiflexion ranges of motion than healthy participants, except for the left ankle dorsiflexion measured as degrees ( P >.05). Conclusions: These study findings showed that a falls rate increase and bilateral foot dorsal flexion limitations of the ankle and 1 st MTTP joints are exhibited in patients who suffer from asthma.

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“…In addition to respiratory symptoms, previous studies have reported the presence of pain in asthmatic patients, 5,6 reporting temporomandibular joint and neck pain or tarsal tunnel syndrome as frequent concomitant pathologies. This pain could affect the quality of life of these patients 7 however, and despite its importance, the processes involved in the pain development are unexplored.…”

Section: Introductionmentioning

confidence: 99%

Symptom severity is associated with signs of central sensitization in patients with asthma

Rodríguez‐Torres

López‐López

Cabrera‐Martos

et al. 2021

Clinical Respiratory J

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Introduction Asthma is characterized by recurrent episodes of wheezing, dyspnoea, chest tightness and cough. In addition to respiratory symptoms, previous studies have reported the presence of pain. Objective To analyse the nociceptive processing of young adults with well‐controlled asthma. Methods A cross‐sectional case–control study was performed. Patients diagnosed with persistent well‐controlled asthma were recruited from the ‘Complejo Hospitalario Universitario’ (Granada). Main outcomes included pain processing, measured by the pressure‐pain thresholds (PPTs) and temporal summation and latency of pain; symptoms, including cough (Leicester Cough Questionnaire) and dyspnoea (Borg scale); and catastrophic cognitions about breathlessness, assessed by the Breathlessness Catastrophizing Scale (BCS). Results Seven‐two participants were finally recruited in our study. Patients with asthma presented lower pressure thresholds (p < 0.05) and significant differences in latency and summation tests. These patients also presented a greater cough level, with significant differences in all subscales (p < 0.05). Significant differences were also found in the BCS between groups (p < 0.001). Conclusion Our results show a decrease of PPTs and a greater pain intensity in latency and summation tests, suggesting an abnormal pain processing in patients with asthma.

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Tarsal Tunnel Mechanosensitivity Is Increased in Patients with Asthma: A Case-Control Study

Cited by 11 publications

References 47 publications

The effect of pain severity on balance, postural stability and fall risk in patients with shoulder pathologies

The effect of pain severity on balance, postural stability and fall risk in patients with shoulder pathologies

Falls rate increase and foot dorsal flexion limitations are exhibited in patients who suffer from asthma: A novel case-control study

Symptom severity is associated with signs of central sensitization in patients with asthma

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