Widespread Pressure Pain Hypersensitivity and Ultrasound Imaging Evaluation of Abdominal Area after Colon Cancer Treatment

Sánchez-Jiménez, Antonio; Cantarero‐Villanueva, Irene; Molina-Barea, Rocío; Fernández-Lao, Carolina; Galiano‐Castillo, Noelia; Arroyo-Morales, Manuel

doi:10.1111/pme.12281

Cited by 21 publications

(13 citation statements)

References 27 publications

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“…In this novel study, we used a case-controlled design, which is frequently used in studies with oncology patient (Fernández-Lao et al, 2010;Sánchez-Jiménez et al, 2014), to analyze vagal-nerve activity while considering different confounder variables. However, we should acknowledge some limitations.…”

Section: Discussionmentioning

confidence: 99%

Heart Rate Variability in Breast Cancer Survivors After the First Year of Treatments

Caro-Morán

Fernández-Lao

Galiano‐Castillo

et al. 2015

Biological Research For Nursing

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The same aggressive treatments that have led to a reduction in the breast cancer may also have adverse effects on cardiac autonomic balance. The objective of this study was to compare heart rate variability (HRV) between breast cancer survivors in the first year posttreatment and healthy women, controlling for known confounders. This descriptive case-controlled study included 22 breast cancer survivors and 22 healthy age- and sex-matched controls. Short-term HRV was measured using an accepted methodology to assess the cardiac autonomic balance. One-way analysis of covariance results revealed that heart rate was significantly higher (F = 15.86, p < .001) and the standard deviation of normal-to-normal (NN) interval (F = 19.93, p = .001), square root of mean squared differences of successive NN intervals (F = 18.72, p = .001), HRV index (F = 5.44, p = .025), and high-frequency (F = 5.77, p = .03) values were significantly lower in the breast cancer survivors than in the matched controls. The principal finding of the presence of a cardiovascular imbalance in breast cancer survivors in comparison to healthy age-matched controls suggests that HRV study could be a clinically useful tool to detect cardiovascular disease in early-stage breast cancer survivors.

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Section: Discussionmentioning

confidence: 99%

Heart Rate Variability in Breast Cancer Survivors After the First Year of Treatments

Caro-Morán

Fernández-Lao

Galiano‐Castillo

et al. 2015

Biological Research For Nursing

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“…Neuro-anatomically plausible relates to allodynia and/or hyperalgesia outside the segmental area of primary nociception and has been used for establishing central sensitization in studies of various chronic pain disorders [23][24][25][26][27], including people following breast and colon cancer treatment [28][29][30].…”

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confidence: 99%

Pain following cancer treatment: Guidelines for the clinical classification of predominant neuropathic, nociceptive and central sensitization pain

et al. 2016

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Background: In addition to fatigue, pain is the most frequent persistent symptom in cancer survivors. Clear guidelines for both the diagnosis and treatment of pain in cancer survivors are lacking. Classification of pain is important as it may facilitate more specific targeting of treatment. In this paper we present an overview of nociceptive, neuropathic and central sensitization pain following cancer treatment, as well as the rationale, criteria and process for stratifying pain classification. Material and methods: Recently, a clinical method for classifying any pain as either predominant central sensitization pain, neuropathic or nociceptive pain was developed, based on a large body of research evidence and international expert opinion. We, a team of 15 authors from 13 different centers, four countries and two continents have applied this classification algorithm to the cancer survivor population. Results: The classification of pain following cancer treatment entails two steps: (1) examining the presence of neuropathic pain; and (2) using an algorithm for differentiating predominant nociceptive and central sensitization pain.Step 1 builds on the established criteria for neuropathic pain diagnosis, whileStep 2 applies a recently developed clinical method for classifying any pain as either predominant central sensitization pain, neuropathic or nociceptive pain to the cancer survivor population. Conclusion: The classification criteria allow identifying central sensitization pain following cancer treatment. The recognition of central sensitization pain in practice is an important development in the integration of pain neuroscience into the clinic, and one that is relevant for people undergoing and following cancer treatment.

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“…Algometry will be used to measure PPT [59] levels in abdomen, pelvis and lower back regions based on previously published protocols for the evaluation of this area [17,49,60] through an electronic algometer (Somedic AB, Farsta, Sweden). For this purpose, an approximate rate of 30 kPa/s will be applied with a 1 cm 2 probe.…”

Section: Painmentioning

confidence: 99%

‘Physio-EndEA’ Study: A Randomized, Parallel-Group Controlled Trial to Evaluate the Effect of a Supervised and Adapted Therapeutic Exercise Program to Improve Quality of Life in Symptomatic Women Diagnosed with Endometriosis

Salinas-Asensio

Ocón‐Hernández

Mundo-López³

et al. 2022

IJERPH

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Aim: The ‘Physio-EndEA’ study aims to explore the potential benefits of a therapeutic exercise program (focused on lumbopelvic stabilization and tolerance to exertion) on the health-related quality of life (HRQoL) of symptomatic endometriosis women. Design: The present study will use a parallel-group randomized controlled trial design. Methods: A total of 22 symptomatic endometriosis women will be randomized 1:1 to the Physio-EndEA or usual care groups. The ‘Physio-EndEA’ program will consist of a one-week lumbopelvic stabilization learning phase followed by an eight-week phase of stretching, aerobic and resistance exercises focused on the lumbopelvic area that will be sequentially instructed and supervised by a trained physiotherapist (with volume and intensity progression) and adapted daily to the potential of each participant. The primary outcome measure is HRQoL. The secondary outcome measures included clinician-reported outcomes (pressure pain thresholds, muscle thickness and strength, flexibility, body balance and cardiorespiratory fitness) and patient-reported outcomes (pain intensity, physical fitness, chronic fatigue, sexual function, gastrointestinal function and sleep quality). Discussion: Findings of this study will help to identify cost-effective non-pharmacological options (such as this exercise-based intervention) that may contribute to the improvement of HRQoL in symptomatic endometriosis women.

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Widespread Pressure Pain Hypersensitivity and Ultrasound Imaging Evaluation of Abdominal Area after Colon Cancer Treatment

Abstract: Ten months after oncology treatment, colon cancer survivors show widespread pressure pain muscle hyperalgesia and reduced depths of dominant-side internal oblique muscles compared with matched controls.

Cited by 21 publications

References 27 publications

Heart Rate Variability in Breast Cancer Survivors After the First Year of Treatments

Heart Rate Variability in Breast Cancer Survivors After the First Year of Treatments

Pain following cancer treatment: Guidelines for the clinical classification of predominant neuropathic, nociceptive and central sensitization pain

‘Physio-EndEA’ Study: A Randomized, Parallel-Group Controlled Trial to Evaluate the Effect of a Supervised and Adapted Therapeutic Exercise Program to Improve Quality of Life in Symptomatic Women Diagnosed with Endometriosis

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