Pressure Pain Hyperalgesia Expressed by Topographical Pressure Pain Sensitivity after Cardiac Surgery.

Autor: Segura-Méndez B; Cardiac Surgery Department, University Clinical Hospital, 47005 Valladolid, Spain., Planchuelo-Gómez Á; Imaging Processing Laboratory, Universidad de Valladolid, 47005 Valladolid, Spain., Fuentes-Martín Á; Thoracic Surgery Department, University Clinical Hospital, 47005 Valladolid, Spain., Madeleine P; Department of Health Science and Technology, Aalborg University, 9260 Aalborg, Denmark., Guerrero ÁL; Headache Unit, Neurology Department, University Clinical Hospital, 47005 Valladolid, Spain.; Department of Medicine, Dermatology and Toxicology, University of Valladolid, 47005 Valladolid, Spain., Carrascal Y; Cardiac Surgery Department, University Clinical Hospital, 47005 Valladolid, Spain.; Department of Surgery, Ophthalmology, Otorhinolaryngology and Physiotherapy, University of Valladolid, 47005 Valladolid, Spain., Fernández-de-Las-Peñas C; Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos (URJC), 28922 Alcorcón, Spain.
Jazyk: angličtina
Zdroj: Life (Basel, Switzerland) [Life (Basel)] 2024 Sep 26; Vol. 14 (10). Date of Electronic Publication: 2024 Sep 26.
DOI: 10.3390/life14101233
Abstrakt: Backgrounds: We aim to evaluate changes in pressure pain sensitivity before and after cardiac surgery using topographical sensitivity maps utilizing a pressure algometer.
Methods: Pressure pain thresholds over 17 thoracic points and 4 distant pain-free points were assessed in 70 patients (women: 29, age: 67.5 years), before and at 1, 3, and 7 postoperative days. Thoracic topographical pressure pain sensitivity maps were calculated at all follow-ups. Postoperative pain was recorded at each follow-up on a numerical pain rate scale.
Results: Postoperative pain intensity decreased from 6.4 (SD 1.0) on the first postoperative day to 5.5 (SD 1.9) on the third and to 4.5 (SD 1.7) on the seventh day ( p < 0.001). The mixed-model ANOVA revealed that the lowest pressure pain thresholds were observed one day after surgery, increased slightly during follow-up, and were lower at the xiphoid process. Significant negative correlations between postoperative pain intensity and pressure pain thresholds were observed at each time point in thoracic measures (all, p < 0.01), but not with pressure pain thresholds from distant pain-free areas.
Conclusions: Postoperative pain after cardiac surgery can be objectively quantified using algometry. Pressure pain hyperalgesia was associated with the intensity of postoperative pain.
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje