Association between Physiological and Subjective Aspects of Pain and Disability in Post-Stroke Patients with Shoulder Pain: A Cross-Sectional Study
| Autor: | Manuel Arroyo-Morales, Noelia Galiano-Castillo, Carolina Fernández-Lao, Lydia Martín-Martín, Mario Lozano-Lozano, Miguel David Membrilla-Mesa |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Upper trapezius
030506 rehabilitation medicine.medical_specialty Central sensitization Cross-sectional study Deltoid curve lcsh:Medicine Pain Article 03 medical and health sciences 0302 clinical medicine Medicine pain Stroke Disability business.industry Pressure pain thresholds lcsh:R General Medicine central sensitization medicine.disease stroke disability pressure pain thresholds Post stroke Physical therapy Analysis of variance 0305 other medical science business Epicondyle 030217 neurology & neurosurgery |
| Zdroj: | Journal of Clinical Medicine Volume 8 Issue 8 Journal of Clinical Medicine, Vol 8, Iss 8, p 1093 (2019) Digibug. Repositorio Institucional de la Universidad de Granada instname |
| Popis: | Background: Patients often experience pain as a result of a stroke. However, the mechanism of this pain remains uncertain. Our aim was to investigate the relationship between pressure pain thresholds (PPTs) and disability pain in patients with hemiplegic shoulder pain (HSP). Methods: Twenty-six post-stroke patients (age 53.35 ± 13.09 years) and healthy controls (54.35 ± 12.37 years) participated. We investigated spontaneous shoulder pain, disability pain perception through the shoulder pain and disability index (SPADI), and the PPTs over joint C5&ndash C6, upper trapezius, deltoid, epicondyle, second metacarpal, and tibialis anterior, bilaterally. Results: The analysis of variance (ANOVA) showed significant differences in pain between groups (p < 0.001) and differences in the SPADI (p < 0.001) between groups but not between sides for PPTs over deltoid (group: p = 0.007 side: p = 0.750), epicondyle (group: p = 0.001 side: p = 0.848), and tibialis anterior (group: p < 0.001 side: p = 0.932). Pain in the affected arm was negatively associated with PPTs over the affected epicondyle (p = 0.003) and affected tibialis anterior (p = 0.009). Pain (SPADI) appeared negatively correlated with PPTs over the affected epicondyle (p = 0.047), and disability (SPADI) was negatively associated with PPTs over the affected tibialis anterior (p = 0.041). Conclusions: Post-stroke patients showed a relationship between widespread pressure pain hypersensitivity with lower PPT levels and pain disability perception, suggesting a central sensitization mediated by bilateral and symmetric pain patterns. |
| Databáze: | OpenAIRE |
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