FEATURES OF CENTRAL SENSITISATION IN PATIENTS WITH SHOULDER PAIN - A FEASIBILITY STUDY.

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  • Additional Information
    • Affiliation:
      University of Hertfordshire
      Central London Community Healthcare National Health Service Trust, Qatar University
    • Subject Terms:
    • Subject Terms:
    • Abstract:
      Design. A case-control feasibility study, comparing people with unilateral shoulder pain and pain free controls. Background. Previous studies have suggested that central sensitisation (CS) may be present in people with shoulder pain, mostly based on testing of nociception rather than mechanosensitivity, both of which can change as part of CS. Changes in mechanosensitivity are important for physiotherapy, which often involves non-noxious mechanoreceptor stimulation. Objectives. This study tested sensitivity to a range of mechanical stimuli potentially associated with CS in people with shoulder pain, compared to asymptomatic individuals. It was hypothesised that if CS was present, the response to mechanoreceptor stimulation would be increased. Methods. Both shoulders in both groups were tested for sensitivity of static and dynamic touch, vibration and punctate stimulation, plus temporal summation and pressure pain threshold (PPT). Participants completed a demographic questionnaire, pain scales, PainDETECT for neuropathic pain, and QuickDASH for upper limb function. Results. PPT was found to be significantly lower in the affected compared to the unaffected shoulders (p<0.003), but no other statistically significant between-group differences were found. Conclusion. This study found a lowered PPT in people with unilateral shoulder pain compared with asymptomatic individuals, but no evidence of a heightened response to other forms of mechanoreceptor stimulation. The study protocol was suitable for future studies and the required participant numbers were established. The variation in findings between studies suggests that a larger longitudinal study may be warranted.
    • Journal Subset:
      Allied Health; Editorial Board Reviewed; Europe; Peer Reviewed; UK & Ireland
    • ISSN:
      2051-0047
    • Publication Date:
      20200617
    • Publication Date:
      20200626
    • Accession Number:
      143717794
  • Citations
    • ABNT:
      VAN GRIENSVEN, H.; LEWIS, P. J.; HERBLAND, A. Features of Central Sensitisation in Patients with Shoulder Pain - a Feasibility Study. Pain and Rehabilitation - the Journal of Physiotherapy Pain Association, [s. l.], n. 48, p. 23–29, 2020. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=143717794. Acesso em: 1 dez. 2020.
    • AMA:
      van Griensven H, Lewis PJ, Herbland A. Features of Central Sensitisation in Patients with Shoulder Pain - a Feasibility Study. Pain and Rehabilitation - the Journal of Physiotherapy Pain Association. 2020;(48):23-29. Accessed December 1, 2020. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=143717794
    • APA:
      van Griensven, H., Lewis, P. J., & Herbland, A. (2020). Features of Central Sensitisation in Patients with Shoulder Pain - a Feasibility Study. Pain and Rehabilitation - the Journal of Physiotherapy Pain Association, 48, 23–29.
    • Chicago/Turabian: Author-Date:
      van Griensven, Hubert, Prof Jeremy Lewis, and Anthony Herbland. 2020. “Features of Central Sensitisation in Patients with Shoulder Pain - a Feasibility Study.” Pain and Rehabilitation - the Journal of Physiotherapy Pain Association, no. 48 (Winter): 23–29. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=143717794.
    • Harvard:
      van Griensven, H., Lewis, P. J. and Herbland, A. (2020) ‘Features of Central Sensitisation in Patients with Shoulder Pain - a Feasibility Study’, Pain and Rehabilitation - the Journal of Physiotherapy Pain Association, (48), pp. 23–29. Available at: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=143717794 (Accessed: 1 December 2020).
    • Harvard: Australian:
      van Griensven, H, Lewis, PJ & Herbland, A 2020, ‘Features of Central Sensitisation in Patients with Shoulder Pain - a Feasibility Study’, Pain and Rehabilitation - the Journal of Physiotherapy Pain Association, no. 48, pp. 23–29, viewed 1 December 2020, .
    • MLA:
      van Griensven, Hubert, et al. “Features of Central Sensitisation in Patients with Shoulder Pain - a Feasibility Study.” Pain and Rehabilitation - the Journal of Physiotherapy Pain Association, no. 48, Winter 2020, pp. 23–29. EBSCOhost, search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=143717794.
    • Chicago/Turabian: Humanities:
      van Griensven, Hubert, Prof Jeremy Lewis, and Anthony Herbland. “Features of Central Sensitisation in Patients with Shoulder Pain - a Feasibility Study.” Pain and Rehabilitation - the Journal of Physiotherapy Pain Association, no. 48 (Winter 2020): 23–29. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=143717794.
    • Vancouver/ICMJE:
      van Griensven H, Lewis PJ, Herbland A. Features of Central Sensitisation in Patients with Shoulder Pain - a Feasibility Study. Pain and Rehabilitation - the Journal of Physiotherapy Pain Association [Internet]. 2020 Winter [cited 2020 Dec 1];(48):23–9. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=143717794