Neck pain intensity does not predict pressure pain hyperalgesia: Re-analysis of seven randomized controlled trials

Lauche, R; Cramer, H; Langhorst, J; Dobos, G; Gerdle, B

Neck pain intensity does not predict pressure pain hyperalgesia: Re-analysis of seven randomized controlled trials

Lauche, R

Cramer, H

Langhorst, J Dobos, G Gerdle, B

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Publication Type:: Journal Article
Citation:: Journal of Rehabilitation Medicine, 2014, 46 (6), pp. 553 - 560
Issue Date:: 2014-01-01

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Field	Value	Language
dc.contributor.author	Lauche, R https://orcid.org/0000-0002-4171-7935	en_US
dc.contributor.author	Cramer, H https://orcid.org/0000-0002-3640-8046	en_US
dc.contributor.author	Langhorst, J	en_US
dc.contributor.author	Dobos, G	en_US
dc.contributor.author	Gerdle, B	en_US
dc.date.issued	2014-01-01	en_US
dc.identifier.citation	Journal of Rehabilitation Medicine, 2014, 46 (6), pp. 553 - 560	en_US
dc.identifier.issn	1650-1977	en_US
dc.identifier.uri	http://hdl.handle.net/10453/116055
dc.description.abstract	© 2014 The Authors. Objectives: To determine factors, including pain intensity, associated with pressure pain sensitivity in chronic non-specific neck pain and with changes after therapeutic interventions. Methods: This re-analysis used pooled data from 7 randomized controlled clinical trials. Pressure pain thresholds were assessed at the hand and at the site of maximal pain in the neck region before and after different non-pharmacological interventions. Age, gender, neck pain intensity and duration, mental health, expectancy and time interval between measurements were used to determine factors influencing pressure pain thresholds as well as pressure pain threshold changes. Results: A total of 346 patients (77 males, 269 females, mean age 52.6 years (standard deviation 12.0 years)) were included in study, 306 of whom provided a complete data-set for analysis. Pressure pain thresholds at the neck area or the hand did not correlate with pain intensity. Changes in pressure pain thresholds correlated with time between measurements, indicating time-sensitive changes. Discussion: No coherent correlations between pressure pain thresholds and pain intensity were found. Further research is needed to evaluate the relationship between pain intensity and pressure pain thresholds before its use as a valid substitute of pain rating can be supported. Until then, the results of trials with respect to using pressure pain thresholds as an outcome variable must be interpreted with care.	en_US
dc.relation.ispartof	Journal of Rehabilitation Medicine	en_US
dc.relation.isbasedon	10.2340/16501977-1815	en_US
dc.subject.classification	Rehabilitation	en_US
dc.subject.mesh	Hand	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Neck Pain	en_US
dc.subject.mesh	Hyperalgesia	en_US
dc.subject.mesh	Pain Measurement	en_US
dc.subject.mesh	Treatment Outcome	en_US
dc.subject.mesh	Longitudinal Studies	en_US
dc.subject.mesh	Cross-Sectional Studies	en_US
dc.subject.mesh	Pain Threshold	en_US
dc.subject.mesh	Pressure	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Aged, 80 and over	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Randomized Controlled Trials as Topic	en_US
dc.subject.mesh	Chronic Pain	en_US
dc.title	Neck pain intensity does not predict pressure pain hyperalgesia: Re-analysis of seven randomized controlled trials	en_US
dc.type	Journal Article
utslib.citation.volume	6	en_US
utslib.citation.volume	46	en_US
utslib.for	1103 Clinical Sciences	en_US
utslib.for	1106 Human Movement and Sports Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	open_access
pubs.issue	6	en_US
pubs.publication-status	Published	en_US
pubs.volume	46	en_US

Abstract:

© 2014 The Authors. Objectives: To determine factors, including pain intensity, associated with pressure pain sensitivity in chronic non-specific neck pain and with changes after therapeutic interventions. Methods: This re-analysis used pooled data from 7 randomized controlled clinical trials. Pressure pain thresholds were assessed at the hand and at the site of maximal pain in the neck region before and after different non-pharmacological interventions. Age, gender, neck pain intensity and duration, mental health, expectancy and time interval between measurements were used to determine factors influencing pressure pain thresholds as well as pressure pain threshold changes. Results: A total of 346 patients (77 males, 269 females, mean age 52.6 years (standard deviation 12.0 years)) were included in study, 306 of whom provided a complete data-set for analysis. Pressure pain thresholds at the neck area or the hand did not correlate with pain intensity. Changes in pressure pain thresholds correlated with time between measurements, indicating time-sensitive changes. Discussion: No coherent correlations between pressure pain thresholds and pain intensity were found. Further research is needed to evaluate the relationship between pain intensity and pressure pain thresholds before its use as a valid substitute of pain rating can be supported. Until then, the results of trials with respect to using pressure pain thresholds as an outcome variable must be interpreted with care.

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http://hdl.handle.net/10453/116055