4.4 Article

Patients with Concomitant Chronic Neck Pain and Myofascial Pain in Masticatory Muscles Have More Widespread Pain and Distal Hyperalgesia than Patients with Only Chronic Neck Pain

期刊

PAIN MEDICINE
卷 18, 期 3, 页码 526-537

出版社

OXFORD UNIV PRESS
DOI: 10.1093/pm/pnw274

关键词

Neck Pain; Orofacial Pain; Widespread Pain; Pain Catastrophizing; Anxiety

向作者/读者索取更多资源

Objective. Insufficient evidence exists to compare widespread pain (WP), pain sensibility, and psychological factors that occur in patients presenting with chronic neck pain (CNP) or a combination of temporomandibular disorder (TMD) and other complaints. The present study compared the pain sensibility and psychological factors of subjects with CNP with those with TMD + CNP. Design. Cross-sectional study. Setting. Local community. Subjects. A nonprobabilistic convenience sample of 86 persons with CNP or TMD was recruited into three groups: CNP, TMD with myofascial pain in masticatory muscles with cocomitant CNP (TMD + CNP), and asymptomatic control groups consisted of 27, 29, and 30 participants, respectively. Methods. Participants underwent a clinical examination to evaluate WP with computerized assessment based on the pain drawing, pressure pain thresholds (PPT), and psychological factors, which were evaluated using the pain catastrophizing scale (PCS) and the state-trait anxiety inventory (STAI). Results. Statistically significant differences were observed between participants with CNP and TMD + CNP for WP (t = -2.80, P < 0.01, d = -1.06). Post hoc analyses only revealed significant differences between TMD + CNP participants and asymptomatic controls for PPT at extratrigeminal areas. Pearson correlation analyses showed a moderate positive association between symptomatic groups within the WP and STAI (P < 0.05) and a moderate negative association between PCS and PPT (P < 0.05) at the right tibialis muscle. Conclusion. TMD + CNP participants had more areas of pain and also showed widespread pain hyperalgesia. Both groups of participants had psychological factors positively associated with STAI and WP; further, PCS and the PPT at the extratrigeminal region were negatively associated with each other in both groups, except for the left tibialis in the TMD + CNP group.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.4
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Article Rehabilitation

A feasibility study of home-based preoperative multimodal physiotherapy for patients scheduled for a total knee arthroplasty who catastrophize about their pain

Marc Terradas-Monllor, Mirari Ochandorena-Acha, Hector Beltran-Alacreu, Ester Garcia Oltra, Fernando Collado Saenz, Jose Hernandez Hermoso

Summary: This study evaluated the feasibility and clinical impact of a home-based multimodal physiotherapy intervention in reducing pain catastrophizing and pain before total knee arthroplasty. The results showed that this treatment method has significant effects in reducing pain and pain catastrophizing.

PHYSIOTHERAPY THEORY AND PRACTICE (2023)

Review Anesthesiology

Effects of Percutaneous and Transcutaneous Electrical Nerve Stimulation on Endogenous Pain Mechanisms in Patients with Musculoskeletal Pain: A Systematic Review and Meta-Analysis

Leonardo Rodriguez Lagos, Alberto Arribas-Romano, Josue Fernandez-Carnero, Yeray Gonzalez-Zamorano, Sofia Laguarta Val

Summary: This study conducted a systematic review and meta-analysis to investigate the effects of percutaneous electrical nerve stimulation (PENS) and transcutaneous electrical nerve stimulation (TENS) on endogenous pain mechanisms in patients with musculoskeletal pain. The results showed that PENS and TENS have a mild to moderate immediate effect on local mechanical hypersensitivity, but this effect is not sustained over time. Further studies are needed to determine the effects on central pain mechanisms.

PAIN MEDICINE (2023)

Article Anesthesiology

Experimental Pain Measurements Do Not Relate to Pain Intensity and Pain Cognitions in People Scheduled for Surgery for Lumbar Radiculopathy

Eva Huysmans, Lisa Goudman, Wouter Van Bogaert, Jo Nijs, Koen Putman, Maarten Moens, Ronald Buyl, Kelly Ickmans, Guillermo Garcia Barajas, Josue Fernandez-Carnero, Iris Coppieters

Summary: This cross-sectional study aimed to investigate the associations between pain intensity, cognitions, and quantitative sensory testing in patients scheduled for surgery for lumbar radiculopathy. The study found evidence of impaired inhibitory response to nociceptive stimuli and maladaptive pain cognitions in this population. However, there were no significant relationships between electrical detection thresholds and pain cognitions or pain intensity in these patients.

PAIN MEDICINE (2023)

Letter Orthopedics

Author Response to Gutierrez-Arias et al

Ferran Cuenca-Martinez, Roy La Touche, Clovis Varangot-Reille, Maeva Sardinoux, Jade Bahier, Luis Suso-Marti, Josue Fernandez-Carnero

PHYSICAL THERAPY (2023)

Article Chemistry, Multidisciplinary

The Influence of Emotional and Cognitive Factors on Limb Laterality Discrimination in Women with Fibromyalgia Syndrome: A Cross-Sectional Study Secondary Analysis

Victor Riquelme-Aguado, Antonio Gil-Crujera, Josue Fernandez-Carnero, Ferran Cuenca-Martinez, Guillermo Baviano Klett, Francisco Gomez Esquer

Summary: The aim of this study was to evaluate whether emotional and cognitive factors influence the limb laterality discrimination task in women with fibromyalgia syndrome (FMS). The results showed that FMS patients had longer reaction times for laterality discrimination in hands and exhibited emotional and cognitive disorders compared with healthy subjects. However, there was no correlation between limb laterality discrimination and psychological variables.

APPLIED SCIENCES-BASEL (2023)

Review Biology

Effect of Different Physical Therapy Interventions on Brain-Derived Neurotrophic Factor Levels in Chronic Musculoskeletal Pain Patients: A Systematic Review

Silvia Di-Bonaventura, Josue Fernandez-Carnero, Luis Matesanz-Garcia, Alberto Arribas-Romano, Andrea Polli, Raul Ferrer-Pena

Summary: The main objective of this review was to examine the impact of different physiotherapy interventions on BDNF levels and analyze their effects on pain levels. The results showed that rTMS and EIMS interventions were more effective in reducing pain intensity and increasing BDNF levels compared to other physical therapies in chronic myofascial pain patients.

LIFE-BASEL (2023)

Article Biology

Prediction of Patient Satisfaction after Treatment of Chronic Neck Pain with Mulligan's Mobilization

Josue Fernandez-Carnero, Hector Beltran-Alacreu, Alberto Arribas-Romano, Ester Cerezo-Tellez, Juan Nicolas Cuenca-Zaldivar, Eleuterio A. Sanchez-Romero, Sergio Lerma Lara, Jorge Hugo Villafane

Summary: This study aims to develop a predictive learning approach to determine the prognostic value of basal outcomes for Mulligan's mobilization technique in chronic neck pain patients. The analysis of a dataset of 80 participants revealed that higher levels of anxiety and lower range of motion in lateroflexion were the most important predictive factors for successful recovery with the Mulligan concept treatment.

LIFE-BASEL (2023)

Article Biology

Differences between Maximum Tongue Force in Women Suffering from Chronic and Asymptomatic Temporomandibular Disorders-An Observational Study

Marta Carlota Diaz-Saez, Hector Beltran-Alacreu, Javier Gil-Castillo, Alfonso Gil-Martinez

Summary: This study compared the maximum tongue force between females with chronic temporomandibular disorders and asymptomatic females, and investigated the relationship between pain and fatigue and maximum tongue force. The results showed significant differences in maximum tongue force between the two groups, except for lip pressure measurement. Additionally, there were significant differences in perceived orofacial fatigue intensity between the groups. However, there were no significant correlations between perceived orofacial pain and fatigue and maximum tongue force.

LIFE-BASEL (2023)

Review Sport Sciences

Effectiveness of Physical Therapy in Orthognathic Surgery Patients: A Systematic Review of Randomized Controlled Trials

Gonzalo Navarro-Fernandez, Alfonso Gil-Martinez, Marta Carlota Diaz-Saez, Ignacio Elizagaray-Garcia, Paloma Qinling Pili-Mayayo, Julian Esteban Ocampo-Vargas, Hector Beltran-Alacreu

Summary: This systematic review aimed to evaluate the effectiveness of physiotherapy interventions in the rehabilitation of patients after orthognathic surgery (OS). The results showed limited effects of physiotherapy interventions on variables such as range of motion, pain, edema, and masticatory muscle strength. However, laser therapy and LED showed moderate evidence in postoperative neurosensory rehabilitation of the inferior alveolar nerve compared to a placebo LED intervention.

JOURNAL OF FUNCTIONAL MORPHOLOGY AND KINESIOLOGY (2023)

Review Rehabilitation

Effects of Orthopedic Manual Therapy on Pain Sensitization in Patients With Chronic Musculoskeletal Pain

Oliver Martinez-Pozas, Eleuterio A. Sanchez-Romero, Hector Beltran-Alacreu, Alberto Arribas-Romano, Ferran Cuenca-Martinez, Jorge Hugo Villafane, Josue Fernandez-Carnero

Summary: This umbrella review with meta-meta-analysis found that orthopedic manual therapy had a small-moderate effect on mechanical hyperalgesia, with moderate-quality evidence and no heterogeneity. It also had a small effect on temporal summation, with moderate heterogeneity and low-quality evidence. Additionally, orthopedic manual therapy improved conditioned pain modulation with low-quality evidence. However, its effects were limited to immediate and short-term.

AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION (2023)

Review Clinical Neurology

Effectiveness of Different Electrical Stimulation Modalities for Pain and Masticatory Function in Temporomandibular Disorders: A Systematic Review and Meta-Analysis

Diego Serrano-Munoz, Hector Beltran-Alacreu, David Martin-Caro Alvarez, Juan Jose Fernandez-Perez, Javier Aceituno-Gomez, Ruben Arroyo-Fernandez, Juan Avendano-Coy

Summary: This systematic review and meta-analysis aimed to determine the effectiveness of different electrical stimulation modalities in patients with temporomandibular disorders. The results showed that transcutaneous electrical nerve stimulation (TENS) and high-voltage current stimulation can significantly reduce musculoskeletal pain, but have no significant effect on range of movement and muscle activity.

JOURNAL OF PAIN (2023)

Article Medicine, General & Internal

Manual Therapy Effects on Nonspecific Neck Pain Are Not Mediated by Mechanisms Related to Conditioned Pain Modulation: A Randomized Clinical Trial

Alberto Arribas-Romano, Josue Fernandez-Carnero, Yeray Gonzalez-Zamorano, Leonardo Rodriguez-Lagos, Isabel Maria Alguacil-Diego, Miguel Molina-Alvarez, David Morales Tejera, Francisco Mercado-Romero

Summary: The aim of this study was to investigate the mechanisms through which manual therapy (MT) works in patients with neck pain, comparing the effects of painful and pain-free MT treatment. The results showed that the immediate and short-term effects of MT on neck pain are not mediated by mechanisms related to conditioned pain modulation (CPM).

JOURNAL OF CLINICAL MEDICINE (2023)

Article Biology

Reliability and Responsiveness of a Novel Device to Evaluate Tongue Force

Marta Carlota Diaz-Saez, Alfonso Gil-Martinez, Inae Caroline Gadotti, Gonzalo Navarro-Fernandez, Javier Gil-Castillo, Hector Beltran-Alacreu

Summary: A new low-cost device was developed to evaluate tongue force in an asymptomatic population. The device showed good-to-excellent intra- and inter-reliability and good responsiveness. It could be a new, more accessible tool for assessing and treating different clinical conditions involving a deficit in tongue force.

LIFE-BASEL (2023)

Article Anesthesiology

Conditioned pain modulation and psychological factors in young adults with recurrent or chronic neck pain

Alberto Arribas-Romano, Josue Fernandez-Carnero, Yeray Gonzalez-Zamorano, Leonardo Rodriguez-Lagos, Francisco Gurdiel-Alvarez, Miguel Molina-Alvarez, David Morales Tejera, Francisco Mercado

Summary: The study revealed that young adult students with chronic or recurrent non-specific neck pain exhibit remote hyperalgesia and symptoms of depression and anxiety, but do not have dysfunctional conditioned pain modulation.

PAIN PRACTICE (2023)

Review Neurosciences

Effects of Repetitive-Transcranial Magnetic Stimulation (rTMS) in Fibromyalgia Syndrome: An Umbrella and Mapping Review

Ferran Cuenca-Martinez, Nuria Sempere-Rubio, Sara Molla-Casanova, Elena Munoz-Gomez, Josue Fernandez-Carnero, Alberto Sanchez-Sabater, Luis Suso-Marti

Summary: This study aimed to evaluate the effects of repetitive transcranial magnetic stimulation (rTMS) in patients with fibromyalgia (FMS). Eleven systematic reviews were included in the analysis. The results showed that high-frequency rTMS significantly reduced pain intensity at a 1-month follow-up, while the effects of low-frequency rTMS were uncertain. There was a significant effect on pain intensity up to 1-week post-intervention for the combination of high and low-frequency rTMS, but the results were controversial in the follow-up. rTMS was effective in improving general health but not in managing depressive symptoms and anxiety.

BRAIN SCIENCES (2023)

暂无数据