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Scandinavian Journal of Pain

Official Journal of the Scandinavian Association for the Study of Pain

Editor-in-Chief: Breivik, Harald


CiteScore 2018: 0.85

SCImago Journal Rank (SJR) 2018: 0.494
Source Normalized Impact per Paper (SNIP) 2018: 0.427

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ISSN
1877-8879
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Volume 16, Issue 1

Issues

Association between pain, disability, widespread pressure pain hypersensitivity and trigger points in subjects with neck pain

Matteo Castaldo
  • Corresponding author
  • Poliambulatorio FisioCenter, Collecchio, Parma, Italy
  • SMI®, Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark
  • University of Siena, Siena, Italy
  • Email
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Antonella Catena / Alessandro Chiarotto
  • Department of Health Sciences, Faculty of Earth and Life Sciences, EMGO+ Institute for Health and Care Research, VU University, Amsterdam, The Netharlands
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Jorge Hugo Villafañe / César Fernández-de-las-Peñas
  • SMI®, Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark
  • Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos, Alcorcón, Spain
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Lars Arendt-Nielsen
  • SMI®, Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
Published Online: 2017-07-01 | DOI: https://doi.org/10.1016/j.sjpain.2017.04.012

Abstract

Aims

Mechanical neck pain (MNP) and whiplash-associated disorders (WAD) represents two groups of subjects with a different pathogenesis, since current evidence supports that WAD subjects presents greater sensitization than MNP. Nevertheless, it is still unclear the relationship between neck pain, neck disability, widespread pressure pain hypersensitivity (sign of sensitization) and trigger points (TrPs) in these two groups of neck pain subjects. The aim of the current study was to investigate these associations in MNP and WAD subjects.

Methods

Forty-six MNP and fifty-one WAD subjects underwent the following examination: pressure pain thresholds (PPTs) in the upper trapezius and tibialis anterior muscles, TrP examination in the upper trapezius, and collection of neck disability and neck pain intensity. The examination was performed by an assessor blinded to subjects’ condition.

Results

A significant positive association between pain and disability (P < 0.003), pain and PPT in the upper trapezius (P < 0.041), pain and PPT in tibialis anterior (P < 0.038), disability and PPT in upper trapezius (P = 0.006) was found in both groups. Subjects with MNP showed significantly negative association between disability and PPT in the tibialis anterior (P = 0.003). Subjects with active TrPs in the upper trapezius exhibited significantly higher neck pain intensity and neck disability and lower PPTs (all, P < 0.015), than those with latent TrPs in both groups.

Conclusions

Our results suggest that the association between pain, disability, and PPTs is similar in subjects with neck pain and not influenced by the origin of neck pain. The presence of active TrPs in upper trapezius in neck pain patients was related to higher pain intensity, related-disability and lower PPTs, compared to neck pain patients with latent TrPs in upper trapezius. Future studies are needed to determine the clinical role of these associations.

About the article

Published Online: 2017-07-01

Published in Print: 2017-07-01


Citation Information: Scandinavian Journal of Pain, Volume 16, Issue 1, Pages 167–168, ISSN (Online) 1877-8879, ISSN (Print) 1877-8860, DOI: https://doi.org/10.1016/j.sjpain.2017.04.012.

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