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Heightened pain sensitivity in individuals with signs and symptoms of carpal tunnel syndrome and the relationship to clinical outcomes following a manual therapy intervention.

Publication ,  Journal Article
Bialosky, JE; Bishop, MD; Robinson, ME; Price, DD; George, SZ
Published in: Man Ther
December 2011

Neurophysiological responses related to lessening of pain sensitivity are a suggested mechanism of manual therapy. Prior studies have observed generalized lower pain thresholds associated with carpal tunnel syndrome (CTS) in comparison to healthy controls. The present study sought to determine whether similar findings were present in suprathreshold measures and measures specific to central integration of pain (temporal summation and after sensations). Additionally, we wished to determine whether measures of pain sensitivity were related to clinical outcomes in participants with signs and symptoms of CTS receiving a manual therapy intervention. Individuals with signs and symptoms of CTS reported greater pain sensitivity to suprathreshold measures of mechanical pain, temporal summation, and after sensation in comparison to healthy controls. Immediate lessening of mechanical pain sensitivity and after sensations in response to a manual therapy intervention and 3-week attenuation of temporal summation following a 3-week course of manual therapy were associated with 3-week changes in clinical pain intensity in participants with signs and symptoms of CTS. These findings suggest heightened pain sensitivity across several parameters may be associated with CTS. Furthermore, changes in mechanical pain, after sensation, and temporal summation may be related to improvements in clinical outcomes.

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Published In

Man Ther

DOI

EISSN

1532-2769

Publication Date

December 2011

Volume

16

Issue

6

Start / End Page

602 / 608

Location

Scotland

Related Subject Headings

  • Young Adult
  • Treatment Outcome
  • Severity of Illness Index
  • Risk Assessment
  • Reference Values
  • Pain Threshold
  • Pain Measurement
  • Orthopedics
  • Musculoskeletal Pain
  • Musculoskeletal Manipulations
 

Citation

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Bialosky, J. E., Bishop, M. D., Robinson, M. E., Price, D. D., & George, S. Z. (2011). Heightened pain sensitivity in individuals with signs and symptoms of carpal tunnel syndrome and the relationship to clinical outcomes following a manual therapy intervention. Man Ther, 16(6), 602–608. https://doi.org/10.1016/j.math.2011.06.003
Bialosky, Joel E., Mark D. Bishop, Michael E. Robinson, Donald D. Price, and Steven Z. George. “Heightened pain sensitivity in individuals with signs and symptoms of carpal tunnel syndrome and the relationship to clinical outcomes following a manual therapy intervention.Man Ther 16, no. 6 (December 2011): 602–8. https://doi.org/10.1016/j.math.2011.06.003.
Bialosky, Joel E., et al. “Heightened pain sensitivity in individuals with signs and symptoms of carpal tunnel syndrome and the relationship to clinical outcomes following a manual therapy intervention.Man Ther, vol. 16, no. 6, Dec. 2011, pp. 602–08. Pubmed, doi:10.1016/j.math.2011.06.003.

Published In

Man Ther

DOI

EISSN

1532-2769

Publication Date

December 2011

Volume

16

Issue

6

Start / End Page

602 / 608

Location

Scotland

Related Subject Headings

  • Young Adult
  • Treatment Outcome
  • Severity of Illness Index
  • Risk Assessment
  • Reference Values
  • Pain Threshold
  • Pain Measurement
  • Orthopedics
  • Musculoskeletal Pain
  • Musculoskeletal Manipulations