lnu.sePublications
System disruptions
We are currently experiencing disruptions on the search portals due to high traffic. We are working to resolve the issue, you may temporarily encounter an error message.
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Increased deep pain sensitivity in persistent musculoskeletal pain but not in other musculoskeletal pain states
Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology. Hälsoringen, Neron HSU AB, Osby.
Lund University ; Region Skåne ; Region Kronoberg.
Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology. jens.agerstrom@lnu.se.ORCID iD: 0000-0001-6134-0058
2016 (English)In: Scandinavian Journal of Pain, ISSN 1877-8860, E-ISSN 1877-8879, Vol. 13, p. 1-5Article in journal (Refereed) Published
Abstract [en]

BackgroundPressure pain thresholds (PPTs) in a non-painful body area are known to be affected in some chronic pain states. The aim of this study is to investigate PPTs in a pain-free body part in relation to pain persistence and intensity in patients with musculoskeletal pain. MethodsPatients with musculoskeletal pain were divided into three different pain groups: acute pain (pain duration < 3 months, n = 38), regularly recurrent pain (regularly recurrent pain duration > 3 months, n = 56), persistent pain (persistent pain duration > 3 months, n = 52) and a healthy control group (n = 51). PPT measures were conducted over the tibialis anterior muscle on the right leg in all groups. ResultsThe persistent pain group showed significantly lower PPTs over the tibialis anterior muscle compared to controls. No significant differences were found between the acute and regularly recurrent pain groups compared to healthy controls. Significant correlations, albeit small, were found between pain intensity and PPTs. ConclusionsIncreased deep pain sensitivity was found in patients with persistent musculoskeletal pain, but not in regularly recurrent pain or in acute pain. Yet, a limitation of the study is that it did not have sufficient power to detect small levels of increased deep pain sensitivity among the latter groups when compared to healthy controls. Implications: Knowledge about increased general hypersensitivity in persistent musculoskeletal pain could be important in clinical treatment.

Place, publisher, year, edition, pages
Elsevier, 2016. Vol. 13, p. 1-5
Keywords [en]
Central sensitization, Deep pain sensitivity, Persistent pain, Pressure pain threshold
National Category
Neurology
Research subject
Natural Science, Medicine; Social Sciences, Psychology
Identifiers
URN: urn:nbn:se:lnu:diva-56062DOI: 10.1016/j.sjpain.2016.05.032ISI: 000391261500001PubMedID: 28850505Scopus ID: 2-s2.0-84973340677OAI: oai:DiVA.org:lnu-56062DiVA, id: diva2:971481
Available from: 2016-09-16 Created: 2016-08-31 Last updated: 2018-05-03Bibliographically approved
In thesis
1. The influence of different pain states on pain perception and cognitive functions
Open this publication in new window or tab >>The influence of different pain states on pain perception and cognitive functions
2018 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The general aim of this thesis was to investigate the effect of different pain stateson pain perception and cognition.In the first study, the effect of different pain qualities (duration, persistence, andintensity) on deep pressure pain thresholds in a pain-free body part among patientswith acute pain, long-lasting regularly recurrent pain, and long-lasting persistentpain, and pain-free controls was investigated. Such general deep pressure painthresholds were only significantly lower in the group with long-lasting persistentpain when compared to the healthy controls, suggesting that deep tissuehypersensitivity primarily occurs in patients with long-lasting, persistent pain.In the second study, the relationship between the same pain qualities and cognitiveperformance in the form of sustained attention, cognitive control, and psychomotorability was investigated. Overall, patients with long-lasting, persistent pain showedcognitive impairment on a wider range of cognitive tasks compared to patients withacute or long-lasting, regularly recurrent pain, using pain free controls asbenchmark. The results further suggest that persistence and duration, rather thanpain intensity, contribute to impaired cognitive function in clinical musculoskeletalpain states.In the third study, the effect of acute, experimental pain on abstraction wasexamined in a laboratory experiment where pain was induced with a cold pressorapparatus. The results were consistent with the null hypothesis, suggesting thatabstraction is immune to acute, experimental pain.In the fourth study, the correlation between clinical pain, abstraction and selfcontrolwas examined in patients suffering from musculoskeletal pain of differentduration, persistence and intensity. The results suggest that abstract thinking isreduced with increasing pain intensity and pain persistence. This was also the casefor self-control, although depression seems to mediate this relationship.In conclusion, compared to other pain states, patients who experience long-term,persistent pain, seem to suffer from a broader range of impaired cognitive abilities.Further, deep tissue hypersensitivity seems to develop in patients with long-termpersistent pain, but not in other pain states, which may contribute to the impairedcognitive performance observed in this patient group. The results have importantpractical implications for patients in the clinic and their everyday lives.

Place, publisher, year, edition, pages
Växjö: Linnaeus University Press, 2018
Series
Linnaeus University Dissertations ; 323/2018
Keywords
Persistent pain, Musculoskeletal pain, Cognitive impairment, Abstraction, Pain Thresholds
National Category
Psychology (excluding Applied Psychology)
Research subject
Social Sciences, Psychology
Identifiers
urn:nbn:se:lnu:diva-73789 (URN)978-91-88761-65-1 (ISBN)978-91-88761-64-4 (ISBN)
Public defence
2018-06-15, Myrdal, Hus K, äxjö, 10:00 (Swedish)
Opponent
Supervisors
Available from: 2018-05-03 Created: 2018-05-03 Last updated: 2025-02-12Bibliographically approved

Open Access in DiVA

fulltext(132 kB)403 downloads
File information
File name FULLTEXT02.pdfFile size 132 kBChecksum SHA-512
c2c2404d3e7e4b1722c60b42b437bcc8f78a70b4cb08db2f9ac8c7a8bd5b9a2bb22e7660e80b610796af791444574fda6a044897466238b17b5f3f99bc03168e
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMedScopus

Authority records

Gunnarsson, Helena E. M.Agerström, Jens

Search in DiVA

By author/editor
Gunnarsson, Helena E. M.Agerström, Jens
By organisation
Department of Psychology
In the same journal
Scandinavian Journal of Pain
Neurology

Search outside of DiVA

GoogleGoogle Scholar
Total: 405 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 326 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf