The Experts below are selected from a list of 96018 Experts worldwide ranked by ideXlab platform
Juan A Pareja - One of the best experts on this subject based on the ideXlab platform.
-
Bilateral hand/wrist heat and cold hyperalgesia, but not hypoesthesia, in unilateral carpal tunnel syndrome
Experimental Brain Research, 2009Co-Authors: Ana Isabel De La Llave-rincón, Josué Fernández-carnero, Luca Padua, Lars Arendt-nielsen, César Fernandez-de-las-penas, Juan A ParejaAbstract:The aim of the current study was to evaluate bilaterally warm/cold detection and heat/cold Pain thresholds over the hand/wrist in patients with carpal tunnel syndrome (CTS). A total of 25 women with strictly unilateral CTS (mean 42 ± 10 years), and 20 healthy matched women (mean 41 ± 8 years) were recruited. Warm/cold detection and heat/cold Pain thresholds were assessed bilaterally over the carpal tunnel and the thenar eminence in a blinded design. Self-reported measures included both clinical Pain History (intensity, location and area) and Boston Carpal Tunnel Questionnaire. No significant differences between groups for both warm and cold detection thresholds in either carpal tunnel or thenar eminence ( P > 0.5) were found. Further, significant differences between groups, but not between sides, for both heat and cold Pain thresholds in both the carpal tunnel and thenar eminence were found (all P
-
bilateral hand wrist heat and cold hyperalgesia but not hypoesthesia in unilateral carpal tunnel syndrome
Experimental Brain Research, 2009Co-Authors: Ana Isabel De La Llaverincon, Josue Fernandezcarnero, Lars Arendtnielsen, Luca Padua, Cesar Fernandezdelaspenas, Juan A ParejaAbstract:The aim of the current study was to evaluate bilaterally warm/cold detection and heat/cold Pain thresholds over the hand/wrist in patients with carpal tunnel syndrome (CTS). A total of 25 women with strictly unilateral CTS (mean 42 ± 10 years), and 20 healthy matched women (mean 41 ± 8 years) were recruited. Warm/cold detection and heat/cold Pain thresholds were assessed bilaterally over the carpal tunnel and the thenar eminence in a blinded design. Self-reported measures included both clinical Pain History (intensity, location and area) and Boston Carpal Tunnel Questionnaire. No significant differences between groups for both warm and cold detection thresholds in either carpal tunnel or thenar eminence (P > 0.5) were found. Further, significant differences between groups, but not between sides, for both heat and cold Pain thresholds in both the carpal tunnel and thenar eminence were found (all P < 0.001). Heat Pain thresholds (P < 0.01) were negatively correlated, whereas cold Pain thresholds (P < 0.001) were positively correlated with hand Pain intensity and duration of symptoms. Our findings revealed bilateral thermal hyperalgesia (lower heat Pain and reduced cold Pain thresholds) but not hypoesthesia (normal warm/cold detection thresholds) in patients with strictly unilateral CTS when compared to controls. We suggest that bilateral heat and cold hyperalgesia may reflect impairments in central nociceptive processing in patients with unilateral CTS. The bilateral thermal hyperalgesia associated with Pain intensity and duration of Pain History supports a role of generalized sensitization mechanisms in the initiation, maintenance and spread of Pain in CTS.
-
Bilateral hand/wrist heat and cold hyperalgesia, but not hypoesthesia, in unilateral carpal tunnel syndrome
Experimental Brain Research, 2009Co-Authors: Ana Isabel De La Llave-rincón, Josué Fernández-carnero, Luca Padua, Lars Arendt-nielsen, César Fernandez-de-las-penas, Juan A ParejaAbstract:The aim of the current study was to evaluate bilaterally warm/cold detection and heat/cold Pain thresholds over the hand/wrist in patients with carpal tunnel syndrome (CTS). A total of 25 women with strictly unilateral CTS (mean 42 ± 10 years), and 20 healthy matched women (mean 41 ± 8 years) were recruited. Warm/cold detection and heat/cold Pain thresholds were assessed bilaterally over the carpal tunnel and the thenar eminence in a blinded design. Self-reported measures included both clinical Pain History (intensity, location and area) and Boston Carpal Tunnel Questionnaire. No significant differences between groups for both warm and cold detection thresholds in either carpal tunnel or thenar eminence (P > 0.5) were found. Further, significant differences between groups, but not between sides, for both heat and cold Pain thresholds in both the carpal tunnel and thenar eminence were found (all P < 0.001). Heat Pain thresholds (P < 0.01) were negatively correlated, whereas cold Pain thresholds (P < 0.001) were positively correlated with hand Pain intensity and duration of symptoms. Our findings revealed bilateral thermal hyperalgesia (lower heat Pain and reduced cold Pain thresholds) but not hypoesthesia (normal warm/cold detection thresholds) in patients with strictly unilateral CTS when compared to controls. We suggest that bilateral heat and cold hyperalgesia may reflect impairments in central nociceptive processing in patients with unilateral CTS. The bilateral thermal hyperalgesia associated with Pain intensity and duration of Pain History supports a role of generalized sensitization mechanisms in the initiation, maintenance and spread of Pain in CTS.
-
referred Pain from trapezius muscle trigger points shares similar characteristics with chronic tension type headache
European Journal of Pain, 2007Co-Authors: Cesar Fernandezdelaspenas, Lars Arendtnielsen, Hongyou Ge, Maria Luz Cuadrado, Juan A ParejaAbstract:Abstract Referred Pain and Pain characteristics evoked from the upper trapezius muscle was investigated in 20 patients with chronic tension-type headache (CTTH) and 20 age- and gender-matched controls. A headache diary was kept for 4 weeks in order to confirm the diagnosis and record the Pain History. Both upper trapezius muscles were examined for the presence of myofascial trigger points (TrPs) in a blinded fashion. The local and referred Pain intensities, referred Pain pattern, and pressure Pain threshold (PPT) were recorded. The results show that referred Pain was evoked in 85% and 50% on the dominant and non-dominant sides in CTTH patients, much higher than 55% and 25% in controls ( P P
Cesar Fernandezdelaspenas - One of the best experts on this subject based on the ideXlab platform.
-
bilateral hand wrist heat and cold hyperalgesia but not hypoesthesia in unilateral carpal tunnel syndrome
Experimental Brain Research, 2009Co-Authors: Ana Isabel De La Llaverincon, Josue Fernandezcarnero, Lars Arendtnielsen, Luca Padua, Cesar Fernandezdelaspenas, Juan A ParejaAbstract:The aim of the current study was to evaluate bilaterally warm/cold detection and heat/cold Pain thresholds over the hand/wrist in patients with carpal tunnel syndrome (CTS). A total of 25 women with strictly unilateral CTS (mean 42 ± 10 years), and 20 healthy matched women (mean 41 ± 8 years) were recruited. Warm/cold detection and heat/cold Pain thresholds were assessed bilaterally over the carpal tunnel and the thenar eminence in a blinded design. Self-reported measures included both clinical Pain History (intensity, location and area) and Boston Carpal Tunnel Questionnaire. No significant differences between groups for both warm and cold detection thresholds in either carpal tunnel or thenar eminence (P > 0.5) were found. Further, significant differences between groups, but not between sides, for both heat and cold Pain thresholds in both the carpal tunnel and thenar eminence were found (all P < 0.001). Heat Pain thresholds (P < 0.01) were negatively correlated, whereas cold Pain thresholds (P < 0.001) were positively correlated with hand Pain intensity and duration of symptoms. Our findings revealed bilateral thermal hyperalgesia (lower heat Pain and reduced cold Pain thresholds) but not hypoesthesia (normal warm/cold detection thresholds) in patients with strictly unilateral CTS when compared to controls. We suggest that bilateral heat and cold hyperalgesia may reflect impairments in central nociceptive processing in patients with unilateral CTS. The bilateral thermal hyperalgesia associated with Pain intensity and duration of Pain History supports a role of generalized sensitization mechanisms in the initiation, maintenance and spread of Pain in CTS.
-
referred Pain from trapezius muscle trigger points shares similar characteristics with chronic tension type headache
European Journal of Pain, 2007Co-Authors: Cesar Fernandezdelaspenas, Lars Arendtnielsen, Hongyou Ge, Maria Luz Cuadrado, Juan A ParejaAbstract:Abstract Referred Pain and Pain characteristics evoked from the upper trapezius muscle was investigated in 20 patients with chronic tension-type headache (CTTH) and 20 age- and gender-matched controls. A headache diary was kept for 4 weeks in order to confirm the diagnosis and record the Pain History. Both upper trapezius muscles were examined for the presence of myofascial trigger points (TrPs) in a blinded fashion. The local and referred Pain intensities, referred Pain pattern, and pressure Pain threshold (PPT) were recorded. The results show that referred Pain was evoked in 85% and 50% on the dominant and non-dominant sides in CTTH patients, much higher than 55% and 25% in controls ( P P
-
performance of the craniocervical flexion test forward head posture and headache clinical parameters in patients with chronic tension type headache a pilot study
Journal of Orthopaedic & Sports Physical Therapy, 2007Co-Authors: Cesar Fernandezdelaspenas, Marta Perezdeheredia, Alberto Molerosanchez, Juan Carlos MiangolarrapageAbstract:Design Case-control, descriptive pilot study. Objective To describe the differences in the performance of the craniocervical flexion test (CCFT) between individuals with chronic tension-type headache (CTTH) and healthy controls. To assess the relationship between the CCFT, forward head posture, and several clinical variables related to the intensity and temporal profile of headache. Background Musculoskeletal impairments of the craniocervical region might play an important role on the pathogenesis of CTTH. Deficits in the performance of the CCFT have been reported in patients with cervicogenic headache, nonspecific neck Pain, and whiplash injury, but not in individuals with CTTH. Material and Methods Ten patients with CTTH and 10 comparable controls without headache were studied. A headache diary was kept for 4 weeks to substantiate the diagnosis and to record the Pain History. The CCFT was performed with the subject supine and required performing a gentle head-nodding action of craniocervical flexion. Th...
Luca Padua - One of the best experts on this subject based on the ideXlab platform.
-
Bilateral hand/wrist heat and cold hyperalgesia, but not hypoesthesia, in unilateral carpal tunnel syndrome
Experimental Brain Research, 2009Co-Authors: Ana Isabel De La Llave-rincón, Josué Fernández-carnero, Luca Padua, Lars Arendt-nielsen, César Fernandez-de-las-penas, Juan A ParejaAbstract:The aim of the current study was to evaluate bilaterally warm/cold detection and heat/cold Pain thresholds over the hand/wrist in patients with carpal tunnel syndrome (CTS). A total of 25 women with strictly unilateral CTS (mean 42 ± 10 years), and 20 healthy matched women (mean 41 ± 8 years) were recruited. Warm/cold detection and heat/cold Pain thresholds were assessed bilaterally over the carpal tunnel and the thenar eminence in a blinded design. Self-reported measures included both clinical Pain History (intensity, location and area) and Boston Carpal Tunnel Questionnaire. No significant differences between groups for both warm and cold detection thresholds in either carpal tunnel or thenar eminence ( P > 0.5) were found. Further, significant differences between groups, but not between sides, for both heat and cold Pain thresholds in both the carpal tunnel and thenar eminence were found (all P
-
bilateral hand wrist heat and cold hyperalgesia but not hypoesthesia in unilateral carpal tunnel syndrome
Experimental Brain Research, 2009Co-Authors: Ana Isabel De La Llaverincon, Josue Fernandezcarnero, Lars Arendtnielsen, Luca Padua, Cesar Fernandezdelaspenas, Juan A ParejaAbstract:The aim of the current study was to evaluate bilaterally warm/cold detection and heat/cold Pain thresholds over the hand/wrist in patients with carpal tunnel syndrome (CTS). A total of 25 women with strictly unilateral CTS (mean 42 ± 10 years), and 20 healthy matched women (mean 41 ± 8 years) were recruited. Warm/cold detection and heat/cold Pain thresholds were assessed bilaterally over the carpal tunnel and the thenar eminence in a blinded design. Self-reported measures included both clinical Pain History (intensity, location and area) and Boston Carpal Tunnel Questionnaire. No significant differences between groups for both warm and cold detection thresholds in either carpal tunnel or thenar eminence (P > 0.5) were found. Further, significant differences between groups, but not between sides, for both heat and cold Pain thresholds in both the carpal tunnel and thenar eminence were found (all P < 0.001). Heat Pain thresholds (P < 0.01) were negatively correlated, whereas cold Pain thresholds (P < 0.001) were positively correlated with hand Pain intensity and duration of symptoms. Our findings revealed bilateral thermal hyperalgesia (lower heat Pain and reduced cold Pain thresholds) but not hypoesthesia (normal warm/cold detection thresholds) in patients with strictly unilateral CTS when compared to controls. We suggest that bilateral heat and cold hyperalgesia may reflect impairments in central nociceptive processing in patients with unilateral CTS. The bilateral thermal hyperalgesia associated with Pain intensity and duration of Pain History supports a role of generalized sensitization mechanisms in the initiation, maintenance and spread of Pain in CTS.
-
Bilateral hand/wrist heat and cold hyperalgesia, but not hypoesthesia, in unilateral carpal tunnel syndrome
Experimental Brain Research, 2009Co-Authors: Ana Isabel De La Llave-rincón, Josué Fernández-carnero, Luca Padua, Lars Arendt-nielsen, César Fernandez-de-las-penas, Juan A ParejaAbstract:The aim of the current study was to evaluate bilaterally warm/cold detection and heat/cold Pain thresholds over the hand/wrist in patients with carpal tunnel syndrome (CTS). A total of 25 women with strictly unilateral CTS (mean 42 ± 10 years), and 20 healthy matched women (mean 41 ± 8 years) were recruited. Warm/cold detection and heat/cold Pain thresholds were assessed bilaterally over the carpal tunnel and the thenar eminence in a blinded design. Self-reported measures included both clinical Pain History (intensity, location and area) and Boston Carpal Tunnel Questionnaire. No significant differences between groups for both warm and cold detection thresholds in either carpal tunnel or thenar eminence (P > 0.5) were found. Further, significant differences between groups, but not between sides, for both heat and cold Pain thresholds in both the carpal tunnel and thenar eminence were found (all P < 0.001). Heat Pain thresholds (P < 0.01) were negatively correlated, whereas cold Pain thresholds (P < 0.001) were positively correlated with hand Pain intensity and duration of symptoms. Our findings revealed bilateral thermal hyperalgesia (lower heat Pain and reduced cold Pain thresholds) but not hypoesthesia (normal warm/cold detection thresholds) in patients with strictly unilateral CTS when compared to controls. We suggest that bilateral heat and cold hyperalgesia may reflect impairments in central nociceptive processing in patients with unilateral CTS. The bilateral thermal hyperalgesia associated with Pain intensity and duration of Pain History supports a role of generalized sensitization mechanisms in the initiation, maintenance and spread of Pain in CTS.
Sérgio T. Fonseca - One of the best experts on this subject based on the ideXlab platform.
-
PREVALENCE OF PATELLAR TENDON Pain History IN BRAZILIAN VOLLEYBALL AND BASKETBALL ATHLETES
British Journal of Sports Medicine, 2017Co-Authors: Luciana De Michelis Mendonça, Natalia Franco Netto Bittencourt, Juliana M. Ocarino, Sérgio T. FonsecaAbstract:Background Patellar tendinopathy is a clinically identified overload injury associated to jumping activities. The symptoms may last for years, affect sports participation and even lead to the end of a sport career. Therefore, is necessary to understand the profile of injury/complain in a sports team in order to plan preventive strategies. Objective The purpose of this study was to identify the prevalence of patellar tendon Pain History in Brazilian volleyball and basketball athletes. Design Cross-sectional . Setting Sports Science Laboratory in the Universidade Federal de Minas Gerais. Patients (or Participants) One-hundred and ninety and one volleyball and basketball athletes with a mean age of 18.29 (+4.9) years, body mass of 76.50 (+13.8) kilograms and height of 1.85 (0,11) meters participated in this study. Interventions (or Assessment of Risk Factors) The athletes were questioned by the examiner about patellar tendon Pain History related to sports practice. If the athlete had History of other knee complains (as patellofemoral Pain and bursitis) and/or Osgood-Schlatter, he/she was excluded. Main Outcome Measurements History of Pain, in the last 6 months, localized at the patellar tendon, which compromised the sports participation and/or sports performance. Results The prevalence of patellar tendon Pain History was 22.5% (n=43) in the athletes participating in this study. Fifteen were female and 28 male, 25 were juvenile and 18 adult and 34 practiced volleyball and 9 basketball. Ten athletes reported patellar tendon Pain in left lower limb, 14 in right lower limb and 19 bilaterally. Therefore, 147 athletes did not had patellar tendon Pain History in the last 6 months. Conclusions The prevalence of patellar tendon Pain History in this study was 22.5%. The major occurrence was bilateral Pain History and the results suggest that male volleyball athletes had higher prevalence.
-
The Accuracy of the VISA-P Questionnaire, Single-Leg Decline Squat, and Tendon Pain History to Identify Patellar Tendon Abnormalities in Adult Athletes
The Journal of orthopaedic and sports physical therapy, 2016Co-Authors: Luciana De Michelis Mendonça, Natalia Franco Netto Bittencourt, Juliana M. Ocarino, Ludmila Maria Oliveira Fernandes, Evert Verhagen, Sérgio T. FonsecaAbstract:Study Design Cross-sectional clinical assessment. Background Patellar tendinopathy is not always accompanied by patellar tendon abnormalities (PTAs). Thus, clinical screening tools to help identify patients with patellar tendon Pain who have PTAs could enhance clinical decision making and patient prognosis. Objectives To test the diagnostic accuracy of the Victorian Institute of Sport Assessment-Patella (VISA-P) questionnaire, a single-leg decline squat (SLDS), tendon Pain History, age, and years of sports participation to identify athletes with symptomatic patellar tendons who have PTAs confirmed on imaging. Methods Data provided by ultrasound examination, the VISA-P questionnaire, the SLDS, tendon Pain History, age, and years of sport participation were collected in 43 athletes. A classification and regression tree (CART) model was developed to verify variables associated with PTA occurrence. Likelihood ratios (LRs) were computed for positive and negative tests. Results The SLDS, VISA-P questionnaire, and tendon Pain History were associated with PTA occurrence. Athletes with negative results on all 3 tests (CART model) had a lower likelihood of having PTAs (negative LR = 0.3; 95% confidence interval [CI]: 0.2, 0.5). The isolated use of the SLDS or tendon Pain History (positive LR = 4.2; 95% CI: 2.3, 7.14 and 4.5; 95% CI: 1.8, 11.1, respectively) had similar influence on probability of PTA presence compared to the CART model (positive LR = 4.1; 95% CI: 2.5, 6.3). Conclusion Although the objective was to investigate a clinical test to identify PTAs, the combined use of the tests had greater accuracy to identify individuals without PTAs. Level of Evidence Diagnosis, level 3b. J Orthop Sports Phys Ther 2016;46(8):673-680. Epub 3 Jul 2016. doi:10.2519/jospt.2016.6192.
-
SCREENING ATHLETES WITH PATELLAR TENDINOSIS: CLINICAL INFORMATION TO GUIDE PREVENTIVE ATTITUDES
British Journal of Sports Medicine, 2014Co-Authors: Luciana De Michelis Mendonça, Juliana M. Ocarino, N F N Bittencourt, Alysson L. Zuin, R A Barreto, Sérgio T. FonsecaAbstract:Background Patellar tendinosis is a degenerative condition that could lead to tendon rupture. Conservative treatment is long-term and surgery may be required to enhance tissue regeneration. Therefore, the athlete could have his/her successful career jeopardized. Some clinical tests, usually used in patellar tendon assessment, could be associated to patellar tendon morphologic abnormalities (PTA). However, their relationship to PTA is not established and they could be used in sports practice as a strategy for preventive care. Objective To investigate the association of VISA-P questionnaire, single-leg decline squat test and patellar tendon Pain History to tendon morphological abnormalities at ultrasound. Design Cross-sectional study. Setting Athletes filled in VISA-P questionnaire, performed the single-leg decline squat test (SLDS) and informed about patellar tendon Pain History. Athletes with Osgood-Schlater and/or Siding-Larsen-Johansson disease were excluded. An experienced examiner performed the ultrasonographic exam in tendon sagittal and transverse planes. Tendons that presented hypoechoic areas and thickness were considered as positive for morphological abnormalities. Participants 43 athletes (26 volleyball, 14 basketball, 3 running) participated in this study, 38 males and 5 females, mean age of 24.8±6.7 years, weight of 87.6±13.7 kg and height of 1.93 ±0.1 m. Risk factor assessment VISA-P, single-leg decline squat test and patellar tendon Pain History. Main outcome measurements Patellar tendon hypoechoic areas and thickness at ultrasound. Results Significant associations to PTA were found. VISA-P showed an OR of 5.4 (1.3–26), SLDS of 3.8 (1.4–11) and Pain History of 7.5 (1.6–42). Therefore, an athlete who presents a score under 80 points at VISA-P, for example, have 5.4 more chance to present PTA compared to an athlete that does not have PTA. Conclusions VISA-P, SLDS and patellar tendon Pain History can be easily applied in clinical practice and should be used as a screening tool in sports modalities that present a high PTA prevalence.
Ana Isabel De La Llave-rincón - One of the best experts on this subject based on the ideXlab platform.
-
Bilateral hand/wrist heat and cold hyperalgesia, but not hypoesthesia, in unilateral carpal tunnel syndrome
Experimental Brain Research, 2009Co-Authors: Ana Isabel De La Llave-rincón, Josué Fernández-carnero, Luca Padua, Lars Arendt-nielsen, César Fernandez-de-las-penas, Juan A ParejaAbstract:The aim of the current study was to evaluate bilaterally warm/cold detection and heat/cold Pain thresholds over the hand/wrist in patients with carpal tunnel syndrome (CTS). A total of 25 women with strictly unilateral CTS (mean 42 ± 10 years), and 20 healthy matched women (mean 41 ± 8 years) were recruited. Warm/cold detection and heat/cold Pain thresholds were assessed bilaterally over the carpal tunnel and the thenar eminence in a blinded design. Self-reported measures included both clinical Pain History (intensity, location and area) and Boston Carpal Tunnel Questionnaire. No significant differences between groups for both warm and cold detection thresholds in either carpal tunnel or thenar eminence ( P > 0.5) were found. Further, significant differences between groups, but not between sides, for both heat and cold Pain thresholds in both the carpal tunnel and thenar eminence were found (all P
-
Bilateral hand/wrist heat and cold hyperalgesia, but not hypoesthesia, in unilateral carpal tunnel syndrome
Experimental Brain Research, 2009Co-Authors: Ana Isabel De La Llave-rincón, Josué Fernández-carnero, Luca Padua, Lars Arendt-nielsen, César Fernandez-de-las-penas, Juan A ParejaAbstract:The aim of the current study was to evaluate bilaterally warm/cold detection and heat/cold Pain thresholds over the hand/wrist in patients with carpal tunnel syndrome (CTS). A total of 25 women with strictly unilateral CTS (mean 42 ± 10 years), and 20 healthy matched women (mean 41 ± 8 years) were recruited. Warm/cold detection and heat/cold Pain thresholds were assessed bilaterally over the carpal tunnel and the thenar eminence in a blinded design. Self-reported measures included both clinical Pain History (intensity, location and area) and Boston Carpal Tunnel Questionnaire. No significant differences between groups for both warm and cold detection thresholds in either carpal tunnel or thenar eminence (P > 0.5) were found. Further, significant differences between groups, but not between sides, for both heat and cold Pain thresholds in both the carpal tunnel and thenar eminence were found (all P < 0.001). Heat Pain thresholds (P < 0.01) were negatively correlated, whereas cold Pain thresholds (P < 0.001) were positively correlated with hand Pain intensity and duration of symptoms. Our findings revealed bilateral thermal hyperalgesia (lower heat Pain and reduced cold Pain thresholds) but not hypoesthesia (normal warm/cold detection thresholds) in patients with strictly unilateral CTS when compared to controls. We suggest that bilateral heat and cold hyperalgesia may reflect impairments in central nociceptive processing in patients with unilateral CTS. The bilateral thermal hyperalgesia associated with Pain intensity and duration of Pain History supports a role of generalized sensitization mechanisms in the initiation, maintenance and spread of Pain in CTS.
