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Clinical Ratings of Pain Sensitivity Correlate With Quantitative Measures in People With Chronic Neck Pain and Healthy Controls: Cross-Sectional Study

Trudy Rebbeck, Niamh Moloney, Roxanne Azoory, Markus Hübscher, Robert Waller, Rebekah Gibbons, Darren Beales
DOI: 10.2522/ptj.20140352 Published 1 November 2015
Trudy Rebbeck
T. Rebbeck, PhD, FACP, MAppSc(ManipPhty), BAppSc(Phty), Discipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, C43A Cumberland Campus, New South Wales 2006, Australia.
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Niamh Moloney
N. Moloney, PhD, MManipTher, BPhysio(Hons), Department of Health Professions, Faculty of Medicine, Macquarie University, Sydney, Australia.
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Roxanne Azoory
R. Azoory, MHlthSc (ManipPhty), BSc(PT), BA(Psych), Discipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney.
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Markus Hübscher
M. Hübscher, PhD(Sport Sciences), MA(Sport Sciences), Neuroscience Research Australia, The University of New South Wales, Sydney, Australia.
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Robert Waller
R. Waller, MManipTher, School of Physiotherapy and Exercise Science, Curtin University, Perth, Western Australia, Australia.
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Rebekah Gibbons
R. Gibbons, BScPhysiotherapy(Hons), School of Physiotherapy and Exercise Science, Curtin University.
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Darren Beales
D. Beales, PhD, FACP, MManipTher, BSc(Physio), School of Physiotherapy and Exercise Science, Curtin University.
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Tables

Table 1.
Table 1.

Participant Characteristics and Group Differences for Pain, Disability, Psychological, and Health Status Domainsa

  • ↵a BMI=body mass index, NSW=New South Wales, WA=Western Australia, DASS-21=short-form Depression Anxiety Stress Scale, PCS=Pain Catastrophizing Scale.

Table 2.
Table 2.

Group Differences for Quantitative and Clinical Measures of Pressure and Cold Pain Sensitivitya

  • ↵a IQR=interquartile range, CPT=cold pain threshold, NRS=numeric rating scale, PPT=pressure pain threshold.

  • b Wrist data given for the symptomatic side for the neck pain group and for the mean between left and right sides for the control group.

Table 3.
Table 3.

Bivariate Correlation Analyses Between Quantitative and Clinical Measures for Cold Pain Sensitivitya

  • ↵a CPT=cold pain threshold.

  • b Wrist data analyzed for the symptomatic side in the neck pain group and for the mean difference between left and right sides for the control group.

Table 4.
Table 4.

Bivariate Correlation Analyses Between Quantitative and Clinical Measures for Pressure Pain Sensitivitya

  • ↵a PPT=pressure pain threshold.

Table 5.
Table 5.

Regression Analyses for Variables Associated With Cold Pain Threshold at All Body Sitesa

  • ↵a Model 1: variables entered were sex, Pain Catastrophizing Scale (PCS) score, short-form Depression Anxiety Stress Scale (DASS-21) score, sleep quality, composite numeric rating score for pain (NRS composite), and Brachial Plexus Pain Provocation (BPPT) test score. Only results for variables that reached significance are shown. Model 2: variables entered were the same as for model 1 as well as clinical ice cold score and clinical ice pain score. All=whole cohort, NS=not significant.

Table 6.
Table 6.

Regression Analyses for Variables Associated With Pressure Pain Thresholds at All Body Sitesa

  • ↵a Model 1: variables entered were sex, Pain Catastrophizing Scale (PCS) score, short-form Depression Anxiety Stress Scale (DASS-21) score, sleep quality, composite numeric rating score for pain (NRS composite), and Brachial Plexus Pain Provocation (BPPT) test score. Only results for variables that reached significance are shown. Model 2: variables entered were the same as for model 1 as well as clinical pressure pain score. All=whole cohort, NS=not significant.

Supplementary Data

eFigure

Files in this Data Supplement:

  • eFigure (PDF) (75 KB) - This PDF contains the following eFigure:
    • eFigure. Median (Interquartile Range) for Cold Pain Threshold (CPT) in the Cervical Spine
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Vol 95 Issue 11 Table of Contents
Physical Therapy: 95 (11)

Issue highlights

  • Effectiveness of Soft Tissue Massage
  • Cognitive Functional Therapy and Chronic Low Back Pain
  • General Movement Assessment in Cerebral Palsy
  • Activities of Daily Living in Children With Developmental Coordination Disorder
  • Physical Therapists' Use of Standardized Measures for Walking Capacity
  • Benefits of TENS for Chronic Musculoskeletal Pain
  • Diagnostic Value of Clinical Cervical Spine Tests
  • Clinical Ratings of Pain Sensitivity and Chronic Neck Pain
  • Handwriting of People With Cerebellar Ataxia
  • PEDI-CAT and AIMS Validity and Responsiveness
  • Balance Training for Children With Fetal Alcohol Spectrum Disorders
  • Neuroplastic Changes and Chronic Musculoskeletal Disorders
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Clinical Ratings of Pain Sensitivity Correlate With Quantitative Measures in People With Chronic Neck Pain and Healthy Controls: Cross-Sectional Study
Trudy Rebbeck, Niamh Moloney, Roxanne Azoory, Markus Hübscher, Robert Waller, Rebekah Gibbons, Darren Beales
Physical Therapy Nov 2015, 95 (11) 1536-1546; DOI: 10.2522/ptj.20140352

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Clinical Ratings of Pain Sensitivity Correlate With Quantitative Measures in People With Chronic Neck Pain and Healthy Controls: Cross-Sectional Study
Trudy Rebbeck, Niamh Moloney, Roxanne Azoory, Markus Hübscher, Robert Waller, Rebekah Gibbons, Darren Beales
Physical Therapy Nov 2015, 95 (11) 1536-1546; DOI: 10.2522/ptj.20140352
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Subjects

  • Psychosocial
    • Psychosocial: Other
  • Examination/Evaluation
    • Tests and Measurements
  • Pain
  • Musculoskeletal System/Orthopedic
    • Injuries and Conditions: Neck

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