Correlation between self-reported recovery and central sensitization in whiplash patients

(整期优先)网络出版时间:2012-01-11
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<正>Background:Centralsensitizationhasbeenassociatedwithchronicpaininwhiplashpatients.Methods:Consecutivewhiplashpatientswereassessedat3monthspost-whiplashinjurywiththebrachialplexusprovocationtest(BPPT)asasignofcentralsensitization.Self-reportedrecoverywasassessedbytheresponsetothequestion’Doyoufeelyouhaverecoveredfullyfromyouraccidentinjuries?’Results:Sixty-ninesubjects(32males,37females,age37.5±13.0years(mean±SD),range18—71)wereincluded.Ofthese,34reportedalackofrecovery,and35reportedrecoveryat3monthspost-injury.ThemeanBPPTelbowextension(from180°)was41.5±23.0°,andthemeanVASscorefortheBPPTwas2.2±1.2(outof10).ThosewhoreportedrecoveryhadameanBPPTelbowextensionangleof25.1±15.8whilethosewhodidnotreportrecoveryhadameanBPPTangleof58.4±15.9(P<0.05).Thevisualanaloguescale(VAS)scoreforrecoveredsubjectswas1.8±1.1and2.7±1.1(P<0.05)fornon-recovered.Therewasamoderatecorrelationbetweenself-reportedrecoveryandBPPTelbowextensionangle(—0.44)andalowercorrelationbetweenself-reportedrecoveryandVASscore(-0.30).Conclusion:Self-reportedrecoverycorrelateswellwithalowerlikelihoodofsignsofcentralsensitization.