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Endogenous pain inhibition is unrelated to autonomic responses in acute whiplash-associated disorders.

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  • معلومة اضافية
    • Subject Terms:
    • Author-Supplied Keywords:
      acute whiplash
      autonomic nervous system
      central sensitization
      experimental pain
      heart rate variability
      pain modulation
      posttraumatic stress reaction
      skin conductance
      stress reaction
      whiplash-associated disorder
    • Abstract:
      Patients with acute whiplash-associated disorder (WAD) demonstrate an inefficient endogenous pain inhibition and may experience a dysfunction in autonomic nervous system reactivity to pain. This study compared the autonomic response to painful stimuli between patients with acute and chronic WAD and healthy controls. In addition, the role of the autonomic nervous system for explaining inefficient endogenous pain inhibition was examined in acute WAD. Seventeen patients with acute WAD, 30 patients with chronic WAD, and 31 healthy controls participated in an experiment evaluating the autonomic nervous system at rest and during painful stimuli. Skin conductance and heart rate variability (HRV) parameters were monitored continuously during conditioned pain modulation. A significant autonomic response to pain was present for skin conductance and two HRV parameters in all experimental groups. There was an interaction effect in the skin conductance response to pain but not in HRV responses in any of the groups. In patients with acute WAD, no significant correlations were present between pain, pressure pain thresholds, pain inhibition, and any of the autonomic parameters. This study refutes autonomic dysfunction at rest and in response to pain in acute WAD. The dysfunctional conditioned pain modulation appears unrelated to autonomic responses to pain. [ABSTRACT FROM AUTHOR]
    • Abstract:
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    • Author Affiliations:
      1Pain in Motion Research Group, Department of Human Physiology, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Brussels, Belgium
      2Pain in Motion Research Group, Department of Physiotherapy, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Brussels, Belgium;
      3Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
      4Pain in Motion Research Group, Department of Physiotherapy, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Brussels, Belgium
      5Pain in Motion Research Group, Department of Rehabilitation Sciences and Physiotherapy (REVAKI), Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
      6Department of Neurology, Antwerp University Hospital, Antwerp, Belgium
      7Department of Biostatistics and Medical Informatics, Vrije Universiteit Brussel, Brussels, Belgium
    • ISSN:
      0748-7711
    • Accession Number:
      10.1682/JRRD.2014.06.0154
    • Accession Number:
      109229164
  • Citations
    • ABNT:
      DE KOONING, M. et al. Endogenous pain inhibition is unrelated to autonomic responses in acute whiplash-associated disorders. Journal of Rehabilitation Research & Development, [s. l.], v. 52, n. 4, p. 431–440, 2015. DOI 10.1682/JRRD.2014.06.0154. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=109229164&custid=s8280428. Acesso em: 12 jul. 2020.
    • AMA:
      De Kooning M, Daenen L, Roussel N, et al. Endogenous pain inhibition is unrelated to autonomic responses in acute whiplash-associated disorders. Journal of Rehabilitation Research & Development. 2015;52(4):431-440. doi:10.1682/JRRD.2014.06.0154.
    • AMA11:
      De Kooning M, Daenen L, Roussel N, et al. Endogenous pain inhibition is unrelated to autonomic responses in acute whiplash-associated disorders. Journal of Rehabilitation Research & Development. 2015;52(4):431-440. doi:10.1682/JRRD.2014.06.0154
    • APA:
      De Kooning, M., Daenen, L., Roussel, N., Cras, P., Buyl, R., Ickmans, K., Struyf, F., & Nijs, J. (2015). Endogenous pain inhibition is unrelated to autonomic responses in acute whiplash-associated disorders. Journal of Rehabilitation Research & Development, 52(4), 431–440. https://doi.org/10.1682/JRRD.2014.06.0154
    • Chicago/Turabian: Author-Date:
      De Kooning, Margot, Liesbeth Daenen, Nathalie Roussel, Patrick Cras, Ronald Buyl, Kelly Ickmans, Filip Struyf, and Jo Nijs. 2015. “Endogenous Pain Inhibition Is Unrelated to Autonomic Responses in Acute Whiplash-Associated Disorders.” Journal of Rehabilitation Research & Development 52 (4): 431–40. doi:10.1682/JRRD.2014.06.0154.
    • Harvard:
      De Kooning, M. et al. (2015) ‘Endogenous pain inhibition is unrelated to autonomic responses in acute whiplash-associated disorders’, Journal of Rehabilitation Research & Development, 52(4), pp. 431–440. doi: 10.1682/JRRD.2014.06.0154.
    • Harvard: Australian:
      De Kooning, M, Daenen, L, Roussel, N, Cras, P, Buyl, R, Ickmans, K, Struyf, F & Nijs, J 2015, ‘Endogenous pain inhibition is unrelated to autonomic responses in acute whiplash-associated disorders’, Journal of Rehabilitation Research & Development, vol. 52, no. 4, pp. 431–440, viewed 12 July 2020, .
    • MLA:
      De Kooning, Margot, et al. “Endogenous Pain Inhibition Is Unrelated to Autonomic Responses in Acute Whiplash-Associated Disorders.” Journal of Rehabilitation Research & Development, vol. 52, no. 4, May 2015, pp. 431–440. EBSCOhost, doi:10.1682/JRRD.2014.06.0154.
    • Chicago/Turabian: Humanities:
      De Kooning, Margot, Liesbeth Daenen, Nathalie Roussel, Patrick Cras, Ronald Buyl, Kelly Ickmans, Filip Struyf, and Jo Nijs. “Endogenous Pain Inhibition Is Unrelated to Autonomic Responses in Acute Whiplash-Associated Disorders.” Journal of Rehabilitation Research & Development 52, no. 4 (May 2015): 431–40. doi:10.1682/JRRD.2014.06.0154.
    • Vancouver/ICMJE:
      De Kooning M, Daenen L, Roussel N, Cras P, Buyl R, Ickmans K, et al. Endogenous pain inhibition is unrelated to autonomic responses in acute whiplash-associated disorders. Journal of Rehabilitation Research & Development [Internet]. 2015 May [cited 2020 Jul 12];52(4):431–40. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=109229164&custid=s8280428