Superficial temperature and pain tolerance in patients with chronic low back pain

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art_ALFIERI_Superficial_temperature_and_pain_tolerance_in_patients_with_2019.PDF (441.01 KB)
Citações na Scopus
18
Tipo de produção
article
Data de publicação
2019
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DOI
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Scopus
Web of Science
PubMed
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Título do Volume
Autores
LIMA, Alessandra Rodrigues Souto
SILVA, Natalia Cristina de Oliveira Vargas e
Autor de Grupo de pesquisa
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Organizadores
Citação
JOURNAL OF BODYWORK AND MOVEMENT THERAPIES, v.23, n.3, p.583-587, 2019
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Introduction: Low back pain is a common and very prevalent disease and can impose limitations that negatively impact patients. The objective of this study was to verify and compare the association between lumbar superficial temperature and pressure pain tolerance thresholds in individuals with chronic nonspecific low back pain and healthy controls. Methods: This was a cross-sectional observational study involving 38 individuals with nonspecific chronic low back pain and 19 healthy controls. Volunteers underwent thermographic (infrared sensor), pain perception (visual analog scale), and pressure pain tolerance thresholds (algometry) evaluations in the right and left paravertebral muscles and L4-L5 ligament. Results: A lower tolerance to pressure pain was found in patients compared to controls at all evaluated sites (p <= 0.003). Superficial temperature was significantly higher in the sites evaluated in the low back pain group (p < 0.001). In patients with low back pain, pain perception was weakly and inversely correlated with pressure pain tolerance (r = -0.31; p = 0.05) and moderately correlated to the temperature of the evaluated sites (r = 0.51 to 0.59, p <= 0.001). Also, an inverse and weak to moderate association was observed between pressure pain tolerance thresholds and temperature in patients only (r = - 0.36 to -0.49; p <= 0.02). Conclusion: Individuals with low back pain have lower pressure pain tolerance thresholds and higher superficial temperature in the lumbar region when compared to healthy individuals. The associations observed show that the higher the pain perception, the lower the pain tolerance and the higher the superficial temperature in the lumbar region. Also, the higher the temperature, the lower the pain tolerance.
Palavras-chave
Low back pain, Thermography, Thermal sensitivity, Functional evaluation
URI
https://observatorio.fm.usp.br/handle/OPI/34035
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MLS
Artigos e Materiais de Revistas Científicas - HC/IMREA
Artigos e Materiais de Revistas Científicas - LIM/40