Comparison of tactile acuity between patients with chronic patellofemoral pain with central sensitization and healthy persons: A cross-sectional study.

Background: Patellofemoral pain (PFP) is a common multifactorial condition in young and physically active people. Objective: The occurrence of central sensitization may play an important role in sensory disturbance. This study was designed to investigate, in patients with chronic PFP, the presence o...

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Publicado en:Physiotherapy Theory & Practice Vol. 40; no. 12; pp. 2827 - 2834
Autores principales: Mohamadi, Marzieh, Meftahi, Narges, Javidi-Alsaadi, Pouria
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Dec2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2024
      vid: 40
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      pub: Taylor & Francis Ltd
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        10.1080/09593985.2023.2300040
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        atl: Comparison of tactile acuity between patients with chronic patellofemoral pain with central sensitization and healthy persons: A cross-sectional study.
      aug:
        au:
          Mohamadi, Marzieh
          Meftahi, Narges
          Javidi-Alsaadi, Pouria
        affil: Rehabilitation Research Center, Department of Physiotherapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Fars, Iran
      sug:
        subj:
          Touch
          Chronic Pain
          Patellofemoral Pain Syndrome Symptoms
          Nervous System Physiology
          Sensation Disorders Risk Factors
          Human
          Psychomotor Performance
          Pain Measurement
          Knee Pain
          Mann-Whitney U Test
          Male
          Female
          Adult
          Severity of Illness
          Sensation
          Iran
          Cross Sectional Studies
          Data Analysis Software
          Wilcoxon Rank Sum Test
          Spearman's Rank Correlation Coefficient
          Funding Source
          Adult: 19-44 years
          Male
          Female
      ab: Background: Patellofemoral pain (PFP) is a common multifactorial condition in young and physically active people. Objective: The occurrence of central sensitization may play an important role in sensory disturbance. This study was designed to investigate, in patients with chronic PFP, the presence of disturbances in tactile acuity with central sensitization. Methods: Thirty patients with chronic PFP and 30 matched healthy controls entered this cross-sectional study. Graphesthesia (numerical score), two-point discrimination (mm), and point-to-point sensation (mm) were assessed in all participants. Results: The results of between-group comparisons showed that there were significant differences between the involved knee in patients with chronic PFP and healthy participants in graphesthesia (median = 13 [case], 19 [control]; p <.001), two-point discrimination (median = 25.8 [case], 20.3 [control]; p <.001), and point-to-point sensation (median = 14.5 [case], 6.2 [control]; p <.001). There was also a significant difference in graphesthesia between the non-involved knee in patients with chronic PFP and healthy participants (median = 17 [case], 19 [control]; p =.003). The results of within-group comparisons revealed a significant difference in graphesthesia, two-point discrimination, and point-to-point sensation between the involved and non-involved knee in patients with chronic PFP (p <.001). Moreover, there was a positive correlation between two-point discrimination and pain in patients with chronic PFP (r = 0.446, p =.014). Conclusion: The findings of this study reveal that there is a sensory deficit in patients with chronic PFP. Because sensory information is necessary for motor control and pain perception, we can assume that clinical symptoms in these patients are related to sensory deficits.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Unknown
    language: English
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