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    Hypoaesthesia occurs with sensory hypersensitivity in chronic whiplash - Further evidence of a neuropathic condition

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    Hypoaesthesia occurs with sensory hypersensitivity in chronic whiplash: further evidence of a neuropathic condition (373.9Kb)

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    59
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    Author
    Chien, A; Eliav, E; Sterling, M
    Date
    2009-04-01
    Source Title
    MANUAL THERAPY
    Publisher
    CHURCHILL LIVINGSTONE
    University of Melbourne Author/s
    CHIEN, ANDY
    Affiliation
    Physiotherapy
    Metadata
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    Document Type
    Journal Article
    Citations
    Chien, A., Eliav, E. & Sterling, M. (2009). Hypoaesthesia occurs with sensory hypersensitivity in chronic whiplash - Further evidence of a neuropathic condition. MANUAL THERAPY, 14 (2), pp.138-146. https://doi.org/10.1016/j.math.2007.12.004.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/25085
    DOI
    10.1016/j.math.2007.12.004
    Description

    C1 - Journal Articles Refereed

     

    This is a post print version published in Manual Therapy © 2009 Elsevier. doi:10.1016/j.math.2007.12.004 www.elsevier.com

     
    Abstract
    Hypersensitivity to a variety of stimuli has been shown in whiplash associated disorders and may be indicative of peripheral nerve involvement. This cross-sectional study utilised Quantitative sensory testing (QST) including vibration, thermal, electrical detection thresholds as an indirect measure of primary afferents that mediate innocuous and painful sensation. Pain thresholds and psychological distress (SCL-90-R) were also measured. Thirty-one subjects with chronic whiplash (>3 months, NDI: 49+/-17) and 31 controls participated. The whiplash group demonstrated elevated vibration, heat and electrical detection thresholds at most hand sites compared to controls (p<0.05). Electrical detection thresholds in the lower limb were no different from controls (p=0.83). Mechanical and cold pain thresholds were lower in the whiplash group (p<0.05) with no group difference in heat pain thresholds (p>0.1). SCL-90 scores were higher in the whiplash group but did not impact on any of the sensory measures. A combination of pain threshold and detection measures best predicted the whiplash group. Sensory hypoaesthesia and hypersensitivity co-exist in the chronic whiplash condition. These findings may indicate peripheral afferent nerve fibre involvement but could be a further manifestation of disordered central pain processing.
    Keywords
    Neurology and Neuromuscular Diseases; Nervous System and Disorders; Injury Control

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