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Somatosensory Testing in Pediatric Patients with Chronic Pain: An Exploration of Clinical Utility

We aimed to evaluate the utility of clinical somatosensory testing (SST), an office adaptation of laboratory quantitative sensory testing, in a biopsychosocial assessment of a pediatric chronic somatic pain sample (N = 98, 65 females, 7–18 years). Stimulus–response tests were applied at pain regions...

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Autores principales: Kersch, Anna, Perera, Panchalee, Mercado, Melanie, Gorrie, Andrew, Sainsbury, David, McGrath, Tara, Aouad, Phillip, Sarraf, Sara, Jaaniste, Tiina, Champion, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7762158/
https://www.ncbi.nlm.nih.gov/pubmed/33291481
http://dx.doi.org/10.3390/children7120275
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author Kersch, Anna
Perera, Panchalee
Mercado, Melanie
Gorrie, Andrew
Sainsbury, David
McGrath, Tara
Aouad, Phillip
Sarraf, Sara
Jaaniste, Tiina
Champion, David
author_facet Kersch, Anna
Perera, Panchalee
Mercado, Melanie
Gorrie, Andrew
Sainsbury, David
McGrath, Tara
Aouad, Phillip
Sarraf, Sara
Jaaniste, Tiina
Champion, David
author_sort Kersch, Anna
collection PubMed
description We aimed to evaluate the utility of clinical somatosensory testing (SST), an office adaptation of laboratory quantitative sensory testing, in a biopsychosocial assessment of a pediatric chronic somatic pain sample (N = 98, 65 females, 7–18 years). Stimulus–response tests were applied at pain regions and intra-subject control sites to cutaneous stimuli (simple and dynamic touch, punctate pressure and cool) and deep pressure stimuli (using a handheld pressure algometer, and, in a subset, manually inflated cuff). Validated psychological, pain-related and functional measures were administered. Cutaneous allodynia, usually regional, was elicited by at least one stimulus in 81% of cases, most frequently by punctate pressure. Central sensitization, using a composite measure of deep pressure pain threshold and temporal summation of pain, was implied in the majority (59.2%) and associated with worse sleep impairment and psychological functioning. In regression analyses, depressive symptoms were the only significant predictor of pain intensity. Functional interference was statistically predicted by deep pressure pain threshold and depressive symptoms. Manually inflated cuff algometry had comparable sensitivity to handheld pressure algometry for deep pressure pain threshold but not temporal summation of pain. SST complemented standard biopsychosocial assessment of pediatric chronic pain; use of SST may facilitate the understanding of disordered neurobiology.
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spelling pubmed-77621582020-12-26 Somatosensory Testing in Pediatric Patients with Chronic Pain: An Exploration of Clinical Utility Kersch, Anna Perera, Panchalee Mercado, Melanie Gorrie, Andrew Sainsbury, David McGrath, Tara Aouad, Phillip Sarraf, Sara Jaaniste, Tiina Champion, David Children (Basel) Article We aimed to evaluate the utility of clinical somatosensory testing (SST), an office adaptation of laboratory quantitative sensory testing, in a biopsychosocial assessment of a pediatric chronic somatic pain sample (N = 98, 65 females, 7–18 years). Stimulus–response tests were applied at pain regions and intra-subject control sites to cutaneous stimuli (simple and dynamic touch, punctate pressure and cool) and deep pressure stimuli (using a handheld pressure algometer, and, in a subset, manually inflated cuff). Validated psychological, pain-related and functional measures were administered. Cutaneous allodynia, usually regional, was elicited by at least one stimulus in 81% of cases, most frequently by punctate pressure. Central sensitization, using a composite measure of deep pressure pain threshold and temporal summation of pain, was implied in the majority (59.2%) and associated with worse sleep impairment and psychological functioning. In regression analyses, depressive symptoms were the only significant predictor of pain intensity. Functional interference was statistically predicted by deep pressure pain threshold and depressive symptoms. Manually inflated cuff algometry had comparable sensitivity to handheld pressure algometry for deep pressure pain threshold but not temporal summation of pain. SST complemented standard biopsychosocial assessment of pediatric chronic pain; use of SST may facilitate the understanding of disordered neurobiology. MDPI 2020-12-05 /pmc/articles/PMC7762158/ /pubmed/33291481 http://dx.doi.org/10.3390/children7120275 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kersch, Anna
Perera, Panchalee
Mercado, Melanie
Gorrie, Andrew
Sainsbury, David
McGrath, Tara
Aouad, Phillip
Sarraf, Sara
Jaaniste, Tiina
Champion, David
Somatosensory Testing in Pediatric Patients with Chronic Pain: An Exploration of Clinical Utility
title Somatosensory Testing in Pediatric Patients with Chronic Pain: An Exploration of Clinical Utility
title_full Somatosensory Testing in Pediatric Patients with Chronic Pain: An Exploration of Clinical Utility
title_fullStr Somatosensory Testing in Pediatric Patients with Chronic Pain: An Exploration of Clinical Utility
title_full_unstemmed Somatosensory Testing in Pediatric Patients with Chronic Pain: An Exploration of Clinical Utility
title_short Somatosensory Testing in Pediatric Patients with Chronic Pain: An Exploration of Clinical Utility
title_sort somatosensory testing in pediatric patients with chronic pain: an exploration of clinical utility
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7762158/
https://www.ncbi.nlm.nih.gov/pubmed/33291481
http://dx.doi.org/10.3390/children7120275
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