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Post-polio syndrome - somatosensory dysfunction and its relation to pain: a pilot study with quantitative sensory testing.
- Source :
-
Journal of rehabilitation medicine [J Rehabil Med] 2024 Jun 25; Vol. 56, pp. jrm26192. Date of Electronic Publication: 2024 Jun 25. - Publication Year :
- 2024
-
Abstract
- Objective: To explore and characterize somatosensory dysfunction in patients with post-polio syndrome and chronic pain, by conducting examinations with Quantitative Sensory Testing.<br />Design: A cross-sectional, descriptive, pilot study conducted during 1 month.<br />Subjects/patients: Six patients with previously established post-polio syndrome and related chronic pain.<br />Methods: All subjects underwent a neurological examination including neuromuscular function, bedside sensory testing, a thorough pain anamnesis, and pain drawing. Screening for neuropathic pain was done with 2 questionnaires. A comprehensive Quantitative Sensory Testing battery was conducted with z-score transformation of obtained data, enabling comparison with published reference values and the creation of sensory profiles, as well as comparison between the study site (more polio affected extremity) and internal control site (less affected extremity) for each patient.<br />Results: Derived sensory profiles showed signs of increased prevalence of sensory aberrations compared with reference values, especially Mechanical Pain Thresholds, with significant deviation from reference data in 5 out of 6 patients. No obvious differences in sensory functions were seen between study sites and internal control sites.<br />Conclusion: Post-polio syndrome may be correlated with a mechanical hyperalgesia/allodynia and might be correlated to a somatosensory dysfunction. With lack of evident side-to-side differences, the possibility of a generalized dysfunction in the somatosensory system might be considered.
- Subjects :
- Humans
Pilot Projects
Cross-Sectional Studies
Female
Male
Middle Aged
Aged
Pain Measurement
Pain Threshold physiology
Chronic Pain physiopathology
Chronic Pain etiology
Chronic Pain diagnosis
Somatosensory Disorders etiology
Somatosensory Disorders physiopathology
Somatosensory Disorders diagnosis
Adult
Neurologic Examination methods
Hyperalgesia physiopathology
Hyperalgesia diagnosis
Neuralgia etiology
Neuralgia diagnosis
Neuralgia physiopathology
Postpoliomyelitis Syndrome physiopathology
Postpoliomyelitis Syndrome complications
Subjects
Details
- Language :
- English
- ISSN :
- 1651-2081
- Volume :
- 56
- Database :
- MEDLINE
- Journal :
- Journal of rehabilitation medicine
- Publication Type :
- Academic Journal
- Accession number :
- 38915293
- Full Text :
- https://doi.org/10.2340/jrm.v56.26192