Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 20235
  Title Testing for sensory hypersensitivity or central hyperexcitability associated with cervical spine pain
Journal J Manipulative Physiol Ther. 2008 Sep;31(7):534-539
Peer Review Yes
Publication Type Article
Abstract/Notes BACKGROUND: Sensory hypersensitivity is a recently recognized yet common feature of some neck pain conditions, particularly those with higher levels of pain and disability. It is generally acknowledged that the presence of widespread sensory hypersensitivity provides indication of augmented central pain processing mechanisms or central hyperexcitability. Sensory hypersensitivity may be able to differentiate various neck pain conditions, provide an indication of prognosis after whiplash injury, and show potential to recognize poor responders to physical interventions.

SPECIAL FEATURES: Various tests may be used to determine the presence of sensory hypersensitivity. This article outlines and discusses 3 tests that have been used in the investigation of processes underlying neck pain as follows: pressure pain thresholds (PPT); thermal pain thresholds, and the brachial plexus provocation test.

SUMMARY: Although there are some data available on the psychometric properties of these tests, particularly PPT, much more information is required before these tests can be comprehensively used in the clinical environment.

Click on the above link for the PubMed record for this article; full text by subscription. This abstract is reproduced with the permission of the publisher.

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