| Title: |
Pressure Pain Hyperalgesia Expressed by Topographical Pressure Pain Sensitivity after Cardiac Surgery |
| Authors: |
Segura-Méndez, Bárbara; Planchuelo-Gómez, Álvaro; Fuentes-Martín, Álvaro; Madeleine, Pascal; Guerrero, Ángel L; Carrascal, Yolanda; Fernández-de-Las-Peñas, César |
| Source: |
Segura-Méndez, B, Planchuelo-Gómez, Á, Fuentes-Martín, Á, Madeleine, P, Guerrero, Á L, Carrascal, Y & Fernández-de-Las-Peñas, C 2024, 'Pressure Pain Hyperalgesia Expressed by Topographical Pressure Pain Sensitivity after Cardiac Surgery', Life, vol. 14, no. 10, 1233. https://doi.org/10.3390/life14101233 |
| Publication Year: |
2024 |
| Collection: |
Aalborg University (AAU): Publications / Aalborg Universitet: Publikationer |
| Subject Terms: |
cardiac surgery; postoperative pain; pressure pain maps |
| Description: |
Backgrounds: We aim to evaluate changes in pressure pain sensitivity before and after cardiac surgery using topographical sensitivity maps utilizing a pressure algometer. Methods: Pressure pain thresholds over 17 thoracic points and 4 distant pain-free points were assessed in 70 patients (women: 29, age: 67.5 years), before and at 1, 3, and 7 postoperative days. Thoracic topographical pressure pain sensitivity maps were calculated at all follow-ups. Postoperative pain was recorded at each follow-up on a numerical pain rate scale. Results: Postoperative pain intensity decreased from 6.4 (SD 1.0) on the first postoperative day to 5.5 (SD 1.9) on the third and to 4.5 (SD 1.7) on the seventh day (p < 0.001). The mixed-model ANOVA revealed that the lowest pressure pain thresholds were observed one day after surgery, increased slightly during follow-up, and were lower at the xiphoid process. Significant negative correlations between postoperative pain intensity and pressure pain thresholds were observed at each time point in thoracic measures (all, p < 0.01), but not with pressure pain thresholds from distant pain-free areas. Conclusions: Postoperative pain after cardiac surgery can be objectively quantified using algometry. Pressure pain hyperalgesia was associated with the intensity of postoperative pain. |
| Document Type: |
article in journal/newspaper |
| File Description: |
application/pdf |
| Language: |
English |
| ISSN: |
2075-1729 |
| Relation: |
info:eu-repo/semantics/altIdentifier/pmid/39459533; info:eu-repo/semantics/altIdentifier/pissn/2075-1729; info:eu-repo/semantics/altIdentifier/eissn/2075-1729 |
| DOI: |
10.3390/life14101233 |
| Availability: |
https://vbn.aau.dk/da/publications/5884b9b9-b461-4777-a220-33d019c09ff7; https://doi.org/10.3390/life14101233; https://vbn.aau.dk/ws/files/749529172/life-14-01233.pdf; https://www.scopus.com/pages/publications/85207679500 |
| Rights: |
info:eu-repo/semantics/openAccess ; http://creativecommons.org/licenses/by/4.0/ |
| Accession Number: |
edsbas.2EA9FEF8 |
| Database: |
BASE |