Cardiac autonomic response to acute painful stimulus in individuals with chronic neck pain: A case-control study

IF 2.2 3区医学 Q1 REHABILITATION Musculoskeletal Science and Practice Pub Date : 2024-07-07 DOI:10.1016/j.msksp.2024.103141

Érika P. Rampazo PT, PhD , Patrícia Rehder-Santos PT, PhD , Ana Laura M. de Andrade PT, PhD , Aparecida M. Catai PT, PhD , Richard E. Liebano PT, PhD

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Abstract

Purpose

Characterize heart rate and cardiac autonomic response to painful stimulus on neck pain.

Methods

Twenty-five individuals with neck pain and 25 healthy subjects were included. Heart rate variability and heart rate were assessed in the conditioned pain modulation test at pretest rest, during testing and in recovery. Heart rate variability indices were obtained using linear and nonlinear methods.

Results

No significant differences were observed between groups regarding heart rate and the linear methods (p > 0.05). However, significant difference was observed between groups regarding nonlinear methods (standard deviation of the instantaneous variability of beat-to-beat interval variability, p = 0.005)

Conclusions

Individuals with chronic neck pain showed autonomic responses similar to those of their healthy counterparts during the conditioning stimulus.

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慢性颈部疼痛患者对急性疼痛刺激的心脏自律神经反应：病例对照研究

目的描述颈部疼痛时心率和心脏自律神经对疼痛刺激的反应。方法纳入 25 名颈部疼痛患者和 25 名健康受试者。在条件性疼痛调制试验中，对测试前休息、测试期间和恢复期的心率变异性和心率进行评估。使用线性和非线性方法获得了心率变异性指数。结果在心率和线性方法方面没有观察到组间的显著差异（p > 0.05）。结论慢性颈部疼痛患者在调节刺激过程中表现出的自律神经反应与健康人相似。

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来源期刊

Musculoskeletal Science and Practice Health Professions-Physical Therapy, Sports Therapy and Rehabilitation

CiteScore

4.10

自引率

8.70%

发文量

152

审稿时长

48 days

期刊介绍： Musculoskeletal Science & Practice, international journal of musculoskeletal physiotherapy, is a peer-reviewed international journal (previously Manual Therapy), publishing high quality original research, review and Masterclass articles that contribute to improving the clinical understanding of appropriate care processes for musculoskeletal disorders. The journal publishes articles that influence or add to the body of evidence on diagnostic and therapeutic processes, patient centered care, guidelines for musculoskeletal therapeutics and theoretical models that support developments in assessment, diagnosis, clinical reasoning and interventions.