Articles producció científica> Medicina i Cirurgia

Reorganized Force Control in Elbow Pain Patients During Isometric Wrist Extension

  • Identification data

    Identifier: imarina:5862290
    Authors:
    Mista, Christian A.Monterde, SoniaIngles, MontserratSalvat, IsabelGraven-Nielsen, Thomas
    Abstract:
    Introduction: Reorganized force control may be an important adaptation following painful traumas. In this study, force control adaptations were assessed in elbow pain patients. Increasing the contraction demand may overcome pain interference on the motor control and as such act as an internal control. It was hypothesized that elbow pain patients compared with controls would present greater change in the direction of force when increasing the demand of the motor task. Methods: Elbow pain patients (n=19) and asymptomatic participants (n=21) performed isometric wrist extensions at 5% to 70% of maximum voluntary contraction. Pressure pain thresholds were recorded at the lateral epicondyle and tibialis anterior muscle. Contraction force was recorded using a 3-directional force transducer. Participants performed contractions according to visual feedback of the task-related force intensity (main direction of wrist extension) and another set of contractions with feedback of the 3 force directions. Going from the simple to the detailed force feedback will increase the demand of the motor task. Force steadiness in all 3 dimensions and force directions were extracted. Results: Compared with controls, elbow pain patients presented lower pressure pain thresholds at both sites (P<0.05). Force steadiness was not significantly different between groups or feedback methods. The change in force direction when providing simple visual feedback in contrast with feedback of all force components at all contraction levels was greater for patients compared with controls (P<0.05). Conclusion: The larger change in force direction in pain patients implies redistribution of loads across the arm as an associated effect of pain.
  • Others:

    Author, as appears in the article.: Mista, Christian A.; Monterde, Sonia; Ingles, Montserrat; Salvat, Isabel; Graven-Nielsen, Thomas;
    Department: Medicina i Cirurgia
    URV's Author/s: Monterde Pérez, Sonia
    Keywords: Sensory-motor control Lateral epicondylalgia Isometric force Elbow pain
    Abstract: Introduction: Reorganized force control may be an important adaptation following painful traumas. In this study, force control adaptations were assessed in elbow pain patients. Increasing the contraction demand may overcome pain interference on the motor control and as such act as an internal control. It was hypothesized that elbow pain patients compared with controls would present greater change in the direction of force when increasing the demand of the motor task. Methods: Elbow pain patients (n=19) and asymptomatic participants (n=21) performed isometric wrist extensions at 5% to 70% of maximum voluntary contraction. Pressure pain thresholds were recorded at the lateral epicondyle and tibialis anterior muscle. Contraction force was recorded using a 3-directional force transducer. Participants performed contractions according to visual feedback of the task-related force intensity (main direction of wrist extension) and another set of contractions with feedback of the 3 force directions. Going from the simple to the detailed force feedback will increase the demand of the motor task. Force steadiness in all 3 dimensions and force directions were extracted. Results: Compared with controls, elbow pain patients presented lower pressure pain thresholds at both sites (P<0.05). Force steadiness was not significantly different between groups or feedback methods. The change in force direction when providing simple visual feedback in contrast with feedback of all force components at all contraction levels was greater for patients compared with controls (P<0.05). Conclusion: The larger change in force direction in pain patients implies redistribution of loads across the arm as an associated effect of pain.
    Thematic Areas: Psicología Odontología Neurology (clinical) Medicina veterinaria Medicina iii Medicina ii Medicina i Interdisciplinar General medicine Enfermagem Educação física Clinical neurology Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Anesthesiology and pain medicine Anesthesiology
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    ISSN: 07498047
    Author's mail: sonia.monterde@urv.cat
    Author identifier: 0000-0001-5580-3757
    Record's date: 2024-09-07
    Papper version: info:eu-repo/semantics/acceptedVersion
    Link to the original source: https://journals.lww.com/clinicalpain/Abstract/2018/08000/Reorganized_Force_Control_in_Elbow_Pain_Patients.6.aspx
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: Clinical Journal Of Pain. 34 (8): 732-738
    APA: Mista, Christian A.; Monterde, Sonia; Ingles, Montserrat; Salvat, Isabel; Graven-Nielsen, Thomas; (2018). Reorganized Force Control in Elbow Pain Patients During Isometric Wrist Extension. Clinical Journal Of Pain, 34(8), 732-738. DOI: 10.1097/AJP.0000000000000596
    Article's DOI: 10.1097/AJP.0000000000000596
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2018
    Publication Type: Journal Publications
  • Keywords:

    Anesthesiology,Anesthesiology and Pain Medicine,Clinical Neurology,Neurology (Clinical)
    Sensory-motor control
    Lateral epicondylalgia
    Isometric force
    Elbow pain
    Psicología
    Odontología
    Neurology (clinical)
    Medicina veterinaria
    Medicina iii
    Medicina ii
    Medicina i
    Interdisciplinar
    General medicine
    Enfermagem
    Educação física
    Clinical neurology
    Ciências biológicas iii
    Ciências biológicas ii
    Ciências biológicas i
    Anesthesiology and pain medicine
    Anesthesiology
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