PMID- 19892580
OWN - NLM
STAT- MEDLINE
DCOM- 20100517
LR  - 20220318
IS  - 1532-2769 (Electronic)
IS  - 1356-689X (Linking)
VI  - 15
IP  - 2
DP  - 2010 Apr
TI  - Relationships between pain thresholds, catastrophizing and gender in acute 
      whiplash injury.
PG  - 154-9
LID - 10.1016/j.math.2009.10.001 [doi]
AB  - The mechanisms underlying sensory hypersensitivity (SH) in acute whiplash 
      associated disorders (WAD) are not well understood. We examined the extent of the 
      relationships between the sensory measures of pressure pain threshold (PPT) and 
      cold pain threshold (CPT), catastrophizing, pain and disability levels and gender 
      in acute WAD. Thirty-seven subjects reporting neck pain following a motor vehicle 
      accident were examined within five weeks post-injury. Measures of neck pain and 
      disability (Neck Disability Index, NDI) and catastrophizing (Pain Catastrophizing 
      Scale, PCS) were taken. CPT was assessed in the cervical spine and PPTs were 
      assessed in the cervical spine (PPTcx) and at a remote site (PPTdistal). CPT and 
      PCS were moderately correlated (r=0.46; p < 0.01); however there were no 
      significant relationships between PPT (cervical and distal) and PCS. Both CPT 
      (r=0.55, p < 0.01) and PPTcx (r=-0.42, p < 0.01) were significantly correlated 
      with NDI but PPTdistal was not (r=-0.08, p=0.65). Finally, gender modulated the 
      relationships between sensory measures, catastrophizing, and pain and disability 
      levels. In conclusion, subjects with higher levels of catastrophizing presented 
      with sensory hypersensitivity to cold stimuli in the acute phase of whiplash. 
      Differences between genders are in accordance with the growing body of evidence 
      suggesting that the relationships between some psychological factors and 
      injury-related symptoms are modulated by gender.
CI  - Copyright 2009 Elsevier Ltd. All rights reserved.
FAU - Rivest, Karine
AU  - Rivest K
AD  - CRIR, Jewish Rehabilitation Hospital site, Research Center, 3205 Place Alton 
      Goldbloom, Laval, Quebec, Canada H7V 1R2. karine.rivest@mail.mcgill.ca
FAU - Cote, Julie N
AU  - Cote JN
FAU - Dumas, Jean-Pierre
AU  - Dumas JP
FAU - Sterling, Michele
AU  - Sterling M
FAU - De Serres, Sophie J
AU  - De Serres SJ
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20091105
PL  - Scotland
TA  - Man Ther
JT  - Manual therapy
JID - 9610924
SB  - IM
MH  - Acute Disease
MH  - Adult
MH  - Cold Temperature/adverse effects
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Pain Measurement/*methods
MH  - *Pain Threshold
MH  - Physical Stimulation
MH  - Pressure/adverse effects
MH  - Psychophysiologic Disorders/*diagnosis/etiology
MH  - Reflex, Abnormal
MH  - Sex Factors
MH  - Stress, Psychological/*diagnosis/etiology
MH  - Whiplash Injuries/*complications/psychology
MH  - Young Adult
EDAT- 2009/11/07 06:00
MHDA- 2010/05/18 06:00
CRDT- 2009/11/07 06:00
PHST- 2009/01/06 00:00 [received]
PHST- 2009/09/29 00:00 [revised]
PHST- 2009/10/07 00:00 [accepted]
PHST- 2009/11/07 06:00 [entrez]
PHST- 2009/11/07 06:00 [pubmed]
PHST- 2010/05/18 06:00 [medline]
AID - S1356-689X(09)00168-4 [pii]
AID - 10.1016/j.math.2009.10.001 [doi]
PST - ppublish
SO  - Man Ther. 2010 Apr;15(2):154-9. doi: 10.1016/j.math.2009.10.001. Epub 2009 Nov 5.