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Palsson TS, Rubio-Peirotén A, Doménech-García V. Sleep deprivation increases pain sensitivity following acute muscle soreness. Sleep Med 2023; 109:75-81. [PMID: 37423022 DOI: 10.1016/j.sleep.2023.06.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/31/2023] [Revised: 06/06/2023] [Accepted: 06/10/2023] [Indexed: 07/11/2023]
Abstract
OBJECTIVE The aim of this cross-sectional group comparison study was to investigate whether sleep disturbance facilitates pain sensitivity caused by an acute muscle injury. METHODS Thirty-six healthy individuals were included and randomly assigned to one of three groups in a non-balanced manner: a control group (n = 11) and two groups who performed eccentric exercise for quadriceps to cause delayed onset of muscle soreness (DOMS). The difference between the DOMS groups was that one followed their habitual sleep pattern (Sleep group, n = 12) and the other had their sleep withdrawn for one night (No-Sleep group, n = 13). The level of DOMS was indicated using a 6-point Likert Scale and pain sensitivity was assessed using Pressure Pain Thresholds (PPT) at the lower legs and shoulder at baseline (Day-1) and after 48 h (Day-3). Additionally, pain distribution following suprathreshold pressure stimulation (STPS) on the quadriceps muscle was assessed on the same days. RESULTS PPTs were significantly reduced at Day-3 compared with Day-1 in both DOMS groups. The relative change between days was larger in the No-Sleep group compared with controls (P<0.05) whilst no significant change was seen in the Sleep group compared with controls. Furthermore, no significant differences were found between groups nor days for the subjective perception of DOMS (Likert Scale) and the size of the area of STPS. CONCLUSIONS The loss of sleep further increases pain sensitivity following an acute soft tissue injury, demonstrating a potential causative role of the lack of sleep on complex pain states following musculoskeletal injuries.
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Affiliation(s)
- T S Palsson
- Department of Health Science and Technology, Faculty of Medicine, SMI®, Aalborg University, Aalborg, Denmark
| | - A Rubio-Peirotén
- Department of Physiotherapy, Faculty of Health Sciences, Universidad San Jorge, Villanueva de Gállego, Zaragoza, Spain.
| | - V Doménech-García
- Department of Physiotherapy, Faculty of Health Sciences, Universidad San Jorge, Villanueva de Gállego, Zaragoza, Spain
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Palsson TS, Travers MJ, Christensen SWM. Letter to the editor concerning "Sacroiliac joint dysfunction: pathophysiology, diagnosis, and treatment" by Gartenberg A, et al. (Eur Spine J [2021] DOI: 10.1007/s00586-021-06927-9). Eur Spine J 2022; 31:3782-3783. [PMID: 36042021 DOI: 10.1007/s00586-022-07368-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/03/2021] [Revised: 08/03/2021] [Accepted: 08/26/2022] [Indexed: 12/14/2022]
Affiliation(s)
- T S Palsson
- Department of Health Science and Technology, Aalborg University, Aalborg, Denmark.
| | - M J Travers
- School of Physiotherapy, The University of Notre Dame, Fremantle, Australia
| | - S W M Christensen
- Department of Health Science and Technology, Aalborg University, Aalborg, Denmark
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Travers MJ, Murphy MC, Debenham JR, Chivers P, Bulsara MK, Bagg MK, Palsson TS, Gibson W. Should this systematic review and meta-analysis change my practice? Part 2: exploring the role of the comparator, diversity, risk of bias and confidence. Br J Sports Med 2019; 53:1493-1497. [PMID: 30962181 DOI: 10.1136/bjsports-2018-099959] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2018] [Revised: 03/08/2019] [Accepted: 03/18/2019] [Indexed: 02/01/2023]
Affiliation(s)
- Mervyn J Travers
- School of Physiotherapy, University of Notre Dame Australia, Fremantle, Western Australia, Australia
- School of Physiotherapy and Exercise Science, Curtin University, Perth, Western Australia, Australia
| | - Myles Calder Murphy
- School of Physiotherapy, University of Notre Dame Australia, Fremantle, Western Australia, Australia
- Sports Science Sports Medicine Department, Western Australian Cricket Association, Perth, Western Australia, Australia
| | - James Robert Debenham
- School of Physiotherapy, University of Notre Dame Australia, Fremantle, Western Australia, Australia
| | - Paola Chivers
- Institute for Health Research, University of Notre Dame Australia, Fremantle, Western Australia, Australia
| | - Max K Bulsara
- Institute for Health Research, University of Notre Dame Australia, Fremantle, Western Australia, Australia
| | - Matthew K Bagg
- Pain Research, Education and Management Program, Neuroscience Research Australia (NeuRA), Sydney, New South Wales, Australia
- UNSW Prince of Wales Clinical School, Randwick, New South Wales, Australia
| | - Thorvaldur Skulli Palsson
- Laboratory for Musculoskeletal Pain and Motor Control, Center for Sensory-Motor Interaction (SMI), Department of Health Science and Technology, Aalborg University, Aalborg, Denmark
| | - William Gibson
- School of Physiotherapy, University of Notre Dame Australia, Fremantle, Western Australia, Australia
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Travers MJ, Murphy MC, Debenham JR, Chivers P, Bulsara MK, Bagg MK, Palsson TS, Gibson W. Should this systematic review and meta-analysis change my practice? Part 1: exploring treatment effect and trustworthiness. Br J Sports Med 2019; 53:1488-1492. [PMID: 30962182 DOI: 10.1136/bjsports-2018-099958] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/18/2019] [Indexed: 12/24/2022]
Affiliation(s)
- Mervyn J Travers
- School of Physiotherapy, University of Notre Dame Australia, Fremantle, Western Australia, Australia
- School of Physiotherapy and Exercise Science, Curtin University, Perth, Western Australia, Australia
| | - Myles Calder Murphy
- School of Physiotherapy, University of Notre Dame Australia, Fremantle, Western Australia, Australia
- Sports Science Sports Medicine Department, Western Australian Cricket Association, Perth, Western Australia, Australia
| | - James Robert Debenham
- School of Physiotherapy, University of Notre Dame Australia, Fremantle, Western Australia, Australia
| | - Paola Chivers
- Institute for Health Research, University of Notre Dame Australia, Fremantle, Western Australia, Australia
| | - Max K Bulsara
- Institute for Health Research, University of Notre Dame Australia, Fremantle, Western Australia, Australia
| | - Matthew K Bagg
- Pain Research, Education and Management Program, Neuroscience Research Australia (NeuRA), Sydney, New South Wales, Australia
- UNSW Prince of Wales Clinical School, Sydney, New South Wales, Australia
| | - Thorvaldur Skulli Palsson
- Laboratory for Musculoskeletal Pain and Motor Control, Center for Sensory-Motor Interaction (SMI), Department of Health Science and Technology, Aalborg University, Aalborg, Denmark
| | - William Gibson
- School of Physiotherapy, University of Notre Dame Australia, Fremantle, Western Australia, Australia
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Palsson TS, Christensen SW, Thomsen MH, Hirata RP. Response to letter to editor regarding: Assessment of range and quality of neck movement using a smartphone-based application. Musculoskelet Sci Pract 2019; 43:e2-e3. [PMID: 31085067 DOI: 10.1016/j.msksp.2019.04.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/17/2019] [Accepted: 04/24/2019] [Indexed: 11/19/2022]
Affiliation(s)
- T S Palsson
- Aalborg University, Department of Health Science and Technology (SMI), Frederik Bajers Vej 7, 9220 Aalborg, Denmark.
| | - S W Christensen
- Aalborg University, Department of Health Science and Technology (SMI), Frederik Bajers Vej 7, 9220 Aalborg, Denmark; University College North Denmark, Department of Physical Therapy, Selma Lagerløfsvej 2, 9220 Aalborg, Denmark
| | - M H Thomsen
- Aalborg University, Department of Health Science and Technology (SMI), Frederik Bajers Vej 7, 9220 Aalborg, Denmark
| | - R P Hirata
- Aalborg University, Department of Health Science and Technology (SMI), Frederik Bajers Vej 7, 9220 Aalborg, Denmark
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Palsson TS, Christensen SW, Thomsen MH, Hirata RP. Assessment of range and quality of neck movement using a smartphone-based application. Musculoskelet Sci Pract 2019; 41:64-69. [PMID: 30639245 DOI: 10.1016/j.msksp.2019.01.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/09/2018] [Revised: 01/03/2019] [Accepted: 01/08/2019] [Indexed: 01/03/2023]
Abstract
UNLABELLED This study had the objective of measuring the validity of using a smartphone-based application to measure range of motion (ROM) and quality of movement (QOM) of neck motion by comparing it with 3D-motion capture analysis. METHODS Thirty healthy volunteers participated in this cross-sectional study. A helmet fitted with markers for motion capture analysis and a smartphone were fastened to the head of the participants. The smartphone recorded data using a beta version of Balancy (MEDEI, Denmark). Assessments of full active movement in transverse and sagittal planes were performed. Recordings were made simultaneously with the camera system and the smartphone. ROM and jerkiness were compared with a repeated measures ANOVA and a Pearson product moment was calculated to compare the outcomes from the different applications. Bland-Altman plots were generated to determine the levels of agreement. RESULTS No difference was found between modalities when comparing measurements of jerkiness or ROM. An excellent Pearson product moment was found for the outcomes of the two modalities for ROM (Pearson's r: 0.83 - 0.96) and jerkiness (Pearson's r: 0.86 - 0.95). The Bland-Altman plot revealed a systemic offset where the phone consistently measured higher values for ROM and lower values for jerkiness. CONCLUSIONS This study demonstrated that a smartphone-based application can be used to accurately measure ROM and jerkiness during neck movements. These results indicate the utility of using a smartphone-based application to assess neck movement in humans. The findings have implications for assessment of neck movement in research and clinical practice.
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Affiliation(s)
- T S Palsson
- Aalborg University, Department of Health Science and Technology (SMI), Frederik Bajers Vej 7, 9220, Aalborg, Denmark.
| | - S W Christensen
- Aalborg University, Department of Health Science and Technology (SMI), Frederik Bajers Vej 7, 9220, Aalborg, Denmark; University College North Denmark, Department of Physical Therapy, Selma Lagerløfsvej 2, 9220, Aalborg, Denmark
| | - M H Thomsen
- Aalborg University, Department of Health Science and Technology (SMI), Frederik Bajers Vej 7, 9220, Aalborg, Denmark
| | - R P Hirata
- Aalborg University, Department of Health Science and Technology (SMI), Frederik Bajers Vej 7, 9220, Aalborg, Denmark
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Gibson W, Palsson TS, Coopes E, Wand BM, Travers MJ. Thrust manipulation may not decrease the intensity of chronic low back pain. Letter to the editor regarding "Manipulation and mobilization for treating chronic low back pain: a systematic review and meta-analysis" by Coulter et al. Spine J 2018; 18:1961-1963. [PMID: 30442417 DOI: 10.1016/j.spinee.2018.05.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/12/2018] [Accepted: 05/24/2018] [Indexed: 02/03/2023]
Affiliation(s)
- W Gibson
- School of Physiotherapy, The University of Notre Dame Australia, Fremantle, Australia.
| | - T S Palsson
- Department of Health Science and Technology, SMI, Aalborg University, Aalborg, Denmark
| | - E Coopes
- School of Physiotherapy and Exercise Science, Curtin University, Bentley, Australia
| | - B M Wand
- School of Physiotherapy, The University of Notre Dame Australia, Fremantle, Australia
| | - M J Travers
- School of Physiotherapy, The University of Notre Dame Australia, Fremantle, Australia; School of Physiotherapy and Exercise Science, Curtin University, Bentley, Australia
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