Evidence map›Paper›PMID 28335745›Full record

Trial reportBMC neurology2017

Ipsilateral and contralateral sensory changes in healthy subjects after experimentally induced concomitant sensitization and hypoesthesia.

Elena K Enax-Krumova, Stephanie Pohl, Andrea Westermann, Christoph Maier

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01540877 (A Human Experimental Model for Neuropathic Pain Using Combined Application of Capsaicin and Local Anesthetics), which is not on this map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01540877 nacompletednot on this map

A Human Experimental Model for Neuropathic Pain Using Combined Application of Capsaicin and Local Anesthetics

TypeinterventionalSponsorRuhr University of BochumRan2011Enrolled28ConditionsIpsi- and Contralateral HypoesthesiaArmsApplication of capsaicin 0.6%, Application of local anesthetics (EMLA plaster), Application of 1 capsaicin 0.6% and 2. EMLA, Application of 1. EMLA and 2. capsaicin 0.6%
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Elena K Enax-KrumovaDepartment of Neurology, BG University Hospital Bergmannsheil GmbH, Ruhr University Bochum, Bürkle-de-la-Camp-Platz 1, D-44789, Bochum, Germany. elena.krumova@rub.de.
Stephanie PohlDepartment of Pain Medicine, BG University Hospital Bergmannsheil GmbH Bochum, Ruhr University Bochum, Bochum, Germany.
Andrea WestermannDepartment of Pain Medicine, BG University Hospital Bergmannsheil GmbH Bochum, Ruhr University Bochum, Bochum, Germany.
Christoph MaierDepartment of Pain Medicine, BG University Hospital Bergmannsheil GmbH Bochum, Ruhr University Bochum, Bochum, Germany.
BG University Hospital Bergmannsheil Bochum · DERuhr University Bochum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn unilateral neuropathic pain. e.g. after peripheral nerve injury, both positive and negative sensory signs occur often, accompanied by minor but equally directed contralateral sensory changes. To mimic this feature, we experimentally aimed to induce concomitant c-fibre sensitization and block in healthy subjects and analyzed the bilateral sensory changes by quantitative sensory testing (QST) using the protocol of the German Research Network on Neuropathic Pain.

methodsTwenty eight healthy subjects were firstly randomized in 2 groups to receive either topical capsaicin (0.6%, 12 cm STATISTICS: Wilcoxon-test, ANOVA, p < 0.05.

resultsSingle application of 0,6% capsaicin induced thermal hypoesthesia, cold hypoalgesia, heat hyperalgesia and tactile allodynia. Lidocaine/prilocaine alone induced thermal and tactile hypoesthesia as well as mechanical and cold hypoalgesia, and a heat hyperalgesia (to a smaller extent). Ipsilaterally both co-applications induced a combination of the above mentioned changes. Significant contralateral sensory changes occurred only after the co-application with concomitant sensitization and hypoesthesia and comprised increased cold (Cap/LA, LA/Cap) and mechanical detection as well as cold pain threshold (LA/Cap).

conclusionThe present experimental model using combined application of capsaicin and LA imitates partly the complex sensory changes observed in patients with unilateral neuropathic pain and might be used as an additional surrogate model. Only the concomitant use both agents in the same area induces both positive and negative sensory signs ipsilaterally as well as parallel contralateral sensory changes (to a lesser extent).

trial registrationClinicalTrials.gov Identifier NCT01540877 , registered on 23 February 2012.

Indexed as

AdultAnesthetics, LocalCapsaicinFemaleHealthy VolunteersHumansHypesthesiaLidocaineMaleMiddle AgedModels, NeurologicalNeuralgiaPrilocaineSensory System AgentsSomatosensory DisordersYoung AdultAnesthetics, LocalCapsaicinLidocainePrilocaineSensory System AgentsCapsaicinContralateral sensory changesExperimental pain modelLocal anestheticsNeuropathic painPain mechanismsQuantitative sensory testingSensory profilesTranslational pain research

Identifiers

PMID28335745
PMCPMC5364678
OpenAlexW2601911795

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.