Evidence map›Paper›PMID 33116791›Full record

ArticleJournal of pain research2020

Multisensory Sensitivity is Related to Deep-Tissue but Not Cutaneous Pain Sensitivity in Healthy Individuals.

Dan Wang, Shannon L Merkle, Jennifer E Lee, Kathleen A Sluka, Barbara Rakel, Thomas Graven-Nielsen, Laura A Frey-Law

Open access · goldAbstract read
In one paragraph

Article in Journal of pain research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.2field-weighted citation impact, top 21% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
  2. Article
  3. Central Sensitivity Symptoms and Autistic Traits in Autistic and Non-Autistic Adults.Autism research : official journal of the International Society for Autism Research · 2025
    Article
  4. Sensory processing in medically unexplained pain syndrome. A systematic review.Frontiers in pain research (Lausanne, Switzerland) · 2025
    Review
  5. Observational
  6. Article
  7. Observational
  8. Article
  9. Temporal Summation in Fibromyalgia Patients: Comparing Phasic and Tonic Paradigms.Frontiers in pain research (Lausanne, Switzerland) · 2022
    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

7 authors at 3 institutions in 2 countries.

Dan WangDepartment of Physical Therapy and Rehabilitation Science, Carver College of Medicine, University of Iowa, Iowa City, IA, USA.ORCID 0000-0003-3421-697X
Shannon L MerkleUnited States Army Research Institute of Environmental Medicine (USARIEM), Natick, MA, USA.ORCID 0000-0003-0848-3628
Jennifer E LeeDepartment of Psychology, Mount Mercy University, Cedar Rapids, IA, USA.ORCID 0000-0002-2365-7211
Kathleen A SlukaDepartment of Physical Therapy and Rehabilitation Science, Carver College of Medicine, University of Iowa, Iowa City, IA, USA.ORCID 0000-0003-0207-8728
Barbara RakelCollege of Nursing, University of Iowa, Iowa City, IA, USA.ORCID 0000-0001-8009-2643
Thomas Graven-NielsenCenter for Neuroplasticity and Pain (CNAP), SMI, Aalborg University, Aalborg, Denmark.ORCID 0000-0002-7787-4860
Laura A Frey-LawDepartment of Physical Therapy and Rehabilitation Science, Carver College of Medicine, University of Iowa, Iowa City, IA, USA.ORCID 0000-0002-3574-3715
University of Iowa · USAalborg University · DKU.S. Army Research Institute of Environmental Medicine · US

Funding

The University of Iowa Clinical and Translational Science AwardUL1TR002537 · NCATS · UNIVERSITY OF IOWA · PI HANSEN, MARLAN R, WINOKUR, PATRICIA · 2018 to 2022
$20.0M
Genetic and Trait Influences on Pain HeterogeneityK01AR056134 · NIAMS · UNIVERSITY OF IOWA · PI FREY LAW, LAURA A · 2009 to 2013
$587k
Phenotyping Evoked Central Sensitivity to Painful StimuliR03AR065197 · NIAMS · UNIVERSITY OF IOWA · PI FREY LAW, LAURA A · 2014 to 2016
$227k
NCATS NIH HHS UL1 TR002537NIAMS NIH HHS K01 AR056134NIAMS NIH HHS R03 AR065197
6 · The paper itself

Abstract

purposeSome individuals with chronic pain find daily life sensations (eg, noise, light, or touch) aversive. This amplification of multisensory sensations has been associated with centrally mediated plasticity; for example, greater multisensory sensitivity (MSS) occurs in patients with fibromyalgia than rheumatoid arthritis. However, whether MSS preferentially relates to pain measures which reflect central influences (eg, dynamic quantitative sensory testing (QST) or referred pain), or whether the MSS-pain relationship requires priming from chronic pain, is unknown. Thus, this cross-sectional study investigated the relationships between MSS assessed in a pain-free state and evoked pain sensitivity.

methodsExperimental intramuscular infusion pain and multiple static and dynamic QST were assessed in 465 healthy, pain-free adults: pain thresholds using pressure (PPTs) and heat (HPTs), temporal summation of pain (TSP) using pressure, heat or punctate stimuli, and conditioned pain modulation (CPM) using pressure or heat test stimuli. MSS was assessed using 7 items from Barsky's Somatosensory Amplification Scale. Differences in pain and QST between sex-specific MSS quartiles were assessed, adjusting for multiple comparisons. All participants completed at least one intramuscular infusion condition, but not all were asked to complete each QST (n=166-465).

resultsBoth static and dynamic QST differed between highest and lowest MSS quartiles using pressure stimuli: lower PPTs (adjusted-p<0.01); increased pressure TSP (adjusted-p=0.02); lower pressure CPM (adjusted-p=0.01). However, none of the heat or punctate QST measures (HPTs, TSP, or CPM) differed between MSS quartiles (adjusted-p>0.05). Odds of experiencing TSP or referred pain was not greater, whereas CPM was 8-fold less likely, in those with highest MSS.

conclusionNormal variation in non-noxious MSS is related to both static and dynamic pain sensitivity, without sensitization associated with chronic pain, but is dependent on the QST stimulus. Thus, common influences on MSS and pain sensitivity may involve central mechanisms but are likely more complex than previously recognized.

Indexed as

conditioned pain modulationexperimental muscle painpain sensitivityquantitative sensory testingsomatosensory amplification scaletemporal summation of pain

Identifiers

PMID33116791
PMCPMC7548328
OpenAlexW3091784099

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.