Evidence map›Paper›PMID 36307774›Full record

ArticleBMC geriatrics2022

Pressure pain threshold and somatosensory abnormalities in different ages and functional conditions of post-stroke elderly.

Yong-Hui Zhang, Hao-Ran Xu, Yu-Chen Wang, Gong-Wei Hu, Xiao-Qin Ding, Xiao-Hua Shen, Hui Yang, Ji-Feng Rong, Xue-Qiang Wang

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

10 citing papers in PubMed, 14 citations in OpenAlex.

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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

9 authors at 3 institutions in 1 country.

Yong-Hui Zhang *Department of Sport Rehabilitation, Shanghai University of Sport, 399 Changhai RD, Shanghai, 200438, China.
Hao-Ran Xu *Department of Sport Rehabilitation, Shanghai University of Sport, 399 Changhai RD, Shanghai, 200438, China.
Yu-Chen WangDepartment of Sport Rehabilitation, Shanghai University of Sport, 399 Changhai RD, Shanghai, 200438, China.
Gong-Wei HuThe Center of Rehabilitation Therapy, The First Rehabilitation Hospital of Shanghai, 349 Hangzhou RD, Shanghai, 200090, China.
Xiao-Qin DingThe Center of Rehabilitation Therapy, The First Rehabilitation Hospital of Shanghai, 349 Hangzhou RD, Shanghai, 200090, China.
Xiao-Hua ShenThe Center of Rehabilitation Therapy, The First Rehabilitation Hospital of Shanghai, 349 Hangzhou RD, Shanghai, 200090, China.
Hui YangThe Center of Rehabilitation Therapy, The First Rehabilitation Hospital of Shanghai, 349 Hangzhou RD, Shanghai, 200090, China.
Ji-Feng RongThe Center of Rehabilitation Therapy, The First Rehabilitation Hospital of Shanghai, 349 Hangzhou RD, Shanghai, 200090, China. peterrong@126.com.
Xue-Qiang WangDepartment of Sport Rehabilitation, Shanghai University of Sport, 399 Changhai RD, Shanghai, 200438, China. wangxueqiang@sus.edu.cn.
Shanghai Sunshine Rehabilitation Center · CNShanghai University of Sport · CNShanghai Traditional Chinese Medicine Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSomatosensory deficits and abnormal pain sensitivity are highly prevalent among stroke survivors, which negatively impacts their quality of life and recovery process. However, the factors for pressure pain threshold (PPT) and somatosensory abnormalities in post-stroke elderly remain unknown. The aim of this study was to explore the effects of age, side and other functional conditions, such as spasticity and motor functions, on PPT and sensory abnormalities among elderly after stroke.

methodsThe cross-sectional study finally included 43 post-stroke elderly aged over 60 and assessed the PPT of 14 bilateral muscles widely located in the whole body by using a digital force gage. Meanwhile, spasticity, motor function, joint pain and activity of daily living (ADL) were evaluated by the Modified Ashworth scale, Fugl-Meyer, and Barthel Index, respectively. All participants were divided into higher-aged and lower-aged groups based on the median age of all of them.

resultsHigher age tended to be associated with higher sensitivity but not significant except for one upper limb muscle, and the affected side showed significantly higher PPTs than the unaffected side in three out of seven muscles (p < 0.05). Furthermore, the somatosensory abnormalities in the affected side, particularly hypoalgesia, were more frequent in higher-aged than lower-aged patients in most assessed muscles. Meanwhile, patients with spasticity showed more increment of PPTs in affected muscles around the knee joint than patients without spasticity (p < 0.05). Patients with better motor functions, less joint pain and higher ADL performed less bilateral differences of PPTs than other patients in some muscles (p < 0.05).

conclusionsThe age and side differences of mechanical pain sensitivity were found among post-stroke elderly. Older patients show higher sensitivity in both sides compared with the younger ones, and the affected side of the elder shows more somatosensory abnormalities, particularly hypoalgesia, than that of the younger ones. Post-stroke elderly in good functional conditions, such as normal muscle tone, better physical function and daily activities, and less joint pain, seems to have more equal pain sensitivity between both sides than those in poor conditions.

Indexed as

StrokeStroke RehabilitationAgedArthralgiaCross-Sectional StudiesHumansMiddle AgedMuscle SpasticityPain ThresholdQuality of LifeTreatment OutcomeAgeElderlyHemiplegiaPain thresholdSomatosensoryStroke

Identifiers

PMID36307774
PMCPMC9617357
OpenAlexW4307950641

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Registered trials

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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.