Pressure pain threshold and somatosensory abnormalities in different ages and functional conditions of post-stroke elderly
Abstract Background Somatosensory 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 rem...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-10-01
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| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12877-022-03515-4 |
| _version_ | 1797991737654771712 |
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| author | 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 |
| author_facet | 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 |
| author_sort | Yong-Hui Zhang |
| collection | DOAJ |
| description | Abstract Background Somatosensory 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. Methods The 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. Results Higher 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). Conclusions The 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. |
| first_indexed | 2024-04-11T08:56:07Z |
| format | Article |
| id | doaj.art-3d54e16418e94eb89bc68d0c3b5dbcec |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-04-11T08:56:07Z |
| publishDate | 2022-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-3d54e16418e94eb89bc68d0c3b5dbcec2022-12-22T04:33:17ZengBMCBMC Geriatrics1471-23182022-10-0122111210.1186/s12877-022-03515-4Pressure pain threshold and somatosensory abnormalities in different ages and functional conditions of post-stroke elderlyYong-Hui Zhang0Hao-Ran Xu1Yu-Chen Wang2Gong-Wei Hu3Xiao-Qin Ding4Xiao-Hua Shen5Hui Yang6Ji-Feng Rong7Xue-Qiang Wang8Department of Sport Rehabilitation, Shanghai University of SportDepartment of Sport Rehabilitation, Shanghai University of SportDepartment of Sport Rehabilitation, Shanghai University of SportThe Center of Rehabilitation Therapy, The First Rehabilitation Hospital of ShanghaiThe Center of Rehabilitation Therapy, The First Rehabilitation Hospital of ShanghaiThe Center of Rehabilitation Therapy, The First Rehabilitation Hospital of ShanghaiThe Center of Rehabilitation Therapy, The First Rehabilitation Hospital of ShanghaiThe Center of Rehabilitation Therapy, The First Rehabilitation Hospital of ShanghaiDepartment of Sport Rehabilitation, Shanghai University of SportAbstract Background Somatosensory 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. Methods The 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. Results Higher 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). Conclusions The 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.https://doi.org/10.1186/s12877-022-03515-4AgeElderlyPain thresholdStrokeSomatosensoryHemiplegia |
| spellingShingle | 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 Pressure pain threshold and somatosensory abnormalities in different ages and functional conditions of post-stroke elderly BMC Geriatrics Age Elderly Pain threshold Stroke Somatosensory Hemiplegia |
| title | Pressure pain threshold and somatosensory abnormalities in different ages and functional conditions of post-stroke elderly |
| title_full | Pressure pain threshold and somatosensory abnormalities in different ages and functional conditions of post-stroke elderly |
| title_fullStr | Pressure pain threshold and somatosensory abnormalities in different ages and functional conditions of post-stroke elderly |
| title_full_unstemmed | Pressure pain threshold and somatosensory abnormalities in different ages and functional conditions of post-stroke elderly |
| title_short | Pressure pain threshold and somatosensory abnormalities in different ages and functional conditions of post-stroke elderly |
| title_sort | pressure pain threshold and somatosensory abnormalities in different ages and functional conditions of post stroke elderly |
| topic | Age Elderly Pain threshold Stroke Somatosensory Hemiplegia |
| url | https://doi.org/10.1186/s12877-022-03515-4 |
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