Thermal Grill Illusion in Chronic Lower Back Pain: A Case-Control Study

Hyung Cheol Kim,1,* Min Cheol Chang,2,* Sung Han Oh,1 Su Bin Lee,3 Soo Young Yang,3 Dong Ah Shin3 1Department of Neurosurgery, Bundang Jesaeng General Hospital, Seongnam-si, Gyeonggi-do, Republic of Korea; 2Department of Physical Medicine and Rehabilitation, College of Medicine, Yeun...

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Main Authors: Kim HC, Chang MC, Oh SH, Lee SB, Yang SY, Shin DA
Format: Article
Language:English
Published: Dove Medical Press 2023-05-01
Series:Journal of Pain Research
Subjects:
Online Access:https://www.dovepress.com/thermal-grill-illusion-in-chronic-lower-back-pain-a-case-control-study-peer-reviewed-fulltext-article-JPR
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author Kim HC
Chang MC
Oh SH
Lee SB
Yang SY
Shin DA
author_facet Kim HC
Chang MC
Oh SH
Lee SB
Yang SY
Shin DA
author_sort Kim HC
collection DOAJ
description Hyung Cheol Kim,1,* Min Cheol Chang,2,* Sung Han Oh,1 Su Bin Lee,3 Soo Young Yang,3 Dong Ah Shin3 1Department of Neurosurgery, Bundang Jesaeng General Hospital, Seongnam-si, Gyeonggi-do, Republic of Korea; 2Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Namku, Taegu, Republic of Korea; 3Department of Neurosurgery, Spine and Spinal Cord Institute, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea*These authors contributed equally to this workCorrespondence: Dong Ah Shin, Department of Neurosurgery, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemungu, Seoul, 03722, Republic of Korea, Tel +82 02-2-2228-1004, Email cistern@yuhs.acPurpose: This study aimed to use thermal grill illusion (TGI), an experimental model of pain processing and central mechanisms, to evaluate the perception of TGI-related sensations or pain in patients with chronic lower back pain (CLBP).Patients and Methods: The perception of TGI (warmth/heat, cold, unpleasantness, pain, burning, stinging, and prickling) was examined in 66 patients with CLBP and compared with that in 22 healthy participants. The visual analog scale (VAS) scores for CLBP, Oswestry Disability Index (ODI), and 12-Item Short Form Survey (SF-12) scores were obtained from the included patients with CLBP.Results: The CLBP group showed a less intense perception of TGI for sensations of warmth/heat, unpleasantness, and pain than the control group. The CLBP group felt burning sensations lesser than the control (2.77 vs 4.55, P=0.016). In the CLBP group, there were significant correlations between the ODI and the degree of unpleasantness (r=0.381, P=0.002) and prickling sensation (r=0.263, P=0.033). There were also significant correlations between the mental component score of the SF-12 and the degree of warmth/heat (r=− 0.246, P=0.046), unpleasantness (r=− 0.292, P=0.017), pain (r=− 0.292, P=0.017), and burning sensations (r=− 0.280, P=0.023).Conclusion: Our results may be useful for clinicians to evaluate the effectiveness of drugs or interventions to manage centralized LBP.Keywords: thermal grill illusion, chronic pain, back pain
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spelling doaj.art-63abc702688f4649a69bce2d812b17be2023-05-18T18:42:34ZengDove Medical PressJournal of Pain Research1178-70902023-05-01Volume 161573157983791Thermal Grill Illusion in Chronic Lower Back Pain: A Case-Control StudyKim HCChang MCOh SHLee SBYang SYShin DAHyung Cheol Kim,1,* Min Cheol Chang,2,* Sung Han Oh,1 Su Bin Lee,3 Soo Young Yang,3 Dong Ah Shin3 1Department of Neurosurgery, Bundang Jesaeng General Hospital, Seongnam-si, Gyeonggi-do, Republic of Korea; 2Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Namku, Taegu, Republic of Korea; 3Department of Neurosurgery, Spine and Spinal Cord Institute, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea*These authors contributed equally to this workCorrespondence: Dong Ah Shin, Department of Neurosurgery, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemungu, Seoul, 03722, Republic of Korea, Tel +82 02-2-2228-1004, Email cistern@yuhs.acPurpose: This study aimed to use thermal grill illusion (TGI), an experimental model of pain processing and central mechanisms, to evaluate the perception of TGI-related sensations or pain in patients with chronic lower back pain (CLBP).Patients and Methods: The perception of TGI (warmth/heat, cold, unpleasantness, pain, burning, stinging, and prickling) was examined in 66 patients with CLBP and compared with that in 22 healthy participants. The visual analog scale (VAS) scores for CLBP, Oswestry Disability Index (ODI), and 12-Item Short Form Survey (SF-12) scores were obtained from the included patients with CLBP.Results: The CLBP group showed a less intense perception of TGI for sensations of warmth/heat, unpleasantness, and pain than the control group. The CLBP group felt burning sensations lesser than the control (2.77 vs 4.55, P=0.016). In the CLBP group, there were significant correlations between the ODI and the degree of unpleasantness (r=0.381, P=0.002) and prickling sensation (r=0.263, P=0.033). There were also significant correlations between the mental component score of the SF-12 and the degree of warmth/heat (r=− 0.246, P=0.046), unpleasantness (r=− 0.292, P=0.017), pain (r=− 0.292, P=0.017), and burning sensations (r=− 0.280, P=0.023).Conclusion: Our results may be useful for clinicians to evaluate the effectiveness of drugs or interventions to manage centralized LBP.Keywords: thermal grill illusion, chronic pain, back painhttps://www.dovepress.com/thermal-grill-illusion-in-chronic-lower-back-pain-a-case-control-study-peer-reviewed-fulltext-article-JPRthermal grill illusionchronic painback pain
spellingShingle Kim HC
Chang MC
Oh SH
Lee SB
Yang SY
Shin DA
Thermal Grill Illusion in Chronic Lower Back Pain: A Case-Control Study
Journal of Pain Research
thermal grill illusion
chronic pain
back pain
title Thermal Grill Illusion in Chronic Lower Back Pain: A Case-Control Study
title_full Thermal Grill Illusion in Chronic Lower Back Pain: A Case-Control Study
title_fullStr Thermal Grill Illusion in Chronic Lower Back Pain: A Case-Control Study
title_full_unstemmed Thermal Grill Illusion in Chronic Lower Back Pain: A Case-Control Study
title_short Thermal Grill Illusion in Chronic Lower Back Pain: A Case-Control Study
title_sort thermal grill illusion in chronic lower back pain a case control study
topic thermal grill illusion
chronic pain
back pain
url https://www.dovepress.com/thermal-grill-illusion-in-chronic-lower-back-pain-a-case-control-study-peer-reviewed-fulltext-article-JPR
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