Sensorimotor dysfunction after limb fracture – An exploratory study

Hall, J.; Llewellyn, A.; Palmer, S.; Rowett-Harris, J.; Atkins, R. M.; McCabe, C. S.; Hall, Jane; Llewellyn, Alison; Palmer, Shea; Rowett-Harris, Jane; Atkins, Roger M; McCabe, Candy

Abstract

© 2016 European Pain Federation - EFIC ® Background: Chronic pain is often associated with sensorimotor dysfunction but little is known about the early impact of limb fracture on sensory and motor performance. This exploratory study sought to assess these changes in patients with recent wrist and ankle fractures. A secondary aim was to determine the incidence of Complex Regional Pain Syndrome (CRPS) and its clinical features. Methods: Fifty-three patients at a UK fracture centre underwent Quantitative Sensory Testing (QST), Motor Imagery (MI) and Body Perception Disturbance (BPD) assessments ≤5weeks post-fracture (Time 1). Subjective evaluation of recovery and clinical examination for CRPS was conducted 5weeks later (Time 2, 50 patients). Patient-reported outcomes of pain, psychological distress and limb function were collected at Times 1 and 2, and 6months after T1 (Time 3, 36 patients, postal questionnaire). Results: Quantitative sensory testing at Time 1 demonstrated cold and pressure-pain hyperalgesia in the fractured limb compared to the non-fractured side (p

• Journal Article Type: Article
• Acceptance Date: Feb 10, 2016
• Online Publication Date: Mar 21, 2016
• Publication Date: Oct 1, 2016
• Deposit Date: Feb 15, 2016
• Publicly Available Date: Mar 21, 2017
• Journal: European Journal of Pain (United Kingdom)
• Print ISSN: 1090-3801
• Electronic ISSN: 1532-2149
• Publisher: Wiley
• Peer Reviewed: Peer Reviewed
• Volume: 20
• Issue: 9
• Pages: 1402-1412
• DOI: https://doi.org/10.1002/ejp.863
• Keywords: sensorimotor function, fracture, pain, CRPS, body perception disturbance, imagined movement, quantitative sensory testing
• Public URL: https://uwe-repository.worktribe.com/output/907560
• Publisher URL: http://dx.doi.org/10.1002/ejp.863
• Additional Information: Additional Information : This is the peer reviewed version of the following article: Hall, J., Llewellyn, A., Palmer, S., Rowett-Harris, J., Atkins, R. M. and McCabe, C. (2016) Sensorimotor dysfunction after limb fracture - an exploratory study. European Journal of Pain, which has been published in final form at http://dx.doi.org/10.1002/ejp.863. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
• Contract Date: Feb 15, 2016