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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


J. Hall

S. Palmer

J. Rowett-Harris

R. M. Atkins

C. S. McCabe

Jane Hall

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Shea Palmer
Occasional Associate Lecturer - HAS - HSW

Jane Rowett-Harris

Roger M Atkins

Candy McCabe
Professor of Clinical Research and Practice


© 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


McCabe, C. S., Atkins, R. M., Rowett-Harris, J., Palmer, S., Llewellyn, A., Hall, J., …McCabe, C. (2016). Sensorimotor dysfunction after limb fracture – An exploratory study. European Journal of Pain, 20(9), 1402-1412.

Journal Article Type Article
Acceptance Date Feb 10, 2016
Online Publication Date Mar 21, 2016
Publication Date Oct 1, 2016
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
Keywords sensorimotor function, fracture, pain, CRPS, body perception disturbance, imagined movement, quantitative sensory testing
Public URL
Publisher URL
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 This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.


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