Effect of a single session of muscle-biased therapy on pain sensitivity: A systematic review and meta-analysis of randomized controlled trials

Loading...
Thumbnail Image

Date

2013-03-12

Journal Title

Journal ISSN

Volume Title

Repository Usage Stats

116
views
123
downloads

Citation Stats

Abstract

Background: Muscle-biased therapies (MBT) are commonly used to treat pain, yet several reviews suggest evidence for the clinical effectiveness of these therapies is lacking. Inadequate treatment parameters have been suggested to account for inconsistent effects across studies. Pain sensitivity may serve as an intermediate physiologic endpoint helping to establish optimal MBT treatment parameters. The purpose of this review was to summarize the current literature investigating the short-term effect of a single dose of MBT on pain sensitivity in both healthy and clinical populations, with particular attention to specific MBT parameters of intensity and duration. Methods: A systematic search for articles meeting our prespecified criteria was conducted using Cumulative Index to Nursing and Allied Health Literature (CINAHL) and MEDLINE from the inception of each database until July 2012, in accordance with guidelines from the Preferred Reporting Items for Systematic reviews and Meta-Analysis. Relevant characteristics from studies included type, intensity, and duration of MBT and whether short-term changes in pain sensitivity and clinical pain were noted with MBT application. Study results were pooled using a random-effects model to estimate the overall effect size of a single dose of MBT on pain sensitivity as well as the effect of MBT, dependent on comparison group and population type. Results: Reports from 24 randomized controlled trials (23 articles) were included, representing 36 MBT treatment arms and 29 comparative groups, where 10 groups received active agents, 11 received sham/inert treatments, and eight received no treatment. MBT demonstrated a favorable and consistent ability to modulate pain sensitivity. Short-term modulation of pain sensitivity was associated with short-term beneficial effects on clinical pain. Intensity of MBT, but not duration, was linked with change in pain sensitivity. A meta-analysis was conducted on 17 studies that assessed the effect of MBT on pressure pain thresholds. The results suggest that MBT had a favorable effect on pressure pain thresholds when compared with no-treatment and sham/inert groups, and effects comparable with those of other active treatments. Conclusion: The evidence supports the use of pain sensitivity measures by future research to help elucidate optimal therapeutic parameters for MBT as an intermediate physiologic marker. © 2013 Artner et al, publisher and licensee Dove Medical Press Ltd.

Department

Description

Provenance

Subjects

Citation

Published Version (Please cite this version)

10.2147/JPR.S37272

Publication Info

Gay, Charles W, Meryl J Alappattu, Rogelio A Coronado, Maggie E Horn and Mark D Bishop (2013). Effect of a single session of muscle-biased therapy on pain sensitivity: A systematic review and meta-analysis of randomized controlled trials. Journal of Pain Research, 6. pp. 7–22. 10.2147/JPR.S37272 Retrieved from https://hdl.handle.net/10161/12764.

This is constructed from limited available data and may be imprecise. To cite this article, please review & use the official citation provided by the journal.

Scholars@Duke

Rogelio Adrian Coronado

Adjunct Assistant Professor in the Department of Orthopaedic Surgery
Horn

Maggie Elizabeth Horn

Assistant Professor in Orthopaedic Surgery

Unless otherwise indicated, scholarly articles published by Duke faculty members are made available here with a CC-BY-NC (Creative Commons Attribution Non-Commercial) license, as enabled by the Duke Open Access Policy. If you wish to use the materials in ways not already permitted under CC-BY-NC, please consult the copyright owner. Other materials are made available here through the author’s grant of a non-exclusive license to make their work openly accessible.