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dc.contributor.authorLim, Edwin Choon Wyn
dc.contributor.authorSterling, Michele
dc.contributor.authorPedler, Ashley
dc.contributor.authorCoombes, Brooke K
dc.contributor.authorVicenzino, Bill
dc.date.accessioned2018-12-13T01:30:28Z
dc.date.available2018-12-13T01:30:28Z
dc.date.issued2012
dc.date.modified2014-06-12T23:42:07Z
dc.identifier.issn1526-5900
dc.identifier.doi10.1016/j.jpain.2012.04.005
dc.identifier.urihttp://hdl.handle.net/10072/60106
dc.description.abstractThere is emerging evidence of altered pain signal processing as a likely underlying mechanism in chronic lateral epicondylalgia (LE), yet this remains to be assessed. Furthermore, it has been proposed that neurodynamic tests reflect nociceptive withdrawal responses. Therefore, the objective was to improve our understanding of spinal cord excitability as measured by nociceptive flexion reflex (NFR) threshold in chronic LE with and without a positive neurodynamic test. NFR threshold, pain-free grip, and pressure pain threshold were measured in 30 LE participants and 31 healthy controls. Test of neural tissue involvement (using upper limb neural tension, radial bias) was used to differentiate LE participants with or without a positive neurodynamic test. There were significant differences in NFR threshold between the control and LE with or without a positive neurodynamic test (F[2,54] = 5.68, P = .006), after adjusting for age, sex, pain rating at NFR threshold, and reflex size (NFR interval peak z score). The mean differences (95% confidence interval) in NFR threshold between the control and LE with or without a positive neurodynamic test were 3.74 mA (.637, 6.84) and 3.38 mA (.0245, 6.74) respectively.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.languageEnglish
dc.language.isoeng
dc.publisherElsevier
dc.publisher.placeUnited States
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom676
dc.relation.ispartofpageto684
dc.relation.ispartofissue7
dc.relation.ispartofjournalThe Journal of Pain
dc.relation.ispartofvolume13
dc.rights.retentionY
dc.subject.fieldofresearchBiomedical and clinical sciences
dc.subject.fieldofresearchPhysiotherapy
dc.subject.fieldofresearchPsychology
dc.subject.fieldofresearchcode32
dc.subject.fieldofresearchcode420106
dc.subject.fieldofresearchcode52
dc.titleEvidence of Spinal Cord Hyperexcitability as Measured With Nociceptive Flexion Reflex (NFR) Threshold in Chronic Lateral Epicondylalgia With or Without a Positive Neurodynamic Test
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.hasfulltextNo Full Text
gro.griffith.authorCoombes, Brooke K.


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