Experimental Pain Model Based on Short‐Wave Diathermy Replicates the Intensity, Quality and Spatial Distribution of Chronic Shoulder Pain: A Parallel Group Validation Study

Autores
Intelangelo, Leonardo; Mista, Christian Ariel; Barone, Mauro Sebastian; Imaz, Fernando; Laugero, Silvio Jorge; Adur, Javier Fernando; Andersen, Ole Kæseler; Biurrun Manresa, José Alberto
Año de publicación
2025
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Background: Several experimental pain models have been developed to better understand shoulder pain. However, most ofthese models do not accurately replicate characteristic features of clinical pain. The aim of this study was to assess whether theeffects of the short-wave diathermy (SWD) pain model mimic clinical shoulder pain in terms of intensity, quality, and spatialdistribution.Methods: Thirty-two patients with unilateral shoulder pain (USP) and thirty-two healthy volunteers participated in a singleexperimental session. SWD was applied to the dominant shoulder of healthy volunteers, until volunteers reached the tolerancethreshold for painful heat stimulation. Pressure pain thresholds (PPTs), pain intensity (using a visual analogue scale, VAS), painquality (using the McGill Pain Questionnaire) and spatial pain distribution were assessed 30 min after SWD application on theinfraspinatus muscle. The same assessments were performed in the USP group. Outcomes were contrasted using linear mixedmodels and independent sample t tests, and statistical equivalence was assessed using the TOST (two one-sided t tests) procedure.Results: PPTs on the painful side were statistically equivalent within a range of ±50 kPa. Pain intensities in both groups werestatistically equivalent within a range of ±2 VAS points. Both groups showed a similar spatial pain distribution, and describedthe pain as continuous, well-delimited, dull and bearable. However, USP patients more frequently used the stabbing and naggingdescriptors in contrast to volunteers in the SWD group, who chose hot and heavy instead.Conclusion: Experimental pain induced by SWD accurately reproduces many relevant characteristics of chronic shoulder pain.Significance Statement: Short-wave diathermy applied to the shoulder of healthy volunteers elicited equivalent pain intensity,quality and spatial distribution compared with clinical unilateral shoulder pain.
Fil: Intelangelo, Leonardo. Instituto Universidad del Gran Rosario; Argentina
Fil: Mista, Christian Ariel. Universidad Nacional de Entre Ríos. Instituto de Investigación y Desarrollo en Bioingeniería y Bioinformática - Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Santa Fe. Instituto de Investigación y Desarrollo en Bioingeniería y Bioinformática; Argentina
Fil: Barone, Mauro Sebastian. Instituto Universidad del Gran Rosario; Argentina
Fil: Imaz, Fernando. Instituto Universidad del Gran Rosario; Argentina
Fil: Laugero, Silvio Jorge. Universidad Nacional de Entre Ríos; Argentina
Fil: Adur, Javier Fernando. Universidad Nacional de Entre Ríos. Instituto de Investigación y Desarrollo en Bioingeniería y Bioinformática - Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Santa Fe. Instituto de Investigación y Desarrollo en Bioingeniería y Bioinformática; Argentina
Fil: Andersen, Ole Kæseler. Aalborg University; Dinamarca
Fil: Biurrun Manresa, José Alberto. Universidad Nacional de Entre Ríos. Instituto de Investigación y Desarrollo en Bioingeniería y Bioinformática - Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Santa Fe. Instituto de Investigación y Desarrollo en Bioingeniería y Bioinformática; Argentina
Materia
EQUIVALENT TESTING
EXPERIMENTAL PAIN MODEL
MUSKULOSKELETAL PAIN
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/282359
Acceder
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oai_identifier_str oai:ri.conicet.gov.ar:11336/282359
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Experimental Pain Model Based on Short‐Wave Diathermy Replicates the Intensity, Quality and Spatial Distribution of Chronic Shoulder Pain: A Parallel Group Validation StudyIntelangelo, LeonardoMista, Christian ArielBarone, Mauro SebastianImaz, FernandoLaugero, Silvio JorgeAdur, Javier FernandoAndersen, Ole KæselerBiurrun Manresa, José AlbertoEQUIVALENT TESTINGEXPERIMENTAL PAIN MODELMUSKULOSKELETAL PAINhttps://purl.org/becyt/ford/3.5https://purl.org/becyt/ford/3Background: Several experimental pain models have been developed to better understand shoulder pain. However, most ofthese models do not accurately replicate characteristic features of clinical pain. The aim of this study was to assess whether theeffects of the short-wave diathermy (SWD) pain model mimic clinical shoulder pain in terms of intensity, quality, and spatialdistribution.Methods: Thirty-two patients with unilateral shoulder pain (USP) and thirty-two healthy volunteers participated in a singleexperimental session. SWD was applied to the dominant shoulder of healthy volunteers, until volunteers reached the tolerancethreshold for painful heat stimulation. Pressure pain thresholds (PPTs), pain intensity (using a visual analogue scale, VAS), painquality (using the McGill Pain Questionnaire) and spatial pain distribution were assessed 30 min after SWD application on theinfraspinatus muscle. The same assessments were performed in the USP group. Outcomes were contrasted using linear mixedmodels and independent sample t tests, and statistical equivalence was assessed using the TOST (two one-sided t tests) procedure.Results: PPTs on the painful side were statistically equivalent within a range of ±50 kPa. Pain intensities in both groups werestatistically equivalent within a range of ±2 VAS points. Both groups showed a similar spatial pain distribution, and describedthe pain as continuous, well-delimited, dull and bearable. However, USP patients more frequently used the stabbing and naggingdescriptors in contrast to volunteers in the SWD group, who chose hot and heavy instead.Conclusion: Experimental pain induced by SWD accurately reproduces many relevant characteristics of chronic shoulder pain.Significance Statement: Short-wave diathermy applied to the shoulder of healthy volunteers elicited equivalent pain intensity,quality and spatial distribution compared with clinical unilateral shoulder pain.Fil: Intelangelo, Leonardo. Instituto Universidad del Gran Rosario; ArgentinaFil: Mista, Christian Ariel. Universidad Nacional de Entre Ríos. Instituto de Investigación y Desarrollo en Bioingeniería y Bioinformática - Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Santa Fe. Instituto de Investigación y Desarrollo en Bioingeniería y Bioinformática; ArgentinaFil: Barone, Mauro Sebastian. Instituto Universidad del Gran Rosario; ArgentinaFil: Imaz, Fernando. Instituto Universidad del Gran Rosario; ArgentinaFil: Laugero, Silvio Jorge. Universidad Nacional de Entre Ríos; ArgentinaFil: Adur, Javier Fernando. Universidad Nacional de Entre Ríos. Instituto de Investigación y Desarrollo en Bioingeniería y Bioinformática - Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Santa Fe. Instituto de Investigación y Desarrollo en Bioingeniería y Bioinformática; ArgentinaFil: Andersen, Ole Kæseler. Aalborg University; DinamarcaFil: Biurrun Manresa, José Alberto. Universidad Nacional de Entre Ríos. Instituto de Investigación y Desarrollo en Bioingeniería y Bioinformática - Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Santa Fe. Instituto de Investigación y Desarrollo en Bioingeniería y Bioinformática; ArgentinaElsevier2025-08info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/282359Intelangelo, Leonardo; Mista, Christian Ariel; Barone, Mauro Sebastian; Imaz, Fernando; Laugero, Silvio Jorge; et al.; Experimental Pain Model Based on Short‐Wave Diathermy Replicates the Intensity, Quality and Spatial Distribution of Chronic Shoulder Pain: A Parallel Group Validation Study; Elsevier; European Journal of Pain; 29; 9; 8-2025; 1-121090-3801CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://onlinelibrary.wiley.com/doi/10.1002/ejp.70118info:eu-repo/semantics/altIdentifier/doi/10.1002/ejp.70118info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2026-03-11T13:28:14Zoai:ri.conicet.gov.ar:11336/282359instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982026-03-11 13:28:14.518CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Experimental Pain Model Based on Short‐Wave Diathermy Replicates the Intensity, Quality and Spatial Distribution of Chronic Shoulder Pain: A Parallel Group Validation Study
title Experimental Pain Model Based on Short‐Wave Diathermy Replicates the Intensity, Quality and Spatial Distribution of Chronic Shoulder Pain: A Parallel Group Validation Study
spellingShingle Experimental Pain Model Based on Short‐Wave Diathermy Replicates the Intensity, Quality and Spatial Distribution of Chronic Shoulder Pain: A Parallel Group Validation Study
Intelangelo, Leonardo
EQUIVALENT TESTING
EXPERIMENTAL PAIN MODEL
MUSKULOSKELETAL PAIN
title_short Experimental Pain Model Based on Short‐Wave Diathermy Replicates the Intensity, Quality and Spatial Distribution of Chronic Shoulder Pain: A Parallel Group Validation Study
title_full Experimental Pain Model Based on Short‐Wave Diathermy Replicates the Intensity, Quality and Spatial Distribution of Chronic Shoulder Pain: A Parallel Group Validation Study
title_fullStr Experimental Pain Model Based on Short‐Wave Diathermy Replicates the Intensity, Quality and Spatial Distribution of Chronic Shoulder Pain: A Parallel Group Validation Study
title_full_unstemmed Experimental Pain Model Based on Short‐Wave Diathermy Replicates the Intensity, Quality and Spatial Distribution of Chronic Shoulder Pain: A Parallel Group Validation Study
title_sort Experimental Pain Model Based on Short‐Wave Diathermy Replicates the Intensity, Quality and Spatial Distribution of Chronic Shoulder Pain: A Parallel Group Validation Study
dc.creator.none.fl_str_mv Intelangelo, Leonardo
Mista, Christian Ariel
Barone, Mauro Sebastian
Imaz, Fernando
Laugero, Silvio Jorge
Adur, Javier Fernando
Andersen, Ole Kæseler
Biurrun Manresa, José Alberto
author Intelangelo, Leonardo
author_facet Intelangelo, Leonardo
Mista, Christian Ariel
Barone, Mauro Sebastian
Imaz, Fernando
Laugero, Silvio Jorge
Adur, Javier Fernando
Andersen, Ole Kæseler
Biurrun Manresa, José Alberto
author_role author
author2 Mista, Christian Ariel
Barone, Mauro Sebastian
Imaz, Fernando
Laugero, Silvio Jorge
Adur, Javier Fernando
Andersen, Ole Kæseler
Biurrun Manresa, José Alberto
author2_role author
author
author
author
author
author
author
dc.subject.none.fl_str_mv EQUIVALENT TESTING
EXPERIMENTAL PAIN MODEL
MUSKULOSKELETAL PAIN
topic EQUIVALENT TESTING
EXPERIMENTAL PAIN MODEL
MUSKULOSKELETAL PAIN
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.5
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Background: Several experimental pain models have been developed to better understand shoulder pain. However, most ofthese models do not accurately replicate characteristic features of clinical pain. The aim of this study was to assess whether theeffects of the short-wave diathermy (SWD) pain model mimic clinical shoulder pain in terms of intensity, quality, and spatialdistribution.Methods: Thirty-two patients with unilateral shoulder pain (USP) and thirty-two healthy volunteers participated in a singleexperimental session. SWD was applied to the dominant shoulder of healthy volunteers, until volunteers reached the tolerancethreshold for painful heat stimulation. Pressure pain thresholds (PPTs), pain intensity (using a visual analogue scale, VAS), painquality (using the McGill Pain Questionnaire) and spatial pain distribution were assessed 30 min after SWD application on theinfraspinatus muscle. The same assessments were performed in the USP group. Outcomes were contrasted using linear mixedmodels and independent sample t tests, and statistical equivalence was assessed using the TOST (two one-sided t tests) procedure.Results: PPTs on the painful side were statistically equivalent within a range of ±50 kPa. Pain intensities in both groups werestatistically equivalent within a range of ±2 VAS points. Both groups showed a similar spatial pain distribution, and describedthe pain as continuous, well-delimited, dull and bearable. However, USP patients more frequently used the stabbing and naggingdescriptors in contrast to volunteers in the SWD group, who chose hot and heavy instead.Conclusion: Experimental pain induced by SWD accurately reproduces many relevant characteristics of chronic shoulder pain.Significance Statement: Short-wave diathermy applied to the shoulder of healthy volunteers elicited equivalent pain intensity,quality and spatial distribution compared with clinical unilateral shoulder pain.
Fil: Intelangelo, Leonardo. Instituto Universidad del Gran Rosario; Argentina
Fil: Mista, Christian Ariel. Universidad Nacional de Entre Ríos. Instituto de Investigación y Desarrollo en Bioingeniería y Bioinformática - Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Santa Fe. Instituto de Investigación y Desarrollo en Bioingeniería y Bioinformática; Argentina
Fil: Barone, Mauro Sebastian. Instituto Universidad del Gran Rosario; Argentina
Fil: Imaz, Fernando. Instituto Universidad del Gran Rosario; Argentina
Fil: Laugero, Silvio Jorge. Universidad Nacional de Entre Ríos; Argentina
Fil: Adur, Javier Fernando. Universidad Nacional de Entre Ríos. Instituto de Investigación y Desarrollo en Bioingeniería y Bioinformática - Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Santa Fe. Instituto de Investigación y Desarrollo en Bioingeniería y Bioinformática; Argentina
Fil: Andersen, Ole Kæseler. Aalborg University; Dinamarca
Fil: Biurrun Manresa, José Alberto. Universidad Nacional de Entre Ríos. Instituto de Investigación y Desarrollo en Bioingeniería y Bioinformática - Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Santa Fe. Instituto de Investigación y Desarrollo en Bioingeniería y Bioinformática; Argentina
description Background: Several experimental pain models have been developed to better understand shoulder pain. However, most ofthese models do not accurately replicate characteristic features of clinical pain. The aim of this study was to assess whether theeffects of the short-wave diathermy (SWD) pain model mimic clinical shoulder pain in terms of intensity, quality, and spatialdistribution.Methods: Thirty-two patients with unilateral shoulder pain (USP) and thirty-two healthy volunteers participated in a singleexperimental session. SWD was applied to the dominant shoulder of healthy volunteers, until volunteers reached the tolerancethreshold for painful heat stimulation. Pressure pain thresholds (PPTs), pain intensity (using a visual analogue scale, VAS), painquality (using the McGill Pain Questionnaire) and spatial pain distribution were assessed 30 min after SWD application on theinfraspinatus muscle. The same assessments were performed in the USP group. Outcomes were contrasted using linear mixedmodels and independent sample t tests, and statistical equivalence was assessed using the TOST (two one-sided t tests) procedure.Results: PPTs on the painful side were statistically equivalent within a range of ±50 kPa. Pain intensities in both groups werestatistically equivalent within a range of ±2 VAS points. Both groups showed a similar spatial pain distribution, and describedthe pain as continuous, well-delimited, dull and bearable. However, USP patients more frequently used the stabbing and naggingdescriptors in contrast to volunteers in the SWD group, who chose hot and heavy instead.Conclusion: Experimental pain induced by SWD accurately reproduces many relevant characteristics of chronic shoulder pain.Significance Statement: Short-wave diathermy applied to the shoulder of healthy volunteers elicited equivalent pain intensity,quality and spatial distribution compared with clinical unilateral shoulder pain.
publishDate 2025
dc.date.none.fl_str_mv 2025-08
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/282359
Intelangelo, Leonardo; Mista, Christian Ariel; Barone, Mauro Sebastian; Imaz, Fernando; Laugero, Silvio Jorge; et al.; Experimental Pain Model Based on Short‐Wave Diathermy Replicates the Intensity, Quality and Spatial Distribution of Chronic Shoulder Pain: A Parallel Group Validation Study; Elsevier; European Journal of Pain; 29; 9; 8-2025; 1-12
1090-3801
CONICET Digital
CONICET
url http://hdl.handle.net/11336/282359
identifier_str_mv Intelangelo, Leonardo; Mista, Christian Ariel; Barone, Mauro Sebastian; Imaz, Fernando; Laugero, Silvio Jorge; et al.; Experimental Pain Model Based on Short‐Wave Diathermy Replicates the Intensity, Quality and Spatial Distribution of Chronic Shoulder Pain: A Parallel Group Validation Study; Elsevier; European Journal of Pain; 29; 9; 8-2025; 1-12
1090-3801
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/https://onlinelibrary.wiley.com/doi/10.1002/ejp.70118
info:eu-repo/semantics/altIdentifier/doi/10.1002/ejp.70118
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 12.977003

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