central sensitization as normal response to injury
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Central Sensitization as normal response to injury
Arturo Such Sanzwww.arturosuch.com - @arturosuch - movimentisalut@gmail.com
lunes 23 de septiembre de 13
Central Sensitization as normal response to injury
Casino, 1995
lunes 23 de septiembre de 13
Central Sensitization as normal response to injury
Casino, 1995
lunes 23 de septiembre de 13
Central Sensitization as normal response to injury
Gifford, 1998
lunes 23 de septiembre de 13
Central Sensitization as normal response to injury
Costigan y Woolf, 2000
lunes 23 de septiembre de 13
Central Sensitization as normal response to injury
Costigan y Woolf, 2000
lunes 23 de septiembre de 13
Central Sensitization as normal response to injury
Raja et al, 1984
Primary hyperalgesiaTactile allodyniaMechanical hyperalgesiaThermal hyperalgesia
Located at injury site
Secondary hyperalgesiaTactile allodyniaMechanical hyperalgesia
No injury site
lunes 23 de septiembre de 13
Banic et al, 2004
Central Sensitization as normal response to injury
lunes 23 de septiembre de 13
Banic et al, 2004
Central Sensitization as normal response to injury
lunes 23 de septiembre de 13
Central Sensitization as normal response to injury
Sterling et al, 2003
lunes 23 de septiembre de 13
Central Sensitization as normal response to injury
Sterling et al, 2003
lunes 23 de septiembre de 13
Central Sensitization as normal response to injury
Predictor factors in whiplash
1.Perceived high pain intensity
2.Perceived high level disability
3.Old age
4.Cold hyperalgesia
5.Impaired vasoconstriction
6.PTSDSterling et al, 2006
lunes 23 de septiembre de 13
Central Sensitization as normal response to injury
lunes 23 de septiembre de 13
Central Sensitization as normal response to injury
lunes 23 de septiembre de 13
Central Sensitization as normal response to injury
lunes 23 de septiembre de 13
Central Sensitization as normal response to injury
lunes 23 de septiembre de 13
Central Sensitization as normal response to injury
Yellow Flags:
1.Belief that back pain is harmful or potentially severely disabling
2.Fear-avoidance behaviour and reduced activity levels
3.Tendency to low mood and withdrawal from social interaction
4.Expectation of passive treatment(s) rather than a belief that active participation will help
Waddell, 2004
lunes 23 de septiembre de 13
Central Sensitization as normal response to injury
Watson P, Kendall N, 2000
Yellow Flags
Attitudes and beliefs
Behaviours
Compensation issues
Diagnosis and treatment issues
Emotions
Family
Work
lunes 23 de septiembre de 13
www.bodyinmind.org
Central Sensitization as normal response to injury
lunes 23 de septiembre de 13
Central Sensitization as normal response to injury
Arturo Such Sanzwww.arturosuch.com - @arturosuch - movimentisalut@gmail.com
Conclusion
lunes 23 de septiembre de 13
Central Sensitization as normal response to injury
Arturo Such Sanzwww.arturosuch.com - @arturosuch - movimentisalut@gmail.com
Conclusion
Nociception implies central sensitization
lunes 23 de septiembre de 13
Central Sensitization as normal response to injury
Arturo Such Sanzwww.arturosuch.com - @arturosuch - movimentisalut@gmail.com
Conclusion
Nociception implies central sensitization
Central sensitization is a normal response
lunes 23 de septiembre de 13
Central Sensitization as normal response to injury
Arturo Such Sanzwww.arturosuch.com - @arturosuch - movimentisalut@gmail.com
Conclusion
Nociception implies central sensitization
Central sensitization is a normal response
Importance of the prognostic factors
lunes 23 de septiembre de 13
Central Sensitization as normal response to injury
Arturo Such Sanzwww.arturosuch.com - @arturosuch - movimentisalut@gmail.com
Conclusion
Nociception implies central sensitization
Central sensitization is a normal response
Importance of the prognostic factors
lunes 23 de septiembre de 13
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