ORIGINAL PAPER
Tactile acuity and temporal summation as measures of central sensitisation in individuals with adhesive capsulitis: a pilot study
 
More details
Hide details
1
Nitte Institute of Physiotherapy, NITTE Deemed to be University, Karnataka, India
 
2
Ramaiah College of Physiotherapy, Ramaiah University of Applied Sciences, Karnataka, India
 
3
Triangle Physiotherapy, Toronto, Canada
 
 
Submission date: 2023-07-06
 
 
Acceptance date: 2024-03-21
 
 
Publication date: 2025-06-18
 
 
Corresponding author
Shobhalakshmi Sudarshan   

Ramaiah College of Physiotherapy, Ramaiah University of Applied Sciences, Bengaluru-560054, Karnataka, India
 
 
Physiother Quart. 2025;33(2):13-17
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
This study aimed to assess and compare tactile acuity and temporal summation between individuals with unilateral adhesive capsulitis and healthy age- and gender-matched controls.

Methods:
A cross-sectional study was undertaken. Based on the inclusion and exclusion criteria, participants were recruited from tertiary care hospitals. The study consisted of two groups: 16 participants in the adhesive capsulitis group and 16 age- and gender-matched healthy individuals in the control group. A two-point discriminator was used to assess tactile acuity, and a nylon monofilament was used to assess temporal summation.

Results:
The Mann–Whitney U test was used to analyse the data. The results showed a significant difference in tactile acuity values in the anterior (p < 0.001), middle (p = 0.001) and posterior (p = 0.001) aspects of the shoulder between the adhesive capsulitis and control groups. A significant difference in temporal summation (p < 0.001) was also observed between the adhesive capsulitis and control groups.

Conclusions:
The study demonstrated altered tactile acuity and temporal summation in individuals with adhesive capsulitis compared to healthy age- and gender-matched controls. These findings suggest that adhesive capsulitis may be accompanied by maladaptive neuroplastic changes, leading to central sensitisation.
REFERENCES (23)
1.
Rai SK, Kashid M, Chakrabarty B, Upreti V, Shaki O. Is it necessary to screen patient with adhesive capsulitis of shoulder for diabetes mellitus?. J Family Med Prim Care. 2019;8(9): 2927–32; doi: 10.4103/jfmpc.jfmpc_244_19.
 
2.
Struyf F, Meeus M. Current evidence on physical therapy in patients with adhesive capsulitis: what are we missing?. Clin Rheumatol. 2014;33(5):593–600; doi: 10.1007/s10067-013-2464-3.
 
3.
Nijs J, Leysen L, Vanlauwe J, Logghe T, Ickmans K, Polli A, Malfliet A, Coppieters I, Huysmans E. Treatment of central sensitisation in patients with chronic pain: time for change?. Expert Opin Pharmacother. 2019;20(16):1961–70; doi.org/10.1080/14656566.2019.1647166.
 
4.
Woolf CJ. Central sensitisation: implications for the diagnosis and treatment of pain. Pain. 2011; 152(3 Suppl):2–15; doi: 10.1016/j.pain.2010.09.030.
 
5.
Sanchis M, Lluch E, Nijs J, Struyf F, Kangasperko M. The role of central sensitisation in shoulder pain: a systematic literature review. Semin Arthritis Rheum. 2015;44(6):710–6; doi: 10.1016/j.semarthrit.2014.11.002.
 
6.
Ashmawi HA, Freire GMG. Peripheral and central sensitisation. Rev Dor Sao Paulo. 2016;17(Suppl 1):31–4.
 
7.
Latremoliere A, Woolf CJ. Central sensitisation: a generator of pain hypersensitivity by central neural plasticity. J Pain. 2009;10(9):895–926; doi: 10.1016/j.jpain.2009.06.012.
 
8.
Harvie DS, Edmond-Hank G, Smith AD. Tactile acuity is reduced in people with chronic neck pain. Musculoskelet Sci Pract. 2018;33:61–6; doi: 10.1016/j.msksp.2017.11.009.
 
9.
Pleger B, Dinse HR, Ragert P, Schwenkreis P, Malin JP, Tegenthoff M. Shifts in cortical representations predict human discrimination improvement. Proc Natl Acad Sci USA. 2001;98(21):12255–60; doi: 10.1073/pnas.191176298.
 
10.
Pleger B, Ragert P, Schwenkreis P, Förster A-F, Wili­m­zig C, Dinse H, Nicolas V, Maier C, Tegenthoff M. Patterns of cortical reorganisation parallel impaired tactile discrimination and pain intensity in complex regional pain syndrome. Neuroimage. 2006;32(2):503–10; doi: 10.1016/j.neuroimage.2006.03.045.
 
11.
Woolf CJ. Neuronal plasticity: increasing the gain in pain. Science. 2000;288(5472):1765–8; doi: 10.1126/science.288.5472.1765.
 
12.
Lluch-Girbés E, Dueñas L, Mena-del Horno S, Luque-Su­arez A, Navarro- Ledesma S, Louw A. A central nervous system-focused treatment approach for people with frozen shoulder: protocol for a randomised clinical trial. Trials. 2019;20(1):498; doi: 10.1186/s13063-019-3585-z.
 
13.
Holla SS, Vats T, Nagpal P. Is tactile acuity altered in individuals with acute mechanical neck pain?. Indian J Pain. 2018;32(3):5.
 
14.
Botnmark I, Tumilty S, Mani R. Tactile acuity, body schema integrity and physical performance of the shoulder: a cross-sectional study. Man Ther. 2016;23:9–16; doi: 10.1016/j.math.2016.02.001.
 
15.
Bartley EJ, King CD, Sibille KT, Cruz-Almeida Y, Riley JL, Glover TL, Goodin BR, Sotolongo AS, Herbert MS, Bulls HW, Staud R, Fessler BJ, Redden DT, Bradley LA, Fillin­gim RB. Enhanced pain sensitivity among individuals with symptomatic knee osteoarthritis: 57 potential sex differences in central sensitisation: knee OA pain and sex differences in pain sensitivity. Arthritis Care Res. 2016;68(4):472–80; doi: 10.1002/acr.22712.
 
16.
Mena-del Horno S, Balasch-Bernat M, Dueñas L, Reis F, Louw A, Lluch E. Laterality judgement and tactile acuity in patients with frozen shoulder: across-sectional study. Musculoskelet Sci Pract. 2020;47:102136; doi: 10.1016/j.msksp.2020.102136.
 
17.
Catley MJ, O’Connell NE, Berryman C, Ayhan FF, Moseley GL. Is tactile acuity altered in people with chronic pain? A systematic review and meta-analysis. J Pain. 2014;15(10):985–1000; doi: 10.1016/j.jpain.2014.06.009.
 
18.
Di Pietro F, McAuley JH, Parkitny L, Lotze M, Wand BM, Moseley GL, Stanton TR. Primary somatosensory cortex function in complex regional pain syndrome: a systematic review and meta-analysis. J Pain. 2013;14(10):1001–18; doi: 10.1016/j.jpain.2013.04.001.
 
19.
Wand BM, Parkitny L, O’Connell NE, Luomajoki H, McAuley JH, Thacker M, Lorimer Moseley GL. Cortical changes in chronic low back pain: current state of the art and implications for clinical practice. Man Ther. 2011;16(1):15–20; doi: 10.1016/j.math.2010.06.008.
 
20.
Thompson HD, Tang S, Jarrell JF. Temporal summation in chronic pelvic pain. J Obstet Gynaecol Can. 2020;42(5):556–60; doi: 10.1016/j.jogc.2019.09.012.
 
21.
Staud R, Weyl EE, Riley JL, Fillingim RB. Slow temporal summation of pain for assessment of central pain sensitivity and clinical pain of fibromyalgia patients. PLOS ONE. 2014;9(2):e89086; doi: 10.1371/journal.pone.0089086.
 
22.
Bosma RL, Cheng JC, Rogachov A, Kim JA, Hemington KS, Osborne NR, Raghavan LV, Bhatia A, Davis KD. Brain dynamics and temporal summation of pain predicts neuropathic pain relief from ketamine infusion. Anesthesiology. 2018;129(5):1015–24; doi: 10.1097/ALN.0000000000002417.
 
23.
Prasanth SK, Mohana MAS, Sreedharan SM, Subbarayalu AV. Comparative effect of Gong’s mobilisation and Spencer technique to manage frozen shoulder. Physiother Q. 2023;31(3):57–64; doi: 10.5114/pq.2023.115415.
 
eISSN:2544-4395
Journals System - logo
Scroll to top