Content uploaded by Bernhard Taxer
Author content
All content in this area was uploaded by Bernhard Taxer on May 29, 2019
Content may be subject to copyright.
Left / Right Judgement and Facial Emotion Recognition in Patients with Chronic Pain
Conditions. A systematic review as pre-analysis for a cross sectional study with Patients
suffering Chronic Headache.
Bernhard Taxer1, Stefan Leis2, Monica Christova3
1FH JOANNEUM Graz (Kontakt: bernhard.taxer@fh-joanneum.at)
2Universitätsklinik für Neurologie -Christian-Doppler-Klinik Salzburg
3FH JOANNEUM Graz, Medizinische Universität Graz
The literature search identified 57 studies, 39 explicitly for pain conditions
listed in Table 1. The clinical trials observed a moderate evidence that the
therapeutically use of left/right judgement and facial recognition leads to a
reduction of pain and an increase in activity.This was shown in different
chronic pain conditions like complex regional pain syndrome (CRPS), lower
back pain and neck pain. The cross sectional and case control studies lead to
the statement that there is asignificant lack in laterality and facial emotion
recognition.However, none of these studies assessed these tasks in subjects
with chronic headache.
For asystematic literature review studies investigating left/right judgement
and facial emotion recognition in chronic pain conditions were collected and
analyzed.The electronic databases Pubmed,Cinahl and the Cochrane-Library
were screened using the following free terms and medical subject headings
combined in multiple search strategies:chronic pain, headache, left/right
judgement, laterality, facial emotion recognition.All studies using the
mentioned test algorithms were included.This leads to data for afuture cohort
study in regard to number of subjects and method.This study is planned to
observe these main abilities in chronic headache patients.
Left/right judgement and facial emotion recognition seem to be reduced in certain chronic pain disorders such as CRPS, low back pain and neck pain. These
findings have potential for development of additional approach in the treatment of these conditions.Moreover, since the results concerning chronic headache are
scarce, further the assumption arises whether chronic headache sufferers also show similar abnormalities. Before the implementation of certain therapeutic tools,
the main aim should be to further investigate if deficits in left/right judgement and facial emotion recognition really can be shown in chronic headache.
Literature
Breckenridge, J. D., McAuley, J. H., Butler, D. S., Stewart, H., Moseley, G. L., & Ginn, K. A. (2017). The development of ashoulder specific left/right judgement task:Validity &reliability.Musculoskeletal Science &Practice,28,39–45.https://doi.org/10.1016/j.msksp.2017.01.009
Konnerth, V., Mohr, G., & von Piekartz, H. (2016). Fähigkeit von Patienten mit einer peripheren Fazialisparese zur Erkennung von Emotionen –Eine Pilotstudie.Die Rehabilitation,55(01), 19–25.https://doi.org/10.1055/s-0042-100228
Moseley, G. L. (2006). Graded motor imagery for pathologic pain: a randomized controlled trial.Neurology,67(12), 2129–2134.https://doi.org/10.1212/01.wnl.0000249112.56935.32
Moseley, G. L., Butler, D. S., & Beames, T. (Eds.). (2012). The graded motor imagery handbook.Adelaide:Noigroup Publ.
von Piekartz, H., & Mohr, G. (2014). Reduction of head and face pain by challenging lateralization and basic emotions: a proposal for future assessment and rehabilitation strategies.The Journal of Manual &Manipulative Therapy,22(1), 24–35.https://doi.org/10.1179/2042618613Y.0000000063
Objectives
Methods
Results
Conclusion
Fig. 1: Laterality recognition hand (Moseley et al, 2012) Fig. 3: Basic emotions expressed facially (Piekartz & Mohr, 2014)
Table 1: Results of literature research
Chronic pain is amajor health problem in western industrial countries leading to decreased quality of
life for the affected patients and increased financial costs for the health care system and employers.
Besides the pain, psychological and stress-related disorders are frequently observed co-morbidities of
chronic pain syndromes.Additionally, recent studies show deficits in left/right judgement of the
affected body part (hand, trunk, feet) and abnormal recognition of the facial basic emotions. With a
prevalence of 7% in the population, chronic headache is one of the most common types of chronic
pain. Therefore, the aim of the present research is to investigate whether the described functions are
also reduced due to this special pain condition.This might lead to anew approach in the treatment of
persistent pain.
Fig. 2: Laterality recognition neck (Moseley et al, 2012)
Objective
Design
Laterality
pain disorders
Back
pain
3 Case
control
1 Single
case study
Carpal
tunnel syndrome
1 Case
control
Chronic pain
1
Systematic review
2 Cross
sectional studies
CRPS Hands
2 Narrative Review
3 RCT
3 Case
control
2 Clinical
trial
3 Single
case study
Foot pain
1 Narrative
review
Hand/
wrist pain
1 Cross
sectional study
Neck pain
1 Case
control
Osteoarthritis
hands / knee
2 Case
control
Phantom limb pain
1 Narrative
review
1
Systematic review protocol
1 RCT
2 Case
control
Phantom sensation Hand
1 Case
control
Shoulder pain
1 Cross
sectional study
1 Case
control
Facial
recognition pain disorders
Chronic
pain
1 Cross
sectional study
Chronic facial pain
1 Narrative
review
1 Case
control
Low back pain
1 Cross
sectional
Somatoform disorder
1 Case
control
Laterality
different background
Brachial plexus anaesthesia
1 Case
control
Dizziness
1 Case
control
Experimental pain hands
2 Cross
sectional
Dystonia
Hand/Cervical
2 Case
control
Yoga
2 Case
control
Healthy
1 Cross
sectional
Facial
recognition different background
Alexithymia
1
Correlation study
Eating disorder
1 Case
control
Facial paresis
1 Pilot
study
Healthy
3 Case
control
1 Cross
sectional
Panic disorder
1 Case
control
Stroke
1 Case
control