Tarsal Tunnel Mechanosensitivity Is Increased in Patients with Asthma: A Case-Control Study

[EN] Background: Based on changes in lung function and musculoskeletal disorders in patients with asthma, this study aimed to compare the tarsal tunnel and fibular bone pressure pain thresholds (PPTs) of patients with asthma and healthy matched-paired controls. Methods: A case-control study was perf...

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Detalles Bibliográficos
Autores: Calvo Lobo, César, Painceira Villar, Roi, López López, Daniel, García Paz, Vanesa, Becerro de Bengoa Vallejo, Ricardo, Losa Iglesias, Marta Elena, Palomo López, Patricia
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2018
País:España
Institución:Universidad de León
Repositorio:BULERIA. Repositorio Institucional de la Universidad de León
OAI Identifier:oai:buleria.unileon.es:10612/23591
Acceso en línea:https://www.mdpi.com/2077-0383/7/12/541
https://hdl.handle.net/10612/23591
Access Level:acceso abierto
Palabra clave:Fisioterapia
Medicina. Salud
Asthma
Central nervous system sensitization
Pain
Spirometry
Tarsal tunnel syndrome
Tibial nerve
Descripción
Sumario:[EN] Background: Based on changes in lung function and musculoskeletal disorders in patients with asthma, this study aimed to compare the tarsal tunnel and fibular bone pressure pain thresholds (PPTs) of patients with asthma and healthy matched-paired controls. Methods: A case-control study was performed. One hundred participants were recruited: 50 asthma patients and 50 healthy matched-paired controls. Bilaterally, tarsal tunnel and fibula bone PPTs were registered. Results: Statistically significant differences (p < 0.01) were shown bilaterally for tarsal tunnel PPT. With the exception of fibula PPT (p > 0.05), asthma patients presented less tarsal tunnel PPT than healthy participants. Statistically significant differences (p < 0.05) were shown for two linear regression prediction models of the right (R2 = 0.279) and left (R2 = 0.249) tarsal tunnels PPTs as dependent variables, and based on sex, group, contralateral tarsal tunnel PPT and ipsilateral fibula PPT as independent variables. Conclusions: The study findings showed that a bilateral tarsal tunnel mechanosensitivity increase is exhibited in patients diagnosed with asthma. The presence of asthma may bilaterally predict the PPT of tarsal tunnel. These findings may suggest the presence of central sensitization in asthma patients, which could clinically predispose them to musculoskeletal disorders, such as tarsal tunnel syndrome