132390 20241125101142.0 doi 10.1016/j.jpain.2023.07.021 sideral 137469 ART-2023-137469 eng Bellosta-López, Pablo Longitudinal Changes and Associations Between Quantitative Sensory Testing and Psychological Factors in Whiplash-Associated Disorders: A Systematic Review and Meta-Analyses-Based Data Synthesis 2023 Access copy available to the general public Unrestricted Whiplash-associated disorders (WAD) represent a multifactorial condition often accompanied by altered nociceptive processing and psychological factors. This systematic review on acute and chronic WAD aimed to investigate the relationship between quantitative sensory testing (QST) and psychological factors and quantify whether their trajectories over time follow a similar pattern to disability levels. Eight databases were searched until October 2022. When 2 prospective studies examined the same QST or psychological variable, data synthesis was performed with random-effects meta-analysis by pooling within-group standardized mean differences from baseline to 3-, 6-, and 12-month follow-ups. From 5,754 studies, 49 comprising 3,825 WAD participants were eligible for the review and 14 for the data synthesis. Altered nociceptive processing in acute and chronic WAD, alongside worse scores on psychological factors, were identified. However, correlations between QST and psychological factors were heterogeneous and inconsistent. Furthermore, disability levels, some QST measures, and psychological factors followed general positive improvement over time, although there were differences in magnitude and temporal changes. These results may indicate that altered psychological factors and increased local pain sensitivity could play an important role in both acute and chronic WAD, although this does not exclude the potential influence of factors not explored in this review. info:eu-repo/grantAgreement/ES/DGA-FEDER/Construyendo Europa desde Aragón info:eu-repo/grantAgreement/ES/FPI/CPB09-2018 info:eu-repo/grantAgreement/ES/MCIU/EST21-00453 info:eu-repo/grantAgreement/ES/MCIU/FPU19-05237 info:eu-repo/semantics/embargoedAccess by-nc-nd http://creativecommons.org/licenses/by-nc-nd/3.0/es/ 4.0 2023 CLINICAL NEUROLOGY 51 / 280 = 0.182 2023 Q1 T1 NEUROSCIENCES 86 / 310 = 0.277 2023 Q2 T1 1.339 2023 Anesthesiology and Pain Medicine 2023 Q1 Neurology (clinical) 2023 Q1 Neurology 2023 Q1 6.3 2023 info:eu-repo/semantics/review info:eu-repo/semantics/acceptedVersion Doménech-García, Víctor Ortiz-Lucas, María Lluch-Girbés, Enrique Herrero, Pablo Universidad de Zaragoza (orcid)0000-0002-9201-0120 Sterling, Michele Christensen, Steffan W.M. 1006 413 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Fisioterapia 25, 1 (2023), 12-30 J. pain JOURNAL OF PAIN 1526-5900 6984061 http://zaguan.unizar.es/record/132390/files/texto_completo.pdf Postprint info:eu-repo/date/embargoEnd/2025-01-01 1560277 http://zaguan.unizar.es/record/132390/files/texto_completo.jpg?subformat=icon icon Postprint info:eu-repo/date/embargoEnd/2025-01-01 oai:zaguan.unizar.es:132390 articulos driver 2024-11-22-12:02:51 ARTICLE