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4 results on '"Marta Jokiel"'

1. MATLAB Analysis of SP Test Results—An Unusual Parasympathetic Nervous System Activity in Low Back Leg Pain: A Case Report

Author

Elzbieta Skorupska, Tomasz Dybek, Daria Wotzka, Michał Rychlik, Marta Jokiel, Paweł Pakosz, Mariusz Konieczny, Przemysław Domaszewski, and Paweł Dobrakowski

Subjects
referred pain, muscle pain, autonomic nervous system, MATLAB, diagnostic, central sensitization, Technology, Engineering (General). Civil engineering (General), TA1-2040, Biology (General), QH301-705.5, Physics, QC1-999, Chemistry, QD1-999
Abstract

The Skorupska Protocol (SP) test is a new validated tool used to confirm nociplastic pain related to muscles based on a pathological autonomic nervous system (ANS) activity due to muscle nociceptive noxious stimulation analyzed automatically. Two types of amplified vasomotor response are defined as possible: vasodilatation and vasoconstriction. Until now, amplified vasodilatation among low back leg pain and/or sciatica subjects in response to the SP test was confirmed. This case report presents an unusual vasomotor response to the SP test within the pain zone of a sciatica-like case. Conducted twice, the SP test confirmed amplified vasoconstriction within the daily complaint due to noxiously stimulated muscle-referred pain for the first time. Additionally, a new type of the SP test analysis using MATLAB was presented. The SP test supported by MATLAB seems to be an interesting solution to confirm nociplastic pain related to muscles based on the pathological autonomic reactivity within the lower leg back pain zone. Further studies using the SP test supported by MATLAB are necessary to compare the SP test results with the clinical state and other types of nociplastic pain examination.

Published
2022
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2. The Automatization of a New Thermography Method Using Invasive Nociceptive Stimulation to Confirm an Autonomic Phenomenon within a Trigger Point Referred Pain Zone

Author

Elżbieta Skorupska, Tomasz Dybek, Michał Rychlik, Marta Jokiel, and Paweł Dobrakowski

Subjects
active dynamic thermography, low back pain, sciatica, muscle pain, MATLAB, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571
Abstract

The trigger points (TrPs) related to chronic low back pain that mimic sciatica have been lately recognized and included in the International Classification of Diseases, 11th Revision. This study examined the MATLAB software utility for the objective stratification of low back pain patients using the Minimally Invasive Procedure (MIP). The two diagnostic MIP parameters were: average temperature (ΔTavr) and autonomic referred pain (AURP). Chronic sciatica patients with TrPs (n = 20) and without TrPs (n = 20) were examined using the MIP. A significant increase in both parameters was confirmed for the thigh ROI of the TrP-positive patients, with ΔTavr being the leading parameter (p = 0.016, Exp(β) = 2.603). A continued significance of both parameters was confirmed from 6′00″ to 15′30″ (p < 0.05). The maximum AURP value was confirmed at 13′30″ (p < 0.05) (TrPs(+) 20.4 ± 19.9% vs. TrPs(-) 3.77 ± 9.14%; p = 0.000; CI (0.347,0.348)).

Published
2021
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3. Amplified Vasodilatation within the Referred Pain Zone of Trigger Points Is Characteristic of Gluteal Syndrome-A Type of Nociplastic Pain Mimicking Sciatica

Author

Jarosław Zawadziński, Elżbieta Skorupska, Marta Jokiel, Tomasz Dybek, Michał Rychlik, and Paweł Dobrakowski

Subjects
Sciatica, MATLAB, Referred pain, skin temperature, biology, business.industry, physical stimulation, Gluteus minimus, Vasodilation, General Medicine, Pain sensation, biology.organism_classification, Gluteal syndrome, pain measurement, Article, thermography, Anesthesia, New disease, medicine, Medicine, Positive test, medicine.symptom, business
Abstract

Gluteal syndrome (GS) mimicking sciatica is a new disease that has been recently recognized and included in the International Classification of Diseases, 11th Revision. The present study examines nociplastic pain involvement in GS and sciatica patients using a new Skorupska protocol (SP) test that provokes amplified vasodilatation in the area of expected muscle-referred pain. A positive test is confirmed if there is (i) a development of autonomic referred pain (AURP) and (ii) an increase in the delta of average temperature (Δ₸°) &gt, 0.3 °C at the end of the stimulation and during the observation SP phases. Chronic GS (n = 20) and sciatica (n = 30) patients were examined. The SP test confirmed muscle-referred pain for (i) all GS patients with 90.6% positive thermograms (Δ₸° 0.6 ± 0.8 °C, maximum AURP 8.9 ± 13.6% (both p &lt, 0.05)) and (ii) those sciatica (n = 8) patients who reported pain sensation during the test with 20.6% positive thermograms (Δ₸° 0.7 ± 0.7 °C, maximum AURP 15.1 ± 17.8% (both p &lt, 0.05)). The remaining sciatica (n = 22) patients did not report pain during the test and presented a Δ₸° decrease and the AURP size below 1%. Conclusion: Amplified vasodilatation suggesting nociplastic pain involvement was confirmed for all GS and sciatica patients who reported painful sensations in the zone typical for gluteus minimus referred pain during the test.

Published
2021

4. The Automatization of a New Thermography Method Using Invasive Nociceptive Stimulation to Confirm an Autonomic Phenomenon within a Trigger Point Referred Pain Zone

Author

Tomasz Dybek, Marta Jokiel, Michał Rychlik, Paweł Dobrakowski, and Elżbieta Skorupska

Subjects
medicine.medical_specialty, MATLAB, Chronic sciatica, Stimulation, Neurosciences. Biological psychiatry. Neuropsychiatry, Article, 03 medical and health sciences, 0302 clinical medicine, Internal medicine, medicine, muscle pain, active dynamic thermography, 030212 general & internal medicine, Minimally invasive procedures, low back pain, sciatica, Sciatica, Referred pain, business.industry, General Neuroscience, Low back pain, Chronic low back pain, Nociception, Cardiology, medicine.symptom, business, 030217 neurology & neurosurgery, RC321-571
Abstract

The trigger points (TrPs) related to chronic low back pain that mimic sciatica have been lately recognized and included in the International Classification of Diseases, 11th Revision. This study examined the MATLAB software utility for the objective stratification of low back pain patients using the Minimally Invasive Procedure (MIP). The two diagnostic MIP parameters were: average temperature (ΔTavr) and autonomic referred pain (AURP). Chronic sciatica patients with TrPs (n = 20) and without TrPs (n = 20) were examined using the MIP. A significant increase in both parameters was confirmed for the thigh ROI of the TrP-positive patients, with ΔTavr being the leading parameter (p = 0.016, Exp(β) = 2.603). A continued significance of both parameters was confirmed from 6′00″ to 15′30″ (p &lt, 0.05). The maximum AURP value was confirmed at 13′30″ (p &lt, 0.05) (TrPs(+) 20.4 ± 19.9% vs. TrPs(-) 3.77 ± 9.14%, p = 0.000, CI (0.347,0.348)).

Published
2021

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