Pain exacerbation following physical activity in adults with diabetic neuropathy: Ecological momentary assessment of foot symptoms.
Journal: Australian journal of general practice
Volume: 53
Issue: 3
Year of Publication: 2024
Affiliated Institutions:
BPhty (Hons), MPhty (Musc), GCertHigherEd, PhD, Lecturer, School of Health Sciences and Social Work, Griffith University, Brisbane and Gold Coast, Qld; Research Fellow, Menzies Health Institute Queensland, Brisbane and Gold Coast, Qld.
BSc Physiotherapy, MSc (MT), PhD, Research Fellow, Menzies Health Institute Queensland, Brisbane and Gold Coast, Qld.
PhD, MPhty (ManipPhty), MPhty (Sports), BPhty, Associate Professor, School of Health Sciences and Social Work, Griffith University, Brisbane and Gold Coast, Qld; Research Fellow, Menzies Health Institute Queensland, Brisbane and Gold Coast, Qld.
BPhysEd (Hons), MPhil, PhD, The University of Queensland, Centre for Research on Exercise, Physical Activity and Health, School of Human Movement and Nutrition Sciences, Brisbane, Qld.
BSc (Hons), PhD, Professor, School of Medicine and Dentistry, Griffith University, Brisbane, Qld; Research Fellow, Menzies Health Institute Queensland, Brisbane and Gold Coast, Qld.
BAppSci, Bed (Hons), MEd, PhD, Professor, Centre for Research on Exercise, Physical Activity and Health, School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, Qld.
BSc (Hons), MPsych (Clinical), GCertHigherEd, PhD, Associate Professor, School of Applied Psychology, Griffith University, Brisbane, Qld; Research Fellow, Menzies Health Institute Queensland, Brisbane and Gold Coast, Qld; Research Fellow, Centre for Mental Health, Griffith University, Brisbane, Qld.
BPT, PhD, Professor, School of Health Sciences and Social Work, Griffith University, Brisbane and Gold Coast, Qld; Research Fellow, Menzies Health Institute Queensland, Brisbane and Gold Coast, Qld; Professor, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, Netherlands.
Abstract summary
People with diabetic peripheral neuropathy (DPN) report fluctuating foot symptoms. This study used ecological momentary assessment to: (1) compare foot symptoms between days, time points and periods with/without preceding physical activity or pain medication; and (2) determine relationships between symptoms and endogenous pain modulation.Ten low-active Australian adults with probable DPN underwent temporal summation of pain (TSP) and conditioned pain modulation (CPM) then completed mobile phone surveys five times daily for seven days, where they recorded the intensity of six foot symptoms and whether they performed physical activity or consumed pain medication in the preceding three hours. RESULTS: All foot symptoms except numbness were greater in periods following physical activity, whereas periods following pain medication showed greater shooting pain. TSP showed very large correlations with sensitivity to touch, burning pain, shooting pain and prickling/tingling. DISCUSSION: General practitioners should be aware that physical activity might exacerbate symptoms of DPN when encouraging their patients to be active.
Authors & Co-authors:
Coombes
Sierra-Silvestre
Bisset
Mielke
Ware
Coombes
Burton
Coppieters
Study Outcome
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