The document discusses central sensitization as a normal response to injury, including various types of hyperalgesia and their implications. It highlights prognostic factors, yellow flags, and the importance of patients' beliefs and attitudes in managing pain and recovery. The conclusion emphasizes that nociception is linked to central sensitization, reinforcing its role as a normal physiological response.

1. Central Sensitization as normal
response to injury
Arturo Such Sanz
www.arturosuch.com - @arturosuch - movimentisalut@gmail.com
lunes 23 de septiembre de 13

2. Central Sensitization as normal
response to injury
Casino, 1995
lunes 23 de septiembre de 13

3. Central Sensitization as normal
response to injury
Casino, 1995
lunes 23 de septiembre de 13

4. Central Sensitization as normal
response to injury
Gifford, 1998
lunes 23 de septiembre de 13

5. Central Sensitization as normal
response to injury
Costigan y Woolf, 2000
lunes 23 de septiembre de 13

6. Central Sensitization as normal
response to injury
Costigan y Woolf, 2000
lunes 23 de septiembre de 13

7. Central Sensitization as normal
response to injury
Raja et al, 1984
Primary hyperalgesia
Tactile allodynia
Mechanical hyperalgesia
Thermal hyperalgesia
Located at injury site
Secondary hyperalgesia
Tactile allodynia
Mechanical hyperalgesia
No injury site
lunes 23 de septiembre de 13

8. Banic et al, 2004
Central Sensitization as normal
response to injury
lunes 23 de septiembre de 13

9. Banic et al, 2004
Central Sensitization as normal
response to injury
lunes 23 de septiembre de 13

10. Central Sensitization as normal
response to injury
Sterling et al, 2003
lunes 23 de septiembre de 13

11. Central Sensitization as normal
response to injury
Sterling et al, 2003
lunes 23 de septiembre de 13

12. Central Sensitization as normal
response to injury
Predictor factors in whiplash
1.Perceived high pain intensity
2.Perceived high level disability
3.Old age
4.Cold hyperalgesia
5.Impaired vasoconstriction
6.PTSD
Sterling et al, 2006
lunes 23 de septiembre de 13

13. Central Sensitization as normal
response to injury
lunes 23 de septiembre de 13

14. Central Sensitization as normal
response to injury
lunes 23 de septiembre de 13

15. Central Sensitization as normal
response to injury
lunes 23 de septiembre de 13

16. Central Sensitization as normal
response to injury
lunes 23 de septiembre de 13

17. Central Sensitization as normal
response to injury
Yellow Flags:
1.Belief that back pain is harmful or potentially severely disabling
2.Fear-avoidance behaviour and reduced activity levels
3.Tendency to low mood and withdrawal from social interaction
4.Expectation of passive treatment(s) rather than a belief that active
participation will help
Waddell, 2004
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18. Central Sensitization as normal
response to injury
Watson P, Kendall N, 2000
Yellow Flags
Attitudes and beliefs
Behaviours
Compensation issues
Diagnosis and treatment issues
Emotions
Family
Work
lunes 23 de septiembre de 13

19. www.bodyinmind.org
Central Sensitization as normal
response to injury
lunes 23 de septiembre de 13

20. Central Sensitization as normal
response to injury
Arturo Such Sanz
www.arturosuch.com - @arturosuch - movimentisalut@gmail.com
Conclusion
lunes 23 de septiembre de 13

21. Central Sensitization as normal
response to injury
Arturo Such Sanz
www.arturosuch.com - @arturosuch - movimentisalut@gmail.com
Conclusion
Nociception implies central sensitization
lunes 23 de septiembre de 13

22. Central Sensitization as normal
response to injury
Arturo Such Sanz
www.arturosuch.com - @arturosuch - movimentisalut@gmail.com
Conclusion
Nociception implies central sensitization
Central sensitization is a normal response
lunes 23 de septiembre de 13

23. Central Sensitization as normal
response to injury
Arturo Such Sanz
www.arturosuch.com - @arturosuch - movimentisalut@gmail.com
Conclusion
Nociception implies central sensitization
Central sensitization is a normal response
Importance of the prognostic factors
lunes 23 de septiembre de 13

24. Central Sensitization as normal
response to injury
Arturo Such Sanz
www.arturosuch.com - @arturosuch - movimentisalut@gmail.com
Conclusion
Nociception implies central sensitization
Central sensitization is a normal response
Importance of the prognostic factors
lunes 23 de septiembre de 13