Conditioned pain modulation as a predictor of central sensitization in primary knee osteoarthritis patients
Bibliographic record
Abstract
Central sensitization (CS) is a nervous system disorder associated with chronic pain. This study aimed to quantify pain and evaluate conditioned pain modulation (CPM) and CS in knee osteoarthritis (KOA) patients with chronic pain. The study included 50 patients with primary KOA having chronic pain and 50 matched controls. The following assessment tools were used: visual analog scale (VAS)-pain, Western Ontario and McMaster Universities (WOMAC), pain DETECT questionnaire (PD-Q), and central sensitization inventory (CSI). Also, pressure pain threshold (PPT), electrical sensory threshold (EST), and electrical pain threshold (EPT) were assessed at both knees and remote sites. CPM was assessed using the submaximal effort tourniquet method, and the CPM ratio was measured (pre-to-post PPT). The patients' mean age was 49.6 ± 9.7 years, 32 females and 18 males (F:M 1.2:1), and disease duration of 7.4 ± 3.6 years. Patients had a significantly higher CPM ratio (1.1 ± 0.21), PD-Q score (20.1 ± 9.1), CSI score (48.8 ± 21.4) compared to the control (0.9 ± 0.07; 8.3 ± 3.9 and 25.5 ± 9.4 respectively; p < 0.0001) and had a lower EPT and PPT in both knees and remote sites (p < 0.0001). CPM was significantly correlated with VAS-pain, WOMAC, CSI, PD-Q and inversely with EPT and PPT at both knees and remote sites and with EST at the right knee (p < 0.0001 each). CPM, PD-Q, and left knee EPT were significant predictors of CS tested with CSI (p < 0.0001, p < 0.0001, and p = 0.004, respectively). There is evidence of CS in KOA patients having chronic pain, and CPM and PD-Q can predict CS.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".