The influence of exercise on clinical pain and pain mechanisms in patients with subacromial pain syndrome

BACKGROUND: Few studies have investigated the underlying mechanisms for unilateral subacromial pain syndrome (SAPS). Therefore, this study examined (1) if 8‐weeks of exercise could modulate clinical pain or temporal summation of pain (TSP), conditioned pain modulation (CPM), and exercise‐induced hypoalgesia (EIH) and (2) if any of these parameters could predict the effect of 8‐weeks of exercise in patients with unilateral SAPS. METHODS: Thirty‐seven patients completed a progressive abduction exercise program every other day for 8‐weeks. Worst shoulder pain in full abduction was rated on a numeric rating scale (NRS). Pain pressure thresholds (PPTs), TSP, CPM, EIH, Shoulder Pain and Disability Index (SPADI), Pain Catastrophizing Scale (PCS), PainDETECT questionnaire (PD‐Q), Pain Self‐Efficacy Questionnaire (PSE‐Q) and Pittsburgh Sleep Quality Index (PSQI) were assessed before and after intervention. RESULTS: The intervention improved worst pain intensity (p  0.05). In a linear regression, the combination of all baseline parameters predicted 23.2% variance in absolute change in pain after 8 weeks. Applying backwards elimination to the linear regression yielded that baseline pain intensity combined with TSP predicted 33.8% variance. CONCLUSION: This explorative study suggested reduction in pain, improved sleep quality and increased CPM after 8‐weeks of exercise. Furthermore, the results suggests that low pain intensity and high TSP scores (indicative for pain sensitisation) may predict a lack of pain improvement after exercise

Digital elevation model and orthophotographs of Greenland based on aerial photographs from 1978–1987

Digital Elevation Models (DEMs) play a prominent role in glaciological studies for the mass balance of glaciers and ice sheets. By providing a time snapshot of glacier geometry, DEMs are crucial for most glacier evolution modelling studies, but are also important for cryospheric modelling in general. We present a historical medium-resolution DEM and orthophotographs that consistently cover the entire surroundings and margins of the Greenland Ice Sheet 1978–1987. About 3,500 aerial photographs of Greenland are combined with field surveyed geodetic ground control to produce a 25 m gridded DEM and a 2 m black-and-white digital orthophotograph. Supporting data consist of a reliability mask and a photo footprint coverage with recording dates. Through one internal and two external validation tests, this DEM shows an accuracy better than 10 m horizontally and 6 m vertically while the precision is better than 4 m. This dataset proved successful for topographical mapping and geodetic mass balance. Other uses include control and calibration of remotely sensed data such as imagery or InSAR velocity maps

Glacier dynamics at Helheim and Kangerdlugssuaq glaciers, southeast Greenland, since the Little Ice Age

Observations over the past decade show significant ice loss associated with the speed-up of glaciers in southeast Greenland from 2003, followed by a deceleration from 2006. These short-term, episodic, dynamic perturbations have a major impact on the mass balance on the decadal scale. To improve the projection of future sea level rise, a long-term data record that reveals the mass balance beyond such episodic events is required. Here, we extend the observational record of marginal thinning of Helheim and Kangerdlugssuaq glaciers from 10 to more than 80 years. We show that, although the frontal portion of Helheim Glacier thinned by more than 100m between 2003 and 2006, it thickened by more than 50m during the previous two decades. In contrast, Kangerdlugssuaq Glacier underwent minor thinning of 40-50m from 1981 to 1998 and major thinning of more than 100m after 2003. Extending the record back to the end of the Little Ice Age (prior to 1930) shows no thinning of Helheim Glacier from its maximum extent during the Little Ice Age to 1981, while Kangerdlugssuaq Glacier underwent substantial thinning of 230 to 265 m. Comparison of sub-surface water temperature anomalies and variations in air temperature to records of thickness and velocity change suggest that both glaciers are highly sensitive to short-term atmospheric and ocean forcing, and respond very quickly to small fluctuations. On century timescales, however, multiple external parameters (e. g. outlet glacier shape) may dominate the mass change. These findings suggest that special care must be taken in the projection of future dynamic ice loss