A Twenty‐Pound Dolorimeter for Quantification of Articular Tenderness

McCarty, Daniel J.; Gatter, Robert; Steele, A. Dean

doi:10.1002/art.1780110515

Cited by 39 publications

(8 citation statements)

References 1 publication

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“…In all subjects, a count of 18 tender points (TP) was performed by thumb palpation. Threshold of tenderness was measured using a Chatillon dolorimeter [11] at nine tender points and four control points. The subject was asked to say``yes'' when the sensation changed from pressure to de®nite pain.…”

Section: Tenderness Assessmentmentioning

confidence: 99%

Balneotherapy for fibromyalgia at the Dead Sea

et al. 2001

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The aim of this study was to evaluate the effectiveness of balneotherapy on patients with fibromyalgia (FM) at the Dead Sea. Forty-eight patients with FM were randomly assigned to a treatment group receiving sulfur baths and a control group. All participants stayed for 10 days at a Dead Sea spa. Physical functioning, FM-related symptoms, and tenderness measurements (point count and dolorimetry) were assessed at four time points: prior to arrival at the Dead Sea, after 10 days of treatment, and 1 and 3 months after leaving the spa. Physical functioning and tenderness moderately improved in both groups. With the exception of tenderness threshold, the improvement was especially notable in the treatment group and it persisted even after 3 months. Relief in the severity of FM-related symptoms (pain, fatigue, stiffness, and anxiety) and reduced frequency of symptoms (headache, sleep problems, and subjective joint swelling) were reported in both groups but lasted longer in the treatment group. In conclusion, treatment of FM at the Dead Sea is effective and safe and may become an additional therapeutic modality in FM. Future studies should address the outcome and possible mechanisms of this treatment in FM patients.

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Section: Tenderness Assessmentmentioning

confidence: 99%

Balneotherapy for fibromyalgia at the Dead Sea

et al. 2001

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“…It was fitted with a neoprene stopper footplate with a diameter of 1.4 cm (18). The site of maximum tenderness over TP sites was determined by preliminary light pressure.…”

Section: Patients and Controlsmentioning

confidence: 99%

Increased rates of fibromyalgia following cervical spine injury. A Controlled study of 161 cases of traumatic injury

Buskila

Neumann

Vaisberg

et al. 1997

Arthritis & Rheumatism

303

164

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Objective. To study the relationship between cervical spine injury and the development of fibromyalgia syndrome (FMS).Methods. One hundred two patients with neck injury and 59 patients with leg fractures (control group) were assessed for nonarticular tenderness and the presence of FMS. A count of 18 tender points was conducted by thumb palpation, and tenderness thresholds were assessed by dolorimetry at 9 tender sites. All patients were interviewed about the presence and severity of neck and FMS-related symptoms. F M S was diagnosed using the American College of Rheumatology 1990 criteria. Additional questions assessed measures of physical functioning and quality of life (QOL).Results. Although no patient had a chronic pain syndrome prior to the trauma, F M S was diagnosed following injury in 21.6% of those with neck injury versus 1.7% of the control patients with lower extremity fractures (P = 0.001). Almost all symptoms were more common and severe in the group with neck injury. F M S was noted at a mean of 3.2 months (SD 1.1) after the trauma. Neck injury patients with F M S (n = 22) had more tenderness, had more severe and prevalent FMS- Conclusion. F M S was 13 times more frequent following neck injury than following lower extremity injury. All patients continued to be employed, and insurance claims were not increased in patients with FMS.

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“…This instrument was described by McCarty et al (10,11) and has been used successfully in the study of rheumatoid arthritis (12). This instrument was described by McCarty et al (10,11) and has been used successfully in the study of rheumatoid arthritis (12).…”

Section: Studymentioning

confidence: 99%

Musculosketal Symptoms and Non-REM Sleep Disturbance in Patients with “Fibrositis Syndrome” and Healthy Subjects

Moldofsky¹,

Scarisbrick²,

England³

et al. 1975

Psychosomatic Medicine

761

115

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In sleep studies of (a) patients with the "fibrositis syndrome" and (b) healthy subjects undergoing stage 4 sleep deprivation, we observed in both groups the anomalous presence of alpha-rhythms in the non-rapid-eye-movement (NREM) sleep EEG. This phenomenon has been termed alpha-delta sleep. In the healthy subjects stage 4 deprivation was accompanied by the temporary appearance of muscoloskeletal and mood symptoms comparable to the symptoms seen chronically in the patients. It is suggested that the external arousing stimulus, which induced alpha-delta sleep in the subjects, is paralleled in the patients by an internal arousing mechanism. Such a mechanism, acting in competition with the NREM sleep system, would impair the presumed restorative function of NREM sleep and lead to the development of symptoms. It is proposed that the "fibrositis" symptom complex be considered a "non-restorative sleep syndrome". Evidence froms presented in support of the hypothesis that a disorder of serotonin metabolism serves as a basis for both the EEG sleep disturbance and the symptoms.

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A Twenty‐Pound Dolorimeter for Quantification of Articular Tenderness

Cited by 39 publications

References 1 publication

Balneotherapy for fibromyalgia at the Dead Sea

Balneotherapy for fibromyalgia at the Dead Sea

Increased rates of fibromyalgia following cervical spine injury. A Controlled study of 161 cases of traumatic injury

Musculosketal Symptoms and Non-REM Sleep Disturbance in Patients with “Fibrositis Syndrome” and Healthy Subjects

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