Absolute and Relative Reliability of Pressure Pain Threshold Assessments in the Shoulder Muscles of Participants With and Without Unilateral Subacromial Impingement Syndrome

Nascimento, José Diego Sales do; Alburquerque‐Sendín, Francisco; Vigolvino, Lorena Passos; Oliveira, Wandemberg Fortunato de; Sousa, Catarina de Oliveira

doi:10.1016/j.jmpt.2019.04.002

Cited by 16 publications

(21 citation statements)

References 37 publications

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“…Pressure pain thresholds were measured using a 1 cm diameter hand-held digital algometer (Baoshishan ZP-1000 N 20/22806, China). The sequence of measurements was the same pre- and post-intervention starting from the dominant to the non-dominant side in the following order: the middle of the biceps brachii muscle (10 cm proximal to the cubital fossa) [ 19 , 44 ], the lateral epicondyle [ 45 ], the upper trapezius muscle (10 cm from the acromion in direct line with the neck) [ 46 ] and the middle of the quadriceps muscles (20 cm proximal to the base of the patella) [ 19 ].…”

Section: Pressure Pain Thresholdmentioning

confidence: 99%

Exercised-Induced Hypoalgesia following An Elbow Flexion Low-Load Resistance Exercise with Blood Flow Restriction: A Sham-Controlled Randomized Trial in Healthy Adults

et al. 2022

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We aimed to evaluate the hypoalgesic effect of an elbow flexion low-load resistance exercise with blood flow restriction (LLRE–BFR) when compared to high-load resistance exercise (HLRE) with sham-BFR in healthy individuals. Forty healthy young adults (17 women), with a mean age ± SD: 26.6 ± 6.8 years, and mean body mass index ± SD: 23.6 ± 2.7 were randomly assigned to either an LLRE–BFR (30% 1 repetition maximum, RM) or an HLRE with sham-BFR group (70% of 1 RM). Blood pressure and pressure pain thresholds (PPTs) were measured pre- and post-exercise intervention. The rating of perceived exertion (RPE) was recorded after each set. There were non-significant between-group changes in PPT at the dominant biceps (−0.61, 95%CI: −1.92 to 0.68) with statistically significant reductions between pre- and post-exercise in LLRE–BFR (effect size, d = 0.88) and HLRE-BFR (effect size, d = 0.52). No within- or between-group differences were recorded in PPT at non-exercising sites of measurement. No mediating effects of changes in blood pressure or RPE on the changes in pressure pain threshold were observed. LLRE–BFR produced a similar hypoalgesic effect locally compared to HLRE and can be used as an alternative intervention to decrease pain sensitivity when HLRE is contraindicated or should be avoided.

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Section: Pressure Pain Thresholdmentioning

confidence: 99%

Exercised-Induced Hypoalgesia following An Elbow Flexion Low-Load Resistance Exercise with Blood Flow Restriction: A Sham-Controlled Randomized Trial in Healthy Adults

et al. 2022

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“…Among all included records, four studies investigated asymptomatic participants[ 44 , 47 , 48 , 51 ], one study included patients (chronic unilateral shoulder pain)[ 49 ], and three studies investigated both[ 45 , 46 , 50 ] ( Table 1 ). More specifically, one study included patients with Shoulder Impingement Syndrome (SIS)[ 45 ] and two studies included patients with neck-shoulder pain[ 46 , 50 ]. Four studies included only women[ 44 , 48 , 50 , 51 ] and four both genders[ 45 - 47 , 49 ].…”

Section: Resultsmentioning

confidence: 99%

“…More specifically, one study included patients with Shoulder Impingement Syndrome (SIS)[ 45 ] and two studies included patients with neck-shoulder pain[ 46 , 50 ]. Four studies included only women[ 44 , 48 , 50 , 51 ] and four both genders[ 45 - 47 , 49 ].…”

Section: Resultsmentioning

confidence: 99%

“…The sample size ranged from 27 to 35 in four studies[ 44 , 47 - 49 ], one study had a small sample (12 and 19 participants), and three studies had a sample ranged from 60 to 100 participants[ 45 , 46 , 50 ]. Participants ranged in age from 18 to 60 years, but some studies used middle-aged (40-60 years)[ 44 ] or younger[ 18 - 39 ] volunteers[ 47 , 51 ].…”

Section: Resultsmentioning

confidence: 99%

“…In the selected studies, four different models of digital pressure algometer were used: i) Somedic Sales AB, Sweden, Horby[ 47 , 48 , 51 ], ii) Digital Wagner FPX Algometer (Greenwich, CT, USA)[ 44 , 45 ], iii) model PTH-AF 2, commercially available through the Pain Diagnostic and Treatment Corporation (Great Neck, NY 11021, USA)[ 49 , 50 ], iv) Pressure Algometer, Medoc Ltd, Ramat Yishai, Israel[ 46 ].…”

Section: Resultsmentioning

confidence: 99%

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Psychometric properties of quantitative sensory testing focusing on healthy and patients with shoulder pain: a systematic review protocol

et al. 2021

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Background: Quantitative sensory testing (QST) is a battery of non-invasive psychophysical methods to assess the function of somatosensory system. Although the use of QST is widespread and several studies in patients with chronic shoulder pain have used it, the level of evidence for the psychometric properties has not been established. The aim of this protocol is to investigate, through a systematic review, the level of evidence for the psychometric properties of QST in the shoulder.Methods: For conducting and reporting this review the preferred reporting items for systematic reviews and meta-analysis (PRISMA) guidelines and the consensus-based standards for the selection of health measurement instruments (COSMIN) guidelines will be used. Nine databases including PubMed, Medline, AMED (via EBSCO), PEDRO, Embase, Web of Science, Scopus, SportDiscus, Google Scholar and Cochrane Library will be searched for the period from their inception until September 2021. Two reviewers (BP and SK) will independently evaluate the retrieved articles (titles and abstracts) and the psychometric characteristics checklist based on the standards from the COSMIN. The modified grading of recommendations assessment, development, and evaluation (GRADE) approach will be used to assess the overall quality of the evidence.Conclusions: Evaluation of the level of evidence for the psychometric properties of QST in the shoulder is an essential step for evidence-based assessment in clinical practice.Trial registration: PROSPERO registration number is CRD42021232778.

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Spatiotemporal characterization of an experimental model of muscle pain in humans based on short‐wave diathermy

Intelangelo,

Mista,

Barone

et al. 2024

European Journal of Pain

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BackgroundCommonly used models for eliciting muscle pain involve the injection of algesic substances or the induction of delayed onset muscle soreness. The former require invasive procedures, and the time frame for pain induction and subsidence in the latter can be inconvenient. This study presents a detailed spatiotemporal characterization of a new experimental model of muscle pain based on short‐wave diathermy (SWD), developed to overcome the limitations of existing models.MethodsThe shoulder was selected as target site and the effects of the model were tested in two sessions to assess its reliability. Pain intensity profiles were recorded during the application of SWD, and changes in pressure pain threshold (PPT) in the infraspinatus muscle, together with pain intensity, duration, and quality were assessed 30 min after induction.ResultsSWD‐induced pain intensity scores averaged 4 points on a visual analogue scale, whereas PPT showed a consistent decrease of about 25% relative to baseline values. Pain was localized in the shoulder area, and was described as continuous, dull, well‐delimited, heavy, and bearable. Pain lasted for an average of 145 min without requiring reinduction and was reliably elicited in both experimental sessions.ConclusionSWD can be used to elicit experimental muscle pain in a non‐invasive, long‐lasting, and reliable way and allows for repeated within‐ and between‐session testing in the shoulder.Significance StatementSWD produces deep heating in muscles by converting electromagnetic energy to thermal energy. It was previously shown that it can be used to elicit experimental pain in the forearm muscles, and the present study demonstrates that this can be reliably generalized to other body sites, such as the shoulder. Furthermore, SWD application is non‐invasive and presents a convenient time frame for pain induction and subsidence, thus overcoming limitations associated with traditional muscle pain models.

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Absolute and Relative Reliability of Pressure Pain Threshold Assessments in the Shoulder Muscles of Participants With and Without Unilateral Subacromial Impingement Syndrome

Cited by 16 publications

References 37 publications

Exercised-Induced Hypoalgesia following An Elbow Flexion Low-Load Resistance Exercise with Blood Flow Restriction: A Sham-Controlled Randomized Trial in Healthy Adults

Exercised-Induced Hypoalgesia following An Elbow Flexion Low-Load Resistance Exercise with Blood Flow Restriction: A Sham-Controlled Randomized Trial in Healthy Adults

Psychometric properties of quantitative sensory testing focusing on healthy and patients with shoulder pain: a systematic review protocol

Spatiotemporal characterization of an experimental model of muscle pain in humans based on short‐wave diathermy

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