Die Erfassung der Druckpunkte bei generalisierter Tendomyopathie (Fibromyalgie)

Lautenschläger, J

doi:10.1007/978-3-642-86812-2_13

Cited by 5 publications

(5 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This threshold was reached in 23% of all measurements on the lower back, but only in three measurements on the forehead. This ceiling effect further complicated a statistical comparison with published data [15,17], which was collected using the same instrumentation but without setting an upper threshold value.…”

Section: Methodological Considerationsmentioning

confidence: 99%

Validity of pressure pain thresholds in female workers with and without recurrent low back pain

2006

View full text Add to dashboard Cite

Recurrent low back pain (LBP) is a common pain condition in elderly workers in a variety of occupations, but little is known about its origin and the mechanisms leading to an often disabling sensation of pain that may be persistent or intermittent. In the present study we evaluated the pressure pain thresholds (PPTs) in subjects suffering from recurrent LBP, as well as in healthy controls, to investigate if recurrent LBP is associated with an increased sensitivity of the muscular and ligamentous structures located on the lower back. One hundred and six female workers, aged between 45 and 62 years and working either in administrative or nursing professions were examined. The subjects were classified into LBP cases and controls based on the Nordic questionnaire. Subjects indicating 8-30 or more days with LBP during the past 12 months were graded as cases. PPTs were measured on 12 points (six on each side of the body) expected to be relevant for LBP (paravertebral muscles, musculus quadratus lumborum, os ilium, iliolumbar ligament, musculus piriformis and greater trochanter), as well as on a reference point (middle of the forehead) using a digital dolorimeter. The PPTs on all points on the lower back highly correlated with each other and a high internal consistency was found with a Cronbach alpha coefficient > 0.95. There was a moderate and significant correlation of the PPT on the forehead with the PPT on the lower back with correlation coefficients ranging from 0.36 to 0.49. In LBP cases from administrative professions, the PPT on the forehead was significantly decreased (P < 0.05). The PPT on the lower back did not significantly differ between the four groups studied, namely nurses and administrative workers with and without recurrent LBP. These results give evidence that recurrent LBP is not associated with an altered sensitivity of the muscular and myofascial tissues in the lumbar region. Furthermore, they raise questions about the value of reference point measurements in recurrent LBP.

show abstract

Section: Methodological Considerationsmentioning

confidence: 99%

Validity of pressure pain thresholds in female workers with and without recurrent low back pain

2006

View full text Add to dashboard Cite

show abstract

“…9 The contact area was 1 cm 2 and covered with 2-mm thick rubber to minimize irritation of the skin. The compression pressure was increased gradually by approximately 1 kg/s.…”

Section: Assessment Proceduresmentioning

confidence: 99%

“…To measure the pressure pain threshold the top of the algometer was placed on the tender point and the pressure was increased until the patient confirmed that they felt pain. 9 The contact area was 1 cm 2 and covered with 2-mm thick rubber to minimize irritation of the skin. The compression pressure was increased gradually by approximately 1 kg/s.…”

Section: Assessment Proceduresmentioning

confidence: 99%

A New Treatment Modality for Fibromyalgia Syndrome: Hyperbaric Oxygen Therapy

et al. 2004

View full text Add to dashboard Cite

Fibromyalgia syndrome (FMS) is characterized by longstanding multifocal pain with generalized allodynia/hyperalgesia. There are several treatment methods but none has been specifically approved for this application. We conducted a randomized controlled study to evaluate the effect of hyperbaric oxygen (HBO) therapy in FMS (HBO group: n = 26; control group: n = 24). Tender points and pain threshold were assessed before, and after the first and fifteenth sessions of therapy. Pain was also scored on a visual analogue scale (VAS). There was a significant reduction in tender points and VAS scores and a significant increase in pain threshold of the HBO group after the first and fifteenth therapy sessions. There was also a significant difference between the HBO and control groups for all parameters except the VAS scores after the first session. We conclude that HBO therapy has an important role in managing FMS.

show abstract

“…Druckalgometer stellt das Standardverfahren in der Schmerzdiagnostik des Fibromyalgiesyndroms dar und wurde in zahlreichen Untersuchungen zur Therapie dieser Krankheit verwendet (Ut.-Übers. s. Fischer 1987Lautenschläger 1991;Wolfe 1991). Auch die von Piso (1998) modifizierte, 10 cm lange, visuelle Analogskala zur Erfassung der Schmerzen entspricht einem bei Fibromyalgiepatienten häufig angewendeten und validen Verfahren (Ut.-Übers.…”

Section: Zur Methodikunclassified

“…1999) Wesentliches diagnostisches Kriterium für das Fibromyalgesiesyndrom ist die vermehrte Druckempfindlichkeit der Sehnenansätze (Ut.-Übers. s. Fischer 1991 a, b;Lautenschläger 1991;Wolfe 1991). Auch die Störungen der thermischen Toleranz wurden im Vergleich zu gesunden Probanden objektiviert (Kosek u. Mitarb.…”

Section: Introductionunclassified