Pressure pain thresholds of tender point sites in patients with fibromyalgia and in healthy controls

Maquet, Didier; Croisier, Jean-Louis; Demoulin, Christophe; Crielaard, Jean-Michel

doi:10.1016/s1090-3801(03)00082-x

Cited by 132 publications

(83 citation statements)

References 32 publications

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“…Pain questionnaires used to assess subjective neck pain include the Neck Disability Index (NDI) 12,13) and Neck Pain and Disability Scale (NPDS) 14) . Pressure algometers are used widely in research and clinical medicine to measure the pressure-pain threshold (PPT) objectively [15][16][17] . The…”

Section: Introductionmentioning

confidence: 99%

Changes in Pressure Pain in the Upper Trapezius Muscle, Cervical Range of Motion, and the Cervical Flexion^|^ndash;relaxation Ratio after Overhead Work

Shin¹,

An²,

Oh³

et al. 2012

Ind Health

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This study examined the changes in pressure pain in the upper trapezius muscle, cervical range of motion, and cervical flexion-relaxation ratio after overhead work. 14 workers were recruited. Pressure pain in the upper trapezius muscle, active cervical range of motion, and cervical flexion-relaxation ratio were measured in all subjects once before and once after overhead work. The pressure-pain threshold of the left upper trapezius muscle was 8.6 ± 2.5 lb before overhead work and 7.3 ± 2.4 lb after overhead work; that of the right upper trapezius muscle was 8.8 ± 2.9 and 7.3 ± 2.8 lb, respectively, revealing a significant decrease in pressure-pain threshold with overhead work. All cervical range of motion measures decreased significantly with overhead work. The cervical flexion-relaxation ratio on the left side was 1.3 ± 0.2 before overhead work and 1.1 ± 0.2 after overhead work; the respective values for the right side were 1.4 ± 0.5 and 1.2 ± 0.3 before and after overhead work, revealing a significant decrease with overhead work. We postulate that overhead work can reduce the pressure-pain threshold in the upper trapezius muscle and cause changes in the cervical range of motion and cervical flexion-relaxation ratio.

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Section: Introductionmentioning

confidence: 99%

Changes in Pressure Pain in the Upper Trapezius Muscle, Cervical Range of Motion, and the Cervical Flexion^|^ndash;relaxation Ratio after Overhead Work

Shin¹,

An²,

Oh³

et al. 2012

Ind Health

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“…Patients with fibromyalgia (FM) have muscle weakness (1), widespread muscle pain, and lower pressure pain thresholds of tender sites in the upper and lower limbs (2,3). In addition to pain, the most prominent symptoms in FM are localized to peripheral soft tissues, and there have been numerous studies of abnormalities in muscle structure and function in individuals with FM.…”

Section: Introductionmentioning

confidence: 99%

“…The crosssectional area of the quadriceps femoris muscle has been reported to be within normal ranges in persons with FM (5,6). However, some studies have shown that maximal isometric and dynamic muscle strength in short tests (1)(2)(3)(4)(5) repetitions) is lower in persons with FM than in healthy individuals (1,5,7,8); however, these reports have been contradicted in the longer tests that are more related to resistance (9,10). The reduced maximal muscle strength of knee extensors has been associated with lower outcomes in functional tests related to daily living (sit up and sit down on a chair, walking) in persons with FM (11) and with the increase of disability, especially in females with rheumatoid arthritis (12).…”

Section: Introductionmentioning

confidence: 99%

Exercise in waist‐high warm water decreases pain and improves health‐related quality of life and strength in the lower extremities in women with fibromyalgia

Gusi¹,

Tomás-Carús²,

Häkkinen³

et al. 2006

Arthritis & Rheumatism

138

105

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Objective. To evaluate the short-and long-term efficacy of exercise therapy in a warm, waist-high pool in women with fibromyalgia. Methods. Thirty-four women (mean ؎ SD tender points 17 ؎ 1) were randomly assigned to either an exercise group (n ‫؍‬ 17) to perform 3 weekly sessions of training including aerobic, proprioceptive, and strengthening exercises during 12 weeks, or to a control group (n ‫؍‬ 17). Maximal unilateral isokinetic strength was measured in the knee extensors and flexors in concentric and eccentric actions at 60°/second and 210°/second, and in the shoulder abductors and adductors in concentric contractions. Health-related quality of life (HRQOL) was assessed using the EQ-5D questionnaire; pain was assessed on a visual analog scale. All were measured at baseline, posttreatment, and after 6 months. Results. The strength of the knee extensors in concentric actions increased by 20% in both limbs after the training period, and these improvements were maintained after the de-training period in the exercise group. The strength of other muscle actions measured did not change. HRQOL improved by 93% (P ‫؍‬ 0.007) and pain was reduced by 29% (P ‫؍‬ 0.012) in the exercise group during the training, but pain returned close to the pretraining level during the subsequent de-training. However, there were no changes in the control group during the entire period. Conclusion. The therapy relieved pain and improved HRQOL and muscle strength in the lower limbs at low velocity in patients with initial low muscle strength and high number of tender points. Most of these improvements were maintained long term.

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IntroductionPrevious reports have demonstrated high intra-and interrater reliability for assessment of pressure pain thresholds (PPT) in clinical [1][2][3][4] and healthy subjects [5][6][7][8][9][10][11]. However, many of the earlier reliability analyses used Pearson's r correlation coefficient [e.g.

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mentioning

confidence: 99%

Reliability of pain threshold measurement in young adults

2006

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The objective was to examine reliability of pressure and thermal (cold) pain threshold assessment in persons less than 25 years of age, using intra–class correlation (ICC) and coefficients of repeatability and variability. We measured thresholds to pain from pressure algometry and ice placed at the hand and head in 10 healthy volunteers aged 18–25. Intra–rater reliability was examined with ICC. Coefficients of repeatability (CR) and variability (CV) were estimated. Reliability of repeat assessments was high as assessed by ICC, although coefficients of repeatability and variation indicated considerable inter–individual variation in repeat measurements. Pressure algometry and strategically placed ice appear to be reliable techniques for assessing pain processing in young adults. Reliability studies employing ICC may benefit from complementary estimation of CR and CV.

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Pressure pain thresholds of tender point sites in patients with fibromyalgia and in healthy controls

Cited by 132 publications

References 32 publications

Changes in Pressure Pain in the Upper Trapezius Muscle, Cervical Range of Motion, and the Cervical Flexion^|^ndash;relaxation Ratio after Overhead Work

Changes in Pressure Pain in the Upper Trapezius Muscle, Cervical Range of Motion, and the Cervical Flexion^|^ndash;relaxation Ratio after Overhead Work

Exercise in waist‐high warm water decreases pain and improves health‐related quality of life and strength in the lower extremities in women with fibromyalgia

Reliability of pain threshold measurement in young adults

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