scholarly journals Pain pressure threshold algometry in knee osteoarthritis: intra- and inter-rater reliability

2022 ◽  
pp. 1-8
Author(s):  
Martin Bjørn Stausholm ◽  
Jan Magnus Bjordal ◽  
Rolf Moe-Nilssen ◽  
Ingvill Fjell Naterstad
Keyword(s):  
Knee Osteoarthritis ◽  
Rater Reliability ◽  
Pressure Threshold ◽  
Pain Pressure Threshold

scholarly journals The immediate effect of end-range maitland mobilization on pain pressure threshold in patients with knee osteoarthritis

2020 ◽  
Vol 28 ◽  
pp. S159
Author(s):  
M. Pozsgai ◽  
A.I. Péter ◽  
N. Farkas ◽  
P. Than ◽  
P. Than ◽  
...  
Keyword(s):  
Knee Osteoarthritis ◽  
Pressure Threshold ◽  
Pain Pressure Threshold

scholarly journals Pain Pressure Threshold in the Region of the Sacroiliac Joint in Patients Diagnosed with Sacroiliac Joint Pain

2016 ◽  
Vol 3;19 (3;3) ◽  
pp. 147-154 ◽  
Author(s):  
RJH van Leeuwen
Keyword(s):  
Healthy Volunteers ◽  
Sacroiliac Joint ◽  
Joint Pain ◽  
Intraclass Correlation ◽  
Pain Clinic ◽  
Rater Reliability ◽  
Pressure Pain ◽  
Sacroiliac Joint Pain ◽  
Pressure Threshold ◽  
Pain Pressure Threshold

Background: Although the prevalence of sacroiliac joint (SIJ) pain is relatively high (15 – 30%), there is no unambiguous reference standard to diagnose SIJ pain. Pressure tenderness in the SIJ region is used for diagnostic purposes, but the clinimetric properties of this procedure remain to be determined. Objectives: The aim of this study is to determine the reliability of pain pressure threshold (PPT) measurements in the SIJ region and the difference in PPTs in the SIJ region between healthy volunteers and PPTs in patients with SIJ pain. Study Design: Prospective cohort study. Setting: Outpatient pain clinic VU University Medical Center. Methods: Forty-one healthy volunteers and 31 patients diagnosed with SIJ pain were included. PPTs were obtained from 5 measurement points in the region of the SIJ with a pressure pain algometer using a standardized protocol. The inter-rater reliability of this method was calculated by means of the Intraclass Correlation Coefficients (ICC) of individual assessment performed by 2 individual raters of SIJs of healthy volunteers on both sides. PPTs of healthy volunteers were compared to those of the affected side in patients with SIJ pain. Results: PPT measurement showed moderate to good inter-rater reliability (ICC 0.6 – 0.82).The median PPTs of 5 points was comparable for both sides in healthy volunteers (right: 8.5 kg/cm2 [IQR 6.0 – 10.0]; left 8.3 kg/cm2 (5.8 – 10.0]). Median PPTs for the affected sides of patients with SIJ pain were significantly lower compared to the same side of healthy volunteers (right: 2.4 kg/cm2 [IQR 2.2 – 3.2, n = 15]; left: 2.5 kg/cm2 [2.3 – 3.2, n = 16]; P < 0.001 for both sides). Limitations: Only the SIJ on one side of was measured in patients with SIJ pain, where both sides would be desirable. Conclusions: Pressure pain algometry appears to be a reliable method to establish differences in PPTs between healthy volunteers and patients with SIJ pain. The diagnostic accuracy of this test should be investigated further. Key words: Sacroiliac joint pain, pain pressure threshold, pressure algometry

Pain Pressure Threshold in Cluster Headache Patients

Cephalalgia ◽  
1996 ◽  
Vol 16 (1) ◽  
pp. 62-66 ◽  
Author(s):  
G Bono ◽  
F Antonaci ◽  
G Sandrini ◽  
E Pucci ◽  
G Nappi ◽  
...  
Keyword(s):  
Cluster Headache ◽  
Pain Perception ◽  
Perception Threshold ◽  
Temporal Muscle ◽  
Mean Values ◽  
Pressure Threshold ◽  
Pain Pressure Threshold ◽  
Pressure Algometer ◽  
Symmetrical Points ◽  
Symptomatic Side

Pain perception threshold (PFT) in the head was assessed with a pressure algometer in 58 cluster headache (CH) patients (52M, 6F; 41 episodic and 17 chronic). Fourteen patients in cluster period were retested in remission. Thresholds were assessed at 10 symmetrical points on each side of the head and at the deltoid. Compared with controls ( n = 80), CH patients had lower PPT in the head and in the deltoid. PPT was lower on the symptomatic side than on the non-symptomatic side in patients with episodic CH during a cluster period ( p<0.001) and in patients with chronic CH ( p<0.05). This pattern was more evident during a cluster period than during remission ( p<0.05). A reduced PPT did not correlate with illness duration and pain side. The lowest PPT mean values were found at the anterior and intermediate levels of the temporal muscle on the symptomatic side. These results imply a central mechanism underlying the pathogenesis of CH.

scholarly journals Effects of Massage as a Combination Therapy with Lumbopelvic Stability Exercises as Compared to Standard Massage Therapy in Low Back Pain: a Randomized Cross-Over Study

2018 ◽  
Vol 11 (4) ◽  
pp. 16-22 ◽  
Author(s):  
Leonard H. Joseph, PhD ◽  
Benjamaporn Hancharoenkul, MSc, PT ◽  
Patraporn Sitilertpisan, PhD ◽  
Ubon Pirunsan, PhD ◽  
Aatit Paungmali, PhD
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Combination Therapy ◽  
Repeated Measures ◽  
Weight Lifting ◽  
Tissue Blood Flow ◽  
Low Back ◽  
Pressure Threshold ◽  
Pain Pressure Threshold ◽  
Clinical Benefits

Background: Little is known about the effects of providing massage as a combination therapy (CT) with lumbopelvic stability training (LPST) in management of chronic nonspecific low back pain (CLBP) among elite female weight lifters. It is unclear whether massage therapy (MT) together with LPST has any additional clinical benefits for individuals with CLBP.Purpose: The current study compares the thera-peutic effects of CT against MT as a stand-alone intervention on pain intensity (PI), pain pressure threshold (PPT), tissue blood flow (TBF), and lumbopelvic stability (LPS) among elite weight lifters with CLBP.Setting: The study was conducted at the campus for National Olympic weight lifting training camp.Participants: A total of 16 professional female elite weight lifting athletes who were training for Olympic weight lifting competition participated in the study.Research Design: A within-subject, repeated measures, crossover, single-blinded, randomized allocation study.Intervention: The athletes were randomized into three sessions of CT and MT with a time interval of 24 hrs within sessions and a wash out period of four weeks between the sessions.Main Outcome Measures: The PI, PPT, TBF, and LPS were measured before and after each session repeatedly in both groups of intervention. The changes in the PI, PPT, TBF, and LPS were analyzed using repeated measures analysis of vari-ance (ANOVA).Results: The results showed that the CT signifi-cantly demonstrated greater effects in reducing pain perception (45%–51%), improving pain pressure threshold (15% up to 25%), and increas-ing tissue blood flow (131%–152%) than MT (p < .001).Conclusion: The combination therapy of mas-sage therapy and LPST is likely to provide more clinical benefits in terms of PI, PPT, and TBF when compared to massage as a stand-alone therapy among individuals with chronic nonspecific low back pain.

scholarly journals The Effect of Hamstring Relaxation Program on Headache, Pressure Pain Threshold, and Range of Motion in Patients with Tension Headache: A Randomized Controlled Trial

2021 ◽  
Vol 18 (19) ◽  
pp. 10137
Author(s):  
Soon-Hyun Kwon ◽  
Eun-Jung Chung ◽  
Jin Lee ◽  
Sang-Woo Kim ◽  
Byoung-Hee Lee
Keyword(s):  
Range Of Motion ◽  
Controlled Trial ◽  
Pressure Pain Threshold ◽  
Tension Headache ◽  
Control Group ◽  
Positive Effects ◽  
Pressure Threshold ◽  
Digital Pressure ◽  
Pain Pressure Threshold ◽  
Pressure Algometer

The purpose of this study was to determine if the severity of headache is reduced by decreasing hamstring tension in patients with tension headache. Thirty patients participated in this study. The participants were randomly allocated to two groups: hamstring relaxation program (HR) group (n = 15) and control group (n = 15). The participants in the HR group participated in a HR program for 25 min per day, three times per week, for a period of 4 weeks, and the control group participated in an electrotherapy for 25 min per day, three times per week, for a period of 4 weeks. Both groups participated in a self-myofacial release for 5 min per day, three times per week, for a period of 4 weeks. Headache was evaluated using the headache impact test (HIT-6) and visual analog scale (VAS). The pain pressure threshold (PPT) was evaluated using a digital pressure algometer. The range of motion (ROM) was evaluated using a goniometer and two special tests: straight leg raise test (SLRT) and popliteal angle test (PAT). The two groups showed no significant differences in terms of age, sex, height, and weight. The VAS and HIT-6 scores (p < 0.05) and neck and hamstring PPT showed significant improvements (p < 0.05). Neck flexion ROM and SLRT and PAT scores showed significant improvements (p < 0.05) in both groups, and the HR group showed significantly more improvements than the control group. This study confirmed that the HR program has positive effects on tension headache and is a good intervention for alleviating headaches in patients with tension headache.

scholarly journals Effect of Manual Therapy and Splint Therapy in People with Temporomandibular Disorders: A Preliminary Study

2020 ◽  
Vol 9 (8) ◽  
pp. 2411 ◽  
Author(s):  
Gemma Victoria Espí-López ◽  
Anna Arnal-Gómez ◽  
Alba Cuerda del Pino ◽  
José Benavent-Corai ◽  
Pilar Serra-Añó ◽  
...  
Keyword(s):  
Manual Therapy ◽  
Temporomandibular Disorders ◽  
Pain Perception ◽  
Control Group ◽  
Positive Perception ◽  
Positive Effects ◽  
Splint Therapy ◽  
Pressure Threshold ◽  
Pain Pressure Threshold

Background: Isolated manual therapy techniques (MT) have shown beneficial effects in patients with temporomandibular disorders (TMD) but the effect of the combination of such techniques, together with the well-stablished splint therapy (ST) remains to be elucidated. Objective: This study was conducted to ascertain whether a combined program of MT techniques, including intraoral treatment, plus traditional ST improves pain and clinical dysfunction in subjects with TMD. Methods: A preliminary trial was conducted. 16 participants were assigned to either the MT plus ST-Experimental Group (EG, n = 8) or the ST alone—Control Group (CG, n = 8). Forty-five minute sessions of combined MT techniques were performed, once a week for four weeks. Three evaluations were conducted: baseline, post-treatment, and one-month follow-up. Outcome measures were pain perception, pain pressure threshold (PPT), TMD dysfunction, and perception of change after treatment. Results: EG showed significant reduction on pain, higher PPT, significant improvement of dysfunction and significantly positive perception of change after treatment (p < 0.05 all). Additionally, such positive effects were maintained at follow-up with a high treatment effect (R2 explaining 26.6–33.2% of all variables). Conclusion: MT plus ST showed reduction on perceived pain (3 points decrease), higher PPT (of at least 1.0 kg/cm2), improvement of disability caused by pain (4.4 points decrease), and positive perception of change (EG: 50% felt “much improvement”), compared to ST alone.

Analysis and comparison of pain pressure threshold and active cervical range of motion after superficial and deep dry needling techniques of the upper trapezius muscle

2021 ◽  
pp. 096452842110395
Author(s):  
Sergio Montero Navarro ◽  
Sonia del Rio Medina ◽  
José Martín Botella Rico ◽  
María Isabel Rocha Ortiz ◽  
María Teresa Pérez Gracia
Keyword(s):  
Range Of Motion ◽  
Gastrocnemius Muscle ◽  
Contralateral Side ◽  
Control Group ◽  
Dry Needling ◽  
Cervical Range Of Motion ◽  
Upper Trapezius ◽  
Pressure Threshold ◽  
Pain Pressure Threshold ◽  
Asymptomatic Volunteers

Objectives: To evaluate the changes in pain pressure threshold (PPT) and active cervical range of motion (ACROM) after the application of superficial dry needling (DN) or deep DN in myofascial trigger point (MTrP) 1 of the upper trapezius versus a simulated DN technique in the gastrocnemius muscle (control group). Design: Double-blind, randomized controlled trial with 7-day follow-up. Participants: Asymptomatic volunteers (n = 180; 76 men, 104 women) with a latent MTrP 1 in the upper trapezius were randomly divided into three groups: G1, receiving superficial DN in the upper trapezius; G2, receiving deep DN in the upper trapezius; and G3, control group, receiving simulated DN technique in the gastrocnemius muscle. Main outcome measures: While sitting in a chair, each subject underwent measurements of PPT and ACROM (ipsilateral and contralateral side flexion and rotation, flexion and extension) preintervention, (immediately) postintervention, and at 24 h, 72 h and 7 days. Results: Superficial and deep DN produced an increase in PPT at 7 days with respect to preintervention levels. Furthermore, superficial and deep DN produced a decrease in cervical flexion at 24 h and an increase in ipsilateral rotation until 72 h, increasing to 7 days in the case of deep DN. On the contrary, superficial DN produced an increase in ipsilateral and contralateral side flexion after intervention, unlike deep DN that produced a decrease at 24 h. Furthermore, superficial DN produced an increase in contralateral rotation at 24 h and deep DN decreased extension at 72 h. Conclusion: A single intervention of superficial or deep DN did not produce statistically significant changes in PPT or goniometry measurements. Trial registration number: NCT03719352 ( ClinicalTrials.gov )

Sign in / Sign up

Export Citation Format

Share Document