Does Roller Massage With a Foam Roll Change Pressure Pain Threshold of the Ipsilateral Lower Extremity Antagonist and Contralateral Muscle Groups? An Exploratory Study

2018 ◽  
Vol 27 (2) ◽  
pp. 165-169 ◽  
Author(s):  
Scott W. Cheatham ◽  
Morey J. Kolber
Keyword(s):  
Exploratory Study ◽  
Pain Threshold ◽  
Pressure Pain Threshold ◽  
Acute Effect ◽  
Quadriceps Muscle ◽  
Muscle Group ◽  
Allied Health Professionals ◽  
Pressure Pain ◽  
Foam Rolling ◽  
Significant Difference

Context:Foam rolling is a popular intervention used by allied health professionals and the general population. Current research suggests that foam rolling may have an effect on the ipsilateral antagonist muscle group and produce a cross-over effect in the muscles of the contralateral limb. The purpose of this study was to examine the acute effects of foam rolling to the left quadriceps on ipsilateral antagonist hamstrings and contralateral quadriceps muscle group pressure pain threshold (PPT). Through this research, we sought to gather data to further develop the methodology for future studies of this intervention.Design:A pretest–posttest exploratory study.Setting:University kinesiology laboratory.Participants:21 healthy adults (age = 27.52 ± 8.9 y).Intervention:Video-guided foam roll intervention on the left quadriceps musculature.Main Outcome Measures:Ipsilateral hamstring (antagonist) and contralateral quadriceps muscle PPT.Results:A significant difference was found between pretest to posttest measures for the ipsilateral hamstrings (t[20] = −6.2,P < 0.001) and contralateral quadriceps (t[20] = −9.1,P < 0.001) suggesting an increase in PPT.Conclusions:These findings suggest that foam rolling of the quadriceps musculature may have an acute effect on the PPT of the ipsilateral hamstrings and contralateral quadriceps muscles. Clinicians should consider these results to be exploratory and future investigations examining this intervention on PPT is warranted.

scholarly journals Myalgia in 30 Patients with Suspected Myopathy

2020 ◽  
Vol 17 (7) ◽  
pp. 2502
Author(s):  
Diana Lehmann Urban ◽  
Elizabeth Lehmann ◽  
Leila Motlagh Scholle ◽  
Torsten Kraya
Keyword(s):  
Pain Intensity ◽  
Polymyalgia Rheumatica ◽  
Pain Sensitivity ◽  
Pain Threshold ◽  
Neuromuscular Disorders ◽  
Pressure Pain Threshold ◽  
Neuromuscular Disorder ◽  
Weak Correlation ◽  
Pressure Pain ◽  
Significant Difference

Background: In patients with neuromuscular disorder, only little data of myalgia frequency and characterization exists. To date, only a weak correlation between pain intensity and pressure pain threshold has been found, and it remains enigmatic whether high pain intensity levels are equivalent to high pain sensitivity levels in neuromuscular disorders. Methods: 30 sequential patients with suspected neuromuscular disorder and myalgia were analyzed with regard to myalgia characteristics and clinical findings, including symptoms of depression and anxiety and pain- threshold. Results: A neuromuscular disorder was diagnosed in 14/30 patients. Muscular pain fasciculation syndrome (MPFS) without evidence for myopathy or myositis was diagnosed in 10/30 patients and 6/30 patients were diagnosed with pure myalgia without evidence for a neuromuscular disorder (e.g., myopathy, myositis, MPFS, polymyalgia rheumatica). Highest median pain scores were found in patients with pure myalgia and polymyalgia rheumatica. Pressure pain threshold measurement showed a significant difference between patients and controls in the biceps brachii muscle. Conclusion: Only a weak correlation between pain intensity and pressure pain threshold has been suggested, which is concordant with our results. The hypothesis that high pain intensity levels are equivalent to high pain sensitivity levels was not demonstrated.

scholarly journals Effects of Different Neck Manual Lymphatic Drainage Maneuvers on the Nervous, Cardiovascular, Respiratory and Musculoskeletal Systems in Healthy Students

2020 ◽  
Vol 9 (12) ◽  
pp. 4062
Author(s):  
Ángela Río-González ◽  
Ester Cerezo-Téllez ◽  
Cristina Gala-Guirao ◽  
Laura González-Fernández ◽  
Raquel Díaz-Meco Conde ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Systolic Blood Pressure ◽  
Respiratory Rate ◽  
Pain Threshold ◽  
Pressure Pain Threshold ◽  
Control Group ◽  
Pressure Pain ◽  
Significant Difference ◽  
Healthy Participants

The aim of this study is to describe the short-term effects of manual lymph drainage (MLD) isolated in supraclavicular area in healthy subjects. A 4-week cross-sectional, double-blinded randomized clinical trial was conducted. Participants: 24 healthy participants between 18 and 30 years old were recruited from Universidad Europea de Madrid from December 2018 to September 2019. A total of four groups were studied: control, placebo, Vodder, and Godoy. The order of the interventions was randomized. Resting Heart Rate and Oxygen Saturation, blood pressure, pressure pain threshold of trapezius muscle, respiratory rate, range of active cervical movements were measured before and after every intervention. All the participants fulfilled four different interventions with a one-week-wash-out period. No statistically significant differences were found between groups in descriptive data; neither in saturation of oxygen, diastolic blood pressure and cervical range of motion. Significant differences were found in favor of Vodder (p = 0.026) in heart rate diminution and in cardiac-rate-reduction. A significant difference in respiratory rate diminution is found in favor of the Godoy group in comparison with the control group (p = 0.020). A significant difference is found in favor of the Godoy group in systolic blood pressure decrease (p = 0.015) even in pressure pain threshold (p < 0.05). MLD decreases systolic blood pressure in healthy participants. However, it does not produce any changes in other physiologic outcomes maintaining physiologic values, which may suggest the safety of the technique in patients suffering from other pathologies.

scholarly journals The Relationship between Fibromyalgia and Pressure Pain Threshold in Patients with Dyspareunia

2015 ◽  
Vol 20 (3) ◽  
pp. 137-140 ◽  
Author(s):  
Hasan Terzi ◽  
Rabia Terzi ◽  
Ahmet Kale
Keyword(s):  
Beck Depression Inventory ◽  
Pain Threshold ◽  
Pressure Pain Threshold ◽  
Control Group ◽  
Tender Points ◽  
Pain Thresholds ◽  
Pressure Pain ◽  
Pressure Pain Thresholds ◽  
Pressure Algometer ◽  
Significant Difference

OBJECTIVE: To evaluate the number of tender points, pressure pain threshold and presence of fibromyalgia among women with or without dyspareunia.METHODS: The present cross-sectional study included 40 patients with dyspareunia and 30 healthy controls. The participants were asked if they had engaged in sexual intercourse during the previous four weeks, and dyspareunia was rated from 0 to 3 based on the Marinoff Dyspareunia Scale. A pressure algometer (dolorimeter) was used to measure the pressure pain threshold. Fibromyalgia was diagnosed based on the 1990 American College of Rheumatology criteria. The depression status of the participants was assessed using the Beck Depression Inventory.RESULTS: No statistically significant difference was found with regard to age, body mass index, habits (alcohol use and smoking), educational status and occupational status between the two groups. Total myalgic score, total control score and tender point mean pain threshold were significantly lower in the group with dyspareunia. The number of tender points was significantly higher in patients with dyspareunia. The mean Beck Depression Inventory score was 14.7 ±8.4 in the dyspareunia group compared with 11.2 ±7.1 in the control group. Five (12.5%) of the patients with dyspareunia were diagnosed with fibromyalgia, whereas no patients in the control group were diagnosed with fibromyalgia. There was no significant difference between the two groups with regard to the presence of fibromyalgia.CONCLUSION: The finding of lower pressure pain thresholds and a higher number of tender points among patients with dyspareunia suggests that these patients may have increased generalized pain thresholds. Additional studies involving a larger number of patients are required to investigate the presence of central mechanisms in the pathogenesis of dyspareunia.

Comparison of a Vibration Roller and a Nonvibration Roller Intervention on Knee Range of Motion and Pressure Pain Threshold: A Randomized Controlled Trial

2019 ◽  
Vol 28 (1) ◽  
pp. 39-45 ◽  
Author(s):  
Scott W. Cheatham ◽  
Kyle R. Stull ◽  
Morey J. Kolber
Keyword(s):  
Range Of Motion ◽  
Knee Flexion ◽  
Pain Threshold ◽  
Pressure Pain Threshold ◽  
Control Group ◽  
Therapeutic Effects ◽  
Pressure Pain ◽  
Starting Point ◽  
Significant Difference ◽  
And Control

Background: Roller massage (RM) has become a common intervention among health and fitness professionals. Recently, manufacturers have merged the science of vibration therapy and RM with the development of vibration rollers. Of interest, is the therapeutic effects of such RM devices. Purpose: The purpose of this study was to compare the effects of a vibration roller and nonvibration roller intervention on prone knee-flexion passive range of motion (ROM) and pressure pain threshold (PPT) of the quadriceps musculature. Methods: Forty-five recreationally active adults were randomly allocated to one of 3 groups: vibration roller, nonvibration roller, and control. Each roller intervention lasted a total of 2 minutes. The control group did not roll. Dependent variables included prone knee-flexion ROM and PPT measures. Statistical analysis included parametric and nonparametric tests to measure changes among groups. Results: The vibration roller demonstrated the greatest increase in PPT (180 kPa, P < .001), followed by the nonvibration roller (112 kPa, P < .001) and control (61 kPa, P < .001). For knee flexion ROM, the vibration roller demonstrated the greatest increase in ROM (7°, P < .001), followed by the nonvibration roller (5°, P < .001) and control (2°, P < .001). Between groups, there was a significant difference in PPT between the vibration and nonvibration roller (P = .03) and vibration roller and control (P < .001). There was also a significant difference between the nonvibration roller and control (P < .001). For knee ROM, there was no significant difference between the vibration and nonvibration roller (P = .31). A significant difference was found between the vibration roller and control group (P < .001) and nonvibration roller and control group (P < .001). Conclusion: The results suggest that a vibration roller may increase an individual’s tolerance to pain greater than a nonvibration roller. This investigation should be considered a starting point for future research on this technology.

Pressure Pain Threshold of the Lateral Pterygoid Muscles in TMD Patients and Controls

2005 ◽  
Vol 6 (3) ◽  
pp. 22-29 ◽  
Author(s):  
Youssef S. Abou-Atme ◽  
Marcello Melis ◽  
Khalid H. Zawawi
Keyword(s):  
Temporomandibular Disorders ◽  
Pain Threshold ◽  
Pressure Pain Threshold ◽  
Lateral Pterygoid Muscle ◽  
Age And Gender ◽  
Pressure Pain ◽  
Significant Difference ◽  
And Gender ◽  
The Right ◽  
Pterygoid Muscles

Abstract Objectives The aim of this experiment was to detect pressure pain threshold (PPT) differences on intra-oral palpation of the lateral pterygoid muscle (LPM) between subjects diagnosed with temporomandibular disorders (TMD) and controls. Methods Thirty-one consecutive female TMD patients and 31 age and gender matched controls underwent palpation of the LPM using an algometer made with a queue-tip connected to a digital scale, and PPT was measured. Results Mean PPTs of the right and left LPM of the controls were respectively 191g (49KPa) and 200g (51KPa), and mean PPTs of the right and left LPM of TMD patients were respectively 245g (62KPa) and 256g (63KPa). ANOVA between the four PPT measurements showed significant difference only between the PPT readings of the right LPM of the controls and the left LPM of the patients (p<0.05). Conclusions The findings of this study suggest that PPT measured by means of the described algometer is not decreased in TMD patients as compared to control subjects. Citation Abou-Atme YS, Melis M, Zawawi KH. Pressure Pain Threshold of the Lateral Pterygoid Muscles. J Contemp Dent Pract 2005 August;(6)3:022-029.

scholarly journals Influence of different frequencies of transcutaneous electrical nerve stimulation on the threshold and pain intensity in young subjects

2014 ◽  
Vol 12 (3) ◽  
pp. 318-322 ◽  
Author(s):  
Adriana de Oliveira Gomes ◽  
Ana Caroline Silvestre ◽  
Cristina Ferreira da Silva ◽  
Mariany Ribeiro Gomes ◽  
Maria Lúcia Bonfleur ◽  
...  
Keyword(s):  
Electrical Stimulation ◽  
Pain Intensity ◽  
Nerve Stimulation ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Pain Threshold ◽  
Pressure Pain Threshold ◽  
Cold Pain ◽  
Electrical Nerve Stimulation ◽  
Pressure Pain ◽  
Significant Difference

Objective To investigate the effects of different transcutaneous electrical nerve stimulation frequencies in nociception front of a pressure pain threshold and cold in healthy individuals. Methods Twenty healthy subjects were divided into four groups, all of which have gone through all forms of electrical stimulation at different weeks. Assessments were pre and post-therapy, 20 and 60 minutes after stimulation. To evaluate the pressure pain threshold, an algometer was used with one tapered tip, pressing the hypothenar region until voluntary report the word “pain”. Cold pain intensity was assessed by immersion in water at 5°C for 30 seconds; at the end, the subject was asked to quantify the pain intensity on a Visual Analog Scale for Pain. For electrical stimulation, two electrodes were used near the elbow, for 20 minutes, with an intensity strong, but not painful. The frequency was in accordance with the group: 0Hz (placebo); 7Hz; 100Hz; and 255Hz. Results Both for the assessment of pressure pain threshold as the cold pain intensity, there was no significant difference (p>0.05). Conclusion We conclude that the use of transcutaneous electrical nerve stimulation on dermatomes C6 to C8 produced no significant change in pressure pain threshold or cold discomfort.

scholarly journals Relative and absolute test-retest reliabilities of pressure pain threshold in patients with knee osteoarthritis

2018 ◽  
Vol 18 (2) ◽  
pp. 229-236 ◽  
Author(s):  
Neeraja Srimurugan Pratheep ◽  
Pascal Madeleine ◽  
Lars Arendt-Nielsen
Keyword(s):  
Knee Osteoarthritis ◽  
Pain Sensitivity ◽  
Pain Threshold ◽  
Pressure Pain Threshold ◽  
Individual Variability ◽  
Minimal Detectable Change ◽  
Systematic Bias ◽  
Pressure Pain ◽  
Significant Difference ◽  
The Individual

Abstract Background and aims: Pressure pain threshold (PPT) and PPT maps are commonly used to quantify and visualize mechanical pain sensitivity. Although PPT’s have frequently been reported from patients with knee osteoarthritis (KOA), the absolute and relative reliability of PPT assessments remain to be determined. Thus, the purpose of this study was to evaluate the test-retest relative and absolute reliability of PPT in KOA. For that purpose, intra- and interclass correlation coefficient (ICC) as well as the standard error of measurement (SEM) and the minimal detectable change (MDC) values within eight anatomical locations covering the most painful knee of KOA patients was measured. Methods: Twenty KOA patients participated in two sessions with a period of 2 weeks±3 days apart. PPT’s were assessed over eight anatomical locations covering the knee and two remote locations over tibialis anterior and brachioradialis. The patients rated their maximum pain intensity during the past 24 h and prior to the recordings on a visual analog scale (VAS), and completed The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and PainDetect surveys. The ICC, SEM and MDC between the sessions were assessed. The ICC for the individual variability was expressed with coefficient of variance (CV). Bland-Altman plots were used to assess potential bias in the dataset. Results: The ICC ranged from 0.85 to 0.96 for all the anatomical locations which is considered “almost perfect”. CV was lowest in session 1 and ranged from 44.2 to 57.6%. SEM for comparison ranged between 34 and 71 kPa and MDC ranged between 93 and 197 kPa with a mean PPT ranged from 273.5 to 367.7 kPa in session 1 and 268.1–331.3 kPa in session 2. The analysis of Bland-Altman plot showed no systematic bias. PPT maps showed that the patients had lower thresholds in session 2, but no significant difference was observed for the comparison between the sessions for PPT or VAS. No correlations were seen between PainDetect and PPT and PainDetect and WOMAC. Conclusions: Almost perfect relative and absolute reliabilities were found for the assessment of PPT’s for KOA patients. Implications: The present investigation implicates that PPT’s is reliable for assessing pain sensitivity and sensitization in KOA patients.

scholarly journals Pain threshold in the masticatory and cervical muscles in different types of temporomandibular disorders

2020 ◽  
pp. 1-4
Author(s):  
Nattalia de Oliveira ◽  
Ana Elisa Zulliani Stroppa Marques ◽  
Renata Lumena Altruda Pucci ◽  
Érica Almeida Sousa ◽  
Flora Tolentino Ribeiro ◽  
...  
Keyword(s):  
Temporomandibular Disorders ◽  
Pain Threshold ◽  
Myofascial Pain ◽  
Pressure Pain Threshold ◽  
Cervical Region ◽  
Disc Displacement ◽  
Painful Condition ◽  
Pressure Pain ◽  
Significant Difference ◽  
Different Types

Introduction: Given the intimate connection of the temporomandibular joint in the cervical region and its functions of chewing, speech and swallowing, patients with temporomandibular disorders (TMD) have most painful condition in stomathognatic muscles. Objective: Check for differences in pressure pain threshold of the masseter (MS), temporalis (TM), upper trapezius (UT) and sternocleidomastoid (SCM) muscles in different types of TMD. Method: Participated in the research 97 subjects, classified according to “The Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD)”: myofascial pain (TMD IA), myofascial pain with limited opening (TMD IB), disc displacement with reduction (TMD IIA), disc displacement without reduction and with limited opening (TMD IIB), disc displacement without reduction and without limited opening (TMD IIC). For measurement of the pressure pain threshold (PPT) was used the pressure algometry program (Kratos) of the TM, MS, UT and SCM muscles. For statistical analysis was used the Graphpad Instat program with the Kruskal-Wallis test. Results: The sample consisted of 67 women and 30 men with an average age of 22.09 ± 5.45 years. Of these subjects, 40 were classified as “with TMD”, 57 as “without TMD”, 34 as “TMD IA”, 16 as “TMD IB”, 14 as “TMD IIA” and nobody as “TMD IIB” and “TMD IIC”. The MS, TM and UT muscles showed decreased threshold in myogenic groups of TMD with relation to the group without TMD. Only the masseter muscle showed statistical significance when compared to the myogenic groups with each other, demonstrating that the IB group has lower PPT. Individuals with TMD IB showed lower PPT of MS, TM and UT muscles when compared to TMD IIA. Conclusion: There is a significant difference comparing the PTT of MS, TM and UT muscles of myofascial pain subgroup to the subgroup without TMD. There were differences between the groups myogenic in PPT of MS. TMD IB showed lower threshold in TMD IB group than in TMD IIA group. Controversially, it was not observed when comparing the SCM muscle and disc displacement subgroup with the subgroup without TMD.

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