Algometry in Diagnosis of Musculoskeletal Pain and Evaluation of Treatment Outcome: An Update

Fischer, Andrew A.

doi:10.1300/j094v06n01_02

Cited by 89 publications

(48 citation statements)

References 39 publications

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“…Patients also completed the mFIQ and SCL-90-R. In addition, one of the clinic's two chartered physical therapists interviewed each patient with respect to their pain complaints, had them draw their pain distribution on a human figure outline, and verified the presence of the requisite number of positive tender points according to ACR classification criteria for FS that included testing pain threshold at each of 18 designated tender point locations (ACR 1990 criteria; see Wolfe et al, 1990) and four control sites (Fischer, 1987(Fischer, , 1998) using a pressure algometer (Pain Diagnostics & Thermography Inc., Great Neck, NY). Tender points were designated as positive if a pain response was elicited at a pressure less than 4.0 kg/cm 2 .…”

Section: Methodsmentioning

confidence: 99%

Treatment of fibromyalgia incorporating EEG‐Driven stimulation: A clinical outcomes study

Mueller¹,

Donaldson²,

Nelson³

et al. 2001

J Clin Psychol

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Thirty patients from a private clinical practice who met the 1990 American College of Rheumatology criteria for fibromyalgia syndrome (FS) were followed prospectively through a brainwave-based intervention known as electroencephalograph (EEG)-driven stimulation or EDS. Patients were initially treated with EDS until they reported noticeable improvements in mental clarity, mood, and sleep. Self-reported pain, then, having changed from vaguely diffuse to more specifically localized, was treated with very modest amounts of physically oriented therapies. Pre- to posttreatment and extended follow-up comparisons of psychological and physical functioning indices, specific FS symptom ratings, and EEG activity revealed statistically significant improvements. EDS appeared to be the prime initiator of therapeutic efficacy. Future research is justified for controlled clinical trials and to better understand disease mechanisms.

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Section: Methodsmentioning

confidence: 99%

Treatment of fibromyalgia incorporating EEG‐Driven stimulation: A clinical outcomes study

Mueller¹,

Donaldson²,

Nelson³

et al. 2001

J Clin Psychol

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“…29,30 The pressure of compression was increased gradually at a speed of ∼1 kg/s. The participant was asked to say 'yes' as soon as pain or discomfort occurred and at this moment the compression was stopped.…”

Section: Pressure Pain Thresholdmentioning

confidence: 99%

Dry needling of the trapezius muscle in office workers with neck pain: a randomized clinical trial

Cerezo-Téllez¹,

Torres-Lacomba²,

Fuentes-Gallardo³

et al. 2016

Journal of Manual & Manipulative Therapy

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Background: Neck pain is a frequent complaint in office workers. This pain can be caused by myofascial trigger points (MTrPs) in the trapezius muscle. This study aimed to determine the effectiveness of deep dry needling (DDN) of active MTrPs in the trapezius muscle. Methods: A randomized, single blinded clinical trial was carried out at the Physical Therapy Department at Physiotherapy in Women's Health Research Group at Physical Therapy Department of University of Alcalá, in Alcalá de Henares, Madrid, Spain. Forty-four office workers with neck pain and active MTrPs in the trapezius muscle were randomly allocated to either the DDN or the control group (CG). The participants in the DDN group were treated with DDN of all MTrPs found in the trapezius muscle. They also received passive stretch of the trapezius muscle. The CG received the same passive stretch of the trapezius muscle only. The primary outcome measure was subjective pain intensity, measured using a visual analogue scale (VAS). Secondary outcomes were pressure pain threshold (PPT), cervical range of motion (CROM) and muscle strength. Data were collected at baseline, after interventions and 15 days after the last treatment. Results: Differences were found between the DDN group and the CG for the VAS (P < 0.001), PPT (P < 0.001), range of motion (AROM) (P < 0.05) and strength (P < 0.05) after intervention and at the 15-day follow-up. Discussion: Deep dry needling and passive stretch seems to be more effective than passive stretch only. The effects are maintained in the short term. The results support the use of DDN in the management of trapezius muscle myofascial pain syndrome in neck pain.

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“…The assessor applied continuous pressure with the algometer at approximately a rate of 1 kg/cm 2 /s, until it recorded a pressure of 2.5 kg/cm 2 . Pressure thresholds lower than 3 kg are considered to be abnormally low (Fischer, 1996). If the referred pain evoked by the MTrP was obtained before 2.5 kg/ cm 2 , criteria 4 was seen to be fulfilled.…”

Section: Article In Pressmentioning

confidence: 99%

“…Pretreatment measurement of the PPT was assessed by Therapist 2, who was blinded to the treatment allocation of the subject. This procedure was performed following the guidelines described by Fischer (1990Fischer ( , 1996: (a) The patient lay supine; (b) The PTM was placed perpendicular to the MTrP (Fig. 2); (c) The patient was instructed to report to the assessor the instant the sensation of pressure became one of pressure and pain; (d) The pressure was applied approximately at a rate of 1 kg/cm 2 /s until the moment that the pressure was perceived as pressure and pain (e) The application of pressure was stopped and the maximum pressure displayed by the algometer was recorded.…”

Section: Outcome Measures and Instrumentationmentioning

confidence: 99%

The immediate effect of ischemic compression technique and transverse friction massage on tenderness of active and latent myofascial trigger points: a pilot study

Fernández‐de‐las‐Peñas

Alonso‐Blanco

Fernández‐Carnero

et al. 2006

Journal of Bodywork and Movement Therapies

135

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Algometry in Diagnosis of Musculoskeletal Pain and Evaluation of Treatment Outcome: An Update

Cited by 89 publications

References 39 publications

Treatment of fibromyalgia incorporating EEG‐Driven stimulation: A clinical outcomes study

Treatment of fibromyalgia incorporating EEG‐Driven stimulation: A clinical outcomes study

Dry needling of the trapezius muscle in office workers with neck pain: a randomized clinical trial

The immediate effect of ischemic compression technique and transverse friction massage on tenderness of active and latent myofascial trigger points: a pilot study

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