Ein automatisiertes Verfahren zur Druckschmerzschwellenbestimmung (Pressure Algometrie) am Beispiel der Wirkung von Eisbeutel und Kaltluft

Kröling, P.; Kober, L.

doi:10.1055/s-2008-1062031

Cited by 5 publications

(3 citation statements)

References 4 publications

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“…Pressure pain threshold (PPT) was assessed with an automated pressure algometer (for a detailed description see Kröling & Kober, 1994) which contained a commercially available digital dolorimeter (LD 100 NRS from Markasub AG, Basel, Switzerland). The head of the dolorimeter is shaped as a hemisphere with a diameter of 0.9 cm and was positioned orthogonally at the measurement site.…”

Section: Pain Threshold Assessmentmentioning

confidence: 99%

Pressure pain thresholds asymmetry in left‐ and right‐handers: Associations with behavioural measures of cerebral laterality

Pauli

Wiedemann

Nickola

1999

European Journal of Pain

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Pressure pain threshold (PPT) asymmetry of the left and right third digits was assessed in 12 right-handed and 12 left-handed subjects using an automatised pressure algometer. A clear PPT asymmetry was found in right-handed participants, while left-handed participants revealed no PPT asymmetry. The PPT asymmetry of right-handed participants was due to a reduced PPT or increased pain sensitivity at the left hand. Behavioural laterality tests revealed a right ear or left hemisphere advantage for the processing of verbal material (consonant-vocal syllables) and a left visual field or right hemisphere advantage for the processing of emotional faces in all participants. PPT asymmetry was not associated with cerebral laterality assessed with these tests. We conclude that PPT asymmetry is associated with handedness, but neither PPT asymmetry nor handedness are closely associated with measures of cerebral laterality. Copyright 1999 European Federation of Chapters of the International Association for the Study of Pain.

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Section: Pain Threshold Assessmentmentioning

confidence: 99%

Pressure pain thresholds asymmetry in left‐ and right‐handers: Associations with behavioural measures of cerebral laterality

Pauli

Wiedemann

Nickola

1999

European Journal of Pain

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“…B. Cadena Cryo-Air-C-300) erzeugte Kaltluft -30°C senkt Hauttemperatur auf ca. 20°C bis 15'C.Im experimentellen Vergleich löst die Eiskompresse eine stärkere Anhebung der Druckschmerzschwelle aus als die Kaltluft[10]. Eiskompresse und Kaltluft zeigen ein diffeHemmung nozizeptiver Signale (.gate control theory")…”

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Physiotherapie bei Arthritis psoriatica

Uhlemann¹

2000

Akt Rheumatol

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“…Als Meort wurde der empfindlichste Punkt am lateralen Epikondylus mit einem Hautstift markiert und für alle Messungen beibehalten. Eingesetzt wurde eine 1994 von Kroling u. Kober[13] beschriebene, automatisierte und probandengesteuerte Apparatur: Sie ermög-Iichte eine lineare, vom Gewebswiderstand unabhangige Kraftzunahme von I kpfs, die Uber einen planen Kunststoffdruckfu auf den Megpunkt ubertragen wurde (rund; Durchmesser 1 cm). Zur Messung löste der Patient den Kraftanstieg mit Hilfe eines Handschalters aus.…”

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Ultraschalltherapie der Epikondylopathia humeri - Immediate und serielle Wirkungen auf die Druckschmerzschwelle

Kröling¹,

Gottschild²,

Kober³

et al. 2000

Phys Rehab Kur Med

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Immediate und serielle Wirkungen auf die Druckschmerzschwelle Ultrasound therapy of epicondylopathia humeri -immediate and serial treatment effects on the pressure pain threshold: Ultrasound has been used since decades for the treatment of painful musculoskeletal disorders, with high doses up to 3W/cm2. Since the 8Oies a tendency to low dose treatment (0.1 -1 W/cm2) can be observed. In the same period a growing number of investigations and reviews with negative resuits were published, which severely throw doubt on the therapeutical effectiveness of therapeutical ultrasound. Objective: Objective of this study were informations concerning immediate-, serial-and intensity dependent effects of ultrasound therapy. Being a classical indication for ultrasound therapy, the epicondylitis (,,tennis elbow") has been chosen as a model disorder. Methods: 30 patients with chronical epicondylitis (21, 9 m) were randomly assigned to 3 treatment groups. Each patient received a 6 mm treatment on 5 consecutive days. The low dose group received 0.3W/cm2; the placebo group 0W/cm2. Both groups were double blinded. The high dose group was treated by individual doses, causing a painless sensation of heat (mean: 1.2 W/cm2). This group therefore was not blinded. For measurement of the pressure pain threshold (PPT) an automatic device has been established, which developed a linear increasing force (1 kp/s) until the beginning of a painful sensation. The PPT was measured before, and a mm, 5 mm and 10 mm after treatment. A follow-up took place 5 days after the last treatment (day 10), combined with a visual analogue scale (VAS) measurement. Results: Immediat effects: Only the high dose therapy lead to a short PPT increase compared to initial values (÷ 0.28 kp; p = 0.03), but not compared to control. Serial effects: Only high dose therapy showed an increase of PPT. This effect, however, was only at follow-up (day 10) of statistical and clinical significance (+ 0.73 kp; p = 0.015). A similar result showed the VAS pain rating score (-34%; p = 0.002). Conclusions: The results lead to the conclusion, that ultrasound has no immediate analgesic effects of clinical relevance. However, serial high dose ultrasound treatment reveals a remarkable pain reduction within some days of delay, maybe due to a curative heat stimulus. Consequences, as well for practical treatment as for design and evaluation of studies, should be taken. Investigations with rather low dose treatment and/or without follow up control maybe respon-Phys sible for some negative judgements of ultrasound therapy effectiveness in the recent literature.Zusammenfassung: Während Ultraschall jahrzehntelang mit lntensitäten bis zu 3W/cm2 zur Behandlung muskuloskelettaler Schmerzen angewendet wurde, ist seit den 8Oer jahren eine Tendenz zu wesentlich niedrigeren Dosierungen (ca. 0,1 -1 W/ cm2) zu beobachten. Parallel hierzu mehren sich Untersuchungen und Reviews mit negativen Ergebnissen, weiche den therapeutischen Nutzen von Ultraschall zunehmend in Zweifel ziehen. Ziel: Ziel der Arbeit war d...

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Ein automatisiertes Verfahren zur Druckschmerzschwellenbestimmung (Pressure Algometrie) am Beispiel der Wirkung von Eisbeutel und Kaltluft

Cited by 5 publications

References 4 publications

Pressure pain thresholds asymmetry in left‐ and right‐handers: Associations with behavioural measures of cerebral laterality

Pressure pain thresholds asymmetry in left‐ and right‐handers: Associations with behavioural measures of cerebral laterality

Physiotherapie bei Arthritis psoriatica

Ultraschalltherapie der Epikondylopathia humeri - Immediate und serielle Wirkungen auf die Druckschmerzschwelle

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