Medial tibial pain pressure threshold algometry in runners

Abstract

Pain pressure threshold algometry can be incorporated into MTSS clinical assessment to objectively assess pain and monitor progress. The presence of reduced medial tibial PPT in asymptomatic runners suggests that clinicians may not need to await resolution of medial tibia tenderness before allowing return to sport in MTSS patients.

Pressure algometry is a useful tool to quantify pain in the medial part of the knee: An intra- and inter-reliability study in healthy subjects

“…In a similar way, other authors evaluated the potential usefulness of the PA as a tool to evaluate and monitoring the clinical evolution of the pain at the medial side of the tibia in runners who suffered a tibial stress syndrome. They also found lower values of PPT in this specific population compared to a healthy group of volunteers and concluded that PA may be a useful tool to evaluate this painful syndrome [26]. On the other hand, Lunn et al [27] assessed the PPT levels in patients who had undergone a total knee arthroplasty.…”

“…Fisher et al, in a study, conducted in a healthy population found higher values of PPT in males in 8 out of 9 different muscle regions evaluated [32]. In a recent study, Aweid et al [26] analyzed the PTT in healthy runners in the medial part of the distal tibia. They also observed a lower PTT in females compared to males.…”

Test Procedures to Assess Somatosensory Abnormalities in Individuals with Peripheral Joint Pain: A Systematic Review of Psychometric Properties

“…24 The studies on hypothesis testing were the second most commonly investigated PMP for different testing procedures. 15,16,53,[72][73][74][75][76][77][78][79] The majority of these studies had relatively adequate methodological quality scores, mainly due to hypotheses formulated a priori on the direction and magnitude of the correlations between investigated participant groups. +/À, limited evidence; ++/À, moderate evidence; 0, no information; ME, measurement error.…”

“…Of 29 different validity studies assessed using the COSMIN tool, 13 scored "good," 15,16,53,[63][64][65]67,68,70,71,74,78,79 9 scored "fair," 19,21-24,69,73,75,76 and 7 scored "poor" (Table 9). 20, 49,62,66,72,77,80 Responsiveness. Only 1 study with "good" methodological quality was identified, which investigated the responsiveness of hand-held pressure algometry in patients with chronic knee OA (Table 9).…”

Differential Processing of Physical and Psychological Pain during Acute Suicidality

“…The subjects were instructed to verbally report when sensation changed from pressure to pain or discomfort. The mean pressure pain threshold was averaged from the 6 measurements [7]. …”