Pressure algometry in manual therapy

Vanderweeën, Luc; Oostendorp, Rob A.B.; Vaes, Peter; Duquet, William

doi:10.1054/math.1996.0276

Cited by 289 publications

(180 citation statements)

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“…This was performed 2 times (30 seconds apart) at the shoulder and at the finger in order to calculate the mean PPT for every site. Pressure algometry has been found to be efficient and reliable in the exploration of pathophysiological mechanisms involved in pain (33,34).…”

Section: Pressure Pain Thresholdsmentioning

confidence: 99%

Associations between cognitive performance and pain in chronic fatigue syndrome: comorbidity with fibromyalgia does matter

et al. 2015

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Background: In addition to the frequently reported pain complaints, performance-based cognitive capabilities in patients with chronic fatigue syndrome (CFS) with and without comorbid fibromyalgia (FM) are significantly worse than those of healthy controls. In various chronic pain populations, cognitive impairments are known to be related to pain severity. However, to the best of our knowledge, the association between cognitive performance and experimental pain measurements has never been examined in CFS patients.Objectives: This study aimed to examine the association between cognitive performance and self-reported as well as experimental pain measurements in CFS patients with and without FM.Study Design: Observational study.Setting: The present study took place at the Vrije Universiteit Brussel and the University of Antwerp.Methods: Forty-eight (18 CFS-only and 30 CFS+FM) patients and 30 healthy controls were studied. Participants first completed 3 performance-based cognitive tests designed to assess selective and sustained attention, cognitive inhibition, and working memory capacity. Seven days later, experimental pain measurements (pressure pain thresholds [PPT], temporal summation [TS], and conditioned pain modulation [CPM]) took place and participants were asked to fill out 3 questionnaires to assess self-reported pain, fatigue, and depressive symptoms.Results: In the CFS+FM group, the capacity of pain inhibition was significantly associated with cognitive inhibition. Self-reported pain was significantly associated with simple reaction time in CFS-only patients. The CFS+FM but not the CFS-only group showed a significantly lower PPT and enhanced TS compared with controls. Limitations:The cross-sectional nature of this study does not allow for inferences of causation. Conclusions:The results underline disease heterogeneity in CFS by indicating that a measure of endogenous pain inhibition might be a significant predictor of cognitive functioning in CFS patients with FM, while self-reported pain appears more appropriate to predict cognitive functioning in CFS patients without FM.

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Section: Pressure Pain Thresholdsmentioning

confidence: 99%

Associations between cognitive performance and pain in chronic fatigue syndrome: comorbidity with fibromyalgia does matter

et al. 2015

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“…40 After summing Likert-scaled items, each domain is standardized, ranging from 0 (lowest level of functioning) to 100 (highest level), according to international standard guidelines. 24,41 Pressure pain thresholds (PPT), the minimal pressure when the sensation of pressure changes to pain, 38 were assessed with a mechanical pressure algometer (Baseline FPK 20). The device consists of a round rubber disk (1 cm 2 ) attached to a force gauge (kg).…”

Section: Outcome Measuresmentioning

confidence: 99%

Effectiveness of Myofascial Trigger Point Manual Therapy Combined With a Self-Stretching Protocol for the Management of Plantar Heel Pain: A Randomized Controlled Trial

Renan-Ordine¹,

Alburquerque‐Sendín²,

Rodrigues-de-Souza³

et al. 2011

J Orthop Sports Phys Ther

147

149

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Plantar fasciitis or plantar heel pain is the most common foot pain condition treated by healthcare providers. 28 It has been estimated that plantar fasciitis occurs in approximately 2 million Americans annually 10 and affects as much as 10% of the general population over the course of a lifetime. 29 In fact, some authors have reported that plantar fasciitis accounts for between 8% and 15% of foot complaints in nonathletic and athletic populations. 31,37 Plantar heel pain has a negative impact on foot-specific and general health-related quality of life, 20 and shows distinct patterns of disability on different functional domains. 30 To date, there is evidence that this condition may not be characterized by inflammation but, rather, by noninflammatory degenerative changes in the plantar fascia. 21 These findings suggest that this painful T T OBJECTIVE:To investigate the effects of trigger point (TrP) manual therapy combined with a self-stretching program for the management of patients with plantar heel pain. T T BACKGROUND:Previous studies have reported that stretching of the calf musculature and the plantar fascia are effective management strategies for plantar heel pain. However, it is not known if the inclusion of soft tissue therapy can further improve the outcomes in this population. T T METHODS:Sixty patients, 15 men and 45 women (mean  SD age, 44  10 years) with a clinical diagnosis of plantar heel pain were randomly divided into 2 groups: a self-stretching (Str) group who received a stretching protocol, and a self-stretching and soft tissue TrP manual therapy (Str-ST) group who received TrP manual interventions (TrP pressure release and neuromuscular approach) in addition to the same self-stretching protocol. The primary outcomes were physical function and bodily pain domains of the quality of life SF-36 questionnaire. Additionally, pressure pain thresholds (PPT) were assessed over the affected gastrocnemii and soleus muscles, and over the calcaneus, by an assessor blinded to the treatment allocation. Outcomes of interest were captured at baseline and at a 1-month follow-up (end of treatment period). Mixed-model ANOVAs were used to examine the effects of the interventions on each outcome, with group as the between-subjects variable and time as the within-subjects variable. The primary analysis was the group-by-time interaction. T T RESULTS:The 2 × 2 mixed-model analysis of variance (ANOVA) revealed a significant groupby-time interaction for the main outcomes of the study: physical function (P = .001) and bodily pain (P = .005); patients receiving a combination of self-stretching and TrP tissue intervention experienced a greater improvement in physical function and a greater reduction in pain, as compared to those receiving the self-stretching protocol. The mixed ANOVA also revealed significant group-by-time interactions for changes in PPT over the gastrocnemii and soleus muscles, and the calcaneus (all P<.001). Patients receiving a combination of self-stretching and TrP tissue intervention showed a gre...

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“…We determined the PPT as the mean of the two last values out of three consecutive measurements (10 s in between), since this procedure has found to be reliable in nondisabled controls [43]. Algometry provides a reliable and valid measure of PPTs [44].…”

Section: Measurements and Questionnairesmentioning

confidence: 99%

Pain neurophysiology education improves cognitions, pain thresholds, and movement performance in people with chronic whiplash: A pilot study

Oosterwijck¹,

Nijs²,

Meeus³

et al. 2011

JRRD

149

101

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Abstract-Chronic whiplash is a debilitating condition characterized by increased sensitivity to painful stimuli, maladaptive illness beliefs, inappropriate attitudes, and movement dysfunctions. Previous work in people with chronic low back pain and chronic fatigue syndrome indicates that pain neurophysiology education is able to improve illness beliefs and attitudes as well as movement performance. This single-case study (A-B-C design) with six patients with chronic whiplash associated disorders (WAD) was aimed at examining whether education about the neurophysiology of pain is accompanied by changes in symptoms, daily functioning, pain beliefs, and behavior. Periods A and C represented assessment periods, while period B consisted of the intervention (pain neurophysiology education). Results showed a significant decrease in kinesiophobia (Tampa Scale for Kinesiophobia), the passive coping strategy of resting (Pain Coping Inventory), self-rated disability (Neck Disability Index), and photophobia (WAD Symptom List). At the same time, significantly increased pain pressure thresholds and improved pain-free movement performance (visual analog scale on Neck Extension Test and Brachial Plexus Provocation Test) were established. Although the current results need to be verified in a randomized, controlled trial, they suggest that education about the physiology of pain is able to increase pain thresholds and improve pain behavior and pain-free movement performance in patients with chronic WAD.

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Pressure algometry in manual therapy

Cited by 289 publications

References 0 publications

Associations between cognitive performance and pain in chronic fatigue syndrome: comorbidity with fibromyalgia does matter

Associations between cognitive performance and pain in chronic fatigue syndrome: comorbidity with fibromyalgia does matter

Effectiveness of Myofascial Trigger Point Manual Therapy Combined With a Self-Stretching Protocol for the Management of Plantar Heel Pain: A Randomized Controlled Trial

Pain neurophysiology education improves cognitions, pain thresholds, and movement performance in people with chronic whiplash: A pilot study

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