Tender or not tender: test-retest repeatability of pressure pain thresholds in the trapezius and deltoid muscles of healthy women

Persson, Ann; Brogårdh, Christina; Sjölund, Bengt H.

doi:10.1080/16501970310015218

Cited by 150 publications

(114 citation statements)

References 25 publications

(49 reference statements)

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“…Klaesner et al also developed a handheld portable indention system but with very high interrater and intrarater reliability (ICC values = 0.99) [4]. The ICC values on PPT (Table 3) [47], when a pressure algometer was used. Precise control of the indentation speed and indentation direction may have contributed to the high measurement reliability of PPT.…”

Section: Indentation Of Foot Tissuementioning

confidence: 99%

An indentation apparatus for evaluating discomfort and pain thresholds in conjunction with mechanical properties of foot tissue in vivo

Xiong

Goonetilleke²,

Witana³

et al. 2010

JRRD

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Abstract-The mechanical properties of human foot tissue in vivo as well as discomfort and pain thresholds are important for various applications. In this study, an apparatus for measuring the discomfort and pain thresholds and the mechanical properties of human tissues is presented. The apparatus employs a stepper motor that controls the indentation speed, as well as a load cell and potentiometer that determine the corresponding reaction force and tissue deformation (displacement), respectively. A LabVIEW program (LabVIEW 8, National Instruments Corporation; Austin, Texas) was developed to control the indentation via a data acquisition card. The apparatus can accommodate indentor displacements up to 35 mm and can impart forces up to 150 N at a controlled indentation speed in the range of 0 to 10 mm/s. Tests showed that the displacement measurement error is 0.17 mm in the nominal range (0.5% in the full scale) and the measurement error of force is 1.6 N in the nominal range (1.1% in the full scale). Experimental results indicate that the apparatus is reliable and flexible for measuring the mechanical properties of foot tissue in vivo in conjunction with pain and discomfort thresholds.

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Section: Indentation Of Foot Tissuementioning

confidence: 99%

An indentation apparatus for evaluating discomfort and pain thresholds in conjunction with mechanical properties of foot tissue in vivo

Xiong

Goonetilleke²,

Witana³

et al. 2010

JRRD

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show abstract

“…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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“…For the purpose of this study, the examiner underwent a training session in the days prior to testing which consisted of multiple practice trials on several willing participants' spines. The high correlation values may be a reflection of this training, however the training procedure was minimal and may allow the device to be used as a single pre-test and post-test measure 15 and therefore appropriate for routine use in clinical practice. The use of the device could be as outcome measure for spinal complaints to quantify the subjective changes in pain reported by patient.…”

Section: Discussionmentioning

confidence: 99%

“…The spinous processes of C6, T6 and L4 were selected for assessment as they have been used in a previous study, 1 and therefore discussion of the results of the present in relation to this previous study is possible. The PPT for each segment was measured three times in order to obtain an average PPT value, as studies 6 have shown that the mean of more than one trial is the most reliable estimate of the PPT, 11 in particular if the first trial is excluded, 6,15 The algometer was positioned perpendicular to the body surface at the specified spinous processes and the pressure was increased at a rate of 40 kPa/sec. 9,15 Previous research has indicated that a constant rate of pressure application increases reliability.…”

Section: Methodsmentioning

confidence: 99%

“…The PPT for each segment was measured three times in order to obtain an average PPT value, as studies 6 have shown that the mean of more than one trial is the most reliable estimate of the PPT, 11 in particular if the first trial is excluded, 6,15 The algometer was positioned perpendicular to the body surface at the specified spinous processes and the pressure was increased at a rate of 40 kPa/sec. 9,15 Previous research has indicated that a constant rate of pressure application increases reliability. 10,16 Participants were instructed to press a button held in their hand once the sensation on their spine changed from pressure to pain.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

The repeatability of pressure algometry in asymptomatic individuals over consecutive days

Frank

McLaughlin

Vaughan

2013

International Journal of Osteopathic Medicine

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Tender or not tender: test-retest repeatability of pressure pain thresholds in the trapezius and deltoid muscles of healthy women

Abstract: Repeated measurements show stable intra-individual values. The method can be recommended when used by trained and experienced examiners.

Cited by 150 publications

References 25 publications

An indentation apparatus for evaluating discomfort and pain thresholds in conjunction with mechanical properties of foot tissue in vivo

An indentation apparatus for evaluating discomfort and pain thresholds in conjunction with mechanical properties of foot tissue in vivo

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

The repeatability of pressure algometry in asymptomatic individuals over consecutive days

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