전자식 압력 통각계의 유용성
Usefulness of Electronic Pressure Algometer in Evaluation of Pressure Pain Threshold in Normal Korean Adults
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참고문헌
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초록
Objective: To examine pressure pain threshold (PPT) on several skeletal muscles in upper extremity, trunk, and lower extremity by using electronic pressure algometer and to evaluate it's interrater reliability, reproducibility, difference between gender and dominance, correlation with body mass index, and comparison among each muscles.Method: Forty healthy adults (male 27, female 13) were examined by two raters and reexamined in the same order after a rest of 10 minute. PPT at the splenius capitis, upper trapezius, infraspinatus, lumbar paraspinal muscle, extensor carpi radialis, vastus medialis, and gluteus medius muscles of both side was measured by medical electronic algometer. Rate of force application was approximately 2 lb/sec. Body mass index (BMI) was estimated from the individual's body weight by the square of their height.Results: There were no statistical differences of PPTs at all muscles between two raters, between two test with time interval, and between dominant and nondominant side, respectively. PPT in man was higher than female at all muscles. There was significant correlation between BMI and PPT at lumbar paraspinal muscle, vastus medialis, and gluteus medius only in male. PPT was highest at lumbar paraspinal muscle and lowest at splenius capitis.Conclusion: Electronic pressure algometer is a reliable tool for evaluation of PPT which has high interrater reliability and high reproducibility and is not affected by dominance and location of muscles. Therefore, it is a useful clinical tool to compare PPT before and after treatment and to study the mechanism of musculoskeletal pain research program.
Abstract
Objective: To examine pressure pain threshold (PPT) on several skeletal muscles in upper extremity, trunk, and lower extremity by using electronic pressure algometer and to evaluate it's interrater reliability, reproducibility, difference between gender and dominance, correlation with body mass index, and comparison among each muscles.Method: Forty healthy adults (male 27, female 13) were examined by two raters and reexamined in the same order after a rest of 10 minute. PPT at the splenius capitis, upper trapezius, infraspinatus, lumbar paraspinal muscle, extensor carpi radialis, vastus medialis, and gluteus medius muscles of both side was measured by medical electronic algometer. Rate of force application was approximately 2 lb/sec. Body mass index (BMI) was estimated from the individual's body weight by the square of their height.Results: There were no statistical differences of PPTs at all muscles between two raters, between two test with time interval, and between dominant and nondominant side, respectively. PPT in man was higher than female at all muscles. There was significant correlation between BMI and PPT at lumbar paraspinal muscle, vastus medialis, and gluteus medius only in male. PPT was highest at lumbar paraspinal muscle and lowest at splenius capitis.Conclusion: Electronic pressure algometer is a reliable tool for evaluation of PPT which has high interrater reliability and high reproducibility and is not affected by dominance and location of muscles. Therefore, it is a useful clinical tool to compare PPT before and after treatment and to study the mechanism of musculoskeletal pain research program.
참고문헌 (19)
- Buchanan HM, "Evaluation of pain threshold using a simple pressure algometer", Clin Rheumatol, 6, pp.510~517 (1987)
- Hogeweg JA, "Algometry: measuring pain threshold, method and characteristics in healthy subject", Scand J Rehabil Med, 24, pp.99~103 (1992)
- Fischer AA, "Pressure threshold meter: its use for quantification of tender spots", Arch Phys Med Rehabil, 67, pp.836~838 (1986)
- Vatine JJ, "Electronic pressure algometry of deep pain in healthy volunteers", Arch Phys Med Rehabil, 74, pp.526~530 (1993)
- Harden RN, "A Critical analysis of the tender points in fibromyalgia", Pain Med, 8, pp.147~156 (2007)
- Chesterton LS, "Gender differences in pressure pain threshold in healthy humans", Pain, 101, pp.259~266 (2003)
- Pauli P, "Pressure pain thresholds asymmetry in left and right-handers: associateion with behavilral measures of cerebral laterality", Eur J Pain, 3, pp.151~156 (1999)
- Reeves JL, "Reliability of the pressure algometer as a measure of myofascial trigger point sensitivity", Pain, 24, pp.313~321 (1986)
- Neri M, "Aging and right-left asymmetry in experimental pain measurement", Pain, 19, pp.43~48 (1984)
- Fischer AA, "Pressure algometry over normal muscles. Standard values, validity and reproducibility of pressure threshold", Pain, 30, pp.115~126 (1987)
- Han TR, "Pain threshold using a pressure algometer in normal Korean young adults", J Korean Acad Rehabil Med, 18, pp.219~226 (1994)
- Delaney GA, "Inter- and intra-rater reliability of the pressure threshold meter in measurement of myofascial trigger piont sensitivity", Am J Phy Med Rehabil, 72, pp.136~139 (1993)
- Nussbaum EL, "Reliability of clinical pressure-pain algometric measurements obtained on consecutive days", Phys Ther, 78, pp.160~169 (1998)
- Potter L, "Algometer reliability in measuring pain pressure threshold over normal spinal muscles to allow quantification of anti-nociceptive treatment effects", Int J Osteopath Med, 9, pp.113~119 (2006)
- Riley JL 3rd, "Sex differences in the perception of noxious experimental stimuli: a meta-analysis", Pain, 74, pp.181~187 (1998)
- Neumann L, "A cross-sectional study of the relationship between body mass index and clinical characteristics, tenderness measures, quality of life, and physical functioning in fibromyalgia patients", Clin Rheumatol, 12, pp.1543~1547 (2008)
- Jensen K, "Pressure-pain threshold in human temporal region. Evaluation of a new pressure algometer", Pain, 25, pp.313~323 (1986)
- Jensen R, "Cephalic muscle tenderness and pressure pain threshold in a general population", Pain, 48, pp.197~203 (1992)
- Brennum J, "Measurements of human pressure-pain thresholds on fingers and toes", Pain, 38, pp.211~217 (1989)
