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Cesar Fernandezdelaspenas - One of the best experts on this subject based on the ideXlab platform.
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muscle trigger points Pressure Pain Threshold and cervical range of motion in patients with high level of disability related to acute whiplash injury
Journal of Orthopaedic & Sports Physical Therapy, 2012Co-Authors: Antonio Manuel Fernandezperez, Carmen Villaverdegutierrez, Aurora Morasanchez, Cristina Alonsoblanco, Michele Sterling, Cesar FernandezdelaspenasAbstract:Study Design Cross-sectional cohort study. Objective To analyze the differences in the prevalence of trigger points (TrPs) between patients with acute whiplash-associated disorders (WADs) and healthy controls, and to determine if widespread Pressure hypersensitivity and reduced cervical range of motion are related to the presence of TrPs in patients with acute WADs. Background The relationship between active TrPs and central sensitization is not well understood in patients with acute WADs. Methods Twenty individuals with a high level of disability related to acute WAD and 20 age- and sex-matched controls participated in the study. TrPs in the temporalis, masseter, upper trapezius, levator scapulae, sternocleidomastoid, suboccipital, and scalene muscles were examined. TrPs are defined as hypersensitive spots in a palpable taut band, producing a local twitch response and referred Pain when palpated. Pressure Pain Threshold (PPT) was assessed bilaterally over the C5–6 zygapophyseal joints, second metacarpal,...
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immediate effects on Pressure Pain Threshold following a single cervical spine manipulation in healthy subjects
Journal of Orthopaedic & Sports Physical Therapy, 2007Co-Authors: Cesar Fernandezdelaspenas, Marta Perezdeheredia, Miguel Brearivero, Juan Carlos MiangolarrapageAbstract:Design A placebo, control, repeated-measures, single-blinded randomized study. Objectives To compare the immediate effects on Pressure Pain Threshold (PPT) tested over the lateral elbow region following a single cervical high-velocity low-amplitude (HVLA) thrust manipulation, a sham-manual application (placebo), or a control condition; and to analyze if a different effect was evident on the side ipsilateral to, compared to the side contralateral to, the intervention. Background Previous studies investigating the effects of spinal manual therapy used passive mobilization procedures. There is a lack of studies exploring the effect of cervical manipulative interventions. Methods Fifteen asymptomatic volunteers (7 male, 8 female; aged 19–25 years) participated in this study. Each subject attended 3 experimental sessions on 3 separate days, at least 48 hours apart. At each session, subjects received either the manipulation, placebo, or control intervention provided by an experienced therapist. The manipulative...
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increased pericranial tenderness decreased Pressure Pain Threshold and headache clinical parameters in chronic tension type headache patients
The Clinical Journal of Pain, 2007Co-Authors: Cesar Fernandezdelaspenas, Lars Arendtnielsen, M L Cuadrado, Juan A ParejaAbstract:ObjectiveThe aim was to investigate whether increased pericranial tenderness or decreased Pressure Pain Threshold (PPT) was related to headache intensity, duration, and frequency in chronic tension-type headache (CTTH).MethodsTwenty-five CTTH patients and 25 matched controls were studied. A headache
Bruce F. Walker - One of the best experts on this subject based on the ideXlab platform.
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Manipulation-induced hypoalgesia in musculoskeletal Pain populations: a systematic critical review and meta-analysis
Chiropractic & Manual Therapies, 2019Co-Authors: Sasha L. Aspinall, Charlotte Leboeuf-yde, Sarah J. Etherington, Bruce F. WalkerAbstract:Background Manipulation-induced hypoalgesia (MIH) represents reduced Pain sensitivity following joint manipulation, and has been documented in various populations. It is unknown, however, whether MIH following high-velocity low-amplitude spinal manipulative therapy is a specific and clinically relevant treatment effect. Methods This systematic critical review with meta-analysis investigated changes in quantitative sensory testing measures following high-velocity low-amplitude spinal manipulative therapy in musculoskeletal Pain populations, in randomised controlled trials. Our objectives were to compare changes in quantitative sensory testing outcomes after spinal manipulative therapy vs. sham, control and active interventions, to estimate the magnitude of change over time, and to determine whether changes are systemic or not. Results Fifteen studies were included. Thirteen measured Pressure Pain Threshold, and four of these were sham-controlled. Change in Pressure Pain Threshold after spinal manipulative therapy compared to sham revealed no significant difference. Pressure Pain Threshold increased significantly over time after spinal manipulative therapy (0.32 kg/cm^2, CI 0.22–0.42), which occurred systemically. There were too few studies comparing to other interventions or for other types of quantitative sensory testing to make robust conclusions about these. Conclusions We found that systemic MIH (for Pressure Pain Threshold) does occur in musculoskeletal Pain populations, though there was low quality evidence of no significant difference compared to sham manipulation. Future research should focus on the clinical relevance of MIH, and different types of quantitative sensory tests. Trial registration Prospectively registered with PROSPERO (registration CRD42016041963 ).
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manipulation induced hypoalgesia in musculoskeletal Pain populations a systematic critical review and meta analysis
Chiropractic & Manual Therapies, 2019Co-Authors: Sasha L. Aspinall, Sarah J. Etherington, Charlotte Leboeufyde, Bruce F. WalkerAbstract:Manipulation-induced hypoalgesia (MIH) represents reduced Pain sensitivity following joint manipulation, and has been documented in various populations. It is unknown, however, whether MIH following high-velocity low-amplitude spinal manipulative therapy is a specific and clinically relevant treatment effect. This systematic critical review with meta-analysis investigated changes in quantitative sensory testing measures following high-velocity low-amplitude spinal manipulative therapy in musculoskeletal Pain populations, in randomised controlled trials. Our objectives were to compare changes in quantitative sensory testing outcomes after spinal manipulative therapy vs. sham, control and active interventions, to estimate the magnitude of change over time, and to determine whether changes are systemic or not. Fifteen studies were included. Thirteen measured Pressure Pain Threshold, and four of these were sham-controlled. Change in Pressure Pain Threshold after spinal manipulative therapy compared to sham revealed no significant difference. Pressure Pain Threshold increased significantly over time after spinal manipulative therapy (0.32 kg/cm2, CI 0.22–0.42), which occurred systemically. There were too few studies comparing to other interventions or for other types of quantitative sensory testing to make robust conclusions about these. We found that systemic MIH (for Pressure Pain Threshold) does occur in musculoskeletal Pain populations, though there was low quality evidence of no significant difference compared to sham manipulation. Future research should focus on the clinical relevance of MIH, and different types of quantitative sensory tests. Prospectively registered with PROSPERO (registration CRD42016041963 ).
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additional file 1 of effect of lumbar spinal manipulation on local and remote Pressure Pain Threshold and pinprick sensitivity in asymptomatic individuals a randomised trial
2016Co-Authors: Sasha L Dorron, Barrett Losco, Peter D Drummond, Bruce F. WalkerAbstract:Ipsilateral vs. Contralateral Changes in Pressure Pain Threshold and Pinprick Sensitivity. Description of data: Data tables and figures showing comparisons of change in PPT and PPS on ipsilateral and contralateral sides to SMT. (DOCX 81Â kb)
Lars Arendtnielsen - One of the best experts on this subject based on the ideXlab platform.
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assessment of musculoskeletal Pain sensitivity and temporal summation by cuff Pressure algometry a reliability study
Pain, 2015Co-Authors: Thomas Gravennielsen, Henrik Bjarke Vaegter, Gitte Handberg, Sara Finocchietti, Lars ArendtnielsenAbstract:Chronic musculoskeletal Pain is linked with sensitization, and standardized methods for assessment are needed. This study investigated (1) the test-retest reliability of computer-controlled cuff-Pressure algometry (Pain Thresholds and temporal Pain summation) on the arm and leg and (2) conditioned Pain modulation (CPM) assessed by cuff algometry. The influences of age and gender were evaluated. On 2 different days, cuff Pain Threshold (cPPT), cuff Pain tolerance (cPTT), and temporal summation of Pain (TSP) by visual analog scale scores to 10 repeated cuff stimulations at cPTT intensity, as well as Pressure Pain Threshold with handheld Pressure algometry, were assessed in 136 healthy subjects. In one session, cuff Pain sensitivity was also assessed before and after cold pressor-induced CPM. Good-to-excellent intraclass correlations (0.60-0.90) were demonstrated for manual and cuff algometry, and no systematic bias between sessions was found for cPPT, cPTT, and TSP on the leg and for cPTT and TSP on the arm. Cuff Pressure Pain Threshold and cPTT were higher in men compared with women (P < 0.05). Middle-aged subjects had higher Pressure Pain Threshold, but lower cPPT and cPTT, compared with younger subjects (P < 0.05). Temporal summation of Pain was increased in women compared with men (P < 0.05). Cuff algometry was sensitive to CPM demonstrated as increased cPPT and cPTT and reduced TSP (P < 0.05). Reliability and sensitivity of computer-controlled cuff algometry for Pain assessment is comparable with manual Pressure algometry and constitutes a user-independent method for assessment of Pain. Difference in age-related Pain sensitivity between manual and cuff algometry should be further investigated.
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computerized cuff Pressure algometry a new method to assess deep tissue hypersensitivity in fibromyalgia
Pain, 2007Co-Authors: Anders Jespersen, Thomas Gravennielsen, Lars Arendtnielsen, Lene Dreyer, Sally Aspegren Kendall, Henning Bliddal, Bente DanneskioldsamsoeAbstract:The aim of this study was to evaluate the use of computerized cuff Pressure algometry (CPA) in fibromyalgia (FM) and to correlate deep-tissue sensitivity assessed by CPA with other disease markers of FM. Forty-eight women with FM and 16 healthy age-matched women were included. A computer-controlled, pneumatic tourniquet cuff was placed over the gastrocnemius muscle. The cuff was inflated, and the subject rated the Pain intensity continuously on an electronic Visual Analogue Scale (VAS). The subject stopped the inflation at the Pressure-Pain tolerance and the corresponding VAS-score was determined (Pressure-Pain limit). The Pressure at which VAS firstly exceeded 0 was defined as the Pressure-Pain Threshold. Other disease markers (FM only): Isokinetic knee muscle strength, tenderpoint-count, myalgic score, Beck Depression Inventory, and Fibromyalgia Impact Questionnaire. Student's T-test was used to compare Pressure-Pain Threshold and Pressure-Pain tolerance and the Mann-Whitney test to compare Pressure-Pain limit. Pearson's correlation was used to detect linear relationships. Pressure-Pain Threshold and Pressure-Pain tolerance assessed by CPA were significantly lower in FM compared to healthy controls. There was no difference in Pressure-Pain limit. CPA-parameters were significantly correlated to isokinetic muscle strength where more hypersensitivity resulted in lower strength. Pressure-Pain Threshold and Pressure-Pain tolerance assessed by CPA were significantly lower in patients with FM indicating muscle hyperalgesia. CPA was associated with knee muscle strength but not with measures thought to be influenced by psychological distress and mood.
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increased pericranial tenderness decreased Pressure Pain Threshold and headache clinical parameters in chronic tension type headache patients
The Clinical Journal of Pain, 2007Co-Authors: Cesar Fernandezdelaspenas, Lars Arendtnielsen, M L Cuadrado, Juan A ParejaAbstract:ObjectiveThe aim was to investigate whether increased pericranial tenderness or decreased Pressure Pain Threshold (PPT) was related to headache intensity, duration, and frequency in chronic tension-type headache (CTTH).MethodsTwenty-five CTTH patients and 25 matched controls were studied. A headache
Josue Fernandezcarnero - One of the best experts on this subject based on the ideXlab platform.
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effectiveness of different deep dry needling dosages in the treatment of patients with cervical myofascial Pain a pilot rct
American Journal of Physical Medicine & Rehabilitation, 2017Co-Authors: Josue Fernandezcarnero, Laura Gilarranzdefrutos, Jose Vicente Leonhernandez, Daniel Pecosmartin, Isabel M Alguacildiego, Tomas Gallegoizquierdo, Aitor MartinpintadozugastiAbstract:ObjectiveTo assess the effectiveness of different dosages of local twitch responses (LTRs) elicited by deep dry needling (DDN) in relation to Pain intensity, Pressure Pain Threshold (PPT), cervical range of movement (CROM), and disability degree in cervical myofascial Pain patients.DesignA randomize
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effect of thumb joint mobilization on Pressure Pain Threshold in elderly patients with thumb carpometacarpal osteoarthritis
Journal of Manipulative and Physiological Therapeutics, 2012Co-Authors: Jorge Hugo Villafane, Guillermo B Silva, Josue FernandezcarneroAbstract:Abstract Objective This study evaluated the effects of Maitland's passive accessory mobilization on local hypoalgesia and strength in thumb carpometacarpal osteoarthritis (TCOA). Methods Twenty-eight patients between 70 and 90 years old with secondary TCOA were randomized into glide mobilization and sham groups. This study was designed as a double-blind, randomized controlled trial. Therapy consisted of Maitland's passive accessory mobilization of the dominant hand during 4 sessions over 2 weeks. We measured Pressure Pain Threshold (PPT) at the trapeziometacarpal joint (TMJ), the tubercle of the scaphoid bone, and the unciform apophysis of the hamate bone by algometry. The tip and tripod pinch strength was also measured. Grip strength was measured by a grip dynamometer. Measurements were taken before treatment and after 1 week (first follow-up [FU]) and 2 weeks (second FU). Results All values in sham group remained unchanged along the treatment period. In the treated group, the PPT in the TMJ was 3.85 ± 0.35 kg/cm 2 , which increased after treatment to 3.99 ± 0.37 and was maintained at the same level during the first FU 3.94 ± 0.39 and second FU 4.74 ± 0.40. In contrast, we found no differences in PPT in the other studied structures after treatment. Similarly, tip, tripod pinch, and grip strength remained without change after treatment. Conclusions Passive accessory mobilization increased PPT in the TMJ; however, it did not increase motor function in patients with TCOA.
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the influence of cranio cervical posture on maximal mouth opening and Pressure Pain Threshold in patients with myofascial temporomandibular Pain disorders
The Clinical Journal of Pain, 2011Co-Authors: Roy La Touche, Josue Fernandezcarnero, Alba Parisalemany, Harry Von Piekartz, Jeffrey S Mannheimer, Mariano RocabadoAbstract:Objective: The aim of this study was to assess the influence of cranio-cervical posture on the maximal mouth opening (MMO) and Pressure Pain Threshold (PPT) in patients with myofascial temporomandibular Pain disorders. Materials and Methods: A total of 29 patients (19 females and 10 males) with myofascial temporomandibular Pain disorders, aged 19 to 59 years participated in the study (mean years±SD; 34.69±10.83 y). MMO and the PPT (on the right side) of patients in neutral, retracted, and forward head postures were measured. A 1-way repeated measures analysis of variance followed by 3 pairwise comparisons were used to determine differences. Results: Comparisons indicated significant differences in PPT at 3 points within the trigeminal innervated musculature [masseter (M1 and M2) and anterior temporalis (T1)] among the 3 head postures [M1 (F=117.78; P<0.001), M2 (F=129.04; P<0.001), and T1 (F=195.44; P<0.001)]. There were also significant differences in MMO among the 3 head postures (F=208.06; P<0.001). The intrarater reliability on a given day-to-day basis was good with the interclass correlation coefficient ranging from 0.89 to 0.94 and 0.92 to 0.94 for PPT and MMO, respectively, among the different head postures. Conclusions: The results of this study shows that the experimental induction of different cranio-cervical postures influences the MMO and PPT values of the temporomandibular joint and muscles of mastication that receive motor and sensory innervation by the trigeminal nerve. Our results provide data that supports the biomechanical relationship between the cranio-cervical region and the dynamics of the temporomandibular joint, as well as trigeminal nociceptive processing in different cranio-cervical postures.
Jason P Krutsch - One of the best experts on this subject based on the ideXlab platform.
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responsiveness of myofascial trigger points to single and multiple trigger point release massages a randomized placebo controlled trial
American Journal of Physical Medicine & Rehabilitation, 2017Co-Authors: Albert Moraska, Sarah J Schmiege, J D Mann, Nathan Butryn, Jason P KrutschAbstract:ObjectiveThis study aimed to assess the effects of single and multiple massage treatments on Pressure-Pain Threshold (PPT) at myofascial trigger points (MTrPs) in people with myofascial Pain syndrome expressed as tension-type headache.DesignIndividuals (n = 62) with episodic or chronic tension-type
