The Relationship between Mechanical Hyperalgesia Assessed by Manual Tender Point Examination and Disease Severity in Patients with Chronic Widespread Pain : A Cross-Sectional Study
Joint Authors
Danneskiold-Samsøe, Bente
Stockmarr, Anders
Jespersen, Anders
Bennett, Robert
Amris, Kirstine
Bliddal, Henning
Wæhrens, Eva Ejlersen
Source
International Journal of Rheumatology
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-13, 13 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-04-15
Country of Publication
Egypt
No. of Pages
13
Main Subjects
Abstract EN
The clinical utility of tender point (TP) examination in patients reporting chronic widespread pain (CWP) is the subject of contemporary debate.
The objective of this study was to assess the relationship between mechanical hyperalgesia assessed by manual TP examination and clinical disease severity.
271 women with CWP were recruited from a clinical setting.
Data collection included patient-reported symptoms, health-related quality of life variables, and observation-based measures of functional ability, muscle strength, 6-minute walk, and pressure pain thresholds measured by cuff algometry.
TP examination was conducted according to ACR-guidelines.
Relationships between disease variables and TP count (TPC) were analyzed with logistic regression in a continuum model, allowing the TPC to depend on the included disease variables and two regression models carried out for a TPC threshold level, varying between 1 and 17.
The threshold analyses indicated a TPC threshold at 8, above which a large number of disease variables became consistently significant explanatory factors, whereas none of the disease variables reached a significance level in the continuum model.
These results support the premise that the presence of mechanical hyperalgesia influences symptomatology in CWP and that the severity of clinical expression is related to a threshold of TPs, rather than being part of a continuum.
American Psychological Association (APA)
Amris, Kirstine& Wæhrens, Eva Ejlersen& Jespersen, Anders& Stockmarr, Anders& Bennett, Robert& Bliddal, Henning…[et al.]. 2014. The Relationship between Mechanical Hyperalgesia Assessed by Manual Tender Point Examination and Disease Severity in Patients with Chronic Widespread Pain : A Cross-Sectional Study. International Journal of Rheumatology،Vol. 2014, no. 2014, pp.1-13.
https://search.emarefa.net/detail/BIM-470554
Modern Language Association (MLA)
Amris, Kirstine…[et al.]. The Relationship between Mechanical Hyperalgesia Assessed by Manual Tender Point Examination and Disease Severity in Patients with Chronic Widespread Pain : A Cross-Sectional Study. International Journal of Rheumatology No. 2014 (2014), pp.1-13.
https://search.emarefa.net/detail/BIM-470554
American Medical Association (AMA)
Amris, Kirstine& Wæhrens, Eva Ejlersen& Jespersen, Anders& Stockmarr, Anders& Bennett, Robert& Bliddal, Henning…[et al.]. The Relationship between Mechanical Hyperalgesia Assessed by Manual Tender Point Examination and Disease Severity in Patients with Chronic Widespread Pain : A Cross-Sectional Study. International Journal of Rheumatology. 2014. Vol. 2014, no. 2014, pp.1-13.
https://search.emarefa.net/detail/BIM-470554
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-470554