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Assessment of pressure-pain thresholds and central sensitization of pain in lateral epicondylalgia

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@article{f9cd25dd7e114f7d9d60009b97629fed,
title = "Assessment of pressure-pain thresholds and central sensitization of pain in lateral epicondylalgia",
abstract = "OBJECTIVE.: To assess pain sensitivity and spreading hyperalgesia in lateral epicondylalgia (LE). SUBJECTS.: Twenty-two women with LE, and 38 controls were included. OUTCOME MEASURES.: Computerized cuff pressure algometry was used for assessment of pressure-pain threshold and tolerance. The stimulus was applied using a single (stimulation-area: 241 cm(2) ) or double-chambered (stimulation-area: 482 cm(2) ) tourniquet on the arm and leg. Spatial summation was expressed as the ratio between pressure-pain thresholds to single and double cuff-chamber stimulation. During 10-minute constant pressure stimulation at intensity relative to the individual pain threshold, the pain intensity was continuously recorded using an electronic visual analogue scale (VAS), and from this the degree of temporal summation was estimated. For LE, a Doppler ultrasound examination of the elbow was made to identify inflammation. RESULTS.: In LE compared with controls the pressure-pain threshold and tolerance were on average reduced by respectively 31{\%} (nonsignificant) and 18{\%} (nonsignificant) on the lower arm and by 32{\%} (P ",
keywords = "Adult, Case-Control Studies, Central Nervous System Sensitization, Female, Humans, Hyperalgesia, Middle Aged, Pain Measurement, Pain Threshold, Physical Stimulation, Pressure, Tennis Elbow",
author = "Anders Jespersen and Kirstine Amris and Thomas Graven-Nielsen and Lars Arendt-Nielsen and Bartels, {Else Marie} and S{\o}ren Torp-Pedersen and Henning Bliddal and Bente Danneskiold-Samsoe",
note = "Wiley Periodicals, Inc.",
year = "2013",
month = "2",
doi = "10.1111/pme.12021",
language = "English",
volume = "14",
pages = "297--304",
journal = "Pain Medicine",
issn = "1526-2375",
publisher = "Wiley-Blackwell Publishing, Inc",
number = "2",

}

RIS

TY - JOUR

T1 - Assessment of pressure-pain thresholds and central sensitization of pain in lateral epicondylalgia

AU - Jespersen, Anders

AU - Amris, Kirstine

AU - Graven-Nielsen, Thomas

AU - Arendt-Nielsen, Lars

AU - Bartels, Else Marie

AU - Torp-Pedersen, Søren

AU - Bliddal, Henning

AU - Danneskiold-Samsoe, Bente

N1 - Wiley Periodicals, Inc.

PY - 2013/2

Y1 - 2013/2

N2 - OBJECTIVE.: To assess pain sensitivity and spreading hyperalgesia in lateral epicondylalgia (LE). SUBJECTS.: Twenty-two women with LE, and 38 controls were included. OUTCOME MEASURES.: Computerized cuff pressure algometry was used for assessment of pressure-pain threshold and tolerance. The stimulus was applied using a single (stimulation-area: 241 cm(2) ) or double-chambered (stimulation-area: 482 cm(2) ) tourniquet on the arm and leg. Spatial summation was expressed as the ratio between pressure-pain thresholds to single and double cuff-chamber stimulation. During 10-minute constant pressure stimulation at intensity relative to the individual pain threshold, the pain intensity was continuously recorded using an electronic visual analogue scale (VAS), and from this the degree of temporal summation was estimated. For LE, a Doppler ultrasound examination of the elbow was made to identify inflammation. RESULTS.: In LE compared with controls the pressure-pain threshold and tolerance were on average reduced by respectively 31% (nonsignificant) and 18% (nonsignificant) on the lower arm and by 32% (P 

AB - OBJECTIVE.: To assess pain sensitivity and spreading hyperalgesia in lateral epicondylalgia (LE). SUBJECTS.: Twenty-two women with LE, and 38 controls were included. OUTCOME MEASURES.: Computerized cuff pressure algometry was used for assessment of pressure-pain threshold and tolerance. The stimulus was applied using a single (stimulation-area: 241 cm(2) ) or double-chambered (stimulation-area: 482 cm(2) ) tourniquet on the arm and leg. Spatial summation was expressed as the ratio between pressure-pain thresholds to single and double cuff-chamber stimulation. During 10-minute constant pressure stimulation at intensity relative to the individual pain threshold, the pain intensity was continuously recorded using an electronic visual analogue scale (VAS), and from this the degree of temporal summation was estimated. For LE, a Doppler ultrasound examination of the elbow was made to identify inflammation. RESULTS.: In LE compared with controls the pressure-pain threshold and tolerance were on average reduced by respectively 31% (nonsignificant) and 18% (nonsignificant) on the lower arm and by 32% (P 

KW - Adult

KW - Case-Control Studies

KW - Central Nervous System Sensitization

KW - Female

KW - Humans

KW - Hyperalgesia

KW - Middle Aged

KW - Pain Measurement

KW - Pain Threshold

KW - Physical Stimulation

KW - Pressure

KW - Tennis Elbow

U2 - 10.1111/pme.12021

DO - 10.1111/pme.12021

M3 - Journal article

VL - 14

SP - 297

EP - 304

JO - Pain Medicine

JF - Pain Medicine

SN - 1526-2375

IS - 2

ER -

ID: 39039428