PRESSURE PAIN THRESHOLD IN PAIN-FREE SUBJECTS, IN PATIENTS WITH CHRONIC REGIONAL PAIN SYNDROMES, AND IN PATIENTS WITH FIBROMYALGIA SYNDROME
PRESSURE PAIN THRESHOLD IN PAIN-FREE SUBJECTS, IN PATIENTS WITH CHRONIC REGIONAL PAIN SYNDROMES, AND IN PATIENTS WITH FIBROMYALGIA SYNDROME
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DOI：
10.1002/art.1780360510
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发表时间：
1993-05-01
影响因子：
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通讯作者：
LITTLEJOHN, G
中科院分区：
文献类型：
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作者：
GRANGES, G;LITTLEJOHN, G
Objective.我们假设疼痛阈值对压力的变化反映了疼痛系统的普遍变化，影响压痛点和控制点。我们使用痛觉测量仪对60例泛发性纤维肌痛/纤维组织炎综合征患者、60例局限性慢性疼痛综合征患者和60例无疼痛患者的18个压痛点和4个控制点进行了评估。在这些受试者中，压痛点和对照点的肌痛评分之间存在显著相关性。这些结果表明，有一个弥漫性的变化，在纤维肌痛的疼痛调制，作为假设，但压痛点仍然是临床上有用的。
Objective. We hypothesized that change in pain threshold to pressure reflects a generalized change in the pain system affecting both tender and control points.Methods. We assessed 18 tender points and 4 control points using an algometer in 60 patients with generalized fibromyalgia/fibrositis syndrome, 60 patients with localized chronic pain syndromes, and in 60 pain-free subjects.Results. A significant correlation was found between myalgia scores at tender points and control points in these subjects.Conclusion. These results suggest that there is a diffuse change in pain modulation in fibromyalgia, as hypothesized, but the tender point is still clinically useful.