More pain, more tender points: Is fibromyalgia just one end of a continuous spectrum?
More pain, more tender points: Is fibromyalgia just one end of a continuous spectrum?
复制标题
DOI：
10.1136/ard.55.7.482
复制
发表时间：
1996-07-01
影响因子：
27.4
通讯作者：
Silman, A
中科院分区：
文献类型：
--
作者：
Croft, P;Burt, J;Silman, A
目的：研究纤维肌痛是肌肉骨骼疼痛与压痛点之间有更广泛的联系的光谱的一端的假设。方法：研究对象是从基于人群的肌肉骨骼疼痛筛查调查中挑选出来的177名个体。所有受试者都完成了疼痛Mannikin检查，并在美国风湿病学会的9个双侧站点检查了压痛点的存在。结果-报告的身体节段疼痛和该节段压痛点的存在之间存在中等强烈的相关性(优势比1.3-3.1)。此外，有证据表明，随着疼痛节段的增加，压痛点的数量有增加的趋势。非特异性疼痛、疼痛或僵硬的报告也与高压痛点计数有关。结论--这项研究表明，压痛点和疼痛之间的联系并不局限于临床上定义的慢性广泛性疼痛亚组。鉴于广泛的疼痛和压痛点以前曾与痛苦联系在一起，这可能反映出痛苦的躯体化程度较轻或较早阶段。
Objectives-To investigate the hypothesis that fibromyalgia represents one end of a spectrum in which there is a more general association between musculoskeletal pain and tender points.Methods-The subjects studied were 177 individuals selected from a population based screening survey for musculoskeletal pain. All subjects completed a pain mannikin and were examined for the presence of tender points at the nine American College of Rheumatology bilateral sites.Results-There were moderately strong associations (odds ratios range 1.3-3.1) between the reported presence of pain in a body segment and the presence of a tender point within that segment. Further, there was evidence of a trend of increasing number of tender points with increasing number of painful segments. The reporting of non-specific pain, aching, or stiffness, was also associated with high tender point counts.Conclusion-This study illustrates that the association between tender points and pain is not restricted to the clinically defined subgroup with chronic widespread pain. Given that widespread pain and tender points have previously been linked with distress, this might reflect lesser degrees or earlier phases of the somatisation of distress.