Determination of a pressure pain threshold cut-off value for the diagnosis of temporomandibular joint arthralgia

2014 ◽  
Vol 41 (5) ◽  
pp. 323-329 ◽  
Author(s):  
C. O. Cunha ◽  
L. M. S. Pinto-Fiamengui ◽  
A. C. P. C. Castro ◽  
J. R. P. Lauris ◽  
P. C. R. Conti
Keyword(s):  
Temporomandibular Joint ◽  
Pain Threshold ◽  
Pressure Pain Threshold ◽  
Pressure Pain

scholarly journals 1042 SLEEP MODERATES THE RELATIONSHIP BETWEEN TEMPOROMANDIBULAR JOINT DISORDER AND PRESSURE PAIN THRESHOLD

SLEEP ◽  
2017 ◽  
Vol 40 (suppl_1) ◽  
pp. A388-A388
Author(s):  
BA Fulton ◽  
CM Campbell ◽  
SF Lerman ◽  
M Smith ◽  
LF Buenaver
Keyword(s):  
Temporomandibular Joint ◽  
Pain Threshold ◽  
Pressure Pain Threshold ◽  
Temporomandibular Joint Disorder ◽  
Pressure Pain ◽  
Joint Disorder ◽  
The Relationship

“Pressure pain threshold over masticatory muscles and temporomandibular joint in patients with juvenile idiopathic arthritis”

2020 ◽  
Vol 47 (8) ◽  
pp. 944-950
Author(s):  
Roberta Valentino ◽  
Roberto Rongo ◽  
Maria Alessio ◽  
Per Alstergren ◽  
Rosaria Bucci ◽  
...  
Keyword(s):  
Juvenile Idiopathic Arthritis ◽  
Temporomandibular Joint ◽  
Pain Threshold ◽  
Pressure Pain Threshold ◽  
Masticatory Muscles ◽  
Pressure Pain

scholarly journals Temporomandibular dysfunction in patients with a history of stroke.

2020 ◽  
pp. 1-5
Author(s):  
Mariana Altvater Ramos ◽  
Beatriz Garcia Moura ◽  
Camila Costa Araujo ◽  
Tiago Tsunoda Del Antonio ◽  
Joyce Karla Machado da Silva
Keyword(s):  
Temporomandibular Joint ◽  
Pain Threshold ◽  
Muscle Tone ◽  
Pressure Pain Threshold ◽  
Masticatory Muscles ◽  
Pressure Pain ◽  
Threshold Test ◽  
Joint Disorder ◽  
Orofacial Region ◽  
History Of

Background: The temporomandibular joint (TMJ) is certainly one of the most complex joints in the human body. The American Academy of Orofacial Pain defines temporomandibular joint disorder (TMD) as a set of disorders involving the masticatory muscles, the TMJ, and associated structures. It is pointed as the main cause of non-dental pain in the orofacial region, including head, face and related structures. The most common TMD symptoms involve joint, chewing and face pain. There may also be crackling when opening and closing the mouth, earache, tinnitus, dizziness, dislocations, limitation of movement and painful tenderness to palpation. Stroke causes sequelae in subjects that include motor disorders, speech or language disorders, and swallowing disorders. Approximately 50% of patients with hemiparesis after stroke are known to have facial control deficiency, weakened orofacial and mandibular functions. Objective: To evaluate patients with a history of stroke, seeking a possible relationship with TMD, the pain associated with this change, and the limitations of range of motion related to the presence of hemibody spasticity in patients post stroke. Methods: The sample consisted of 19 patients of both genders, aged 55 to 70 years, who had suffered stroke. It was used the RDC/TMD for TMD diagnosis, Pressure Pain Threshold test, Ashworth scale, and Sanny Fleximeter for cervical ROM evaluation, being the statistical analysis performed by the software Bioestat version 5.3. Results: TMD was diagnosed in 81.8% of the sample, and of these, 45.4% had a diagnosis of disc displacement with reduction. Conclusion: There was an increase in the muscle tone and the pressure pain threshold, and a decrease in cervical spine ROM, related to the affected side and diagnosed with this disorder, observing that the muscle alterations caused by stroke may be predisposing factors to patients, to the development of muscle TMD or even joint TMD.

scholarly journals Serotonergic Mechanisms Influence the Response to Glucocorticoid Treatment in TMJ Arthritis

2005 ◽  
Vol 2005 (4) ◽  
pp. 194-201 ◽  
Author(s):  
Lars Fredriksson ◽  
Per Alstergren ◽  
Sigvard Kopp
Keyword(s):  
Synovial Fluid ◽  
Temporomandibular Joint ◽  
Pain Threshold ◽  
Pressure Pain Threshold ◽  
Glucocorticoid Treatment ◽  
Pressure Pain ◽  
Inflammatory Disorders ◽  
Tmj Pain ◽  
Systemic Nature

The aims of this study were to investigate the influence of serotonin (5-HT) on the effects of intra-articular injections of glucocorticoid on pain of the temporomandibular joint (TMJ) in patients with inflammatory disorders of the TMJ. The pretreatment synovial fluid 5-HT was negatively, and plasma 5-HT positively, correlated to change in TMJ pain after treatment. The pretreatment plasma 5-HT was positively correlated to change in pressure-pain threshold after treatment. In conclusion, this study shows that local and systemic serotonergic mechanisms partly determine the effect of intra-articular glucocorticoid treatment on TMJ pain in patients with chronic TMJ arthritis of systemic nature, while change in pressure-pain threshold over the TMJ is influenced by systemic serotonergic mechanisms.

Metformin increases pressure pain threshold in lean PCOS women

2017 ◽  
Author(s):  
Marta Kialka ◽  
Tomasz Milewicz ◽  
Krystyna Sztefko ◽  
Iwona Rogatko ◽  
Renata Majewska
Keyword(s):  
Pain Threshold ◽  
Pressure Pain Threshold ◽  
Pressure Pain

scholarly journals A novel metric of reliability in pressure pain threshold measurement

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Bernard Liew ◽  
Ho Yin Lee ◽  
David Rügamer ◽  
Alessandro Marco De Nunzio ◽  
Nicola R. Heneghan ◽  
...  
Keyword(s):  
Mixed Models ◽  
Variance Components ◽  
Pain Threshold ◽  
Intraclass Correlation ◽  
Pressure Pain Threshold ◽  
Total Variance ◽  
Lumbar Region ◽  
Pressure Pain ◽  
Pressure Algometer ◽  
Testing Protocols

AbstractThe inter-session Intraclass Correlation Coefficient (ICC) is a commonly investigated and clinically important metric of reliability for pressure pain threshold (PPT) measurement. However, current investigations do not account for inter-repetition variability when calculating inter-session ICC, even though a PPT measurement taken at different sessions must also imply different repetitions. The primary aim was to evaluate and report a novel metric of reliability in PPT measurement: the inter-session-repetition ICC. One rater recorded ten repetitions of PPT measurement over the lumbar region bilaterally at two sessions in twenty healthy adults using a pressure algometer. Variance components were computed using linear mixed-models and used to construct ICCs; most notably inter-session ICC and inter-session-repetition ICC. At 70.1% of the total variance, the source of greatest variability was between subjects ($${\sigma }_{subj}^{2}$$ σ subj 2 = 222.28 N2), whereas the source of least variability (1.5% total variance) was between sessions ($${\sigma }_{sess}^{2}$$ σ sess 2 = 4.83 N2). Derived inter-session and inter-session-repetition ICCs were 0.88 (95%CI: 0.77 to 0.94) and 0.73 (95%CI: 0.53 to 0.84) respectively. Inter-session-repetition ICC provides a more conservative estimate of reliability than inter-session ICC, with the magnitude of difference being clinically meaningful. Quantifying individual sources of variability enables ICC construction to be reflective of individual testing protocols.

scholarly journals Comparative study of the effectiveness of a low-pressure hyperbaric oxygen treatment and physical exercise in women with fibromyalgia: randomized clinical trial

2020 ◽  
Vol 12 ◽  
pp. 1759720X2093049
Author(s):  
Ruth Izquierdo-Alventosa ◽  
Marta Inglés ◽  
Sara Cortés-Amador ◽  
Lucia Gimeno-Mallench ◽  
Núria Sempere-Rubio ◽  
...  
Keyword(s):  
Physical Exercise ◽  
Physical Performance ◽  
Hyperbaric Oxygen ◽  
Functional Capacity ◽  
Pain Threshold ◽  
Cortical Excitability ◽  
Pressure Pain Threshold ◽  
Low Pressure ◽  
Pressure Pain ◽  
Perceived Pain

Background: Fibromyalgia (FM) is characterized by chronic pain and fatigue, among other manifestations, thus advising interventions that do not aggravate these symptoms. The main purpose of this study is to analyse the effect of low-pressure hyperbaric oxygen therapy (HBOT) on induced fatigue, pain, endurance and functional capacity, physical performance and cortical excitability when compared with a physical exercise program in women with FM. Methods: A total of 49 women with FM took part in this randomized controlled trial. They were randomly allocated to three groups: physical exercise group (PEG, n = 16), low-pressure hyperbaric oxygen therapy group (HBG, n = 17) and control group (CG, n = 16). Induced fatigue, perceived pain, pressure pain threshold, endurance and functional capacity, physical performance and cortical excitability were assessed. To analyse the effect of the interventions, two assessments, that is, pre and post intervention, were carried out. Analyses of the data were performed using two-way mixed multivariate analysis of variance. Results: The perceived pain and induced fatigue significantly improved only in the HBG ( p < 0.05) as opposed to PEG and CG. Pressure pain threshold, endurance and functional capacity, and physical performance significantly improved for both interventions ( p < 0.05). The cortical excitability (measured with the resting motor threshold) did not improve in any of the treatments ( p > 0.05). Conclusions: Low-pressure HBOT and physical exercise improve pressure pain threshold, endurance and functional capacity, as well as physical performance. Induced fatigue and perceived pain at rest significantly improved only with low-pressure HBOT. Trial registration: ClinicalTrials.gov identifier NCT03801109.

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