PMID- 17606393 OWN - NLM STAT- MEDLINE DCOM- 20080220 LR - 20071206 IS - 1532-2149 (Electronic) IS - 1090-3801 (Linking) VI - 12 IP - 2 DP - 2008 Feb TI - Influence of scapular position on the pressure pain threshold of the upper trapezius muscle region. PG - 226-32 AB - A position of scapula depression will maintain the upper trapezius muscle region in a lengthened position, causing excessive strain. This strain could lead to peripheral nociceptive nerves sensitization in the affected area, changing the pressure pain threshold (PPT). Thus, people with a faulty alignment of scapular depression may have lower PPT levels in the upper trapezius region when compared to subjects with normal vertical scapular position. The purpose of this double-blind study was to assess the influence of scapular position on the PPT of the upper trapezius region in a young healthy population. Fifty two physical therapy students of the Catholic University of Minas Gerais-PUC-Minas, Brazil, with normal shoulder (NS group, n=26, 6 men and 20 women) or depressed shoulder (DS group, n=26, 6 men and 20 women) volunteered to participate in this study. An electronic pressure algometer was used to measure the PPT on the upper trapezius muscle region. The results showed a significant difference between groups, with the DS group (19.0+/-9.0 N/cm(2)) demonstrated lower mean PPT values when compared to NS group (26.1+/-9.6 N/cm(2)) (p<0.01). Our results showed that healthy young subjects with depressed scapula position had significant lower upper trapezius PPT values when compared to subjects with normal scapula position. FAU - Azevedo, Daniel Camara AU - Azevedo DC AD - Department of Physical Therapy, Catholic University of Minas Gerais-PUC-Minas, Belo Horizonte, MG, Brazil. danielazevedo@pucminas.br FAU - de Lima Pires, Tatiana AU - de Lima Pires T FAU - de Souza Andrade, Fernanda AU - de Souza Andrade F FAU - McDonnell, Mary Kate AU - McDonnell MK LA - eng PT - Journal Article DEP - 20070702 PL - England TA - Eur J Pain JT - European journal of pain (London, England) JID - 9801774 SB - IM MH - Adult MH - Double-Blind Method MH - Female MH - Humans MH - Male MH - *Pain Threshold MH - *Posture MH - Pressure MH - *Scapula MH - Shoulder Pain/*etiology MH - Stress, Mechanical EDAT- 2007/07/04 09:00 MHDA- 2008/02/21 09:00 CRDT- 2007/07/04 09:00 PHST- 2006/11/09 00:00 [received] PHST- 2007/04/24 00:00 [revised] PHST- 2007/05/16 00:00 [accepted] PHST- 2007/07/04 09:00 [pubmed] PHST- 2008/02/21 09:00 [medline] PHST- 2007/07/04 09:00 [entrez] AID - S1090-3801(07)00581-2 [pii] AID - 10.1016/j.ejpain.2007.05.004 [doi] PST - ppublish SO - Eur J Pain. 2008 Feb;12(2):226-32. doi: 10.1016/j.ejpain.2007.05.004. Epub 2007 Jul 2.