PMID- 27044541
OWN - NLM
STAT- MEDLINE
DCOM- 20170807
LR  - 20170817
IS  - 1944-7876 (Electronic)
IS  - 1071-1007 (Linking)
VI  - 37
IP  - 7
DP  - 2016 Jul
TI  - Pain Threshold Tests in Patients With Heel Pain Syndrome.
PG  - 730-6
LID - 10.1177/1071100716642038 [doi]
AB  - BACKGROUND: Pressure pain threshold (PPT) is a useful tool for evaluating 
      mechanical sensitivity in patients suffering from various musculoskeletal 
      disorders. However, no previous study has investigated PPT in the heel of 
      patients experiencing plantar heel pain syndrome (PHPS). The aim of this study 
      was to compare PPT levels and topographic presentation of sensitivity in the heel 
      of patients with PHPS and in healthy controls. METHODS: The reliability of PPT 
      testing in patients with PHPS was assessed for intra- and interrater recordings. 
      The PPT levels of 40 feet in each group were then assessed on 5 predetermined 
      sites in the heel using a standardized measurement protocol. Patient functional 
      status (FS) as measured by the Foot & Ankle Computerized Adaptive Test was 
      employed as an external reference. RESULTS: Multivariate analysis of covariance 
      revealed no group differences for PPTs at all sites (P = .406). Age (P = .099) or 
      BMI (P = .510) did not affect PPT values, although there was an effect on gender 
      (P = .006). The analysis revealed significant differences between sites (P < 
      .001) demonstrating a diverse topographic distribution. In the PHPS group, PPT 
      levels at the anterior/medial, posterior/medial and central sites were 
      significantly lower than at the posterior/lateral and anterior/lateral sites (P < 
      .05). For the control group, PPT levels at the anterior/medial site were 
      significantly lower than all other sites (P < .001). CONCLUSION: No significant 
      differences were found between PPT of the PHPS patients and controls, therefore, 
      PPT cannot be recommended as an assessment tool for these patients. The 
      topographic distribution indicated low PPT levels at the anterior/medial area of 
      the heel in patients with PHPS and controls. LEVEL OF EVIDENCE: Level II, 
      comparative study.
CI  - (c) The Author(s) 2016.
FAU - Saban, Bernice
AU  - Saban B
AD  - Spinal Research Laboratory, Department of Physical Therapy, the Stanley Steyer 
      School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, 
      Israel Physical Therapy Service, Maccabi Healthcare Services, Shpeigel 3, Petach 
      Tikva, Petach Tikva, Israel saban_b@mac.org.il.
FAU - Masharawi, Youssef
AU  - Masharawi Y
AD  - Spinal Research Laboratory, Department of Physical Therapy, the Stanley Steyer 
      School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, 
      Israel.
LA  - eng
PT  - Journal Article
DEP - 20160404
PL  - United States
TA  - Foot Ankle Int
JT  - Foot & ankle international
JID - 9433869
SB  - IM
MH  - Foot Diseases/*physiopathology
MH  - Heel/*physiopathology
MH  - Humans
MH  - Pain Measurement/methods
MH  - Pain Threshold/*physiology
MH  - Pressure
MH  - Reproducibility of Results
MH  - Syndrome
OTO - NOTNLM
OT  - heel pain
OT  - plantar fasciitis
OT  - pressure pain threshold
OT  - topographic distribution
EDAT- 2016/04/06 06:00
MHDA- 2017/08/08 06:00
CRDT- 2016/04/06 06:00
PHST- 2016/04/06 06:00 [entrez]
PHST- 2016/04/06 06:00 [pubmed]
PHST- 2017/08/08 06:00 [medline]
AID - 1071100716642038 [pii]
AID - 10.1177/1071100716642038 [doi]
PST - ppublish
SO  - Foot Ankle Int. 2016 Jul;37(7):730-6. doi: 10.1177/1071100716642038. Epub 2016 
      Apr 4.