PMID- 33459693
OWN - NLM
STAT- MEDLINE
DCOM- 20210719
LR  - 20210719
IS  - 1878-6324 (Electronic)
IS  - 1053-8127 (Linking)
VI  - 34
IP  - 3
DP  - 2021
TI  - Reliability of pressure pain threshold to discriminate individuals with neck and 
      low back pain.
PG  - 363-370
LID - 10.3233/BMR-181208 [doi]
AB  - BACKGROUND: Pressure pain threshold (PPT) is decreased in several musculoskeletal 
      disorders, giving indirect evidence regarding pain status. Despite the fact that 
      PPT has been already proven to be reliable in patients with acute conditions, 
      there is great variability of methods and results observed within studies, and 
      only a few evidences confirming its reliability in chronic conditions. OBJECTIVE: 
      The objective of this study was to determine the test-retest reliability of PPT 
      in the neck and low back regions to discriminate individuals with neck or low 
      back pain from healthy individuals. Additionally, one secondary aim was to 
      establish the minimum detectable change (MDC) and the standard error of 
      measurement for future clinical studies and interventions. METHODS: In this 
      reliability study, 74 individuals (15 individuals from the neck pain and 17 from 
      the neck control group; 21 individuals from the low back pain and 21 from the low 
      back control group). PPT was measured in the neck region (suboccipital, trapezius 
      and supraspinal muscles) and in the lower back region (paraspinal muscles in the 
      levels of L1, L3 and L5). Intrarater reliability was assessed using intraclass 
      correlation coeficient and Bland-Altman. RESULTS: Excellent intra-rater 
      reliability was observed for both (ICC of 0.874 for the neck pain versus ICC of 
      0.895 in neck control group; ICC of 0.932 for the low back pain group versus ICC 
      of 0.839 for the control group). A small bias was observed for all groups (-0.08 
      for the neck pain group versus 0.10 in the control group; and 0.32 in low back 
      pain group versus 0.44 in the control group). Minimum detectable change of 
      0.63 kgf of neck pain and 1.21 kgf of low back pain was calculated. It was found 
      difference in PPT between pain and control groups (p< 0.05). CONCLUSION: It may 
      be suggested that the protocol with PPT is reliable and able to discriminate 
      individuals with and without neck and low back pain with a minor measurement 
      error. Therefore, this method may be used to detect possible progress after 
      interventions in patients with neck or low back pain.
FAU - Zicarelli, Carlos A M
AU  - Zicarelli CAM
AD  - Rehabilitation Research Laboratory, University of Northern Parana, Londrina, PR, 
      Brazil.
AD  - School of Medicine, Pontifical Catholic University of Parana, Londrina, PR, 
      Brazil.
AD  - Rehabilitation Research Laboratory, University of Northern Parana, Londrina, PR, 
      Brazil.
FAU - Santos, Joao Paulo M
AU  - Santos JPM
AD  - Rehabilitation Research Laboratory, University of Northern Parana, Londrina, PR, 
      Brazil.
AD  - Rehabilitation Research Laboratory, University of Northern Parana, Londrina, PR, 
      Brazil.
FAU - Poli-Frederico, Regina Celia
AU  - Poli-Frederico RC
AD  - Doctoral Program in Rehabilitation Sciences UEL/UNOPAR, Londrina, PR, Brazil.
FAU - Silva, Rubens A
AU  - Silva RA
AD  - Doctoral Program in Rehabilitation Sciences UEL/UNOPAR, Londrina, PR, Brazil.
AD  - Physiotherapy Program, Department of Health Sciences, McGill University, 
      Montreal, QC, Canada.
AD  - Universite du Quebec a Chicoutimi, Saguenay, QC, Canada.
FAU - Barrilec, Fabrice
AU  - Barrilec F
AD  - Thema, Paris, France.
FAU - Barrette, Gilles
AU  - Barrette G
AD  - Thema, Paris, France.
FAU - Iida, Ligia M
AU  - Iida LM
AD  - Rehabilitation Research Laboratory, University of Northern Parana, Londrina, PR, 
      Brazil.
FAU - Russo, Priscilla P
AU  - Russo PP
AD  - School of Medicine, Pontifical Catholic University of Parana, Londrina, PR, 
      Brazil.
FAU - Larangeira, Lino L S
AU  - Larangeira LLS
AD  - Irmandade da Santa Casa de Londrina Hospital, Londrina, PR, Brazil.
FAU - Fernandes, Marcos T P
AU  - Fernandes MTP
AD  - Irmandade da Santa Casa de Londrina Hospital, Londrina, PR, Brazil.
FAU - Fernandes, Karen B P
AU  - Fernandes KBP
AD  - Doctoral Program in Rehabilitation Sciences UEL/UNOPAR, Londrina, PR, Brazil.
AD  - Institute of Education, Research and Inovation, Irmandade da Santa Casa de 
      Londrina, Londrina, PR, Brazil.
AD  - Universite du Quebec a Chicoutimi, Saguenay, QC, Canada.
LA  - eng
PT  - Journal Article
PL  - Netherlands
TA  - J Back Musculoskelet Rehabil
JT  - Journal of back and musculoskeletal rehabilitation
JID - 9201340
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Female
MH  - Humans
MH  - Low Back Pain/*diagnosis/physiopathology
MH  - Male
MH  - Neck Pain/*diagnosis/physiopathology
MH  - Pain Measurement/methods
MH  - Pain Threshold/*physiology
MH  - Reproducibility of Results
MH  - Young Adult
OTO - NOTNLM
OT  - Chronic pain
OT  - low back pain
OT  - neck pain
OT  - pain measurement
OT  - pressure pain threshold
OT  - test reproducibility
EDAT- 2021/01/19 06:00
MHDA- 2021/07/20 06:00
CRDT- 2021/01/18 12:14
PHST- 2021/01/19 06:00 [pubmed]
PHST- 2021/07/20 06:00 [medline]
PHST- 2021/01/18 12:14 [entrez]
AID - BMR181208 [pii]
AID - 10.3233/BMR-181208 [doi]
PST - ppublish
SO  - J Back Musculoskelet Rehabil. 2021;34(3):363-370. doi: 10.3233/BMR-181208.