Reference : Influence of specific rehabilitation programs on pressure pain thresholds in patients...
Scientific congresses and symposiums : Paper published in a journal
Human health sciences : Orthopedics, rehabilitation & sports medicine
Human health sciences : Rheumatology
http://hdl.handle.net/2268/27034
Influence of specific rehabilitation programs on pressure pain thresholds in patients with fibromyalgia or chronic low back pain
English
Maquet, Didier mailto [Université de Liège - ULg > Département des sciences de la motricité > Département des sciences de la motricité >]
Demoulin, Christophe mailto [Université de Liège - ULg > Département des sciences de la motricité > Kinésithérapie spécifique et réadaptation motrice >]
Lecart, Marie-Paule mailto [Université de Liège - ULg > > Rhumatologie >]
Faymonville, Marie mailto [Université de Liège - ULg > > Anesthésie et réanimation >]
Croisier, Jean-Louis mailto [Université de Liège - ULg > Département des sciences de la motricité > Kinésithérapie générale et réadaptation >]
Crielaard, Jean-Michel mailto [Université de Liège - ULg > Département des sciences de la motricité > Evaluation et entraînement des aptitudes physiques - Médecine physique et réadaptation fonctionnelle >]
2007
Annals of the Rheumatic Diseases
BMJ Group
66
423-424
Yes (verified by ORBi)
International
0003-4967
1468-2060
London
United Kingdom
Eular Congress 2007
13-16 June 2007
The European League Against Rheumatism
Barcelona
Spain
[en] Fibromyalgia ; chronic low back pain ; rehabilitation programs
[en] Background: Specific rehabilitation programs are recommended in chronic pain syndromes. The subjective experience and multidimensional nature of pain is problematic for assessment. Pressure pain threshold (PPT) is defined as the minimum force applied which induces pain measured with a dolorimeter.
Objectives: The purposes were: (1) to compare PPTs for 18 specific tender sites in patients with fibromyalgia (FM) and in patients with chronic low back pain (CLBP), (2) to assess the PPT changes in these groups following specific rehabilitation programs.
Methods: Eleven women with CLBP and six women with FM were included in this study. They attended biweekly specific multidisciplinary rehabilitation sessions for 8 weeks. Pain intensity and PPTs for the 18 specific tender sites defined by the American College of Rheumatology were evaluated respectively with a visual analogue scale (VAS) and with an electronic dolorimeter, before and after the programs. Normative data of PPTs were established in a recent study [1].
Results: Before starting the rehabilitation program, patients with FM displayed VAS scores higher (p<0.05) than those with CLBP. Furthermore, FM patients had the lowest (p<0.05) PPTs over all examined areas. Statistical analysis failed to show any differences between PPTs of CLBP and healthy subjects. At the end of the specific program, VAS scores decreased significantly in both patient groups. In contrast, a significant increase of PPTs was only observed in FM patients. However, their PPTs remained below the CLBP and healthy PPT values.
Conclusion: Despite the presence of chronic pain in these two syndromes, the decrease of PPTs appears to be specific in patients with FM. Measure of PPTs could represent a relevant method in order to perform a longitudinal follow-up of patient's pain perception. After the rehabilitation programs, pain intensity decreased in both patient groups.
References: [1] Maquet D, Croisier JL, Demoulin C, Crielaard JM. Pressure pain thresholds of tender point sites in patients with fibromyalgia and in healthy controls. Eur J Pain, 2004, 8:111-117.
Researchers ; Professionals ; Students
http://hdl.handle.net/2268/27034

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