Department of Physical Therapy, Universidad Camilo José Cela, Villanueva de la Cañada, 28692 Madrid, Spain.
Escuela Internacional de Doctorado, Universidad Rey Juan Carlos, 28933 Alcorcón, Spain.
Int J Environ Res Public Health. 2021 Feb 4;18(4):1461. doi: 10.3390/ijerph18041461.
Fibromyalgia syndrome (FMS) is a condition that courses with chronic pain, fatigue, sleep disturbance, impaired quality of life and daily function. Due to the lack of blood, imaging or histological confirmatory tests, the diagnosis of FMS is based on the presence of widespread pain and presence of tender points (TPs). Our aim was to assess the pain pressure thresholds (PPTs) and subjective pain perception (SPP) of all 18 TPs while applying a normalized pressure in female patients with fibromyalgia. An exploratory descriptive pilot study was conducted in 30 female patients with FMS. Sociodemographic data (e.g., age, height, weight, and body mass index), clinical characteristics (e.g., years with diagnosis and severity of FMS), PPTs (assessed with an algometer), and SPP (assessed with a visual analogue scale) of all 18 TPs were collected. A comparative analysis side-to-side (same TP, left and right sides) and between TPs was conducted. No side-to-side differences were found ( < 0.05). Significant differences between all 18 TPs were found for PPTs ( < 0.0001), and SPP ( < 0.005) scores were found. The most mechanosensitive points were located in the second costochondral junction, the occiput, the trochanteric prominence; the most painful while applying a normalized pressure considering the TP and side were those located in the gluteus, trochanteric prominence, and supraspinatus. The current study describes PPTs and SPP, as assessed with algometry and visual analogue scale, respectively, of all 18 TPs in female patients with FMS. TPs exhibited significant PPTs and SPP differences between TP locations with no side-to-side differences.
纤维肌痛综合征（FMS）是一种以慢性疼痛、疲劳、睡眠障碍、生活质量和日常功能受损为特征的疾病。由于缺乏血液、成像或组织学的确认性测试，FMS 的诊断基于广泛的疼痛和压痛点（TP）的存在。我们的目的是评估女性纤维肌痛患者在应用标准化压力时所有 18 个 TP 的疼痛压力阈值（PPTs）和主观疼痛感知（SPP）。一项探索性描述性试点研究在 30 名女性纤维肌痛患者中进行。收集了社会人口统计学数据（如年龄、身高、体重和体重指数）、临床特征（如诊断年限和 FMS 严重程度）、所有 18 个 TP 的 PPTs（用压力计评估）和 SPP（用视觉模拟量表评估）。进行了同侧（同一 TP，左侧和右侧）和不同 TP 之间的比较分析。同侧没有发现差异（<0.05）。所有 18 个 TP 的 PPTs（<0.0001）和 SPP（<0.005）评分均存在显著差异。最敏感的点位于第二肋软骨交界处、枕骨、转子突出部；在考虑 TP 和侧位时，应用标准化压力最疼痛的点位于臀肌、转子突出部和冈上肌。本研究描述了女性纤维肌痛患者所有 18 个 TP 的 PPTs 和 SPP，分别用压力计和视觉模拟量表评估。TP 之间的 PPTs 和 SPP 存在显著差异，但同侧无差异。
