ArticleInternational archives of occupational and environmental health2006
Pressure pain thresholds and musculoskeletal morbidity in automobile manufacturing workers.
Article in International archives of occupational and environmental health, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
7 citing papers in PubMed, 18 citations in OpenAlex.
- Intra-session absolute and relative reliability of pressure pain thresholds in the low back region of vine-workers: ffect of the number of trials.BMC musculoskeletal disorders · 2016Article
- Experimental pain responses support peripheral and central sensitization in patients with unilateral shoulder pain.The Clinical journal of pain · 2014Article
- Eccentric exercise inhibits the H reflex in the middle part of the trapezius muscle.European journal of applied physiology · 2013Article
- Pressure pain sensitivity maps, self-reported musculoskeletal disorders and sickness absence among cleaners.International archives of occupational and environmental health · 2011Article
- An investigation of somatosensory profiles in work related upper limb disorders: a case-control observational study protocol.BMC musculoskeletal disorders · 2010Article
- Motor unit potential morphology differences in individuals with non-specific arm pain and lateral epicondylitis.Journal of neuroengineering and rehabilitation · 2008Article
- Inflammation and the pathophysiology of work-related musculoskeletal disorders.Brain, behavior, and immunity · 2006Review
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesReduced pressure pain thresholds (PPTs) have been reported in occupational groups with symptoms of upper extremity musculoskeletal disorders (UEMSDs). The purpose of this study was to determine whether automobile manufacturing workers (n=460) with signs and symptoms of UEMSDs had reduced PPTs (greater sensitivity to pain through pressure applied to the skin) when compared with unaffected members of the cohort, which served as the reference group. The association of PPTs with symptom severity and localization of PE findings was investigated, as was the hypothesis that reduced thresholds would be found on the affected side in those with unilateral physical examination (PE) findings.
methodsPPTs were measured during the workday at 12 upper extremity sites. A PE for signs of UEMSDs and symptom questionnaire was administered. After comparison of potential covariates using t tests, linear regression multivariable models were constructed with the average of 12 sites (avgPPT) as the outcome.
resultsSubjects with PE findings and/or symptoms had a statistically significant lower avgPPT than non-cases. AvgPPT was reduced in those with more widespread PE findings and in those with greater symptom severity (test for trend, P</=0.05). No difference between side-specific avgPPT was found in those with unilateral PE findings. Reduced PPTs were associated with female gender, increasing age, and grip strength below the gender-adjusted mean. After adjusting for the above confounders, avgPPT was associated with muscle/tendon PE findings and symptom severity in multivariable models.
conclusionsPPTs were associated with signs and symptoms of UEMSDs, after adjusting for gender, age and grip strength. The utility of this noninvasive testing modality should be assessed on the basis of prospective large cohort studies to determine if low PPTs are predictive of UEMSDs in asymptomatic individuals or of progression and spread of UEMSDs from localized to more diffuse disorders.
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