The influence of site of stimulation, age, and gender on pain threshold in healthy children

Physical Therapy
J A HogewegP J Helders

Abstract

Factors influencing mechanical pain thresholds (MPThs) in children are not understood. Reports conflict on whether MPThs increase with age. The purposes of this study were to determine whether MPTh values change with age in children and to investigate the influence of the site of stimulation and gender. Sixty-nine children of both genders, aged 6 to 17 years, were divided into two age groups: 6 to 11 years and 12 to 17 years. Mechanical pain thresholds were determined by applying pressure three times on both sides of the body at the elbow, wrist, knee, and ankle and paraspinally at C-6, T-1, T-3, T-6, T-10, L-1, L-3, and L-5. The influence of body site, gender, and age on MPThs was analyzed by multivariate analysis of variance. The relationship between MPThs at different sites was analyzed by correlations and factor analysis. There was a trend for the paraspinal MPThs to be greater the more caudally they were located. The MPThs increased with age in the paraspinal region, but they did not increase with age at the extremities. The MPThs of the male subjects did not differ from those of the female subjects. Measurements of MPTh can be reproducibly performed in children. The level of MPThs is reliant on age and body site. In MPTh ...Continue Reading

Citations

Jun 21, 2013·Journal of Pain Research·Ann-Britt L SoeeLise L Thomsen
Mar 1, 2014·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Gabriela Natália FerraciniJosé Geraldo Speciali
Feb 3, 2020·Scandinavian Journal of Pain·Line Kjeldgaard PedersenBjarne Møller-Madsen
Apr 6, 2001·The Clinical Journal of Pain·G B Rollman, S Lautenbacher
Mar 15, 2006·Pain·Marco BartocciK J S Anand
Jul 9, 2009·Journal of Clinical Nursing·Fatma Güdücü TüfekciSibel Küçükoğlu
Jan 15, 2016·European Journal of Pain : EJP·S Stolzman, M Hoeger Bement
Jun 2, 2012·Journal of Children's Orthopaedics·Lone NikolajsenBjarne Møller-Madsen
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May 21, 2021·Haemophilia : the Official Journal of the World Federation of Hemophilia·Denise EtzweilerErika O Huber

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