Abstract：
In recent years, several published articles have shown that quantitative sensory testing (QST) and pressure pain threshold (PPT) are useful in the analysis of neck/shoulder and low back pain. A valid reference for normal PPT values might be helpful for the clinical diagnosis of abnormal tenderness or muscle pain. However, there have been no reliable references for PPT values of neck/shoulder and back pain because the data vary depending on the devices used, the measurement units, and the area examined. In this article, we review previously published PPT articles on neck/shoulder and low back pain, discuss the measurement properties of PPT, and summarize the current data on PPT values in patients with chronic pain and healthy volunteers. We also reveal previous issues related to PPT evaluation and discuss the future of PPT assessment for widespread use in general clinics. We outline QST and PPT measurements and what kinds of perceptions can be quantified with the PPT. Ninety-seven articles were selected in the present review, in which we focused on the normative values and abnormal values in volunteers/patients with neck/shoulder and low back pain. We conducted our search of articles using PubMed and Medline, a medical database. We used a combination of \"Pressure pain threshold\" and \"Neck shoulder pain\" or \"Back pain\" as search terms and searched articles from 1 January 2000 to 1 June 2022. From the data extracted, we revealed the PPT values in healthy control subjects and patients with neck/shoulder and low back pain. This database could serve as a benchmark for future research with pressure algometers for the wide use of PPT assessment in clinics.
摘要：
近年来,几篇发表的文章表明，定量感觉测试（QST）和压力痛阈值（PPT）可用于分析颈/肩痛和下背痛。正常PPT值的有效参考可能有助于临床诊断异常压痛或肌肉疼痛。然而,没有关于颈/肩和背痛的PPT值的可靠参考，因为数据因使用的设备而异，计量单位,和检查的区域。在这篇文章中,我们回顾以前发表的关于颈/肩和腰痛的PPT文章，讨论PPT的测量特性，并总结了慢性疼痛患者和健康志愿者的PPT值的当前数据。我们还揭示了与PPT评估有关的先前问题，并讨论了PPT评估在普通诊所中广泛使用的未来。我们概述了QST和PPT的测量，以及什么样的感知可以用PPT量化。本综述共选择了97篇文章，其中我们重点关注志愿者/颈/肩痛和腰背痛患者的标准值和异常值。我们使用PubMed和Medline搜索文章，一个医学数据库.我们使用“压力疼痛阈值”和“颈部肩痛”或“背部疼痛”的组合作为搜索词，并搜索了2000年1月1日至2022年6月1日的文章。从提取的数据中，我们揭示了健康对照组和颈/肩和腰背痛患者的PPT值。该数据库可以作为未来研究的基准，使用压力分析仪在诊所中广泛使用PPT评估。
