Menstrual cycle modulation of tender points
Identifieur interne : 001E36 ( Istex/Corpus ); précédent : 001E35; suivant : 001E37Menstrual cycle modulation of tender points
Auteurs : Eleni G. Hapidou ; Gary B. RollmanSource :
- Pain [ 0304-3959 ] ; 1998.
Abstract
Changes in pain sensitivity throughout the menstrual cycle were assessed in 36 normally menstruating women and 30 users of oral contraceptives. Pain sensitivity was measured with palpation of rheumatological tender points and with pressure dolorimetry. The number of tender points identified by palpation was greater in the follicular (postmenstrual) phase of the cycle as compared to the luteal (intermenstrual) phase in normally cycling women but not in users of oral contraceptives. These findings are related to previously described physiological and psychological features of the menstrual cycle, with particular emphasis on the role of hormonal events in modulating pain perception, particularly in musculoskeletal disorders such as fibromyalgia.
Url:
DOI: 10.1016/S0304-3959(98)00087-6
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<front><div type="abstract" xml:lang="en">Changes in pain sensitivity throughout the menstrual cycle were assessed in 36 normally menstruating women and 30 users of oral contraceptives. Pain sensitivity was measured with palpation of rheumatological tender points and with pressure dolorimetry. The number of tender points identified by palpation was greater in the follicular (postmenstrual) phase of the cycle as compared to the luteal (intermenstrual) phase in normally cycling women but not in users of oral contraceptives. These findings are related to previously described physiological and psychological features of the menstrual cycle, with particular emphasis on the role of hormonal events in modulating pain perception, particularly in musculoskeletal disorders such as fibromyalgia.</div>
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<notesStmt><note type="content">Fig. 1: Body map showing test sites. Tenderness to manual palpation was examined at all sites. Pain threshold on the right side of the body was determined with a dolorimeter at sites 1,3,5,6,8,10,11,12, and 13.</note>
<note type="content">Fig. 2: Number of tender points to manual palpation as a function of menstrual phase in normally menstruating women and users of oral contraceptives.</note>
<note type="content">Fig. 3: Dolorimeter threshold at tender and control sites as a function of menstrual phase. Since there were no differences between normally menstruating women and users of oral contraceptives, data for the two groups were combined.</note>
<note type="content">Fig. 4: Dolorimeter threshold at nine test sites, averaged across menstrual phase in all subjects.</note>
<note type="content">Table 1: Health and demographic variables in normally menstruating women and users of oral contraceptives (OC)</note>
<note type="content">Table 2: Severity ratings of various types of pain as reported on the health and demographic questionnaire (rating scale 0–3) by normally menstruating women and users of oral contraceptives (OC)</note>
<note type="content">Table 3: Most frequent tender points found by palpation across the menstrual cycle on both sides of the body</note>
<note type="content">Table 4: Points with lowest dolorimetry threshold as a function of menstrual phase</note>
<note type="content">Table 5: Average VAS ratings collapsed across four phases of the menstrual cycle for normally-menstruating women and oral contraceptive users</note>
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<abstract lang="en">Changes in pain sensitivity throughout the menstrual cycle were assessed in 36 normally menstruating women and 30 users of oral contraceptives. Pain sensitivity was measured with palpation of rheumatological tender points and with pressure dolorimetry. The number of tender points identified by palpation was greater in the follicular (postmenstrual) phase of the cycle as compared to the luteal (intermenstrual) phase in normally cycling women but not in users of oral contraceptives. These findings are related to previously described physiological and psychological features of the menstrual cycle, with particular emphasis on the role of hormonal events in modulating pain perception, particularly in musculoskeletal disorders such as fibromyalgia.</abstract>
<note type="content">Fig. 1: Body map showing test sites. Tenderness to manual palpation was examined at all sites. Pain threshold on the right side of the body was determined with a dolorimeter at sites 1,3,5,6,8,10,11,12, and 13.</note>
<note type="content">Fig. 2: Number of tender points to manual palpation as a function of menstrual phase in normally menstruating women and users of oral contraceptives.</note>
<note type="content">Fig. 3: Dolorimeter threshold at tender and control sites as a function of menstrual phase. Since there were no differences between normally menstruating women and users of oral contraceptives, data for the two groups were combined.</note>
<note type="content">Fig. 4: Dolorimeter threshold at nine test sites, averaged across menstrual phase in all subjects.</note>
<note type="content">Table 1: Health and demographic variables in normally menstruating women and users of oral contraceptives (OC)</note>
<note type="content">Table 2: Severity ratings of various types of pain as reported on the health and demographic questionnaire (rating scale 0–3) by normally menstruating women and users of oral contraceptives (OC)</note>
<note type="content">Table 3: Most frequent tender points found by palpation across the menstrual cycle on both sides of the body</note>
<note type="content">Table 4: Points with lowest dolorimetry threshold as a function of menstrual phase</note>
<note type="content">Table 5: Average VAS ratings collapsed across four phases of the menstrual cycle for normally-menstruating women and oral contraceptive users</note>
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