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West Ashley Library
9 a.m. – 7 p.m.
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Folly Beach Library
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Edgar Allan Poe/Sullivan's Island Library
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Wando Mount Pleasant Library
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Village Library
9 a.m. – 6 p.m.
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St. Paul's/Hollywood Library
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Diagnosis of Achilles Insertional Tendinopathies by Algometry.
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- Author(s): Mansur, Nacime Salomão Barbachan; Pereira, Vinícius Felipe; Cunha, Henrique Cesar Monteiro; Nunes, Carlos Gilberto; Ferreira, Danilo Santos; Sato, Vitor Neves; Yamada, André Fukunishi; Matsunaga, Fabio Teruo; Belloti, João Carlos; Tamaoki, Marcel Jun Sugawara
- Source:
Pain Medicine; Nov2021, Vol. 22 Issue 11, p2670-2675, 6p- Subject Terms:
- Source:
- Additional Information
- Abstract: Introduction Diagnosis of Achilles insertional tendinopathies (AIT) is based on pain by tendon palpation. However, there is no consensus or standard with regard to the amount of force to be used during the evaluation. Algometry is a method of measuring the pressure applied in a specific region and can be a method for determining diagnosis values. Goal To determine a cutoff value for pain threshold (PT) in the assessment of AIT. Design This is a prospective case–control study of diagnostic accuracy, to develop a diagnostic criterion. Methods Forty asymptomatic individuals and forty patients with AIT, matched by age and sex, were evaluated and submitted to algometry for PT and for visual analog scale (VAS) levels with 3 kgf at the insertion of the calcaneal tendon by two different evaluators. Inter-observer reproducibility was assessed through the interclass correlation coefficient (ICC). Sensitivity and specificity calculations of PT and of VAS were calculated and plotted on a receiver operating characteristic curve. Results The lowest ICC found was 0.788. With regard to the diagnosis through PT , the 4.08-kgf value showed the best relation between sensitivity and specificity (92.5% and 92.5%, respectively). Algometry values lower than 4.08 were considered positive for disease. For the diagnosis of AIT through VAS with 3 kgf, the value of 2.98 was estabilished (sensitivity of 92.5% and specificity of 97.5%). Conclusion Algometry was shown to be a simple and reliable method for diagnosing AIT. Values of PT less than 4.08 kgf were found to be predictors of the disease. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Pain Medicine is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Abstract:
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