Hostname: page-component-586b7cd67f-tf8b9 Total loading time: 0 Render date: 2024-11-22T18:42:23.189Z Has data issue: false hasContentIssue false
  • English
  • Français

Pain pressure thresholds in children and adolescents with idiopathic chest pain

Part of: Basic Science

Published online by Cambridge University Press:  11 May 2021

Selin Balta Open the ORCID record for Selin Balta [Opens in a new window]  and
Derya Arslan Open the ORCID record for Derya Arslan [Opens in a new window]
Selin Balta*
Affiliation:
Department of Algology (Pain Medicine), University of Health Sciences Turkey, Konya Training and Research Hospital, Konya, Turkey
Derya Arslan
Affiliation:
Department of Pediatric Cardiology, University of Health Sciences Turkey, Konya Training and Research Hospital, Konya, Turkey
*
Author for correspondence: Selin Balta, Department of Algology (Pain Clinic), University of Health Sciences Turkey, Konya Training and Research Hospital, Hacışaban Mh, Yeni Meram Cd. No:97, 42090, Konya, Turkey. Tel: +90 532-500-23-33. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives:

The pathophysiology of idiopathic chest pain remains unclear. Studies evaluating pain pressure thresholds in other idiopathic pain syndromes have revealed pain sensitivity in both affected and unaffected areas. The present study aimed to evaluate thoracic and extrathoracic pain pressure thresholds and their correlation with patients’ pain characteristics and quality of life.

Methods:

This cross-sectional, single-blind, controlled study included children and adolescents with idiopathic chest pain. The patients’ pain characteristics, including their symptom duration, type of pain, mean pain intensity, mean duration of painful periods, pain frequency, and Pediatric Quality of Life Inventory Child Version scores, were assessed by a paediatric cardiologist via a face-to-face interview. Pain pressure thresholds were measured using an algometer by an algologist who was blinded to the study groups.

Results:

There was a statistically significant difference in pain pressure thresholds in the trapezius; supraspinatus; thoracic 2, 4, and 10 areas; deltoid; and tibia between the patient and healthy control groups. In the patient group, while there was a positive correlation between the mean all-region pain pressure thresholds and age (p = 0.047, r = 0.235), there was no correlation between pain pressure thresholds and symptom duration, pain intensity, and quality of life.

Conclusion:

The present study is the first step towards investigating probable pain sensitivity mechanisms in children and adolescents with idiopathic chest pain. We noted lower thoracic and extrathoracic pain pressure thresholds in children and adolescents with idiopathic chest pain than in healthy controls.

Keywords

Idiopathic chest painpain pressure thresholdspain sensitivityquality of life
Type
Original Article
Information
Cardiology in the Young , Volume 32 , Issue 2 , February 2022 , pp. 252 - 256
Check for updates
Copyright
© The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Xu, Z, Zhang, P, Long, L, et al. Diabetes mellitus in classical trigeminal neuralgia: a predisposing factor for its development. Clin Neurol Neurosurg 2016; 151: 70–72.CrossRefGoogle ScholarPubMed
Coleman, W. Recurrent chest pain in children. Pediatr Clin N Am 1984; 31: 1007.CrossRefGoogle ScholarPubMed
Chun, JH, Kim, TH, Han, MY, et al. Analysis of clinical characteristics and causes of chest pain in children and adolescents. Korean J Pediatr 2015; 58: 440.CrossRefGoogle ScholarPubMed
Khalilian, MR, Emami Moghadam, A, Torabizadeh, M, et al. Pediatric and adolescent chest pain: a cross sectional study. Int J Pediatr 2015; 3: 435–440.Google Scholar
Cohn, HE, Arnold, LW. Chest pain in young patients in an office setting: cardiac diagnoses, outcomes, and test burden. Int J Pediatr 2012; 51: 877–883.Google Scholar
Kenar, A, Örün, UA, Yoldaş, T, et al. Anxiety, depression, and behavioural rating scales in children with non-cardiac chest pain. Cardiol Young 2019; 29: 1268–1271.CrossRefGoogle ScholarPubMed
Hashkes, PJ, Friedland, O, Jaber, L, et al. Decreased pain threshold in children with growing pains. J Rheumaol 2004; 31: 610–613.Google ScholarPubMed
Rathleff, MS, Roos, EM, Olesen, JL, et al. Lower mechanical pressure pain thresholds in female adolescents with patellofemoral pain syndrome. J Orthop Sports Phys Ther 2013; 43: 414–421.CrossRefGoogle ScholarPubMed
Duarte, MA, Goulart, EMA, Penna, FJ. Pressure pain threshold in children with recurrent abdominal pain. J Pediatr Gastroenterol Nutr 2000; 31: 280–285.CrossRefGoogle ScholarPubMed
Arendt-Nielsen, L, Graven-Nielsen, T. Clinical rheumatology. Transl Musculoskeletal Pain Res 2011; 25: 209–226.Google Scholar
Merskey, H, Bogduk, N. Pain pressure thresholds. In: IASP terminology. International Association of Study for Pain, 2017. Retrieved December 7, 2020, from http://www.iasp-pain.org/education/ Google Scholar
Koltyn, KF, Garvin, AW, Gardiner, RL, et al. Perception of pain following aerobic exercise. Med Sci Sports Exerc 1996; 28: 1418.CrossRefGoogle ScholarPubMed
Koltyn, K, Arbogast, R. Perception of pain after resistance exercise. Br J Sports Med 1998; 32: 20–24.CrossRefGoogle ScholarPubMed
Aboodarda, S, Spence, A, Button, DC. Pain pressure threshold of a muscle tender spot increases following local and non-local rolling massage. BMC Musculoskelet Disord 2015; 16: 1–10.CrossRefGoogle ScholarPubMed
Stinson, JN, Kavanagh, T, Yamada, J, et al. Systematic review of the psychometric properties, interpretability and feasibility of self-report pain intensity measures for use in clinical trials in children and adolescents. Pain 2006; 125: 143–157.CrossRefGoogle ScholarPubMed
Chaves, TC, Nagamine, HM, de Sousa, LM, et al. Intra-and interrater agreement of pressure pain threshold for masticatory structures in children reporting orofacial pain related to temporomandibular disorders and symptom-free children. J Orofacial Pain 2007; 21: 133–142.Google ScholarPubMed
Varni, JW, Seid, M, Rode, CA. The PedsQL™: measurement model for the pediatric quality of life inventory. Med Care 1999; 37(2): 126–139.CrossRefGoogle Scholar
King, CD, Mano, KEJ, Barnett, KA, et al. Pressure pain threshold and anxiety in adolescent females with and without juvenile fibromyalgia: a pilot study. Clin J Pain 2017; 33: 620.CrossRefGoogle ScholarPubMed
Leegaard, A, Lomholt, JJ, Thastum, M, et al. Decreased pain threshold in juvenile idiopathic arthritis: a cross-sectional study. J Rheumatol 2013; 40: 1212–1217.CrossRefGoogle ScholarPubMed
Alfvén, G. The pressure pain threshold (PPT) of certain muscles in children suffering from recurrent abdominal pain of non-organic origin. An algometric study. Acta Paediatr 1993; 82: 481–483.CrossRefGoogle ScholarPubMed
Metsahonkala, L, Anttila, P, Laimi, K, et al. Extracephalic tenderness and pressure pain threshold in children with headache. Eur J Pain 2006; 10: 581–585.CrossRefGoogle ScholarPubMed
Duarte, MA, Goulart, EM, Penna, FJ. Limiar de dor e idade na infância e adolescência. J Pediatr 1999; 75: 244–248.CrossRefGoogle Scholar
Grundström, H, Gerdle, B, Alehagen, S, et al. Reduced pain thresholds and signs of sensitization in women with persistent pelvic pain and suspected endometriosis. Acta Obstet Gynecol Scand 2019; 98: 327–336.CrossRefGoogle ScholarPubMed
Woolf, CJ, Salter, MW. Neuronal plasticity: increasing the gain in pain. Science 2000; 288: 1765–1768.CrossRefGoogle ScholarPubMed
Woolf, CJ. Central sensitization: implications for the diagnosis and treatment of pain. Pain 2011; 152: S2–S15.CrossRefGoogle ScholarPubMed
Thompson, T, Correll, CU, Gallop, K, et al. Is pain perception altered in people with depression? A systematic review and meta-analysis of experimental pain research. J Pain 2016; 17: 1257–1272.CrossRefGoogle ScholarPubMed
Vedolin, G, Lobato, V, Conti, P, et al. The impact of stress and anxiety on the pressure pain threshold of myofascial pain patients. J Oral Rehabil 2009; 36: 313–321.CrossRefGoogle ScholarPubMed