Discriminative Value of Tender Points in Fibromyalgia Syndrome

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dc.contributor.authorTastekin, Nurettin
dc.contributor.authorUzunca, Kaan
dc.contributor.authorSut, Necdet
dc.contributor.authorBirtane, Murat
dc.contributor.authorMercimek, Oznur Berke
dc.date.accessioned2024-06-12T11:01:54Z
dc.date.available2024-06-12T11:01:54Z
dc.date.issued2010
dc.departmentTrakya Üniversitesien_US
dc.description.abstractObjective. The aim of this study is to assess the discriminative value of all tender points, alone and in combination, that are designated as criteria for fibromyalgia diagnosis by the American College of Rheumatology (ACR), by investigating the appropriate pressure magnitude that should be applied during tenderness examination. Design. Cross-sectional. Patients. This study was performed on 66 patients with fibromyalgia diagnosed according to ACR classification criteria and 50 control subjects. Setting. The outpatient rheumatology clinic of a PM&R department of a university hospital. Intervention. Pressure pain threshold values were measured by a dolorimeter on nine specific point pairs in both groups and a cutoff value for discriminating positivity and negativity was calculated for each. Then the most valuable tender point pairs were assessed for discrimination of fibromyalgia syndrome using ACR criteria set as a reference standard. Results. All tender points with determined pressure cutoff values were found out to significantly discriminate fibromyalgia syndrome and their area under curve values ranged from 0.779 to 0.934. Univariate logistic regression analysis revealed that lateral epicondyle and supraspinatus point pairs had the most powerful discriminative ability (odds ratio = 113.6 and 45.0, respectively). Multiple logistic regression analysis with backward stepwise method showed that lateral epicondyle and second rib point pairs were most discriminative with sensitivity and specificity rates of 87.9-94.0% and 77.3-84.0%, respectively. Conclusions. Fibromyalgia syndrome can have potential to be recognized simply by pressing fewer tender point areas but with various pressure cutoff levels identified for each tender point areas.en_US
dc.identifier.doi10.1111/j.1526-4637.2009.00784.x
dc.identifier.endpage471en_US
dc.identifier.issn1526-2375
dc.identifier.issue3en_US
dc.identifier.pmid20088857en_US
dc.identifier.scopus2-s2.0-77950973773en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage466en_US
dc.identifier.urihttps://doi.org/10.1111/j.1526-4637.2009.00784.x
dc.identifier.urihttps://hdl.handle.net/20.500.14551/21077
dc.identifier.volume11en_US
dc.identifier.wosWOS:000275147200020en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWiley-Blackwell Publishing, Incen_US
dc.relation.ispartofPain Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectFibromyalgiaen_US
dc.subjectChronic Painen_US
dc.subjectTender Pointsen_US
dc.subjectDolorimeteren_US
dc.subjectPain Assessment And Methodsen_US
dc.subjectPainen_US
dc.subjectReliabilityen_US
dc.subjectDiagnosisen_US
dc.subjectThresholden_US
dc.subjectCriteriaen_US
dc.titleDiscriminative Value of Tender Points in Fibromyalgia Syndromeen_US
dc.typeArticleen_US

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