The level of evidence for PMPs varied across different test procedures in different types of PJP .
H and -held pressure algometry is the only test procedure that showed moderate positive evidence of intrarater reliability , agreement , and responsiveness , simultaneously , when it was investigated in patients with chronic knee osteoarthritis .
BACKGROUND Test procedures that were developed to assess somatosensory abnormalities should possess optimal psychometric properties ( PMPs ) to be used in clinical practice .
The aim of this systematic review was to evaluate the literature to assess the level of evidence for PMPs of test procedures investigated in individuals with peripheral joint pain ( PJP ) .
Medial tibial pain pressure threshold algometry in runners
Purpose Pressure algometry ( PA ) may provide an objective and st and ardised tool in assessing palpation pain over the tibia . The purpose of this study was to analyse the intra-rater repeatability of PA and to determine whether tibial tenderness in healthy runners differ from runners with medial tibial stress syndrome ( MTSS ) . Methods Pressure algometry was performed on 20 asymptomatic runners ( 40 legs ) and 9 MTSS patients ( 14 symptomatic legs ) at st and ardised locations along the medial border of the tibia . Intra-rater reliability was assessed in 10 r and omly selected asymptomatic runners through repeated measurements 2 weeks later . Results Intra-rater reliability was moderate to excellent ( ICC 0.53–0.90 ) in asymptomatic runners . Pain pressure threshold ( PPT ) was significantly reduced at 2/9–5/9 of the distance from the medial malleolus to the medial tibial condyle ( p = 0.002–0.022 ) . There was evidence of a statistically significant association between both height and weight , and PPT from the 3/9 ( r = 0.416 , p = 0.008 ) to 7/9 ( r = 0.334 , p = 0.035 ) and 3/9 ( r = 0.448 , p = 0.004 ) to 6/9 ( r = 0.337 , p = 0.034 ) area , respectively . In both MTSS patients and healthy runners , there was evidence of lower PPT in females compared to males ( p = 0.0001–0.049 ) and a negative association between age and PPT ( p = 0.001–0.033 ) . MTSS patients had significantly lower PPT at the 3/9 site ( p = 0.048 ) compared to asymptomatic runners . Conclusion Pain pressure threshold algometry can be incorporated into MTSS clinical assessment to objective ly assess pain and monitor progress . The presence of reduced medial tibial PPT in asymptomatic runners suggests that clinicians may not need to await resolution of medial tibia tenderness before allowing return to sport in MTSS patients .Level of evidence III
The level of evidence for PMPs varied across different test procedures in different types of PJP .
H and -held pressure algometry is the only test procedure that showed moderate positive evidence of intrarater reliability , agreement , and responsiveness , simultaneously , when it was investigated in patients with chronic knee osteoarthritis .
BACKGROUND Test procedures that were developed to assess somatosensory abnormalities should possess optimal psychometric properties ( PMPs ) to be used in clinical practice .
The aim of this systematic review was to evaluate the literature to assess the level of evidence for PMPs of test procedures investigated in individuals with peripheral joint pain ( PJP ) .