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Isometric Exercise Above but not Below an Individual’s Pain Threshold Influences Pain Perception in People With Lateral Epicondylalgia

Overview of attention for article published in Clinical journal of pain, December 2016
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (94th percentile)
  • High Attention Score compared to outputs of the same age and source (86th percentile)

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65 X users
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2 Facebook pages
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1 YouTube creator

Citations

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23 Dimensions

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156 Mendeley
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Title
Isometric Exercise Above but not Below an Individual’s Pain Threshold Influences Pain Perception in People With Lateral Epicondylalgia
Published in
Clinical journal of pain, December 2016
DOI 10.1097/ajp.0000000000000365
Pubmed ID
Authors

Brooke K. Coombes, Matheus Wiebusch, Luke Heales, Aoife Stephenson, Bill Vicenzino

Abstract

To examine the acute effects of isometric exercise of different intensities on pain perception in individuals with chronic lateral epicondylalgia. Participants performed three experimental tasks completed in a randomised order on separate days: control (no exercise) and isometric wrist extension (10×15 s) at load 20% below (infra-threshold) and 20% above (supra-threshold) an individual's pain threshold. Self-reported pain intensity (11-point numeric rating scales (NRS)), pressure pain threshold and pain free grip were assessed by a blinded examiner before, immediately after and 30 minutes after task performance. Correlation between pain ratings and clinical variables, including pain and disability and kinesiophobia was performed. 24 individuals with unilateral lateral epicondylalgia of median 3-month duration participated. Pain intensity during contraction was significantly higher during supra-threshold exercise than infra-threshold exercise (Mean difference in NRS 1.0, 95%CI 0.4, 1.5, P=0.002). Pain intensity during supra-threshold exercise was significantly correlated with pain and disability (R=0.435; P=0.034) and kinesiophobia (R=0.556, P=0.005). Pain intensity was significantly higher immediately after performance of supra-threshold exercise, compared to infra-threshold exercise (P=0.01) and control (P<0.001) conditions, while infra-threshold exercise and control conditions were comparable. Thirty minutes later, pain levels remained significantly higher for supra-threshold exercise compared to infra-threshold exercise (P=0.043). Pressure pain threshold and pain free grip showed no significant effects of time, condition, or time by condition (P>0.05). Individuals with lateral epicondylalgia demonstrated increased pain intensity following an acute bout of isometric exercise performed at an intensity above, but not below, their individual pain threshold. Further investigation is needed to determine whether measurement of an individual's exercise induced pain threshold may be important in reducing symptom flares associated with exercise.

X Demographics

X Demographics

The data shown below were collected from the profiles of 65 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 156 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Spain 1 <1%
Unknown 155 99%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 27 17%
Student > Master 25 16%
Student > Ph. D. Student 17 11%
Other 13 8%
Student > Postgraduate 9 6%
Other 29 19%
Unknown 36 23%
Readers by discipline Count As %
Medicine and Dentistry 37 24%
Nursing and Health Professions 36 23%
Sports and Recreations 12 8%
Social Sciences 4 3%
Psychology 4 3%
Other 15 10%
Unknown 48 31%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 39. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 06 August 2021.
All research outputs
#1,063,014
of 25,539,438 outputs
Outputs from Clinical journal of pain
#90
of 2,025 outputs
Outputs of similar age
#21,150
of 417,441 outputs
Outputs of similar age from Clinical journal of pain
#6
of 38 outputs
Altmetric has tracked 25,539,438 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 95th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 2,025 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.7. This one has done particularly well, scoring higher than 95% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 417,441 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 94% of its contemporaries.
We're also able to compare this research output to 38 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 86% of its contemporaries.