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Journal of the Korean Academy of Rehabilitation Medicine 1998;22(2):318-325.
The Clinical Feature and Pressure Threshold in a Chest Wall Syndrome.
Lee, Eon Seok , Kim, Jae Seong , Jang, Ki Eon , Park, Dong Sik
Department of Rehabilitation Medicine, Hallym University College of Medicine.
흉벽증후군의 임상적 특징과 압통역치
이언석, 김재성, 장기언, 박동식
한림대학교 의과대학 재활의학교실

Thirty-eight patients with a musculoskeletal chest wall syndrome were evaluated for the musculoskeletal findings of chest wall. All patients had the chest wall tenderness and the typical chest pain could be reproduced by the palpation. There was no significant difference in the diagnostic features of the pain for the onset, location, characteristics, duration, radiation, and area of references for chest pain among the different groups of the patients. However, a reproduction of pain by palpation and the pressure threshold difference between the lesion and control points by using pressure algometry was a reliable and specific diagnostic tool. Pressure threshold difference was correlated with numerical rating scale by the correlation coefficient 0.96. The common causes of the chest wall syndrome were the myofascial pain syndrome, chostochondritis, sternalis syndrome, rib-tip syndrome, xiphodynia in order. Six patients had chest wall disorders in conjunction with other associated intrathoracic condition. Thirty-two patients had an isolated chest wall syndrome. Chest wall syndrome should be considered in all patients with the chest pain, as its recognition could help the patient management.

Key Words: Chest wall syndrome, Pressure threshold, Algometry


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