Pressure Pain Threshold Values Obtained Through Algometers

  • Jose Humberto Trueba ELECTRONIC ENGINEER
  • Francesca Gasparini Department of Informatics, Systems and Communication, University of Milano Bicocca
  • José de Jesús Agustín Flores Cuautle CONACYT/ TecNM-IT Orizaba
Keywords: pressure, pain threshold, manual algometer, electromechanical algometer


A review of the scientific literature on pressure pain obtained through algometers is carried out. A comparison of the pain pressure thresholds (PPT) obtained or considered within the analyzed studies was performed. The primary outcome of this work is the collection of these PPT values concerning the body regions where the algometers applied the pressure: trapezius muscles, back muscles, upper extremities, leg muscles, foot area, and muscles of the head. Furthermore, a comparison between the results of manual and electromechanical algometers is presented. Several tables are created, which can be useful to compare future studies that adopt pressure algometers. These values can also be considered a reference to evaluate the accuracy and reliability of new algometers, either manual or electromechanical. Besides, from the information obtained, the design requirements of an electromechanical pressure algometer are presented. These requirements are defined to develop a portable instrument that is also smaller, lighter, and cheaper than the existing ones and can measure the pressure in different parts of the human body.


Rojas-Libano D, Gonzalo Rivera L, Egaña JI T. Actividad oscilatoria en banda gamma, un promisorio nuevo marcador electroencefalográfico de dolor con potencial utilidad en la monitorización intraoperatoria. Rev Hosp Clin Univ Chile. 2015;26(3):204–214. Spanish.

Palacios-Ceña M, Wang K, Castaldo M, Guerrero-Peral, et al. Assessment of deep dynamic mechanical sensitivity in individuals with tension-type headache: The dynamic pressure algometry. Eur J Pain [Internet]. 2017;21(8):1451–1460. Available from:

Ylinen J. Pressure algometry. Aust J Physiother [Internet]. 2007;53(3):207. Available from:

Cabitza F. Rappresentazione del dolore: concetti e strumenti. In Donelli FM (ed). Il Dolore in Ortopedia e Traumatologia. Italy: Griffin; 2016. 15–34pp. Italian.

Dagtekin O, König E, Gerbershagen HJ, Marcus H, et al. Messung der druckschmerzempfindlichkeit. Vergleich eines elektromechanisch gesteuerten algometers mit etablierten methoden. Schmerz [Internet]. 2007;21(5):439–444. [German]. Available from:

Harte SE, Mitra M, Ichesco EA, Halvorson ME, et al. Development and validation of a pressure-type automated quantitative sensory testing system for point-of-care pain assessment. Med Biol Eng Comput [Internet]. 2013;51(6):633–644. Available from:

Xiong S, Goonetilleke RS, Witana CP, Rodrigo WDAS. An indentation apparatus for evaluating discomfort and pain thresholds in conjunction with mechanical properties of foot tissue in vivo. J Rehabil Res Dev [Internet]. 2010;47(7):629–641. Available from:

Adnadjevic D, Graven-Nielsen T. Temporal summation of muscle pain evoked by very fast pressure sequences and rotation. Somatosens Mot Res [Internet]. 2015;32(2):99–105. Available from:

Koo TK, Guo JY, Brown CM. Test-Retest Reliability, Repeatability, and Sensitivity of an Automated Deformation-Controlled Indentation on Pressure Pain Threshold Measurement. J Manipulative Physiol Ther [Internet]. 2013;36(2):84–90. Available from:

Moraska AF, Schmiege SJ, Mann JD, Butryn N, et al. Responsiveness of Myofascial Trigger Points to Single and Multiple Trigger Point Release Massages: A Randomized, Placebo Controlled Trial. Am J Phys Med Rehabil [Internet]. 2017;96(9):639–645. Available from:

Taleb WA, Youssef AR, Saleh A. The effectiveness of manual versus algometer pressure release techniques for treating active myofascial trigger points of the upper trapezius. J Bodyw Mov Ther [Internet]. 2016;20(4):863–869. Available from:

Griefahn A, Oehlmann J, Zalpour C, von Piekartz H. Do exercises with the Foam Roller have a short-term impact on the thoracolumbar fascia? – A randomized controlled trial. J Bodyw Mov Ther [Internet]. 2017;21(1):186–193. Available from:

van Leeuwen RJH, Szadek K, De Vet H, Zuurmond W, Perez R. Pain Pressure Threshold in the Region of the Sacroiliac Joint in Patients Diagnosed with Sacroiliac Joint Pain. Pain Physician [Internet]. 2016;19(3):147–154. Available from:

Moreton BJ, Tew V, Das Nair R, Wheeler M, et al. Pain phenotype in patients with knee osteoarthritis: Classification and measurement properties of painDETECT and self-report leeds assessment of neuropathic symptoms and signs scale in a cross-sectional study. Arthritis Care Res [Internet]. 2015;67(4):519–528. Available from:

Goubert D, Danneels L, Graven-Nielsen T, Descheemaeker F, et al. Differences in Pain Processing Between Patients with Chronic Low Back Pain, Recurrent Low Back Pain, and Fibromyalgia. Pain Physician [Internet]. 2017;20(4):307–318. Available from:

Graven-Nielsen T, Vaegter HB, Finocchietti S, Handberg G, Arendt-Nielsen L. Assessment of musculoskeletal pain sensitivity and temporal summation by cuff pressure algometry: A reliability study. Pain [Internet]. 2015;156(11):2193–2202. Available from:

Skovbjerg S, Jørgensen T, Arendt-Nielsen L, Ebstrup JF, et al. Conditioned Pain Modulation and Pressure Pain Sensitivity in the Adult Danish General Population: The DanFunD Study. J Pain [Internet]. 2017;18(3):274–284. Available from:

Sattin D, Schnakers C, Pagani M, Arenare F, et al. Evidence of altered pressure pain thresholds in persons with disorders of consciousness as measured by the Nociception Coma Scale–Italian version. Neuropsychol Rehabil [Internet]. 2018;28(8):1295–1310. Available from:

Vaegter HB, Lyng KD, Yttereng FW, Christensen MH, et al. Exercise-Induced Hypoalgesia after Isometric Wall Squat Exercise: A Test-Retest Reliabilty Study. Pain Med [Internet]. 2019;20(1):129–137. Available from:

Murray M, Lange B, Nørnberg BR, Søgaard K, et al. Self-administered physical exercise training as treatment of neck and shoulder pain among military helicopter pilots and crew: A randomized controlled trial. BMC Musculoskelet Disord [Internet]. 2017;18(1):147. Available from:

Vaegter HB, Dørge DB, Schmidt KS, Jensen AH, et al. Test-Retest Reliabilty Of Exercise-Induced Hypoalgesia After Aerobic Exercise. Pain Med [Internet]. 2018;19(11):2212–2222. Available from:

Chantelau EA. Conventional deep pressure algometry is not suitable for clinical assessment of nociception in painless diabetic neuropathy. Diabet Foot Ankle [Internet]. 2016;7(1):31922. Available from:

Misra G, Wang WE, Archer DB, Roy A, et al. Automated classification of pain perception using high-density electroencephalography data. J Neurophysiol [Internet]. 2017;117(2):786–795. Available from:

Adnadjevic D, Graven-Nielsen T. Vibration And Rotation During Biaxial Pressure Algometry Is Related With Decreased And Increased Pain Sensations. Pain Med [Internet]. 2014;15(12):2095–2104. Available from:

Schulz E, Zherdin A, Tiemann L, Plant C, et al. Decoding an Individual’s Sensitivity to Pain from the Multivariate Analysis of EEG data. Cereb Cortex [Internet]. 2012;22(5):1118–1123. Available from:

Vatankhah M, Toliyat A. Pain Level Measurement Using Discrete Wavelet Transform. Int J Eng Technol [Internet]. 2016;8(5):380–384. Available from:

Andersen S, Petersen MW, Svendsen AS, Gazerani P. Pressure pain thresholds assessed over temporalis, masseter, and frontalis muscles in healthy individuals, patients with tension-type headache, and those with migraine-a systematic review. Pain [Internet]. 2015;156(8):1409–1423. Available from:

How to Cite
Trueba, J. H., Gasparini, F., & Flores Cuautle, J. de J. A. (2021). Pressure Pain Threshold Values Obtained Through Algometers. Mexican Journal of Biomedical Engineering, 42(2), 132-148. Retrieved from
Review Article