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A Protocol of Manual Tests to Measure Sensation and Pain in Humans
Published on: December 19, 2016
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Association Between Muscle Metrics and Pressure Pain Sensitivity in Older Adults
Jashandeep Singh1, Sidhiprada Mohapatra1, Girish Nandakumar1
1Manipal Academy of Higher Education, Karnataka, India.
Sage Open Aging
|December 19, 2025
Summary
Older adults with greater muscle mass and strength experience less pain sensitivity. This suggests that improving muscle health could be a key strategy for managing pain in aging populations.
Area of Science:
- Gerontology
- Pain Research
- Musculoskeletal Health
Background:
- Pain perception in older adults is influenced by physiological factors, including muscle health.
- Sarcopenia is linked to increased pain sensitivity, but specific relationships between muscle mass, strength, and pain sensitivity are underexplored.
Purpose of the Study:
- To examine associations between skeletal muscle mass, skeletal muscle index (SMI), handgrip strength (HGS), and pressure pain threshold and tolerance in older adults.
Main Methods:
- A cross-sectional study of 47 older adults (mean age 69.4 years) in long-term care.
- Measured pressure pain threshold and tolerance using algometry.
- Assessed muscle metrics (skeletal muscle mass, SMI, HGS) and performed multiple linear regression, adjusting for confounders.
Main Results:
- All muscle metrics positively correlated with pain threshold and tolerance.
- Higher skeletal muscle mass and handgrip strength were the strongest predictors of greater pressure pain tolerance.
- Associations remained significant after adjusting for age, gender, BMI, comorbidities, and analgesic use.
Conclusions:
- Increased skeletal muscle mass and strength are independently linked to reduced pain sensitivity in older adults.
- Muscle health emerges as a potentially modifiable factor for pain management in the elderly.
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