Title: Evaluation of pain threshold by using the method of pressure algometry at selected muscular points in the area of shoulder girdle in karate practitioners. Objectives: The main objective of this thesis is to assess the pain threshold using the method of pressure algometry at selected muscle points while practising the technique choku-cuki in karate practitioners. Methods: The experiment is a pilot study which evaluates the pain threshold in m. latissimus dorzi, m. serratus anterior, m. trapezius pars descendent, ascendent and other selected muscles of both right and left shoulder girdles before exercising direct choku-cuki glow in the position of heiko-dachi stance and also controls the proper performance of given technique. Manual pressure algometer has been chosen as alternative objective method. Examined group consisted of ten male karate practitioners who had met the criteria specified for this study. Results: The results of measurements using pressure algometry in the muscles m. latissimus dorzi, m. serratus anterior, m. trapezius pars descendent, ascendent demonstrated that while practising the technique of the choku-cuki blow in the position of heiko-dachi stance, lowering of pain threshold in the contracted upper limb in comparison to the hitting one was observed. Keywords: pressure...

BACKGROUND: Shoulder girdle pain is a common disabling complaint with a high lifetime prevalence. Interventions aimed at decreasing shoulder pain without stressing shoulder girdle structures have the potential to improve participation in multimodal shoulder rehabilitation programs. HYPOTHESIS/PURPOSE: The aim of this study was to determine the acute effects of moderate intensity lower extremity exercise on mechanically induced shoulder pain in individuals without shoulder injury. It was hypothesized that participants would exhibit less shoulder pain, as indicated by increased pain thresholds, following lower extremity exercise. STUDY DESIGN: Repeated measures study. METHODS: Thirty (30) healthy participants were recruited to participate in this study. Pain pressure algometry was used to mechanically induce shoulder pain over the infraspinatus muscle belly. This was performed on the dominant shoulder before and immediately after performing 10 minutes of moderate intensity lower extremity exercise using a recumbent exercise machine. Heart rate and rate of perceived exertion were measured following exercise. Repeated measures ANOVA was used to compare pain pressure threshold scores between the baseline and post-exercise time points. Significance was set at p ≤ 0.05 . Effect size (ES) was calculated using Glass's Δ. RESULTS: Moderate intensity lower extremity aerobic exercise led to significantly (F = 8.471, p = 0.003) decreased evoked shoulder pain in healthy adults with moderate effect sizes (0.30-0.43). CONCLUSIONS: Lower extremity aerobic exercise significantly decreased pain of the infraspinatus in this sample of young healthy participants. Utilization of lower extremity exercise may be of benefit for younger patients to decreased acute shoulder pain. LEVEL OF EVIDENCE: 2b: individual cohort study.

Title: Algometric analysis of influence of crimp grip on soft tissues of hand and forearm. Objectives: The main aim of this thesis is comparison and evaluation of changes of nociceptors sensitivity treshold in chosen points of upper extremities area before and after defined strain using pressure algometer. Methods: Data for the experiment was obtained using pressure algometr. Pain threshold was measured in defined 42 points in the order given at each subject firstly before strain and again immediately after defined strain of upper extremities (one minute hangig by the both hands in crimp grip on a campus board in this way: 10 sec strain plus 10 sec break, all six times). Then were measured values statisticaly analysed. Sources for processing of theoretical part of this work were obtained from expert articles and literature which follow up the given task. Results: Statisticaly important results show, that decreasing of pain threshold (on average by 100 - 160 kPa) comes about in tissues of upper extremity immediately after its loading in crimp grip, which means increasing of nociceptors sensitivity. At the same time it has been proved that nociceptors sensitivity in the area of tendon pulleys correlates with frequency of their injury quoted in a literature (that is the highest sensitivity in the...

Title: Efficiency of cold treatment of locomotive system dysfunctions Objectives: The theoretical part should provide an overview of effects of cold on the human organism. The practical part reports a pilot study in which local cryotherapy was applied to painful areas of dysfunctional locomotive system. Methods: After measuring local painfulness using an algometer, the Cryogen 2 device was used for local cryotherapeutic treatment; after the treatment, algometer was used again. Subjective state of the patient was monitored throughout the process. Cryotherapy was applied within normal individual physiotherapeutic treatment to patients of varying age, sex, and locomotive system dysfunctions. Results: We have shown that local cryotherapy, using the Cryogen 2 device, did decrease painfulness in measured areas. Although significant differences in pain perception were found between male and female patients, the efficiency of cryotherapy did not depend on sex. Some correlation was found between treatment efficiency and age. No evidence was found for establishing that repeated application decreases pain perception measured before the next treatment. The results are influenced by a smaller sample of patients and measurements, and by inhomogeneity of patients. Key words: pain treatment, cold, local cryotherapy,...

A dor orofacial compreende todas as dores que envolvem os tecidos moles e mineralizados da cavidade oral e da face, pode ser referida na região da cabeça e/ou pescoço. A etiologia da disfunção temporomandibular (DTM) é multifatorial, são distúrbios musculoesqueléticos que afetam o sistema estomatognático, os músculos mastigatórios e/ou estruturas associadas. Uma disfunção muito prevalente é a dor miofascial. O front-plateau é um dispositivo de resina acrílica instalado nos dentes superiores anteriores, que desoclui os dentes posteriores, proporcionando desprogramação neuromuscular. O objetivo deste estudo foi avaliar a atividade eletromiográfica, o limiar de dor à pressão (LDP) dos músculos temporal e masseter, e a força de mordida molar máxima de participantes com dor miofascial, antes e após a instalação da placa anterior \"front-plateau\". As participantes foram recrutadas e atendidas na Clínica de Dor Orofacial do DAPE da FORP-USP. Para tanto, foram avaliadas 22 mulheres entre 20 e 60 anos. As participantes foram submetidas inicialmente aos exames de eletromiografia (EMG), eletromiógrafo MyoSystem-Br1, limiar de dor a pressão (LDP) algômetro Kratos® e foi aferida força de mordida molar máxima (FMM) por meio do dinamômetro Kratos® IDDK. Foram formados dois grupos, no grupo 1 (G1) 11 participantes usaram o front-plateau por sete dias, 16 horas nos três primeiros dias e por oito horas nos próximos quatro dias, sendo que o tratamento foi interrompido após este período. O grupo 2 (G2), com 11 participantes, iniciou o tratamento idem ao G1 e após sete dias continuaram usando o front-plateau por oito horas diárias por mais três semanas, totalizando 1 mês de uso. Após o tratamento, as participantes dos dois grupos foram novamente avaliadas quatro semanas após a primeira avaliação. Os dados foram analisados com auxílio do software R (R® Foundation for Statistical Computing, Áustria). Os valores reais ou transformados das variáveis foram comparados entre os tratamentos, dias de avaliação e sua interação pela Analise de Variância (ANOVA) em um delineamento interamente casualizado com medidas repetidas no tempo. Para as variáveis que apresentaram diferença estatística, as médias foram comparadas pelo pós-teste de Tukey (p<0,05) e os dados apresentados como a média ± o erro padrão (EP). Foi encontrado relevância estatística em todas as variáveis das análises feitas pelo algômetro durante a utilização do front-plateau, havendo diminuição da sensibilidade dolorosa e aumento do LDP em todos os músculos analisados. Não houve qualquer alteração estatisticamente significativa na FMM no período de utilização do front plateau. Na eletromiografia foi encontrados valores significativos nos padrões posturais de lateralidade direita (LD) e lateralidade esquerda (LE) e mastigação de uva-passa (MU) entre os grupos. Podemos concluir que durante o período de uso do front-plateau houve elevação do LDP (reduzindo a sensibilidade à dor) sendo que após a interrupção do tratamento essa variável retornou às condições iniciais; Na EMG foi observado diminuição do estímulo elétrico para padrões posturais de LD, LE e MU. Porém a FMM não foi modificada durante a utilização do dispositivo. / Orofacial pain comprises all pains involving the soft and mineralized tissues of the oral cavity and face, it can be felt in the region of the head and/or neck. The etiology of temporomandibular dysfunction (TMD) is multifactorial. Its defined as musculoskeletal disorders that affect the stomatognathic system, the masticatory muscles and/or associated structures. A very prevalent dysfunction is myofascial pain. Front-plateau is an acrylic resin device installed in the anterior superior teeth, which separates the posterior teeth, providing neuromuscular deprogramming. The purpose of this study was to assess the electromyographic activity, the pain threshold at the temporal and masseter muscles, and the maximum molar bite strength of participants with myofascial pain, before and after the installation of the front-plateau. Participants were recruited and cared at the FORP-USP DAPE Orofacial Pain Clinic. Twenty two women between 20 and 60 years old were evaluated. The participants were initially submitted to electromyography (EMG) tests, MyoSystem-Br1 electromyograph, pressure pain threshold (PPT), Kratos® algometer, and maximal molar bite force (MMB), Kratos® IDDK dynamometer. Two groups were formed, in group 1 (G1) 11 participants used the front-plateau for seven days, 16 hours on the first three days and for eight hours on the next four days, and treatment was stopped after this period. Group 2 (G2), with 11 participants, started the treatment identical to G1 and after seven days they continued using the front-plateau for eight hours daily for another three weeks, totaling one month of use. After treatment, participants from both groups were reassessed four weeks after the first evaluation. The data were analyzed using R software (R® Foundation for Statistical Computing, Austria). The real or transformed values of the variables were compared between the treatments, evaluation days and their interaction by the Analysis of Variance (ANOVA) in an inter randomized design with repeated measures in time. For the variables that presented statistical difference, the means were compared by Tukey\'s post-test (p <0.05) and the data presented as the mean ± standard error (SE). A statistically significant value was found in all the variables analyzed by the algometer. There was a decrease in pain sensitivity and an increase in the pressure pain threshold (PPT) in all muscles analyzed. There was no statistically significant change in the maximum bite force during the period of use of the front-plateau. In electromyography, significant values were found in the postural patterns of right laterality (RL) and left laterality (LL) and chewing of raisins (CR). We can conclude that during the period of use of the front-plateau there was elevation of the PPT (reducing the sensitivity to pain) returning to the initial conditions after removal of the device; It was observed a decrease in the electrical stimulus for postural patterns of RL, LL and CR. However, the MMB was not modified during the use of the device.

A dor orofacial compreende todas as dores que envolvem os tecidos moles e mineralizados da cavidade oral e da face, pode ser referida na região da cabeça e/ou pescoço. A etiologia da disfunção temporomandibular (DTM) é multifatorial, são distúrbios musculoesqueléticos que afetam o sistema estomatognático, os músculos mastigatórios e/ou estruturas associadas. Uma disfunção muito prevalente é a dor miofascial. O front-plateau é um dispositivo de resina acrílica instalado nos dentes superiores anteriores, que desoclui os dentes posteriores, proporcionando desprogramação neuromuscular. O objetivo deste estudo foi avaliar a atividade eletromiográfica, o limiar de dor à pressão (LDP) dos músculos temporal e masseter, e a força de mordida molar máxima de participantes com dor miofascial, antes e após a instalação da placa anterior \"front-plateau\". As participantes foram recrutadas e atendidas na Clínica de Dor Orofacial do DAPE da FORP-USP. Para tanto, foram avaliadas 22 mulheres entre 20 e 60 anos. As participantes foram submetidas inicialmente aos exames de eletromiografia (EMG), eletromiógrafo MyoSystem-Br1, limiar de dor a pressão (LDP) algômetro Kratos® e foi aferida força de mordida molar máxima (FMM) por meio do dinamômetro Kratos® IDDK. Foram formados dois grupos, no grupo 1 (G1) 11 participantes usaram o front-plateau por sete dias, 16 horas nos três primeiros dias e por oito horas nos próximos quatro dias, sendo que o tratamento foi interrompido após este período. O grupo 2 (G2), com 11 participantes, iniciou o tratamento idem ao G1 e após sete dias continuaram usando o front-plateau por oito horas diárias por mais três semanas, totalizando 1 mês de uso. Após o tratamento, as participantes dos dois grupos foram novamente avaliadas quatro semanas após a primeira avaliação. Os dados foram analisados com auxílio do software R (R® Foundation for Statistical Computing, Áustria). Os valores reais ou transformados das variáveis foram comparados entre os tratamentos, dias de avaliação e sua interação pela Analise de Variância (ANOVA) em um delineamento interamente casualizado com medidas repetidas no tempo. Para as variáveis que apresentaram diferença estatística, as médias foram comparadas pelo pós-teste de Tukey (p<0,05) e os dados apresentados como a média ± o erro padrão (EP). Foi encontrado relevância estatística em todas as variáveis das análises feitas pelo algômetro durante a utilização do front-plateau, havendo diminuição da sensibilidade dolorosa e aumento do LDP em todos os músculos analisados. Não houve qualquer alteração estatisticamente significativa na FMM no período de utilização do front plateau. Na eletromiografia foi encontrados valores significativos nos padrões posturais de lateralidade direita (LD) e lateralidade esquerda (LE) e mastigação de uva-passa (MU) entre os grupos. Podemos concluir que durante o período de uso do front-plateau houve elevação do LDP (reduzindo a sensibilidade à dor) sendo que após a interrupção do tratamento essa variável retornou às condições iniciais; Na EMG foi observado diminuição do estímulo elétrico para padrões posturais de LD, LE e MU. Porém a FMM não foi modificada durante a utilização do dispositivo. / Orofacial pain comprises all pains involving the soft and mineralized tissues of the oral cavity and face, it can be felt in the region of the head and/or neck. The etiology of temporomandibular dysfunction (TMD) is multifactorial. Its defined as musculoskeletal disorders that affect the stomatognathic system, the masticatory muscles and/or associated structures. A very prevalent dysfunction is myofascial pain. Front-plateau is an acrylic resin device installed in the anterior superior teeth, which separates the posterior teeth, providing neuromuscular deprogramming. The purpose of this study was to assess the electromyographic activity, the pain threshold at the temporal and masseter muscles, and the maximum molar bite strength of participants with myofascial pain, before and after the installation of the front-plateau. Participants were recruited and cared at the FORP-USP DAPE Orofacial Pain Clinic. Twenty two women between 20 and 60 years old were evaluated. The participants were initially submitted to electromyography (EMG) tests, MyoSystem-Br1 electromyograph, pressure pain threshold (PPT), Kratos® algometer, and maximal molar bite force (MMB), Kratos® IDDK dynamometer. Two groups were formed, in group 1 (G1) 11 participants used the front-plateau for seven days, 16 hours on the first three days and for eight hours on the next four days, and treatment was stopped after this period. Group 2 (G2), with 11 participants, started the treatment identical to G1 and after seven days they continued using the front-plateau for eight hours daily for another three weeks, totaling one month of use. After treatment, participants from both groups were reassessed four weeks after the first evaluation. The data were analyzed using R software (R® Foundation for Statistical Computing, Austria). The real or transformed values of the variables were compared between the treatments, evaluation days and their interaction by the Analysis of Variance (ANOVA) in an inter randomized design with repeated measures in time. For the variables that presented statistical difference, the means were compared by Tukey\'s post-test (p <0.05) and the data presented as the mean ± standard error (SE). A statistically significant value was found in all the variables analyzed by the algometer. There was a decrease in pain sensitivity and an increase in the pressure pain threshold (PPT) in all muscles analyzed. There was no statistically significant change in the maximum bite force during the period of use of the front-plateau. In electromyography, significant values were found in the postural patterns of right laterality (RL) and left laterality (LL) and chewing of raisins (CR). We can conclude that during the period of use of the front-plateau there was elevation of the PPT (reducing the sensitivity to pain) returning to the initial conditions after removal of the device; It was observed a decrease in the electrical stimulus for postural patterns of RL, LL and CR. However, the MMB was not modified during the use of the device.

Fascial tissues form a continuous whole-body three-dimensional network penetrating all parts of the human body. They include all fibrous connective tissue that significantly contributes both to themaintaining of the integrity of the organism and the functioning of body systems and the somesthetic perception.That is because of the facia is richly populated by proprioceptiveand mechanosensitive nociceptive nerve endings. Although the stretching is a routine method used in sports and rehabilitation, its exact mechanism of influence and effects on the body are not fully understood so far. Stretching exercises affect the mechanical state of the myofascial tissues and also the quality of the nociception and proprioception by alteration of their preload. There is evidence about some differences of the mechanical properties of the tissuesboth between thesexes and hypermobile individuals. The theses assesses the effect of static stretching m. QF on the somesthetic perception by measuring pressure pain threshold (PPT) using pressure algometry and the quality of propcioception bygoniometric measurement considering the interindividual variance in quality of the connective tissues. Our research includes testing of 29 healthy subjects (14 women and 15 men) and it has proved significant impact of the intervention on the...

Title: The Effect of Kinesiotaping on Pain Threshold Alteration of Lower Limbs and Pelvis in Latin American Sport Dance Couples Objectives: The aim of this study is to monitor the alteration of the pain threshold in predilective points of lower limbs and pelvis during loaded regime and to compare these changes with the control group with no kinesio tape. Methods: This experimental study employs intervention of kinesio tape applied to inhibit m. gastrocnemius medialis et lateralis and for mechanical correction of hallux valgus. There were five couples in experimental group and five couples in control group. The pain threshold change was objectivised by pressure algometer. Results: The measured data showed that the kinesiotaping has a positive influence on pain threshold in sport dance couples. In most dancers (9 out of 10) kinesio tape contributed to increasing or smaller decreasing of pain threshold with respect to the other lower limb. In comparison with the control group, pain threshold of dancers in the experimental group increased or decreased less even despite acute or subacute injury of the taped lower limb. One more finding is that the postural function has an influence on the pain threshold change after load. Pain threshold had a downward tendency in investigated persons with a worse...

A síndrome dolorosa miofascial (SDM) é uma disfunção musculoesquelética não articular caracterizada por pontos-gatilho miofasciais. Estes pontos, identificados por meio da palpação, são descritos como bandas tensas na fibra muscular, podendo apresentar dor referida à compressão. Sabe-se que os pontos-gatilho miofasciais provocam hiperatividade simpática regional de temperatura local devido à atividade vasoconstritora cutânea. Para documentação objetiva por imagem desta alteração funcional, a termografia tem sido proposta como método auxiliar diagnóstico. O objetivo deste estudo foi correlacionar os exames clínico e termográfico dos pontos-gatilho nos músculos da mastigação masseter e temporal parte anterior. A amostra constituiu-se por 26 mulheres voluntárias com 41 ± 15 anos. Os resultados demonstraram correlação diretamente proporcional entre algometria e termografia na avaliação do ponto-gatilho miofascial, onde, quanto menor a força aplicada, menor a temperatura local (p<0,001). As áreas com dor referida apresentaram níveis de limiar de dor à pressão (1.28±0.45 kgf) menores quando comparados às áreas de dor local (1.73±0,59 kgf; p<0.001). Sendo assim, a imagem termográfica de um ponto-gatilho apresentou-se hiporradiante quando comparada à região de ausência de ponto-gatilho (&#916;T>0,4ºC; p<0.001). Além disso, a avaliação termográfica dos pontos-gatilho nos músculos masseter e temporal pelo gradiente térmico (&#916;T e &#916;&#952;) apresentou maior sensibilidade e especificidade em comparação com a temperatura absoluta (T), mesmo quando corrigidos estes valores para a temperatura ambiente e temperatura timpânica da voluntária durante o exame (&#952;). A termografia isoladamente identificou pontos-gatilho com sensibilidade de 62,5% e especificidade de 71,31%. Os autores concluíram que a termografia é um método de imagem não invasivo, com potencial de identificação de pontos-gatilho miofasciais na região facial. / Myofascial pain syndrome is a myalgic dysfunction characterized by myofascial trigger points (MTP). The taut band is a constant feature of a trigger point characterized by referred pain when stimulated. It is known that the myofascial trigger points cause regional sympathetic hyperactivity in local temperature due to the cutaneous vasoconstrictor activity. For detection of functional changes, thermography may be used as an auxiliary diagnostic imaging. The aim of this study was to correlate clinical and thermographic myofascial trigger points in the masticatory muscles masseter and temporalis. Twenty six women volunteers were included, having a mean age of 41 ± 15 years. The results showed directly proportional relationship by algometry and thermography in the assessment of MTP, where smaller the force applied, lower the local temperature will be (p<0.001). Moreover, when the soreness was evaluated and local vasomotor response, the temperature decreases as the worst local situation. PPT (pressure pain threshold) levels measured at the points of referred pain in MTP (1.28±0.45 kgf) were significantly lower than the areas of local pain in MTP (1.73±0,59 kgf; p<0.001). Thus, the thermographic image of a MTP presented colder than the area without trigger point (&#916;T>0,4ºC; p<0.001). In the thermographic assessment of MTP in the masseter and temporalis muscles, the results suggest that the parameters of thermal asymmetry (&#916;T and &#916;&#952;) show greater sensitivity and specificity in comparison to local absolute temperature values (T), even when corrected for the volunteer\'s core temperature and the temperature of the room during the exam (&#952;). Thermography can identify trigger points (referred pain) with sensitivity of 62,50% and specificity of 71,31%. The authors concluded that thermography is a noninvasive imaging method with potential for screening patients with MTP in the facial region.

Introdução: A Dor Pélvica Crônica (DPC) é um problema social, com alta prevalência, acometendo mulheres na idade reprodutiva. Cada vez mais salientamos a importância de investigar instrumentos apropriados para avaliação da dor, facilitando na prática clínica a escolha do melhor método que torne mais completa a avaliação de aspectos da intensidade na mensuração da dor crônica. Portanto, o objetivo deste estudo é correlacionar diferentes instrumentos de avaliação da intensidade dolorosa, a escala numérica (EN), escala visual analógica (EVA) e a algometria de pressão, nas mulheres com DPC, a fim de identificar o instrumento que melhor expressa o quadro doloroso. Métodos: foram avaliadas pelo ginecologista oitenta mulheres encaminhadas ao ambulatório do serviço de Ginecologia e Obstetrícia do Hospital de Clínicas de Porto Alegre (HCPA), trinta e três mulheres apresentaram algum aspecto dos nossos critérios de não inclusão. Selecionamos para participar do estudo quarenta e sete pacientes com DPC, sendo que vinte pacientes apresentavam endometriose diagnosticada por videolaparoscopia e vinte e sete pacientes apresentavam outras causas ginecológicas. Utilizamos no estudo um roteiro para anamnese cujos dados relacionados com a DPC foram coletados, tais como diagnóstico, tratamento, sintomatologia e locais da dor. Escores de dor foram classificados de acordo com a intensidade, através das escalas de dor (EN e EVA), instrumentos baseados no autorrelato do indivíduo e algometria de pressão, para verificar o limiar de dor à pressão das pacientes. Na análise dos dados, a concordância entre as escalas foi avaliada pelo coeficiente de correlação intraclasse (ICC) e a associação entre as escalas com o algômetro foi avaliada pelo coeficiente de correlação de Spearman, o nível de significância adotado foi de 5% (P<0,05). Resultados: As participantes do estudo tinham idade média de 38,3 ± 7,6 anos. Utilizamos o ICC para análise da correlação entre os instrumentos de relato da percepção dolorosa, ou seja, entre as EN e EVA, em relação à dor (0,992), na dismenorreia (1,00) e na dispareunia (0,996), e encontramos excelente concordância entre as escalas, com P<0,01. As associações da algometria com as escalas foram moderadas e inversas, apresentando diferenças estatisticamente significativas, quanto maior a pontuação nas escalas EN e EVA em relação à dispareunia, menores os valores no algômetro, exceto nos pontos LA1 e LA2 em ambos os lados. Também houve associação inversa das escalas EN e EVA na dismenorréia, no ponto LAB2 lado direito e associação inversa no ponto PS lado direito com a escala EVA de dor, com diferenças estatisticamente significativas. Conclusão: As escalas são instrumentos eficientes para avaliação da dor, podendo ser utilizada tanto a EN quanto a EVA na avaliação da intensidade dolorosa. Na avaliação das mulheres com DPC devemos utilizar a algometria de pressão associada à EN ou EVA, instrumentos inversamente proporcionais, confiáveis e sensíveis, tornando menos subjetiva a avaliação da dor para melhor expressar o quadro doloroso. / Introduction: The Chronic Pelvic Pain (CPP) is a social problem, with high prevalence, affecting women in reproductive age. Increasingly, has been emphasised the importance of investigating appropriate instruments for evaluation of pain in clinical practice, by facilitating the choice of the best method to make more complete the evaluation in measuring intensity aspects of chronic pain. Therefore, the objective of this study is to correlate different painful intensity assessment tools, the numeric scale (NS), visual analogue scale (VAS) and algometry pressure, in women with CPP, in order to identify the instrument that best expresses the pain. Methods: were evaluated by the gynecologist eighty women referred to the Gynecology and Obstetrics service, Clinical Hospital of Porto Alegre (HCPA), thirty three women had some aspect of our criteria for not inclusion. The study included forty seven patients, twenty patients had endometriosis diagnosed by laparoscopy and twenty seven patients had other gynecological causes. For the analyses in this study we used a road map for anamnesis whose data related to the CPP was collected, such as diagnosis, treatment, symptoms and pain locations. In addition, pain scores were classified according to intensity, through the pain scales (NS and VAS), based on self-report instruments of individual and algometry, to verify the pressure pain threshold of the patients. Statistically, the agreement between scales was assessed by intraclass correlation coefficient (ICC) and the association between the scales with the algometer were evaluated by Spearman's rank correlation coefficient, the level of significance adopted was 5% (P<0,05). Results: Study participants had an average age of 38.3 ± 7.6 years old. In the statistical analysis, we used ICC reporting instruments of perception painful I mean, between NS and VAS regarding pain (0,992), in dysmenorrhoea (1.00) and Dyspareunia (0.996), and we found excellent correlation between scales, with P<0,01. The associations of algometria with the scales were moderate and inverses, showing differences statistically significant, the higher the score NS and VAS in relation to Dyspareunia smaller values in algometer, except in points LA1 and LA2 on both sides. Indeed, there were also inverse association of scales NS and VAS on dysmenorrhea, in point LAB2 in the right side and inverse association in point PS in the right side with scale VAS of pain, with statistically significant differences. Conclusion: the scales are effective instruments for evaluation of pain, and may be used both in NS and VAS at painful intensity evaluation. In the evaluation of women with CPP should be used the algometry pressure associated with NS or VAS, instruments inversely proportional, reliable and sensitive, making less subjective pain assessment to better express the pain.