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Background: The British physician, Balfour, at the beginning of the nineteenth century was one of the first to describe thickened nodules and bumps in tissue, which could be painful under pressure. This pressure often also caused pain in other distant parts of the body. The above characteristics perfectly reflected what is now referred to as the trigger point. Aim of the study: The aim of this study was to assess the impact of ischemic compression using clavitherapy on the level of compression pain threshold measured with an algometer on the muscle of the lumbar region spine extender. The following research questions were posed: Material and methods: The research involved 40 patients with pain in the paraspinal muscles who were attending the Physio-Wysz Rehabilitation Center. In each subject, pain threshold was assessed using an algometer, 5 points before and after therapy. Each subject was then subjected to ischemic compression for each of the 5 points. The obtained results were entered into an ExcelTM database and then analyzed using the Statistica program. Results: The mean value of the pain threshold for the L1 point before therapy was 114.4 ± 17.22 N/cm2 and for P1 was 113.24 ± 18.85 N/cm2. Immediately after therapy, the compression pain threshold decreased to 84.15 ± 10.79 N/cm2 and 84.89 ± 10.11 N/cm2 for the L1 and P1 points, respectively. Conclusions: There was a reduction in the mean compression pain threshold immediately after clavicle therapy. There were no significant differences when measuring the pressure pain threshold after therapy. KeyWORdS: clavitherapy, ischemic compression, compression pain threshold ASSESSmENT Of ThE INfLuENCE Of ISChEmIC COmPRESSION AND CLAvIThERAPY ON COmPRESSION PAIN ThREShOLD mEASuRED ON ThE LumBAR SPINE RECTIfIER muSCLE Szymon Wyszyński1 A,B,D,G • ORCID: 0000-0003-3340-9411 Sylwia Stiler2 C,E,f 1 Doctoral Studies, Department of Physiotherapy, Department of Physiotherapy, faculty of health Sciences, medical university of Silesia in Katowice 2 Department of Biomaterials, Institute of materials Science, faculty of Computer Science and materials Science, university of Silesia in Katowice A – study design, B – data collection, C – statistical analysis, d – interpretation of data, e – manuscript preparation, F – literature review, G – sourcing of funding

Assessment of the influence of ischemic compression and clavitherapy on compression pain threshold measured on the lumbar spine rectifier muscle