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Clinical Use of Tissue Compliance Meter for Documentation of Soft Tissue Pathology

This article describes the tissue compliance meter (TCM), a simple handheld instrument for objective quantitative documentation of soft tissue consistency (firmness or softness). A rubber disc with 1 cm2 surface attached to a force gauge is pressed into the examined tissue. The tissue compliance is expressed in mm of depth of penetration of the rubber disc in relation to the force employed. The depth of penetration is indicated by a ring sliding on the shaft of the force gauge. TCM can be employed as part of the physical examination and can be performed in 1–2 min. The TCM can document soft tissue pathology such as tumors, scars, edema, inflammation, spasm, spasticity, rigidity, flaccidity, taut bands of myofascial trigger points, lumps, and tumors. In addition to documenting existing pathology, the TCM provides an objective and convenient method of evaluating the natural course of the condition, improvement or impairment. The immediate as well as long-term effect of therapeutic interventions including injections, medications, physical therapy, and manipulation can be documented objectively and quantitatively.