Long-term consistency of clinical sensory testing measures for pain assessment
Bellosta-López, Pablo ; Doménech-García, Víctor ; Palsson, Thorvaldur Skuli ; Herrero, Pablo (Universidad de Zaragoza) ; Christensen, Steffan Wittrup Mcphee
Resumen: Background: Understanding the stability of quantitative sensory tests (QSTs) over time is important to aid clinicians in selecting a battery of tests for assessing and monitoring patients. This study evaluated the short- and long-term reliability of selected QSTs.
Methods: Twenty healthy women participated in three experimental sessions: Baseline, 2 weeks, and 6 months. Measurements included pressure pain thresholds (PPT) in the neck, upper back, and leg; Pressure-cuff pain tolerance around the upper-arm; conditioned pain modulation during a pressure-cuff stimulus; and referred pain following a suprathreshold pressure stimulation. Intraclass correlation coefficients (ICC) and minimum detectable change (MDC) were calculated.
Results: Reliability for PPT was excellent for all sites at 2 weeks (ICC, 0.96–0.99; MDC, 22–55 kPa) and from good to excellent at 6 months (ICC, 0.88–0.95; MDC, 47–91 kPa). ICC for pressure-cuff pain tolerance indicated excellent reliability at both times (0.91–0.97). For conditioned pain modulation, reliability was moderate for all sites at 2 weeks (ICC, 0.57–0.74; MDC, 24%–35%), while it was moderate at the neck (ICC, 0.54; MDC, 27%) and poor at the upper back and leg at 6 months. ICC for referred pain areas was excellent at 2 weeks (0.90) and good at 6 months (0.86).
Conclusions: PPT, pressure pain tolerance, and pressure-induced referred pain should be considered reliable procedures to assess the pain-sensory profile over time. In contrast, conditioned pain modulation was shown to be unstable. Future studies prospectively analyzing the pain-sensory profile will be able to better calculate appropriate sample sizes.
Idioma: Inglés
DOI: 10.3344/kjp.23011
Año: 2023
Publicado en: Korean Journal of Pain 36, 2 (2023), 173-183
ISSN: 2005-9159
Factor impacto JCR: 3.4 (2023)
Categ. JCR: CLINICAL NEUROLOGY rank: 75 / 280 = 0.268 (2023) - Q2 - T1
Factor impacto CITESCORE: 5.4 - Anesthesiology and Pain Medicine (Q1)
Factor impacto SCIMAGO: 0.773 - Anesthesiology and Pain Medicine (Q1)
Financiación: info:eu-repo/grantAgreement/ES/FPI/CPB09-2018
Financiación: info:eu-repo/grantAgreement/ES/MCIU/FPU19-05237
Tipo y forma: Article (Published version)
Área (Departamento): Área Fisioterapia (Dpto. Fisiatría y Enfermería)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes.
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Methods: Twenty healthy women participated in three experimental sessions: Baseline, 2 weeks, and 6 months. Measurements included pressure pain thresholds (PPT) in the neck, upper back, and leg; Pressure-cuff pain tolerance around the upper-arm; conditioned pain modulation during a pressure-cuff stimulus; and referred pain following a suprathreshold pressure stimulation. Intraclass correlation coefficients (ICC) and minimum detectable change (MDC) were calculated.
Results: Reliability for PPT was excellent for all sites at 2 weeks (ICC, 0.96–0.99; MDC, 22–55 kPa) and from good to excellent at 6 months (ICC, 0.88–0.95; MDC, 47–91 kPa). ICC for pressure-cuff pain tolerance indicated excellent reliability at both times (0.91–0.97). For conditioned pain modulation, reliability was moderate for all sites at 2 weeks (ICC, 0.57–0.74; MDC, 24%–35%), while it was moderate at the neck (ICC, 0.54; MDC, 27%) and poor at the upper back and leg at 6 months. ICC for referred pain areas was excellent at 2 weeks (0.90) and good at 6 months (0.86).
Conclusions: PPT, pressure pain tolerance, and pressure-induced referred pain should be considered reliable procedures to assess the pain-sensory profile over time. In contrast, conditioned pain modulation was shown to be unstable. Future studies prospectively analyzing the pain-sensory profile will be able to better calculate appropriate sample sizes.
Idioma: Inglés
DOI: 10.3344/kjp.23011
Año: 2023
Publicado en: Korean Journal of Pain 36, 2 (2023), 173-183
ISSN: 2005-9159
Factor impacto JCR: 3.4 (2023)
Categ. JCR: CLINICAL NEUROLOGY rank: 75 / 280 = 0.268 (2023) - Q2 - T1
Factor impacto CITESCORE: 5.4 - Anesthesiology and Pain Medicine (Q1)
Factor impacto SCIMAGO: 0.773 - Anesthesiology and Pain Medicine (Q1)
Financiación: info:eu-repo/grantAgreement/ES/FPI/CPB09-2018
Financiación: info:eu-repo/grantAgreement/ES/MCIU/FPU19-05237
Tipo y forma: Article (Published version)
Área (Departamento): Área Fisioterapia (Dpto. Fisiatría y Enfermería)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes. Exportado de SIDERAL (2024-11-22-12:00:47)
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Record created 2023-05-25, last modified 2024-11-25