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: 73 / 277 = 0.264 (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)
Exportado de SIDERAL (2024-07-31-09:46:28)
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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: 73 / 277 = 0.264 (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)
Exportado de SIDERAL (2024-07-31-09:46:28)
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Notice créée le 2023-05-25, modifiée le 2024-07-31