Instrumental validity and intra/inter-rater reliability of a novel low-cost digital pressure algometer.

Inexpensive Pain assessment Pressure algometry Pressure pain threshold Reliability Validity

Journal

PeerJ
ISSN: 2167-8359
Titre abrégé: PeerJ
Pays: United States
ID NLM: 101603425

Informations de publication

Date de publication:
2020
Historique:
received: 05 03 2020
accepted: 21 09 2020
entrez: 21 10 2020
pubmed: 22 10 2020
medline: 22 10 2020
Statut: epublish

Résumé

Pain assessment is a key measure that accompanies treatments in a wide range of clinical settings. A low-cost valid and reliable pressure algometer would allow objective assessment of pressure pain to assist a variety of health professionals. However, the pressure algometer is often expensive, which limits its daily use in both clinical and research settings. This study aimed to assess the instrumental validity, and the intra- and inter-rater reliability of an inexpensive digital adapted pressure algometer. A single rater applied 60 random compressions on a force platform. The pressure pain thresholds of 20 volunteers were collected twice (3 days apart) by two raters. The main outcome measurements were as follows: the maximal peak force (in kPa) and the pressure pain threshold (adapted pressure algometer vs. force platform). Cronbach's α test was used to assess internal consistency. The standard error of measurement provided estimates of measurement error, and the measurement bias was estimated with the Bland-Altman method, with lower and upper limits of agreement. No differences were observed when comparing the compression results ( The adapted pressure algometer provide valid and reliable measurements of pressure pain threshold. The results support more widespread use of the pressure pain threshold method among clinicians.

Sections du résumé

BACKGROUND BACKGROUND
Pain assessment is a key measure that accompanies treatments in a wide range of clinical settings. A low-cost valid and reliable pressure algometer would allow objective assessment of pressure pain to assist a variety of health professionals. However, the pressure algometer is often expensive, which limits its daily use in both clinical and research settings.
OBJECTIVES OBJECTIVE
This study aimed to assess the instrumental validity, and the intra- and inter-rater reliability of an inexpensive digital adapted pressure algometer.
METHODS METHODS
A single rater applied 60 random compressions on a force platform. The pressure pain thresholds of 20 volunteers were collected twice (3 days apart) by two raters. The main outcome measurements were as follows: the maximal peak force (in kPa) and the pressure pain threshold (adapted pressure algometer vs. force platform). Cronbach's α test was used to assess internal consistency. The standard error of measurement provided estimates of measurement error, and the measurement bias was estimated with the Bland-Altman method, with lower and upper limits of agreement.
RESULTS RESULTS
No differences were observed when comparing the compression results (
CONCLUSION CONCLUSIONS
The adapted pressure algometer provide valid and reliable measurements of pressure pain threshold. The results support more widespread use of the pressure pain threshold method among clinicians.

Identifiants

pubmed: 33083153
doi: 10.7717/peerj.10162
pii: 10162
pmc: PMC7560318
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e10162

Informations de copyright

© 2020 Jerez-Mayorga et al.

Déclaration de conflit d'intérêts

The authors declare that they have no competing interests.

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Auteurs

Daniel Jerez-Mayorga (D)

Facultad de Ciencias de la Rehabilitación, Universidad Andrés Bello, Santiago, Santiago, Chile.

Carolina Fernanda Dos Anjos (CF)

Department of Physical Therapy, Federal University of Juiz de Fora, Governador Valadares, Minas Gerais, Brazil.

Maria de Cássia Macedo (MC)

Department of Physical Therapy, Federal University of Juiz de Fora, Governador Valadares, Minas Gerais, Brazil.

Ilha Gonçalves Fernandes (IG)

Department of Physical Therapy, Federal University of Juiz de Fora, Governador Valadares, Minas Gerais, Brazil.

Esteban Aedo-Muñoz (E)

Department of Physical Education, Federal University of Juiz de Fora, Governador Valadares, Minas Gerais, Brazil.

Leonardo Intelangelo (L)

Department of Physical Therapy, Universidad del Gran Rosario, Rosario, Santa Fe, Argentina.

Alexandre Carvalho Barbosa (AC)

Department of Physical Therapy, Federal University of Juiz de Fora, Governador Valadares, Minas Gerais, Brazil.

Classifications MeSH