Within-Session Test-Retest Reliability of Pressure Pain Threshold and Mechanical Temporal Summation in Chronic Low Back Pain.
Journal
The Clinical journal of pain
ISSN: 1536-5409
Titre abrégé: Clin J Pain
Pays: United States
ID NLM: 8507389
Informations de publication
Date de publication:
01 05 2023
01 05 2023
Historique:
received:
02
09
2022
accepted:
22
02
2023
medline:
26
4
2023
pubmed:
15
3
2023
entrez:
14
3
2023
Statut:
epublish
Résumé
To determine the absolute and relative within-session test-retest reliability of pressure pain threshold (PPT) and temporal summation of pain (TSP) at the low back and the forearm in individuals with chronic low back pain (CLBP) and to test the impact of different sequences of measurements on reliability metrics. Twenty-eight adults with CLBP were recruited. Relative (intraclass correlation coefficient [ICC] and coefficient of variation) and absolute reliability (standard error of measurement and minimal detectable changes) were quantified at 4 sites (back: sacrum and lumbar erector spinae; wrist: hand dorsum and wrist flexors) for PPT and 2 sites (hand and low back) for TSP, for various sequences of measurements. Systematic differences were found between within test and retest for most PPT sequences at the lumbar erector spinae site and 1 TSP sequence (1-2-3) at back and hand sites, precluding reliability analyses for these data. Within-session PPT relative reliability was excellent at low back (ICC = 0.83 to 0.94) and wrist (ICC = 0.88 to 0.97) sites, whereas TSP showed good to excellent reliability at hand (ICC = 0.80 to 0.90) and low back (ICC = 0.73 to 0.89). In general, 2 and 3 measurements optimized absolute and relative reliability for TSP and PPT, respectively. Within-session reliability was generally excellent for PPT and TSP at the low back and hand sites among individuals with CLBP. We recommend using 3 measurements for PPT and 2 for TSP to optimize reliability. Caution is recommended when testing PPT of the painful lower back area since a systematic difference was present between the test and retest.
Identifiants
pubmed: 36917769
doi: 10.1097/AJP.0000000000001106
pii: 00002508-202305000-00003
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
217-225Informations de copyright
Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
C.M. was supported by scholarships from the Canadian Institute of Health Research (2624400, 2019) and of the Ordre professionnel de la physiothérapie du Québec (OPPQ, Montreal, Canada). A grant from the Canadian MSK Rehab Research Network, the Quebec Pain Research Network (Sherbrooke, Canada) and the Réseau Provincial de recherche en Adaptation-Réadaptation (Quebec, Canada) partnership funded this project. H.M.-A. is supported by a Research Scholarship from the Fonds de recherche du Québec - Santé (281961 - Montreal, Canada). The remaining authors declare no conflict of interest.
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