1. Long-term consistency of clinical sensory testing measures for pain assessment.
- Author
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Bellosta-López, Pablo, Doménech-García, Víctor, Palsson, Thorvaldur Skuli, Herrero, Pablo, and Christensen, Steffan Wittrup Mcphee
- Subjects
PAIN measurement ,LEG pain ,PAIN tolerance ,PAIN threshold ,INTRACLASS correlation ,THIGH - Abstract
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. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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