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Related Experiment Video

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A Protocol of Manual Tests to Measure Sensation and Pain in Humans
07:28

A Protocol of Manual Tests to Measure Sensation and Pain in Humans

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Do patients undergoing physical testing report pain intensity reliably?

Steven G White1, Peter McNair1, Mark Laslett1

  • 1AUT University, Auckland, New Zealand.

Arthritis Care & Research
|December 4, 2014
PubMed
Summary
This summary is machine-generated.

Patient reports of pain intensity during physical tests are reliable for clinical use. However, a standard error of measurement of 0.9 points on the numeric pain rating scale (NPRS) should be considered for precise pain change calculations.

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Area of Science:

  • Orthopedics
  • Pain Management
  • Rehabilitation Medicine

Background:

  • Assessing pain intensity is crucial in diagnosing and managing hip conditions.
  • Patient-reported outcomes are fundamental in clinical decision-making.
  • The reliability of pain intensity reports during physical examinations requires validation.

Purpose of the Study:

  • To evaluate the consistency of patient-reported pain intensity during standardized hip physical tests.
  • To determine the reliability of the numeric pain rating scale (NPRS) in this context.

Main Methods:

  • 18 individuals with hip pain underwent 14 standardized physical tests.
  • Pain intensity was reported using the NPRS during testing.
  • Tests were repeated within-session and between-session (1 hour and 2-7 days).
  • Intraclass correlation coefficients (ICCs) and Lin's concordance correlation coefficients (CCCs) were used to assess reliability.

Main Results:

  • Within-session reliability showed substantial to almost perfect agreement for 9 of 14 tests.
  • Between-session reliability demonstrated substantial to almost perfect agreement for 11 of 14 tests.
  • Two tests were found to be unreliable for both within- and between-session measurements.
  • The average standard error of measurement (SEM) was 0.9 points on the NPRS.

Conclusions:

  • Patient reports of pain intensity during hip physical tests are generally reliable for clinical application.
  • The identified SEM of 0.9 points on the NPRS is important for interpreting changes in pain intensity.
  • Clinicians should consider the SEM when precise pain change assessments are critical.