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Updated: Jul 26, 2025

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A Protocol of Manual Tests to Measure Sensation and Pain in Humans
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在没有疼痛的人群中,压力疼痛值的可靠性和最小可检测差异
Ryan Gl Koh1, Tracy M Paul2, Karlo Nesovic1,3
1KITE, Toronto Rehab, University Health Network, Toronto, ON, Canada.
British journal of pain
|June 21, 2023
概括
这项研究发现,在没有疼痛的个体中使用带有手持式算法仪的标准化方法来测量压力疼痛值 (PPTs) 证明了在检查人员之间和检查人员内部的高可靠性. 最小可检测差异 (MDD) 表示方法.
科学领域:
- 疼痛研究 疼痛研究
- 肌肉骨系统的评估.
- 生物医学工程 生物医学工程
背景情况:
- 准确测量压力疼痛值 (PPTs) 对于评估疼痛敏感性至关重要.
- 需要标准化的方法来确保在临床和研究环境中可靠的PPT测量.
- 评估PPT测量技术的可靠性和最小可检测差异 (MDD) 对于其有效应用至关重要.
研究的目的:
- 使用手持式算法仪,评估PPT测量结果在评价者之间和评价者内部的可靠性.
- 为了确定这个PPT测量方法的最小可检测差异 (MDD).
- 评估两天连续无疼痛参与者的PPT测量结果的一致性.
主要方法:
- 采用横截面研究设计,对18名无疼痛参与者进行了研究.
- 两名检查人员使用一种标准化方法,用手持的算法仪测量前肌的PPT.
- 每名考员的三次PPT测量的平均值被用于计算可靠性 (类内相关系数) 和MDD.
主要成果:
- 观察到高级别之间的可靠性 (0.94在第1天,0.96在第2天).
- 同时也证明了高的内定值可靠性 (0.96在第1天,0.92在第2天).
- 在第一天,MDD为1.24公斤/厘米2,第二天为0.88公斤/厘米2.
结论:
- 使用手持式算法仪测量PPT的标准化方法表现出高的inter-和intra-rater可靠性.
- 计算的MDD值表明,这种方法足够敏感,可以检测到疼痛值的有意义变化.
- 这种技术可靠地评估无疼痛个体的PPT,支持其在研究和临床实践中的使用.
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