PDF(Pubmed)
Abstract：
UNASSIGNED: Central sensitization (CS) has been proposed as a possible contributor to persistent shoulder pain. Measures of sensitivity, such as quantitative sensory tests (QSTs) and sensitivity to movements evoked pain (SMEP), have been increasingly used to investigate CS in a wide range of painful conditions. However, there is a lack of data on whether QST and SMEP are reliable among individuals with shoulder pain. Therefore, the present study aimed to investigate the intra-rater test-retest reliability of QST and SMEP in individuals with chronic shoulder pain.
UNASSIGNED: Forty-seven individuals with chronic shoulder pain were enrolled in the study. The QST measures, including pressure pain threshold (PPT) and mechanical temporal summation (MTS), were tested, and SMEP was measured with a lifting task. Relative and absolute reliability were analyzed using intraclass correlation coefficients (ICC 3,1) and standard error of the measurement (SEM), respectively.
UNASSIGNED: The results showed that the ICC coefficients for all sensitivity measures were moderate to good, ranging from 0.63 to 0.86. The SEM% for the QST measures at all sites ranged from 21.4% to 36%, with TS at the forearm demonstrating a high SEM% (greater than 30%). The SMEP measure also showed a high SEM% (46%).
UNASSIGNED: The results showed that the sensitivity measures had moderate to good reliability among individuals with shoulder pain. Acceptable limits of accuracy of measurements were demonstrated for TS and PPT measures, while SMEP demonstrated high error, highlighting the need for further refinement of this measure among these populations.
UNASSIGNED: Forty-seven individuals with chronic shoulder pain were enrolled in the study. The QST measures, including pressure pain threshold (PPT) and mechanical temporal summation (MTS), were tested, and SMEP was measured with a lifting task. Relative and absolute reliability were analyzed using intraclass correlation coefficients (ICC 3,1) and standard error of the measurement (SEM), respectively.
UNASSIGNED: The results showed that the ICC coefficients for all sensitivity measures were moderate to good, ranging from 0.63 to 0.86. The SEM% for the QST measures at all sites ranged from 21.4% to 36%, with TS at the forearm demonstrating a high SEM% (greater than 30%). The SMEP measure also showed a high SEM% (46%).
UNASSIGNED: The results showed that the sensitivity measures had moderate to good reliability among individuals with shoulder pain. Acceptable limits of accuracy of measurements were demonstrated for TS and PPT measures, while SMEP demonstrated high error, highlighting the need for further refinement of this measure among these populations.
摘要：
■已经提出中枢致敏(CS)作为持续性肩痛的可能原因。敏感度的措施，如定量感觉测试(QSTs)和对运动诱发疼痛的敏感性(SMEP)，已越来越多地用于在各种疼痛条件下研究CS。然而,缺乏QST和SMEP在肩痛患者中是否可靠的数据.因此,本研究旨在调查慢性肩痛患者QST和SMEP的评分者内重测信度。
■47例慢性肩痛患者纳入研究。QST措施，包括压力疼痛阈值（PPT）和机械时间总和（MTS），经过测试，和SMEP测量与提升任务。使用组内相关系数（ICC3,1）和测量标准误差（SEM）分析相对和绝对可靠性，分别。
■结果表明，所有敏感性措施的ICC系数均为中等至良好，范围从0.63到0.86。所有站点的QST措施的SEM百分比范围为21.4％至36％，前臂的TS表现出高的SEM%(大于30%)。SMEP测量也显示出高的SEM%(46%)。
■结果表明，敏感性措施在肩痛患者中具有中等至良好的可靠性。TS和PPT测量证明了测量精度的可接受极限，虽然SMEP显示出高错误，强调需要在这些人群中进一步完善这一措施。
■47例慢性肩痛患者纳入研究。QST措施，包括压力疼痛阈值（PPT）和机械时间总和（MTS），经过测试，和SMEP测量与提升任务。使用组内相关系数（ICC3,1）和测量标准误差（SEM）分析相对和绝对可靠性，分别。
■结果表明，所有敏感性措施的ICC系数均为中等至良好，范围从0.63到0.86。所有站点的QST措施的SEM百分比范围为21.4％至36％，前臂的TS表现出高的SEM%(大于30%)。SMEP测量也显示出高的SEM%(46%)。
■结果表明，敏感性措施在肩痛患者中具有中等至良好的可靠性。TS和PPT测量证明了测量精度的可接受极限，虽然SMEP显示出高错误，强调需要在这些人群中进一步完善这一措施。
