Intra- and interrater agreement of pressure pain thresholds in children with orthopedic disorders

Nikolajsen, Lone; Kristensen, A.D.; Pedersen, Line Kjeldgaard; Rahbek, Ole; Jensen, Troels Staehelin; Möller‐Madsen, Bjarne

doi:10.1007/s11832-011-0336-4

Cited by 13 publications

(13 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…ICCs values were almost perfect regardless of the conducted comparisons (trial 1 versus trial 2, trial 1 versus trial 3, trial 2 versus trial 3) suggesting no difference in PPTs’ measurements between trials and no systematic error in the data. Moderate to excellent relative reliability was also obtained in previous studies, assessing PPT in other anatomical locations such as tibia [ 40 ], calf, hand [ 41 ] and trapezius [ 42 ]. In a recent study assessing PPT in the lower back region of young healthy subjects, Waller and colleagues [ 43 ] reported ICC ranged from 0.94 to 0.99 and further conclude that intra-rater reliability was excellent in the low back.…”

Section: Discussionsupporting

confidence: 62%

Is One Trial Sufficient to Obtain Excellent Pressure Pain Threshold Reliability in the Low Back of Asymptomatic Individuals? A Test-Retest Study

2016

View full text Add to dashboard Cite

The assessment of pressure pain threshold (PPT) provides a quantitative value related to the mechanical sensitivity to pain of deep structures. Although excellent reliability of PPT has been reported in numerous anatomical locations, its absolute and relative reliability in the lower back region remains to be determined. Because of the high prevalence of low back pain in the general population and because low back pain is one of the leading causes of disability in industrialized countries, assessing pressure pain thresholds over the low back is particularly of interest. The purpose of this study study was (1) to evaluate the intra- and inter- absolute and relative reliability of PPT within 14 locations covering the low back region of asymptomatic individuals and (2) to determine the number of trial required to ensure reliable PPT measurements. Fifteen asymptomatic subjects were included in this study. PPTs were assessed among 14 anatomical locations in the low back region over two sessions separated by one hour interval. For the two sessions, three PPT assessments were performed on each location. Reliability was assessed computing intraclass correlation coefficients (ICC), standard error of measurement (SEM) and minimum detectable change (MDC) for all possible combinations between trials and sessions. Bland-Altman plots were also generated to assess potential bias in the dataset. Relative reliability for both intra- and inter- session was almost perfect with ICC ranged from 0.85 to 0.99. With respect to the intra-session, no statistical difference was reported for ICCs and SEM regardless of the conducted comparisons between trials. Conversely, for inter-session, ICCs and SEM values were significantly larger when two consecutive PPT measurements were used for data analysis. No significant difference was observed for the comparison between two consecutive measurements and three measurements. Excellent relative and absolute reliabilities were reported for both intra- and inter-session. Reliable measurements can be equally achieved when using the mean of two or three consecutive PPT measurements, as usually proposed in the literature, or with only the first one. Although reliability was almost perfect regardless of the conducted comparison between PPT assessments, our results suggest using two consecutive measurements to obtain higher short term absolute reliability.

show abstract

Section: Discussionsupporting

confidence: 62%

Is One Trial Sufficient to Obtain Excellent Pressure Pain Threshold Reliability in the Low Back of Asymptomatic Individuals? A Test-Retest Study

2016

View full text Add to dashboard Cite

show abstract

“…No previous studies, to our knowledge, have analyzed in detail the test-retest reliability of a pressure algometer applied directly to the teeth in order to obtain measures of mechanical sensitivity in the periodontal ligament. Overall, this study is in line with previous reliability studies of PPTs (12,(40)(41)(42)(43) applied to various tissues, regions, and pain conditions, in demonstrating good to excellent intra-and inter-examiner reliability.…”

Section: Discussionsupporting

confidence: 89%

Test–retest reliability of a new technique with pressure algometry applied to teeth in healthy Chinese individuals

Liu

Zhang

et al. 2016

European J Oral Sciences

View full text Add to dashboard Cite

Pressure pain thresholds (PPTs) have been shown to be useful measures of mechanical pain sensitivity in deep tissues. However, clinical methods for measuring mechanical allodynia or hyperalgesia in teeth have not been reported. The aim of this study was to assess the reliability of PPTs in periodontal ligament of healthy Chinese participants. Twenty healthy young adults participated. Pressure pain thresholds were measured at six teeth and in two directions. The tests included three consecutive trials, in two separate sessions, which were performed on the first day by one examiner. After 1-3 wk, an identical protocol was carried out by two examiners, also in two separate sessions. There were no significant differences between repeated measures for all teeth. The PPTs had excellent reliability with high intraclass coefficients (ICCs) across different sessions (ICC: 0.871-0.956), days (ICC: 0.879-0.951), and examiners (ICC: 0.845-0.950). Pressure pain thresholds applied to the teeth have excellent intra- and inter-examiner agreement in healthy participants. This method may be proposed as an easy and reliable technique to assess mechanical pain sensitivity (e.g. mechanical allodynia and hyperalgesia) in the periodontal ligament, which is associated with endodontic or periodontal conditions.

show abstract

“…The threshold was determined as the mean of the last 2 measurements. This procedure has been found to be reliable and valid . For each individual area, a mean pressure‐pain threshold score was determined.…”

Section: Methodsmentioning

confidence: 99%

Generalized Hyperalgesia in Children and Adults Diagnosed With Hypermobility Syndrome and Ehlers‐Danlos Syndrome Hypermobility Type: A Discriminative Analysis

Scheper

Pacey

Rombaut

et al. 2017

Arthritis Care & Research

View full text Add to dashboard Cite

show abstract

Intra- and interrater agreement of pressure pain thresholds in children with orthopedic disorders

Abstract: Pressure algometry has excellent intrarater agreement and satisfactory interrater agreement. Pressure algometry was well-tolerated even by very young children. The method deserves more widespread use both in clinical and experimental settings.

Cited by 13 publications

References 21 publications

Is One Trial Sufficient to Obtain Excellent Pressure Pain Threshold Reliability in the Low Back of Asymptomatic Individuals? A Test-Retest Study

Is One Trial Sufficient to Obtain Excellent Pressure Pain Threshold Reliability in the Low Back of Asymptomatic Individuals? A Test-Retest Study

Test–retest reliability of a new technique with pressure algometry applied to teeth in healthy Chinese individuals

Generalized Hyperalgesia in Children and Adults Diagnosed With Hypermobility Syndrome and Ehlers‐Danlos Syndrome Hypermobility Type: A Discriminative Analysis

Contact Info

Product

Resources

About