Reliability of pain pressure threshold algometry in persons with conservatively managed wrist fractures.
Objective: Wrist fracture is a common injury in Norway. Pressure algometry is widely used to quantify patients' pain threshold in various anatomical locations. The aim of this study was to explore the reliability of pain pressure threshold (PPT) algometry in persons with conservatively managed dista...
| Publicado en: | Physiotherapy Research International Vol. 25; no. 1 |
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| Autores principales: | , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jan2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141153315&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 141153315 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13582267 GPG jtl: Physiotherapy Research International issn: 13582267 maglogo: Y pubinfo: dt: Jan2020 vid: 25 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 141153315 141153315 141153315 10.1002/pri.1797 141153315 ppct: 1 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Reliability of pain pressure threshold algometry in persons with conservatively managed wrist fractures. aug: au: Sæbø, Humaira Naterstad, Ingvill Fjell Stausholm, Martin Bjørn Bjordal, Jan Magnus Joensen, Jon affil: Department of Global Public Health and Primary Care, University of Bergen, Bergen Norway sug: subj: Pain Threshold Algometry Wrist Fractures Therapy Radius Fractures Therapy Human Pain Measurement Cross Sectional Studies Adolescence Adult Middle Age Aged Aged, 80 and Over Intrarater Reliability Interrater Reliability Intraclass Correlation Coefficient Descriptive Statistics Data Analysis Software Confidence Intervals Male Female Funding Source Norway Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Objective: Wrist fracture is a common injury in Norway. Pressure algometry is widely used to quantify patients' pain threshold in various anatomical locations. The aim of this study was to explore the reliability of pain pressure threshold (PPT) algometry in persons with conservatively managed distal radius fractures. Methods: In this cross‐sectional study, three raters (A, B, and C) tested the PPT of participants (18–97 years of age) with a unilateral distal radius fracture after removal of the cast. The raters conducted two measurements of both wrists. Intrarater reliability was examined in 75, 50, and 25 participants by Raters A, B, and C, respectively. Interrater reliability was tested in 50 and 25 participants by Rater Pairs A–B and A–C, respectively. Relative reliability was calculated with intraclass correlation coefficient (ICC1.1) and absolute reliability using within‐subject standard deviation (Sw). Results: There was a significant difference in the PPT between the participants' injured and noninjured wrists (p <.0001). The mean PPT was 29% lower in the injured than in the noninjured wrists, 175 kPa (SD ± 62) versus 248 kPa (SD ± 83). Intrarater reliability (A) of PPT algometry was better in injured wrists than in noninjured wrists (ICC1.1 = 0.825 vs. 0.765 and Sw = 27 vs. 43 kPa). Similarly, interrater reliability of PPT algometry was better in injured wrists than in noninjured wrists. In injured wrists, the interrater reliability of PPT algometry between Raters A and B was 0.617 (ICC1.1) and Sw was 51 kPa, and between Raters A and C, the interrater reliability was 0.706 (ICC1.1) and Sw was 48 kPa. Conclusion: PPT algometry is a useful measurement tool with acceptable reliability and thus suitable for monitoring and quantifying pain in persons with conservatively managed wrist fractures. To be more certain that a change has occurred, the same rater should perform the measurements. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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