Reliability of intraoral quantitative sensory testing (QST)
Reliability of intraoral quantitative sensory testing (QST)
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DOI：
10.1016/j.pain.2009.10.024
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发表时间：
2010-02-01
期刊：
影响因子：
7.4
通讯作者：
List, Thomas
中科院分区：
文献类型：
--
作者：
Pigg, Maria;Baad-Hansen, Lene;List, Thomas
德国神经性疼痛研究网络（DFNS）推荐了一个包含13项定量感觉测试（QST）措施的方案，用于检测躯体感觉异常。可靠性是一个重要的科学属性，并已充分测试皮肤QST。本研究评估了尚未发表可靠性试验的口内部位。在口内和口外三叉神经部位的13个QST测量的检查者间和检查者内的可靠性进行了研究。来自瑞典马尔莫的马尔莫大学的21名健康志愿者（13名女性和8名男性，平均年龄40.4岁，范围24-71岁）参加了研究。两名先前接受过DFNS QST方案培训的独立检查员使用整个方案对参与者进行检查。每个参与者在同一天接受两次检查，每个检查员一次（检查员间可靠性）。1-3周后，一名检查员重新检查所有参与者（检查员内部可靠性）。在右脸颊、舌尖和双侧上前磨牙区牙龈粘膜的皮肤上进行测量。使用组内相关系数（ICC）或kappa计算变异。大多数测验具有良好的检查者间（ICC 0.41-0.89）和检查者内（ICC 0.43-0.87）信度。对于每一个测试，在口腔内和口腔外的网站之间和内部检查员的可靠性是相似的。口内左、右侧之间无显著性差异。我们的结论是，大多数QST措施的检查者间和检查者内的可靠性是可以接受的，用于评估口面区域的躯体感觉功能。(C)2009年国际疼痛研究协会。由Elsevier B出版。V.保留所有权利。
The German Research Network on Neuropathic Pain (DFNS) has recommended a protocol with 13 quantitative sensory testing (QST) measures for detecting somatosensory abnormalities. Reliability is an important scientific property and has been adequately tested for cutaneous QST. This study evaluates intraoral sites for which no reliability trials have yet been published. Inter-and intra-examiner reliability of 13 QST measures at intra-and extraoral trigeminal sites were investigated. Twenty-one healthy volunteers from Malmo University, Malmo, Sweden (13 women and 8 men, mean age 40.4 years, range 24-71) participated. Two independent examiners previously trained in the DFNS QST protocol examined the participants using the entire protocol. Each participant was examined twice on the same day, once by each examiner (inter-examiner reliability). After 1-3 weeks, one examiner re-examined all participants (intra-examiner reliability). The measurements were made on the skin of the right cheek, the tip of the tongue, and bilaterally on the gingival mucosa of the upper premolar region. The intraclass correlation coefficient (ICC) or kappa was used to calculate variations. Most tests had acceptable to excellent inter-examiner (ICC 0.41-0.89) and intra-examiner (ICC 0.43-0.87) reliability. For each test, inter-and intra-examiner reliabilities at intra-and extraoral sites were similar. No significant differences between right and left sides were found intraorally. We conclude that inter-and intra-examiner reliabilities of most QST measures are acceptable for assessing somatosensory function in the orofacial region. (C) 2009 International Association for the Study of Pain. Published by Elsevier B. V. All rights reserved.