PMID- 35362718
OWN - NLM
STAT- MEDLINE
DCOM- 20220729
LR  - 20230308
IS  - 1973-9095 (Electronic)
IS  - 1973-9087 (Print)
IS  - 1973-9087 (Linking)
VI  - 58
IP  - 4
DP  - 2022 Aug
TI  - Intra-rater and inter-rater reliability of pressure pain threshold assessment in 
      stroke patients.
PG  - 549-557
LID - 10.23736/S1973-9087.22.07378-6 [doi]
AB  - BACKGROUND: As pain is a common symptom following a stroke, pressure pain 
      threshold (PPT) assessment can be used to evaluate pain status or pain 
      sensitivity of patients. However, the reliability of PPT test in stroke patients 
      is still unknown. AIM: To examine the intra- and inter-rater reliability of PPT 
      measurements in poststroke survivors and explore their factors. DESIGN: An 
      observational study. SETTING: The setting of the study is a rehabilitation 
      hospital. POPULATION: The population of the study was represented by a total of 
      54 patients after stroke. METHODS: The study included 16 measured points on the 
      affected and unaffected sides. PPT was assessed by two raters in turn. Intra- and 
      inter-rater reliability was evaluated by intraclass correlation coefficients 
      (ICC). RESULTS: All intra-rater (ICC=0.84-0.97) and inter-rater (ICC=0.83-0.95) 
      reliability for PPT assessment were good or excellent in stroke patients. Of the 
      16 points, 12 showed higher intra-rater ICC values than inter-rater, whereas no 
      evident difference was observed between the affected and unaffected sides. 
      Furthermore, patients who were male, ischemic, or with higher motor function 
      generally performed higher ICC values than those who were female (24 out of 32 
      results), hemorrhagic (28 out of 32 results), or mobility dysfunction (26 out of 
      32 results), respectively. CONCLUSIONS: PPT assessment with good or excellent 
      reliability can be used in stroke patients. Neither of the two sides (affected or 
      unaffected) affects PPT reliability, and intra-rater reliability is better than 
      inter-rater reliability. In addition, gender, stroke type, and motor function can 
      affect the reliability of measuring mechanical pain threshold in poststroke 
      survivors. CLINICAL REHABILITATION IMPACT: The pressure algometer can be used as 
      a reliable and portable tool to assess the mechanical pain tolerance and sensory 
      function in stroke patients in clinics.
FAU - Zhang, Yong-Hui
AU  - Zhang YH
AD  - Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, 
      China.
FAU - Wang, Yu-Chen
AU  - Wang YC
AD  - Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, 
      China.
FAU - Hu, Gong-Wei
AU  - Hu GW
AD  - The Center of Rehabilitation Therapy, The First Rehabilitation Hospital of 
      Shanghai, Shanghai, China.
FAU - Ding, Xiao-Qin
AU  - Ding XQ
AD  - The Center of Rehabilitation Therapy, The First Rehabilitation Hospital of 
      Shanghai, Shanghai, China.
FAU - Shen, Xiao-Hua
AU  - Shen XH
AD  - The Center of Rehabilitation Therapy, The First Rehabilitation Hospital of 
      Shanghai, Shanghai, China.
FAU - Yang, Hui
AU  - Yang H
AD  - The Center of Rehabilitation Therapy, The First Rehabilitation Hospital of 
      Shanghai, Shanghai, China.
FAU - Rong, Ji-Feng
AU  - Rong JF
AD  - The Center of Rehabilitation Therapy, The First Rehabilitation Hospital of 
      Shanghai, Shanghai, China.
FAU - Wang, Xue-Qiang
AU  - Wang XQ
AD  - Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China 
      - wangxueqiang@sus.edu.cn.
AD  - Department of Rehabilitation Medicine, Shanghai Shangti Orthopedic Hospital, 
      Shanghai, China.
LA  - eng
PT  - Journal Article
PT  - Observational Study
DEP - 20220401
PL  - Italy
TA  - Eur J Phys Rehabil Med
JT  - European journal of physical and rehabilitation medicine
JID - 101465662
SB  - IM
MH  - Female
MH  - Humans
MH  - Male
MH  - Observer Variation
MH  - Pain Measurement/methods
MH  - *Pain Threshold
MH  - Reproducibility of Results
MH  - *Stroke/complications
PMC - PMC9980491
COIS- Conflicts of interest.-The authors certify that there is no conflict of interest 
      with any financial organization regarding the material discussed in the 
      manuscript.
EDAT- 2022/04/02 06:00
MHDA- 2022/07/30 06:00
PMCR- 2022/04/01
CRDT- 2022/04/01 11:33
PHST- 2022/04/02 06:00 [pubmed]
PHST- 2022/07/30 06:00 [medline]
PHST- 2022/04/01 11:33 [entrez]
PHST- 2022/04/01 00:00 [pmc-release]
AID - S1973-9087.22.07378-6 [pii]
AID - 7378 [pii]
AID - 10.23736/S1973-9087.22.07378-6 [doi]
PST - ppublish
SO  - Eur J Phys Rehabil Med. 2022 Aug;58(4):549-557. doi: 
      10.23736/S1973-9087.22.07378-6. Epub 2022 Apr 1.