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汪 娟,陈昌成,彭梦思,吴 豹,赵彦巧,王一祖,王雪强.复合感觉测试在慢性腰痛人群中的信度研究[J].中国康复医学杂志,2021,(2):155~160
复合感觉测试在慢性腰痛人群中的信度研究    点此下载全文
汪 娟  陈昌成  彭梦思  吴 豹  赵彦巧  王一祖  王雪强
上海体育学院运动医学康复中心,上海市,200438
基金项目:教育部霍英东教育基金会资助项目(161092);上海市卫生和计划生育委员会临床专项资助项目(201840346);上海市人类运动能力开发与保障重点实验室资助项目(11DZ2261100);上海市教育发展基金会和上海市教育委员会曙光计划资助项目(18SG48);上海市科学技术委员会科学技术研究计划(19080503100)
DOI:10.3969/j.issn.1001-1242.2021.02.005
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摘要:
      摘要 目的:评估两点辨别测试(TPD)、点对点测试(PTP)和两点距离估算(TPE)三种测试在正常人和慢性腰痛人群(CLBP)中的重测信度和测试者间信度。 方法:筛选30例正常人和30例CLBP患者,由两名物理治疗师分别对60例受试者进行TPD、PTP和TPE三种测试评估,测试者间测试间隔时间为10min,其中一人在24h后重复上述测试,通过组内相关系数(ICC)评估重测信度和测试者间信度。 结果:正常组中,TPD、PTP和TPE三种测试左右两侧的重测信度(ICC:0.78—0.90)和测试者间信度 (ICC:0.75—0.87)均良好。腰痛组中,TPD、PTP和TPE三种测试疼痛侧与非疼痛侧的重测信度(ICC:0.75—0.90)良好,测试者间信度(ICC:0.72—0.87)中等到良好。 结论:三种评估方法在正常人和慢性腰痛人群中的信度可靠,足以在未来评估两种人群的触觉敏锐度。
关键词:两点辨别测试  点对点测试  两点距离估算  重测信度  测试者间信度
Reliability of sensory test in individuals with chronic low back pain    Download Fulltext
Sports Medicine Rehabilitation Center, Shanghai University of Sport, Shanghai, 200438
Fund Project:
Abstract:
      Abstract Objective:To assess the intra- and inter-tester reliability of two-point discrimination (TPD), point-to-point test (PTP) and two-point estimation (TPE) in healthy subjects and subjects with chronic low back pain (CLBP) respectively. Method:Thirty healthy people and 30 patients were recruited with CLBP and divided into a healthy group and a CLBP group,equally. Subjects were assessed by two testers within the same day (10 min interval), and one of the testers repeated the assessment program 24 h later. The intraclass correlation coefficient (ICC) was used to assess the reliability. Result:In the healthy group, the intra-tester reliability of three measurements on both sides of L5 was good (ICC: 0.78—0.90), while the inter-tester reliability of three measurements on both sides of L5 was good (ICC: 0.75—0.87). In the CLBP group, the intra-tester reliability of three measurements on the pain and non-pain sides was good (ICC: 0.75—0.90), while the inter- tester reliability of three measurements on the pain and non-pain sides was moderate to good (ICC: 0.72—0.87). Conclusion:The reliability of the three assessment methods in healthy people and patients with CLBP is reliable enough to assess the tactile acuity of both groups in the future.
Keywords:two-point discrimination  point-to-point test  two-point estimation  intra-tester reliability  inter-tester reliability
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