复合感觉测试在慢性腰痛人群中的信度研究  

Reliability of sensory test in individuals with chronic low back pain

作　　者：汪娟 陈昌成 彭梦思 吴豹 赵彦巧 王一祖 王雪强 WANG Juan;CHEN Changcheng;PENG Mengsi(Sports Medicine Rehabilitation Center,Shanghai University of Sport,Shanghai,200438)

机构地区：[1]上海体育学院运动医学康复中心,上海市200438

出　　处：《中国康复医学杂志》2021年第2期155-160,共6页Chinese Journal of Rehabilitation Medicine

基　　金：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)。

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。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 nonpain 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.

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 

分 类 号：R441.1[医药卫生—诊断学] R681.5[医药卫生—临床医学]