Reliability of intraoral quantitative sensory testing (QST)

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Reliability of intraoral quantitative sensory testing (QST)

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Publication Article, peer reviewed scientific
Title Reliability of intraoral quantitative sensory testing (QST)
Author(s) Pigg, Maria ; Baad-Hansen, Lene ; Svensson, Peter ; Drangsholt, Mark ; List, Thomas
Date 2010
English abstract
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 Malmö University, Malmö, 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.
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Publisher Elsevier
Host/Issue Pain;2
Volume 148
ISSN 0304-3959
Pages 220-6
Language eng (iso)
Subject(s) Quantitative sensory testing
Somatosensory testing
Orofacial pain
Chronic intraoral pain
Neuropathic pain
Trigeminal nerve
Research Subject Categories::ODONTOLOGY
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