Reliability of a pressure pain threshold protocol: secondary analysis of a longitudinal trial with cluster randomization
Date
2025
Type:
Thesis
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41 p.
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Privado
Authors
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Publisher
Universidad del Desarrollo. Facultad de Medicina
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Abstract
Pressure Pain Threshold (PPT) measurement is a clinically useful method for assessing pain sensitivity when applied with a standardized protocol.
However, little is known about the longitudinal stability of reliability estimates when PPT protocols are embedded in randomized controlled trials. This study aimed to evaluate the intra-rater reliability of a standardized digital algometry protocol for PPT measurement in office workers over a six-month follow-up. A secondary analysis was conducted from a cluster randomized controlled trial with office workers, where a standardized PPT protocol was applied to the neck, forearm, and lower leg. Measurements were taken bilaterally with three repetitions per site. Intra-rater reliability was assessed using ICC (Model 3, k), along with the Standard Error of Measurement (SEM) and Minimal Detectable Change (MDC), calculated at baseline, three, and six months, for both intervention and control groups. ICC values ranged from 0.86 to 0.95, indicating good to excellent reliability across all time points and body regions.
SEM ranged from 0.20 to 0.49, and MDC from 0.46 to 1.12. These values remained consistent across follow-up periods in both groups, despite expected variability due to the intervention. The PPT protocol demonstrated high intrarater reliability and stable measurement properties over time, supporting its use in longitudinal assessments of pain sensitivity in occupational and clinical settings.
Description
Actividad de Grado presentada a la Facultad de Medicina de la Universidad
del Desarrollo para optar al grado académico de Magíster en Terapia Física y Rehabilitación (MAKI)
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Santiago
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Citation
Keywords
Dolor, Evaluación, Algómetro de presión, 098001S