Chong Peter Siao Tick, Cros Didier P
American Association of Electrodiagnostic Medicine, 421 First Avenue SW, Suite 300 East, Rochester, Minnesota 55902, USA.
Muscle Nerve. 2004 May;29(5):734-47. doi: 10.1002/mus.20053.
The development of the personal computer has simplified the process of quantitating sensory thresholds using various testing algorithms. We reviewed the technical aspects and reproducibility of different methods to determine threshold for light touch-pressure, vibration, thermal, and pain stimuli. Clinical uses and limitations of quantitative sensory testing (QST) were also reviewed. QST is a reliable psychophysical test of large- and small-fiber sensory modalities. The results of QST are highly dependent on methodology and the full cooperation of the subject. QST has been shown to be reasonably reproducible over a period of days or weeks in normal subjects. The use of QST in research and patient care should be limited to instruments and their corresponding methodologies that have been shown to be reproducible. Literature data do not allow conclusions regarding the relative merits of individual QST instruments.
个人计算机的发展简化了使用各种测试算法来定量感觉阈值的过程。我们回顾了用于确定轻触压、振动、热和疼痛刺激阈值的不同方法的技术方面和可重复性。还回顾了定量感觉测试(QST)的临床应用和局限性。QST是一种对大纤维和小纤维感觉模式进行可靠的心理物理学测试。QST的结果高度依赖于方法和受试者的充分配合。在正常受试者中,QST已被证明在数天或数周内具有相当的可重复性。在研究和患者护理中使用QST应限于已被证明具有可重复性的仪器及其相应方法。文献数据不允许就单个QST仪器的相对优点得出结论。