Moloney Niamh A, Hall Toby M, Doody Catherine M
School of Public Health, Physiotherapy, and Population Science, University College Dublin, Belfield, Dublin 4, Ireland.
J Rehabil Res Dev. 2012;49(2):191-207. doi: 10.1682/jrrd.2011.03.0044.
The use of quantitative sensory testing (QST) has become more widespread, with increasing focus on describing somatosensory profiles and pain mechanisms. However, the reliability of thermal QST has yet to be established. We systematically searched the literature using key medical databases. Independent reviewers evaluated reliability data using the Quality Appraisal for Reliability Studies checklist. Of the 21 studies we included in this review, we deemed 5 to have high methodological quality. Narrative analysis revealed that estimates of reliability varied considerably, but overall, the reliability of cold and warm detection thresholds ranged from poor to excellent, while heat and cold pain thresholds ranged from fair to excellent. The methodological quality of research investigating the reliability of thermal QST warrants improvement, particularly in terms of appropriate blinding. The results from this review showed considerable variability in the reliability of each thermal QST parameter.
定量感觉测试（QST）的应用越来越广泛，人们越来越关注对躯体感觉特征和疼痛机制的描述。然而，热觉QST的可靠性尚未得到证实。我们使用主要医学数据库系统检索了文献。独立评审员使用可靠性研究质量评估清单评估可靠性数据。在本综述纳入的21项研究中，我们认为5项研究具有较高的方法学质量。叙述性分析表明，可靠性估计差异很大，但总体而言，冷觉和温觉检测阈值的可靠性从差到优不等，而热痛和冷痛阈值的可靠性从中等到优不等。研究热觉QST可靠性的研究在方法学质量方面有待提高，特别是在适当的盲法方面。本综述结果显示，每个热觉QST参数的可靠性存在很大差异。
