应用电流刺激下颌黏膜对年轻成年人的电流感知阈值和疼痛阈值测试的可靠性进行验证。
Verification of the reliability of current perception threshold and pain threshold testing by application of an electrical current stimulus to mandibular mucosa in young adults.
机构信息
Removable Prosthodontics, Nihon University Graduate School of Dentistry at Matsudo, Matsudo, Japan.
Department of Removable Prosthodontics, Nihon University School of Dentistry at Matsudo, Matsudo, Japan.
出版信息
J Oral Rehabil. 2019 Jun;46(6):556-562. doi: 10.1111/joor.12777. Epub 2019 Mar 1.
BACKGROUND
There is little evidence regarding the reliability of CPT and PT measurements to gauge mandibular perception. Thus, this study aimed to evaluate the test-retest reliability of CPT and PT values obtained from the mandibular oral mucosa and to test the bilateral differences in CPT and PT values obtained from the mental foramen region and buccal shelf region by a single operator.
METHODS
CPT and PT values were obtained from the mental foramen and buccal shelf regions of 20 volunteers (10 males and 10 females; average age: 26.4 ± 2.6 years) by using the Neurometer CPT/C® device to deliver electrical stimulation.
RESULTS
Relative and absolute reliabilities were confirmed over two measurements of CPT and PT over a 7- to 10-day measurement interval. Intra-class correlation coefficients (ICCs) for CPT and PT table obtained from the mental foramen region were >0.8, while most ICC for the buccal shelf region were <0.8. Standard error of measurement, minimal detectable change and Bland-Altman analyses showed that the CPT and PT measurements had no systematic error and could serve as useful methods. At all frequencies, the bilateral difference in CPT and PT values at the mental foramen and buccal shelf region was not significant.
CONCLUSION
CPT and PT measurements using a custom-made device that applied an electrical current to the mental foramen region have appropriate reliability to assess intra-oral sensitivity to electrical stimulation in young adults.
背景
关于 CPT 和 PT 测量值评估下颌感知的可靠性的证据很少。因此,本研究旨在评估由单个操作者获得的下颌口腔黏膜的 CPT 和 PT 值的测试-重测信度,并测试来自颏孔区和颊棚区的 CPT 和 PT 值的双侧差异。
方法
使用 Neurometer CPT/C®设备对 20 名志愿者(10 名男性和 10 名女性;平均年龄:26.4±2.6 岁)的颏孔区和颊棚区进行 CPT 和 PT 值测量,以传递电刺激。
结果
在 7-10 天的测量间隔内,两次 CPT 和 PT 测量的相对和绝对可靠性得到了确认。来自颏孔区的 CPT 和 PT 表的组内相关系数(ICC)>0.8,而来自颊棚区的大多数 ICC <0.8。测量误差、最小可检测变化和 Bland-Altman 分析表明,CPT 和 PT 测量值没有系统误差,可以作为有用的方法。在所有频率下,颏孔和颊棚区的 CPT 和 PT 值的双侧差异均无显著性。
结论
使用一种特制的设备,通过向颏孔区施加电流,CPT 和 PT 测量具有适当的可靠性,可以评估年轻人对电刺激的口腔内敏感性。