Department of Rehabilitation Sciences, MGH Institute of Health Professions, Boston, MA, USA.
Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital Cape Cod, Cape Cod, MA, USA.
Clin Rehabil. 2023 Aug;37(8):1074-1086. doi: 10.1177/02692155231152417. Epub 2023 Feb 16.
To critically appraise the psychometric properties of light touch-pressure somatosensory assessments to provide guidance for tool selection for research or clinical purposes.
MEDLINE, CINAHL, and PsycInfo were searched for research indexed from January 1990-November 2022. English language and human subject filters were applied. "Somatosensation", "psychometric property", and "nervous system-based health condition" search terms were combined. Grey literature and manual searches were conducted to ensure thoroughness.
The reliability, construct validity, and/or measurement error of light touch-pressure assessments was reviewed in adult populations with neurological disorders. Reviewers individually extracted and managed data including patient demographics, assessment characteristics, statistical methods, and psychometric properties. Methodological quality of results was evaluated using an adapted version of the COnsensus-based Standards for the selection of health Measurement INstruments checklist.
Thirty-three of 1938 articles were included for review. Fifteen light touch-pressure assessments demonstrated good or excellent reliability. Further, five of those 15 assessments achieved adequate validity and one of the 15 assessments achieved adequate measurement error. Over 80% of the summarized study ratings were determined to be of low or very low quality.
We recommend using electrical perceptual tests, the Semmes-Weinstein Monofilaments, the Graded and Redefined Assessment of Strength, Sensibility, and Prehension, and the Moving Touch Pressure Test given that they demonstrated good to excellent results in three psychometric properties. No other assessment achieved adequate ratings in more than two psychometric properties. This review highlights a fundamental need to develop sensory assessments that are reliable, valid, and sensitive to change.
批判性评价轻触压力体感评估的心理测量学特性，为研究或临床目的的工具选择提供指导。
从 1990 年 1 月至 2022 年 11 月，在 MEDLINE、CINAHL 和 PsycInfo 中搜索了已索引的研究。应用了英语和人类主题过滤器。结合了“体感”、“心理测量特性”和“基于神经系统的健康状况”搜索词。进行了灰色文献和手动搜索，以确保全面性。
在患有神经障碍的成年人群中，对轻触压力评估的可靠性、结构有效性和/或测量误差进行了审查。审查员单独提取和管理数据，包括患者人口统计学、评估特征、统计方法和心理测量特性。使用健康测量仪器选择共识标准的改编版评估结果的方法学质量检查表。
在 1938 篇文章中，有 33 篇被纳入审查。15 种轻触压力评估显示出良好或优秀的可靠性。此外，这 15 种评估中的 5 种具有足够的有效性，其中 15 种评估中的 1 种具有足够的测量误差。超过 80%的总结研究评分被确定为低或极低质量。
鉴于这些评估在三个心理测量特性中表现出良好到优秀的结果，我们建议使用电感觉测试、Semmes-Weinstein 单丝、分级和重新定义的力量、感觉和抓握评估以及移动触摸压力测试。没有其他评估在两个以上心理测量特性中获得足够的评分。本综述突出表明需要开发可靠、有效且对变化敏感的感觉评估。
