Skordis Charalampos, Liaskou Christina, Papagiakoumou Evangelia, Sotiropoulos Spyridon, Plavoukou Theodora, Karakasidou Palina, Georgoudis George
Physiotherapy Department, University of West Attica (UNIWA), Athens, GRC.
Cureus. 2024 Aug 7;16(8):e66350. doi: 10.7759/cureus.66350. eCollection 2024 Aug.
Introduction Non-specific chronic neck pain (NSCNP) is a musculoskeletal disorder that affects 45%-54% of the general population. There is a strong correlation between patient-reported pain and mechanical pain pressure threshold (PPT) measured with an algometer. Purpose This study aims to investigate the intra- and inter-rater reliability of the Commander algometer in Greek NSCNP patients, in an urban primary care setting. Methods Thirty-three patients (22 women and 11 men) suffering from NSCNP (>3 months), the majority (42.4%) between the ages of 50 years and 59 years and overweight, were measured bilaterally both at the neck (mastoid, trapezius head-insertion and mid-portion, C5-C6 facet, insertion of levator scapula) and at the control areas (mid-deltoid and tibialis anterior) using the Commanderalgometer. Measurements were taken twice over a span of six days, by two raters, in a primary care setting. Intraclass correlation coefficient (ICC) statistics were used as measures of reliability (p = 0.05). Results Intra-rater reliability was "moderate to good" for both raters. ICC values for PPT at the seven bilaterally measured sites varied between 0.67 and 0.86 for the first rater (p ≤ 0.001) and 0.64 and 0.82 for the second rater (p ≤ 0.003). The inter-rater reliability was "moderate to excellent" (ICC = 0.68-0.92) in the first measurement (T1) and "moderate to good" (ICC = 0.68 to 0.89) in the second measurement (T2). Conclusion This study supports the intra- and inter-rater reliability of the Commander algometer in detecting reliably the mechanical PPT, in Greek NSCNP patients, as measured according to the procedures and methodology followed throughout this study.
引言 非特异性慢性颈部疼痛（NSCNP）是一种肌肉骨骼疾病，影响着45%-54%的普通人群。患者报告的疼痛与使用压力痛觉计测量的机械性疼痛压力阈值（PPT）之间存在很强的相关性。目的 本研究旨在调查在城市初级保健环境中，希腊NSCNP患者使用Commander压力痛觉计的评分者内和评分者间信度。方法 33例患有NSCNP（>3个月）的患者（22名女性和11名男性），大多数（42.4%）年龄在50岁至59岁之间且超重，使用Commander压力痛觉计在颈部（乳突、斜方肌头部附着点和中部、C5-C6关节突、肩胛提肌附着点）和对照区域（三角肌中部和胫骨前肌）进行双侧测量。在初级保健环境中，由两名评分者在六天内进行两次测量。组内相关系数（ICC）统计用作信度指标（p = 0.05）。结果 两名评分者的评分者内信度均为“中等至良好”。第一名评分者在七个双侧测量部位的PPT的ICC值在0.67至0.86之间（p≤0.001），第二名评分者在0.64至0.82之间（p≤0.003）。第一次测量（T1）时评分者间信度为“中等至优秀”（ICC = 0.68 - 0.92），第二次测量（T2）时为“中等至良好”（ICC = 0.68至0.89）。结论 本研究支持在希腊NSCNP患者中，按照本研究遵循的程序和方法测量时，Commander压力痛觉计在可靠检测机械性PPT方面的评分者内和评分者间信度。
