Reliability and measurement error of exercise-induced hypoalgesia in pain-free adults and adults with musculoskeletal pain: A systematic review.

Autor:	Aron V; Faculty of Medicine, Institute of Neuroscience (IoNS), Université Catholique de Louvain, Brussels B-1200, Belgium., Strul D; Hôpitaux Iris-Sud, Bruxelles, Belgium., Vaegter HB; Pain Research Group, Pain Center, Department of Anesthesiology and Intensive Care Medicine, University Hospital Odense, Odense, Denmark.; Department of Clinical Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark., Pitance L; Institute of Experimental and Clinical Research (IREC), Université Catholique de Louvain, Brussels, Belgium.; Oral and Maxillofacial Department, Cliniques Universitaires Saint-Luc, Brussels, Belgium., Armijo-Olivo S; Faculty of Economics and Social Sciences, Osnabrück University of Applied Sciences, Osnabrück, Germany.; Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, Canada.
Jazyk:	angličtina
Zdroj:	Scandinavian journal of pain [Scand J Pain] 2024 Apr 15; Vol. 24 (1). Date of Electronic Publication: 2024 Apr 15 (Print Publication: 2024).
DOI:	10.1515/sjpain-2023-0104
Abstrakt:	Objectives: We systematically reviewed the reliability and measurement error of exercise-induced hypoalgesia (EIH) in pain-free adults and in adults with musculoskeletal (MSK) pain. Methods: We searched EMBASE, PUBMED, SCOPUS, CINAHL, and PSYCINFO from inception to November 2021 (updated in February 2024). In addition, manual searches of the grey literature were conducted in March 2022, September 2023, and February 2024. The inclusion criteria were as follows: adults - pain-free and with MSK pain - a single bout of exercise (any type) combined with experimental pre-post pain tests, and assessment of the reliability and/or measurement error of EIH. Two independent reviewers selected the studies, assessed their Risk of Bias (RoB) with the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) RoB tool, and graded the individual results (COSMIN modified Grading of Recommendations Assessment, Development, and Evaluation). Results: We included five studies involving pain-free individuals ( n = 168), which were deemed to have an overall "doubtful" RoB. No study including adults with MSK pain was found. The following ranges of parameters of reliability and measurement error of EIH were reported: intraclass correlation coefficients: 0-0.61; kappa: 0.01-0.46; standard error of measurement: 30.1-105 kPa and 10.4-21%; smallest detectable changes: 83.54-291.1 kPa and 28.83-58.21%. Conclusions: We concluded, with a very low level of certainty, that the reliability and measurement error of EIH is, in pain-free adults, respectively, "insufficient" and "indeterminate." Future studies should focus on people with MSK pain and could consider using tailored exercises, other test modalities than pressure pain threshold, rater/assessor blinding, and strict control of the sources of variations (e.g., participants' expectations). (© 2024 the author(s), published by De Gruyter.)
Databáze:	MEDLINE
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