Performance of Point Count and Dolorimetry in Assessing Nonarticular Tenderness in Children

Autor:	Lily Neumann, Dan Buskila, Hugh A. Smythe
Rok vydání:	1996
Předmět:	musculoskeletal diseases medicine.medical_specialty medicine.diagnostic_test business.industry Palpation humanities Tenderness McNemar's test Rheumatology medicine Physical therapy medicine.symptom business Tender point human activities
Zdroj:	Journal of Musculoskeletal Pain. 4:29-35
ISSN:	1540-7012 1058-2452
DOI:	10.1300/j094v04n03_04
Popis:	Objectives: To compare two methods for assessing tenderness in children: an 18-site point count by manual palpation and dolorimetry in nine tender point sites and four control sites. Methods: Nonarticular tenderness was measured in 338 healthy children. The extent of agreement between the two methods was evaluated by McNemar's test, and by validity measures, sensitivity and specificity. "Tenderness" was defined if 11 or more points were tender by palpation, or if dolorimetry threshold was below 4 kg. Results: The sensitivity and specificity of the dolorimetry method was 100% and 58.7%, respectively. When a 3 kg threshold was used, the sensitivity and specificity were 89.3% and 93.5%, respectively. The improvement in accuracy was especially remarkable for girls. Conclusions: These preliminary findings suggest that in children the dolorimetry threshold for defining tenderness should be 3 kg, and not 4 kg, as in adults.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::a3401b02018bc96474f20676b37a77ed https://doi.org/10.1300/j094v04n03_04 Zobrazit plný text záznamu