Reliability of the 'Ten Test' for assessment of discriminative sensation in hand trauma
| Autor: | William R. Regan, Sean G. Bristol, Michael J Berger, Alex Seal |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Intraclass correlation 030230 surgery Hypesthesia 03 medical and health sciences 0302 clinical medicine Sensation medicine Humans Reliability (statistics) Neurologic Examination business.industry Hand Injuries Reproducibility of Results Middle Aged Confidence interval Surgery Test (assessment) Inter-rater reliability Standard error Touch Perception Point-of-Care Testing 030220 oncology & carcinogenesis Sensory Thresholds Cohort Female business |
| Zdroj: | Journal of plastic, reconstructiveaesthetic surgery : JPRAS. 69(10) |
| ISSN: | 1878-0539 |
| Popis: | Summary "Ten Test" (TT) is a bedside measure of discriminative sensation, whereby the magnitude of abnormal sensation to moving light touch is normalized to an area of normal sensation on an 11-point Likert scale (0–10). The purposes of this study were to determine reliability parameters of the TT in a cohort of patients presenting to a hand trauma clinic with subjectively altered sensation post-injury and to compare the reliability of TT to that of the Weinstein Enhanced Sensory Test (WEST). Study participants (n = 29, mean age = 37 ± 12) comprised patients presenting to an outpatient hand trauma clinic with recent hand trauma and self reported abnormal sensation. Participants underwent TT and WEST by two separate raters on the same day. Interrater reliability, response stability and responsiveness of each test were determined by the intraclass correlation coefficient (ICC: 2, 1), standard error of measurement (SEM) with 95% confidence intervals (CI) and minimal detectable difference score, with 95% CI (MDD95), respectively. The TT displayed excellent interrater reliability (ICC = 0.95, 95% CI 0.89–0.97) compared to good reliability for WEST (ICC = 0.78, 95% CI 0.58–0.89). The range of true scores expected with 95% confidence based on the SEM (i.e. response stability), was ±1.1 for TT and ±1.1 for WEST. MDD95 scores reflecting test responsiveness were 1.5 and 1.6 for TT and WEST, respectively. The TT displayed excellent reliability parameters in this patient population. Reliability parameters were stronger for TT compared to WEST. These results provide support for the use of TT as a component of the sensory exam in hand trauma. |
| Databáze: | OpenAIRE |
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