The point-to-point test: A new diagnostic tool for measuring lumbar tactile acuity? Inter and intra-examiner reliability study of pain-free subjects

Manual Therapy
Wacław AdamczykEdward Saulicz

Abstract

A two-point discrimination test (TPD) is commonly used to investigate lumbar tactile acuity. However, low inter-examiner reliability and difficulties in execution significantly limit its application. Therefore the aim of this study was to compare the inter- and intra-examiner reliability of a new approach, the point-to-point test (PTP), with the TPD. Twenty-one pain-free subjects attended the inter-examiner stage of the study. Eighteen of them were further recruited into an intra-examiner (reproducibility and repeatability) reliability study. PTP was performed on the three points plotted at the L3 spinal level. Point '0' overlapped with the L3 spinous process, from which points '1' and '2' were horizontally separated by 5 and 10 cm, respectively. Participants manually indicated a point previously touched by the examiner, while the distance (error) was measured. Reliability was determined with the intraclass correlation coefficient (ICC2,3). The results revealed good and moderate inter- and intra-examiner reliability at point '1' (ICC2,3 = 0.68-0.84) and good reliability at point '2' (ICC2,3 = 0.84-0.86). At point '0', reliability was moderate to poor (ICC2,3 = 0.13-0.63). TPD was characterised by a poor to moderate level of int...Continue Reading

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Citations

Jun 25, 2017·Journal of Physiotherapy·Aidan G Cashin, James H McAuley
Mar 23, 2017·The Clinical Journal of Pain·Wacław AdamczykEdward Saulicz
Jan 13, 2018·Physiotherapy Theory and Practice·Wacław M AdamczykEdward Saulicz
Jun 27, 2018·The Journal of Headache and Pain·Kerstin LuedtkeBettina Wollesen
Nov 22, 2018·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Wacław M AdamczykKerstin Luedtke
Dec 11, 2020·Evidence-based Complementary and Alternative Medicine : ECAM·Juan WangXueqiang Wang
Mar 28, 2021·Musculoskeletal Science & Practice·Amanda Matias BarbosaAnamaria Siriani de Oliveira
Aug 12, 2017·Musculoskeletal Science & Practice·Daniel S HarvieMichele Sterling
Aug 20, 2017·Musculoskeletal Science & Practice·Kerstin Luedtke, Wacław Adamczyk

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