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This article and any supplementary material should be cited as follows: Moloney NA, Hall TM, Doody CM. Reliability of thermal quantitative sensory testing: A systematic review. J Rehabil Res Dev. 2012;49(2):191–208. http://dx.doi.org/10.1682/JRRD.2011.03.0044
Slideshow ProjectDOI:10.1682/JRRD.2011.03.0044JSP
Reliability of thermal quantitative sensory testing: A systematic review
Niamh A. Moloney, MSc; Toby M. Hall, PhD; Catherine M. Doody, PhD
This article and any supplementary material should be cited as follows: Moloney NA, Hall TM, Doody CM. Reliability of thermal quantitative sensory testing: A systematic review. J Rehabil Res Dev. 2012;49(2):191–208. http://dx.doi.org/10.1682/JRRD.2011.03.0044
Slideshow ProjectDOI:10.1682/JRRD.2011.03.0044JSP
• Aim– Systematically review literature to determine
reliability of thermal quantitative sensory testing (QST).
• Relevance– Further understand pain mechanisms.– Aid development or application of more
appropriate interventions.
This article and any supplementary material should be cited as follows: Moloney NA, Hall TM, Doody CM. Reliability of thermal quantitative sensory testing: A systematic review. J Rehabil Res Dev. 2012;49(2):191–208. http://dx.doi.org/10.1682/JRRD.2011.03.0044
Slideshow ProjectDOI:10.1682/JRRD.2011.03.0044JSP
Methods
• Used key words to search medical databases for relevant articles (Jan 1990–May 2010).
• Assessed article quality with Quality Appraisal for Reliability Studies (QAREL) checklist.
• Extracted and assessed specific data on: • Type of study.• Sample and raters.• Methodological issues.• Statistical analysis.• Results.
This article and any supplementary material should be cited as follows: Moloney NA, Hall TM, Doody CM. Reliability of thermal quantitative sensory testing: A systematic review. J Rehabil Res Dev. 2012;49(2):191–208. http://dx.doi.org/10.1682/JRRD.2011.03.0044
Slideshow ProjectDOI:10.1682/JRRD.2011.03.0044JSP
QAREL Checklist
High quality study = “yes” score on at least 50% of relevant checklist items.
This article and any supplementary material should be cited as follows: Moloney NA, Hall TM, Doody CM. Reliability of thermal quantitative sensory testing: A systematic review. J Rehabil Res Dev. 2012;49(2):191–208. http://dx.doi.org/10.1682/JRRD.2011.03.0044
Slideshow ProjectDOI:10.1682/JRRD.2011.03.0044JSP
Results
• Reviewed 21 total articles.– 5 illustrated high quality based on QAREL checklist.
• Summary– Fair reliability:
• Cold detection threshold. • Warm detection threshold.
– Fair to good: • Cold pain threshold.• Heat pain threshold.
This article and any supplementary material should be cited as follows: Moloney NA, Hall TM, Doody CM. Reliability of thermal quantitative sensory testing: A systematic review. J Rehabil Res Dev. 2012;49(2):191–208. http://dx.doi.org/10.1682/JRRD.2011.03.0044
Slideshow ProjectDOI:10.1682/JRRD.2011.03.0044JSP
Conclusions
• Reliability of thermal QST varied considerably.
• Large variation in statistical methods used to analyze data in articles, which limited ability to perform meta-analysis.
• Research investigating reliability of thermal QST should adhere to more rigorous guidelines.