Monika Zillinger, Leonard Joseph, Lieselotte Corten
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Test-Retest reliability and concurrent validity of novel nerve testing device for thermal detection and thermal pain thresholds.
Thermal threshold testing is important for evaluating the thermal function of small-fibre nerve types C and A-delta. This study investigated the reliability and validity of a novel nerve testing device (NNTD) in evaluating thermal detection and thermal pain thresholds. Test-retest reliability of the NNTD and its concurrent validity compared to the current technology (Medoc TSA-2, Advanced Thermosensory Stimulator, Israel) were investigated among 10 healthy participants. Each participant was tested for the warm detection threshold (WDT), cold detection threshold (CDT), hot pain threshold (HPT) and cold pain threshold (CPT) on the medial forearm with NNTD for two trials and the Medoc TSA-2 for one trial over two consecutive days. Intraclass Correlation Coefficient values, Standard Error of Measurement and Bland Altman plots were calculated for test-retest reliability. One-way ANOVA and Bland Altman plots were calculated for validity. The test-retest reliability of the NNTD was good for CPT (ICC = 0.88), moderate for WDT (ICC = 0.545) and HPT (ICC = 0.710). The NNTD was valid for both trials of HPT and CPT and one trial for WDT compared to the Medoc TSA-2. In conclusion, the NNTD showed good to moderate reliability and was found to be valid compared to the Medoc TSA-2.
期刊介绍：
The Journal of Medical Engineering & Technology is an international, independent, multidisciplinary, bimonthly journal promoting an understanding of the physiological processes underlying disease processes and the appropriate application of technology. Features include authoritative review papers, the reporting of original research, and evaluation reports on new and existing techniques and devices. Each issue of the journal contains a comprehensive information service which provides news relevant to the world of medical technology, details of new products, book reviews, and selected contents of related journals.
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