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  4. Intra‑ and inter‑session reliability of electrical detection and pain thresholds of cutaneous and muscle primary afferents in the lower back of healthy individuals

Intra‑ and inter‑session reliability of electrical detection and pain thresholds of cutaneous and muscle primary afferents in the lower back of healthy individuals

Pflügers Archiv - European Journal of Physiology, 2023 · DOI: https://doi.org/10.1007/s00424-023-02851-7 · Published: August 25, 2023

PhysiologyPain Management

Simple Explanation

This study investigates the reliability of using electrical stimulation to measure pain thresholds in the skin and muscles of the lower back. The researchers compared these electrical measurements to standard sensory tests to see how consistent the results were within the same session and between different sessions. The findings suggest that electrical stimulation can be a useful tool for examining deep tissue pain, but measurements should be taken within the same session for best results.

Study Duration
Not specified
Participants
20 healthy participants
Evidence Level
Not specified

Key Findings

  • 1
    Excellent intra-session reliability was observed for cutaneous and intramuscular electrical stimulations.
  • 2
    Inter-session reliabilities were good for mechanical detection, mechanical pain, and pressure pain thresholds but poor for electrical stimulations.
  • 3
    A medium to strong relationship was found between electrical and mechanical/pressure pain thresholds.

Research Summary

This study assessed the reliability of electrical stimulation to measure detection and pain thresholds in the skin and muscles of the lower back, comparing these measurements to established quantitative sensory testing (QST) parameters. The study found excellent intra-session reliability for both cutaneous and intramuscular electrical stimulation, comparable to established QST measures, but poor inter-session reliability, likely due to needle repositioning. The findings suggest that electrical stimulation can be a useful tool for assessing deep tissue afferents, but measurements should be conducted within the same session.

Practical Implications

Diagnostic Potential

Electrical stimulation can potentially close a diagnostic gap regarding the selective examination of deep tissue afferents.

QST measures

Cutaneous and intramuscular EDT/EPT can be used as static or dynamic QST measures for further investigations.

Further research

Further research is needed to investigate the utility of electrical stimulation in examining painful conditions.

Study Limitations

  • 1
    Poor inter-session reliability for cutaneous and intramuscular electrical stimulation due to needle repositioning.
  • 2
    Electrical stimulation does not allow to selectively stimulate small-diameter fibers without stimulating large-diameter fibers.
  • 3
    Measurement comparison between different days is not recommended.

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