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• W2160411055 abstract "Deep pain complaints are more frequent than cutaneous in post-surgical patients, and a prevalent finding in quantitative sensory testing studies. However, the preferred assessment method - pressure algometry - is indirect and tissue unspecific, hindering advances in treatment and preventive strategies. Thus, there is a need for development of methods with direct stimulation of suspected hyperalgesic tissues to identify the peripheral origin of nociceptive input.We compared the reliability of an ultrasound-guided needle stimulation protocol of electrical detection and pain thresholds to pressure algometry, by performing identical test-retest sequences 10 days apart, in deep tissues in the groin region. Electrical stimulation was performed by five up-and-down staircase series of single impulses of 0.04 ms duration, starting from 0 mA in increments of 0.2 mA until a threshold was reached and descending until sensation was lost. Method reliability was assessed by Bland-Altman plots, descriptive statistics, coefficients of variance and intraclass correlation coefficients.The electrical stimulation method was comparable to pressure algometry regarding 10 days test-retest repeatability, but with superior same-day reliability for electrical stimulation (P < 0.05). Between-subject variance rather than within-subject variance was the main source for test variation. There were no systematic differences in electrical thresholds across tissues and locations (P > 0.05).The presented tissue-specific direct deep tissue electrical stimulation technique has equal or superior reliability compared with the indirect tissue-unspecific stimulation by pressure algometry. This method may facilitate advances in mechanism based preventive and treatment strategies in acute and chronic post-surgical pain states." @default.
• W2160411055 created "2016-06-24" @default.
• W2160411055 creator A5014139265 @default.
• W2160411055 creator A5025881972 @default.
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• W2160411055 date "2014-07-18" @default.
• W2160411055 modified "2023-09-27" @default.
• W2160411055 title "Assessment of deep tissue hyperalgesia in the groin - a method comparison of electrical vs. pressure stimulation" @default.
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• W2160411055 doi "https://doi.org/10.1111/aas.12361" @default.
• W2160411055 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/25041382" @default.
• W2160411055 hasPublicationYear "2014" @default.
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