3D打印颈椎枕的压力疼痛评估及信度分析
Pressure pain assessment and reliability analysis of 3D printed cervical pillow
任富超 1姚远 2于文强 1马振江 2鲁德志 3王金武2
作者信息
- 1. 潍坊医学院康复医学院,山东省潍坊市,261053
- 2. 上海交通大学医学院附属第九人民医院
- 3. 上海大学医学院
- 折叠
摘要
目的:通过信度分析压痛测量仪评估颈肩部压痛的可靠性,并为3D打印个性化颈椎枕的临床效果评估提供新方式.方法:选取健康受试者36例,分别由2位评估者使用压痛测量仪对其颈肩部肌肉的7个测量点进行2次压痛阈测量,间隔7天后再次测量,采用Spearson相关系数计算评估者内和评估者间的信度,并使用Mann-Whitney U检验比较男性与女性的压痛阈值(pressure pain thresholds,PPT).个性化颈椎枕使用前后,使用压痛测量仪对13例颈椎病患者选取具有代表性的4个测量点进行PPT测量,用以评估3D打印颈椎枕的治疗效果.结果:除了受测点C5、C6的棘突间旁1cm右侧和肩胛上角左侧外,各受测点评估者内信度均＞0.65,各受测点评估者间信度均＞0.75,可信度高;C5、C6的棘突间旁1cm右侧和肩胛上角左侧的评估者内组内相关系数(intraclass corre-lation coefficient,ICC)分别为0.65和0.56,中等信度(P＜0.01);健康男性的斜方肌右侧、肩胛上角R、C5、C6的棘突间旁1cm左侧平均值要大于女性(P＜0.05);斜方肌右侧、C5、C6的棘突间旁1cm右侧和C5、6的棘突间旁1cm左侧受测点3D打印颈椎枕治疗后的PPT平均值比治疗前大,差异具有显著性意义(P＜0.05),说明疼痛有改善.结论:压痛测量仪评估正常健康人颈部压痛阈值信度较高,该方法稳定可靠,可作为3D打印颈椎枕临床效果评估的有效工具.
Abstract
Objective:To evaluate the reliability of neck and shoulder pressure pain assessment by reliability analysis of a pressure pain measurement instrument and develop a new way to assess the clinical effectiveness of 3D print-ed personalized cervical pillows.Method:Thirty-six healthy subjects were selected,and two assessors used a pressure pain meter to measure the pressure pain threshold twice on 7 points of the neck and shoulder muscles of the healthy subjects.The measurements were repeated after a 7-day break.The intra-and inter-assessor reliability was determined by the Spearson correlation coefficient,and the Mann-Whitney U test was used to evaluate the pressure pain thresh-olds(PPT)compared between males and females.Before and after the use of the personalized cervical pillow,PPT was measured using a pressure pain meter at four representative measurement points for 13 patients with cervical spondylosis to assess the therapeutic effect of the 3D printed cervical pillow.Result:The intra-assessor reliability was＞0.65 for each subject point except for 1cm away from the right interspinous paraspinal of C5 and C6 and the left suprascapular angle,and the inter-assessor reliability was＞0.75 for each subject point with high reliability.The intra-assessor intraclass correlation coefficient(ICC)values for the 1cm away from the right interspinous paraspinal of C5 and C6 and the left suprascapular angle were 0.65 and 0.56,respectively,with moderate reliability(P＜0.01).The healthy males had greater mean values on the right trapezius,right suprascapular angle,and lcm away from the left interspinous paraspi-nal of C5 and C6 than women(P＜0.05);the mean values of PPT after treatment with 3D-printed cervical pil-lows on the right oblique,1cm away from the right interspinous paraspinal of C5 and C6,and 1 cm away from left interspinous paraspinal of C5 and C6 were greater than before treatment,with statistically significant differences(P＜0.05),indicating the improvement in pain.Conclusion:A valid tool for evaluating the clinical effects of 3D printed cervical pillows can be used to mea-sure the pressure pain threshold of the neck in normal healthy individuals by applying a pressure pain measure-ment instrument.The method is stable and reliable.
关键词
压痛阈值/测痛仪/信度/3D打印颈椎枕Key words
pressure pain threshold/pain meter/reliability/3D printed cervical pillow引用本文复制引用
基金项目
国家重点研发计划(2020YFC2008700)
上海市科委项目(19441908700)
上海交通大学医学院附属第九人民医院临床研究型MDT项目(201914)
潍坊医学院校级大学生创新创业训练计划(X2021125)
出版年
2024
NETL
NSTL
万方数据