Reliability of transcutaneous oxygen tension measurement on the back of the hand and complex regional pain syndrome after stroke

Daviet J-C, Preux P-M, Rebeyrotte I, Lacroix P, Dudognon P, Munoz M, Salle J-Y. Reliability of transcutaneous oxygen tension measurement on the back of the hand and complex regional pain syndrome after stroke. Arch Phys Med Rehabil 2004;85:1102–5. To verify the reproducibility of measurement of tran...

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Published in:	Archives of physical medicine and rehabilitation Vol. 85; no. 7; pp. 1102 - 1105
Main Authors:	Daviet, Jean-Christophe, Dudognon, Pierre, Preux, Pierre-Marie, Rebeyrotte, Isabelle, Lacroix, Philippe, Munoz, Marguerite, Salle, Jean-Yves
Format:	Journal Article
Language:	English
Published:	New York, NY Elsevier Inc 01-07-2004 Elsevier
Subjects:	Aged Aged, 80 and over Biological and medical sciences Blood Gas Monitoring, Transcutaneous Complex regional pain syndrome, type I Diseases of the osteoarticular system Female Hand Hand - blood supply Humans Life Sciences Male Medical sciences Microcirculation Middle Aged Neurology Oxygen Oxygen - analysis Reflex Sympathetic Dystrophy Reflex Sympathetic Dystrophy - blood Reflex Sympathetic Dystrophy - etiology Rehabilitation Reliability and validity Reproducibility of Results Santé publique et épidémiologie Stroke Stroke - blood Stroke - complications Traumas. Diseases due to physical agents Vascular diseases and vascular malformations of the nervous system Reflex sympathetic dystrophy Stroke Blood gas monitoring, transcutaneous Rehabilitation Reliability and validity Complex regional pain syndrome, type I Measurement Blood gas monitoring Nervous system diseases Oxygen Cardiovascular disease Traumatology Hand transcutaneous; Complex regional pain syndrome Cerebral disorder Vascular disease type I; Reflex sympathetic dystrophy; Rehabilitation; Reliability and validity; Stroke Complex regional pain syndrome Orthopedics Central nervous system disease Tension Reliability Cerebrovascular disease
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Summary:	Daviet J-C, Preux P-M, Rebeyrotte I, Lacroix P, Dudognon P, Munoz M, Salle J-Y. Reliability of transcutaneous oxygen tension measurement on the back of the hand and complex regional pain syndrome after stroke. Arch Phys Med Rehabil 2004;85:1102–5. To verify the reproducibility of measurement of transcutaneous oxygen tension (TcP o 2) on the back of the hand in control subjects and stroke patients in the assessment of the complex regional pain syndrome type I (CRPS I). Case series study. Physical medicine and rehabilitation department at a university hospital. Eighteen control subjects, 30 stroke patients without CRPS I, and 12 stroke patients with CRPS I. Not applicable. TcP o 2 was measured on the back of hands on 2 consecutive days using a polarographic technique. The reproducibility was evaluated by using the intraclass correlation coefficient (ICC) and the coefficient of variation. In the controls, the values of TcP o 2 were not reproducible, with an ICC of .51 (95% confidence interval [CI], .23–.72). Similarly, in the hemiplegics with and without CRPS I, TcP o 2 was not reproducible, with an ICC of .43 (95% CI, −.15 to .74) and .69 (95% CI, .45–.84), respectively. The differences between the 2 upper limbs were even less reproducible in each population. Measurement of TcP o 2 on the hand using our procedure did not seem to be sufficiently reproducible for application to a pathology such as CRPS I.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0003-9993 1532-821X
DOI:	10.1016/j.apmr.2003.09.034