Description and psychometric properties of a prototype to test tactile acuity in the neck

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Olthof, Nick A
Harvie, Daniel S
Henderson, Courtney
Thompson, Brendan
Sharp, Robert
Craig-Ward, Lauren
Weermeijer, Jeroen D
Sterling, Michele
Moseley, G Lorimer
Coppieters, Michel W
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2020
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Abstract

Background: Clinical tools assessing tactile acuity in people with persistent pain have limitations. Therefore, a novel and semi-automated tool was developed: The Imprint Tactile Acuity Device (iTAD). Aim: To describe the iTAD prototype and present the psychometric properties of its tactile acuity assessments: the localisation test, the orientation test and the overall score (mean of both tests). Method: A test-retest design with fifty healthy participants was used to assess intra-rater reliability (ICC(2.1)), internal consistency (ICC(2.4)) and measurement error (SEM) of the three assessments (0-100% accuracy scores each) performed at the neck. Using a known-group comparison design, balanced by age and sex, scores of thirty individuals with persistent neck pain were compared to thirty healthy controls to determine construct validity. Results: The ICC(2,1) and ICC(2,4) were 0.60 and 0.78 for the localisation test, 0.66 and 0.77 for the orientation test, and 0.73 and 0.84 for the overall score. The SEMs were 9.0%, 8.1% and 6.0%, respectively. No fixed or proportional bias, or signs of heteroscedasticity were observed. Overall, no between group differences were observed (p = 0.49). In the male subgroup, however, the overall score was lower for people with neck pain than for healthy participants (mean difference (SE); 7.6% (2.5); p = 0.008). Discussion: The tactile acuity assessments of the iTAD demonstrate moderate reliability and good internal consistency. Measurement errors appear comparable to currently preferred methods. Clear construct validity was not established, but results may be biased by design issues of the prototype. Taken together, the iTAD shows promise but further fine-tuning is needed.

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Musculoskeletal Science and Practice
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Subject
Cognitive and computational psychology
Chronic pain (MeSH)
Neck (MeSH)
Reliability (MeSH)
Tactile acuity
Touch perception (MeSH)
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Olthof, NA; Harvie, DS; Henderson, C; Thompson, B; Sharp, R; Craig-Ward, L; Weermeijer, JD; Sterling, M; Moseley, GL; Coppieters, MW, Description and psychometric properties of a prototype to test tactile acuity in the neck., MMusculoskeletal Science and Practice, 2020
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