The ACR says the pain subscale " has been variable across studies but generally meets the minimum standard . " Reliability for the physical function scale " has been more consistent and stronger . . . but the stiffness subscale has shown low test-retest reliability . " When used in clinical studies, the WOMAC pain and function subscales perform comparably or better than other tests in being responsive to change from experimental interventions, but this varies for the different subscales and types of intervention.
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The significant difference in this test is " the stimuli are constructed and aligned in such a way that partial interaural fusion occurs : subjects generally experience and report only one stimulus per trial . " According to Zatorre ( 1989 ), some major advantages of this method include " minimizing attentional factors, since the percept is unitary and localized to the midline " and " stimulus dominance effects may be explicitly calculated, and their influence on ear asymmetries assessed and eliminated . " Wexler and Hawles study obtained a high test-retest reliability ( r = 0.85 ).
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