Validity of pain intensity assessment in persons with cerebral palsy: A comparison of six scales

2003 ◽  
Vol 4 (2) ◽  
pp. 56-63 ◽  
Author(s):  
Mark P. Jensen ◽  
Joyce M. Engel ◽  
Kimberly A. McKearnan ◽  
Amy J. Hoffman
2004 ◽  
Vol 20 (4) ◽  
pp. 207-219 ◽  
Author(s):  
Keela A. Herr ◽  
Kevin Spratt ◽  
Paula R. Mobily ◽  
Giovanna Richardson

2010 ◽  
Vol 14 (4) ◽  
pp. 441-445 ◽  
Author(s):  
Augusto Caraceni ◽  
Ernesto Zecca ◽  
Cinzia Martini ◽  
Cinzia Brunelli ◽  
Alessandra Pigni ◽  
...  

2016 ◽  
Vol 10 (5) ◽  
pp. 854-864 ◽  
Author(s):  
Markus Kachele ◽  
Patrick Thiam ◽  
Mohammadreza Amirian ◽  
Friedhelm Schwenker ◽  
Gunther Palm

2021 ◽  
pp. 10.1212/CPJ.0000000000001113
Author(s):  
Mark D. Peterson ◽  
Heidi Haapala ◽  
Anna Kratz

AbstractObjective:To identify pain phenotypes among adults living with cerebral palsy (CP), and compare phenotypes in terms of pain intensity, anxiety and depressive symptoms, and self-reported perceived stress.Method:Seventy-one adults with CP who presented to the University of Michigan (mean age = 39.3±16.2; 43 females, 28 males). The median of 6 on the American College of Rheumatology fibromyalgia survey was used to classify patients for nociplastic pain centralization. The painDETECT Score was used to classify patients for neuropathic pain. These measures were then used to cross-classify each patient into one of four possible pain categories: neuropathic, nociplastic, mixed neuropathic/noclipastic or nociceptive pain (-neuropathic/-nociplastic pain).Results:Twenty-eight adults with CP (39.4%) were classified as nociceptive, 24 (33.8%) as nociplastic, 8 (11.3%) as neuropathic, and 11 (15.5%) as mixed neuropathic/nociplastic. Subgroups differed significantly on average scores on the Brief Pain Inventory pain intensity scale, the Perceived Stress Scale, and on the Patient-Reported Outcomes Measurement Information System measures of anxiety and depression; the nociceptive pain subgroup reported lower pain and emotional distress compared with the other groups.Conclusion:Findings suggest that type of pain is variable among adults with CP, and may arise through multiple mechanisms.


2017 ◽  
Vol 14 (1) ◽  
pp. 9-14 ◽  
Author(s):  
Valentina Ružić ◽  
Dragutin Ivanec ◽  
Koraljka Modić Stanke

AbstractBackground and aimsPain modulation via expectation is a well-documented phenomenon. So far it has been shown that expectations about effectiveness of a certain treatment enhance the effectiveness of different analgesics and of drug-free pain treatments. Also, studies demonstrate that people assess same-intensity stimuli differently, depending on the experimentally induced expectations regarding the characteristics of the stimuli. Prolonged effect of expectation on pain perception and possible symmetry in conditions of lower- and higher-intensity stimuli is yet to be studied. Aim of this study is to determine the effect of expectation on the perception of pain experimentally induced by the series of higher- and lower-intensity stimuli.Methods192 healthy participants were assigned to four experimental groups differing by expectations regarding the intensity of painful stimuli series. Expectations of two groups were congruent with actual stimuli; one group expected and received lower-intensity stimuli and the other expected and received higher-intensity stimuli. Expectations of the remaining two groups were not congruent with actual stimuli; one group expected higher-intensity stimuli, but actually received lower-intensity stimuli while the other group expected lower-intensity stimuli, but in fact received higher-intensity ones. Each group received a series of 24 varied-intensity electrical stimuli rated by the participants on a 30° intensity scale.ResultsExpectation manipulation had statistically significant effect on pain intensity assessment. When expecting lower-intensity stimuli, the participants underestimated pain intensity and when expecting higher-intensity stimuli, they overestimated pain intensity. The effect size of expectations upon pain intensity assessment was equal for both lower- and higher-intensity stimuli.ConclusionThe obtained results imply that expectation manipulation can achieve the desired effect of decreasing or increasing both slight and more severe pain for a longer period of time. Manipulation via expectation before the stimuli series was proven to be effective for pain modulation in the entire series of stimuli which lasted around 10 min. The results suggest a potential benefit of manipulating expectations to alleviate emerging pain, since the obtained effects are moderate to large.ImplicationsIt seems that expectation effect is strong enough to “overcome” even the direct effect of stimulus intensity (at least in the low to moderate intensity range), which suggests potential benefits of verbal instructions even in rather painful stimuli.


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