Psychometric properties of the Numeric Pain Rating Scale and Neck Disability Index in patients with cervicogenic headache

Cephalalgia ◽  
2018 ◽  
Vol 39 (1) ◽  
pp. 44-51 ◽  
Author(s):  
Ian A Young ◽  
James Dunning ◽  
Raymond Butts ◽  
Joshua A Cleland ◽  
César Fernández-de-las-Peñas
Keyword(s):  
Rating Scale ◽  
Neck Disability Index ◽  
Self Report ◽  
Pain Rating ◽  
Short Term ◽  
Point Reduction ◽  
Cervicogenic Headaches ◽  
Numeric Pain Rating Scale ◽  
Neck Disability ◽  
Pain Rating Scale

Background Self-reported disability and pain intensity are commonly used outcomes in patients with cervicogenic headaches. However, there is a paucity of psychometric evidence to support the use of these self-report outcomes for individuals treated with cervicogenic headaches. Therefore, it is unknown if these measures are reliable, responsive, or result in meaningful clinically important changes in this patient population. Methods A secondary analysis of a randomized clinical trial (n = 110) examining the effects of spinal manipulative therapy with and without exercise in patients with cervicogenic headaches. Reliability, construct validity, responsiveness and thresholds for minimal detectable change and clinically important difference values were calculated for the Neck Disability Index and Numeric Pain Rating Scale. Results The Neck Disability Index exhibited excellent reliability (ICC = 0.92; [95 % CI: 0.46–0.97]), while the Numeric Pain Rating Scale exhibited moderate reliability (ICC = 0.72; [95 % CI: 0.08–0.90]) in the short term. Both instruments also exhibited adequate responsiveness (area under the curve; range = 0.78–0.93) and construct validity ( p < 0.001) in this headache population. Conclusions Both instruments seem well suited as short-term self-report measures for patients with cervicogenic headaches. Clinicians and researchers should expect at least a 2.5-point reduction on the numeric pain rating scale and a 5.5-point reduction on the neck disability index after 4 weeks of intervention to be considered clinically meaningful.

scholarly journals Διερεύνηση της αποτελεσματικότητας των ασκήσεων κινητοποίησης του περιφερικού νευρικού ιστού σε συνδυασμό με αυχενική έλξη σε ασθενείς με αυχενική ριζοπάθεια

2014 ◽  
Author(s):  
Χρήστος Σάββα
Keyword(s):  
Rating Scale ◽  
Neck Disability Index ◽  
Patient Specific ◽  
Pain Rating ◽  
Functional Scale ◽  
Numeric Pain Rating Scale ◽  
Neck Disability ◽  
Pain Rating Scale

Στόχος της διδακτορικής διατριβής ήταν να διερευνήσει την αποτελεσματικότητα της αυχενικής έλξης σε συνδυασμό με την εφαρμογή των ασκήσεων κινητοποίησης του περιφερικού νευρικού ιστού στην αντιμετώπιση της αυχενικής ριζοπάθειας. Πιλοτικά η διερεύνηση του συγκεκριμένου θεραπευτικού πλάνου πραγματοποιήθηκε με μια περιπτωσιακή μελέτη ενώ αργότερα πραγματοποιήθηκε μια διπλά τυφλή τυχαιοποιημένη ελεγχόμενη δοκιμασία (συμμετοχή σαράντα δύο ασθενών που ισομερώς κατανεμήθηκαν στις ομάδες ελέγχου και θεραπείας) με σαφώς καλύτερο μεθοδολογικό σχεδιασμό σε σχέση με την προηγούμενη μελέτη. Για την αξιολόγηση του συγκεκριμένου θεραπευτικού πλάνου χρησιμοποιήθηκαν τα όργανα αξιολόγησης the Neck Disability Index, the Patient-Specific Functional Scale and the Numeric Pain Rating Scale. Επιπρόσθετα, αξιολογήθηκε η δύναμη της λαβής της άκρας χειρός αλλά και το εύρος κίνησης της αυχενικής μοίρας της σπονδυλικής στήλης. Σύμφωνα με τα ευρήματα της διατριβής αποδείχτηκε πως η εφαρμογή της αυχενικής έλξης και των ασκήσεων κινητοποίησης του περιφερικού νευρικού ιστού μπορεί να αντιμετωπίσουν τον νευρογενή πόνο αλλά και να αναβαθμίσουν το επίπεδο λειτουργικότητας των ασθενών με αυχενική ριζοπάθεια. Περισσότερες μελλοντικές ερευνητικές εργασίας θα πρέπει να διεξαχθούν έτσι ώστε να διερευνηθεί η μακροπρόθεσμη αποτελεσματικότητα του συγκεκριμένου θεραπευτικού πλάνου αλλά και να συγκριθεί η δράση του σε σχέση με την αποτελεσματικότητα άλλων θεραπευτικών εργαλείων όπως είναι ο θεραπευτικός υπέρηχος κτλ.

scholarly journals Evaluation of full cup test and numeric pain rating scale in the assessment of orofacial pain

2021 ◽  
Vol 7 (4) ◽  
pp. 292-295
Author(s):  
Roland Prethipa P ◽  
Jimsha V K ◽  
Jonathan Daniel M
Keyword(s):  
Pain Assessment ◽  
Rating Scale ◽  
Orofacial Pain ◽  
Study Data ◽  
Self Report ◽  
P Value ◽  
Pain Rating ◽  
Cross Sectional ◽  
Numeric Pain Rating Scale ◽  
Pain Rating Scale

Pain intensity is a common outcome domain assessed in pain clinical trials. The patient’s self-report is the gold standard and it appears to be embedded in everyday clinical practice. Most often pain assessment is considered to be the cornerstone for ideal treatment.The aim of this study was to assess the dental patients’ level of pain using Full Cup Test (FCT) and Numeric Pain Rating Scale (NPRS), and to compare and validate the Full Cup Test in the assessment of orofacial pain with Numeric Pain Rating Scale.A total of sixty patients presenting with various forms of orofacial pain were included in this cross-sectional study. Data collected include the patient demographic details and the diagnosis of each case was made after proper history taking, clinical examination and radiographic investigation. Pain assessment was done for each patient using both numeric pain rating scale and full cup test.All the data were analysed using inferential statistics Mann Whitney test and the analysis was carried out with SPSS 17.The comparison of mean pain scores using full cup test and numeric pain rating scale shows there was significant differences between acute and chronic pain with P- value of 0.023 and 0.005 respectively. FCT had shown 83 percent sensitivity and 94 percent specificity.Patients who presented with either acute or chronic dental conditions experienced moderate to severe level of pain. FCT is useful for both evaluating and discerning changes in pain and it can be used as a tool in pain assessment.

scholarly journals Effectiveness of Progressive Resisted Exercise along with Conventional Exercise and Conventional Exercise Program alone in Subjects with Text Neck Syndrome

2021 ◽  
pp. 536-542
Author(s):  
Divya Jain ◽  
Swapna Jawade ◽  
Neha Chitale
Keyword(s):  
Neck Pain ◽  
Pain Intensity ◽  
Conventional Therapy ◽  
Rating Scale ◽  
Neck Disability Index ◽  
Exercise Program ◽  
Pain Rating ◽  
Numerical Pain Rating Scale ◽  
Neck Disability ◽  
Pain Rating Scale

Background: "Text neck" is a term coined to describe the posture created by leaning forward for lengthy periods of time, such as when reading and texting on a cellphone which has been linked to stress injuries. Neck pain, upper back discomfort, shoulder pain, frequent headaches, and greater curvature of the spine are all dangerous indications of text neck. According to a survey, 35% of smartphone users suffer from text neck syndrome. People between the ages of 15 and 18 are more likely to have neck pain. This protocol has been created that describes the design of comparative study to evaluate effectiveness of progressive resisted exercise along with conventional exercise and conventional exercise program alone in text neck syndrome. Methods: The participants (n=80) will be recruited in the study suffering from text neck syndrome and meeting the inclusion criteria. Two groups will be formed such that patients in group A will be treated with conventional therapy and group B will be treated with progressive resisted exercise (PRE) along with conventional therapy. The protocol will cover 4 weeks of treatment. In the rehabilitation period, we will evaluate the pain intensity, strength of neck muscles and functional activity. Our outcome measures will be- Numerical pain rating scale (NPRS) and Neck disability index (NDI). Discussion: Efficacy of the intervention will be evaluated by analyzing the pain intensity by using Numerical pain rating scale (NPRS) and level of functional disability by using Neck disability index (NDI). The result of the study will significantly provide affirmation on either using combination therapy of PRE with conventional exercise or conventional exercise alone.

scholarly journals USING NECK DISABILITY INDEX, NUMERICAL PAIN RATING SCALE AND COMPUTERIZED DYNAMIC POSTUROGRAPHY TO ASSESS CORTICAL INTEGRATIVE THERAPY IN PRACTICE BASED CLINICAL RESEARCH

2021 ◽  
Vol 57 (1) ◽  
pp. 19-31
Author(s):  
Victor M. Pedro ◽  
◽  
Richard L. Lyon ◽  
Elena Oggero ◽  
◽  
...  
Keyword(s):  
Rating Scale ◽  
Clinical Status ◽  
Neck Disability Index ◽  
Pain Rating ◽  
Dynamic Posturography ◽  
Integrative Therapy ◽  
Numerical Pain Rating Scale ◽  
Computerized Dynamic Posturography ◽  
Neck Disability ◽  
Pain Rating Scale

In this retrospective study of adult patient’s charts from an outpatient clinical practice, three tools, Neck Disability Index (NDI), Numerical Pain Rating Scale (NPRS), and Computerized Dynamic Posturography (CDP), were investigated to evaluate how they are affected by demographics, anthropometry and clinical status, and if they are can detect the effects of Cortical Integrative Therapy (PedroCIT®) received by these patients all affected by neck pain. The results show that they are robust metrics not affected by sex, age, payee’s type, treatment duration, or comorbidities number. CDP is affected by the primary diagnosis (traumatic brain injury/concussion, vertigo/dizziness, migraine/headaches, or other), NDI and NPRS are not. Whereas NDI and NPRS could be used interchangeably as an overall measure of the pain the patient is experiencing, their results do not correlate in general with CDP, indicating the need to use both a subjective (NDI or NPRS) and an objective tool (CDP) as they capture different aspects: how the subject rates its ability to perform daily activities and how much pain it feels, and how the postural control system maintains balance. When considering the time constraint physicians often face when dealing with patients, this chart review points toward the possibility of using the simple NPRS as subjective measure of pain, and only one instead of several CDP tests to determine the pre-post effect of a therapy. Future studies evaluating PedroCIT® outcomes for specific diagnoses in larger populations, multiple location settings, and observation for longitudinal cohesion are needed before these metrics can be fully endorsed.

scholarly journals Comparison of Sustained Natural Apophyseal Glides and Maitland Manual Therapy in Non-Specific Neck Pain on Numeric Pain Rating Scale and Neck Disability Index

2018 ◽  
Vol 23 (4) ◽  
pp. 457-462
Author(s):  
Fahad Tanveer ◽  
Adnan Afzal ◽  
Muhammad Adeel ◽  
Sana Shahid ◽  
Maham Masood
Keyword(s):  
Neck Pain ◽  
Functional Status ◽  
Rating Scale ◽  
Neck Disability Index ◽  
Numeric Pain Rating Scale ◽  
Group 3 ◽  
Group 2 ◽  
Neck Disability ◽  
Pain Rating Scale ◽  
Group 1

Incidence of neck pain is increasing day by day due to changed, sedentary, non-ergonomic environment and life style. This becomes the reason of an increased load of human resource and cost. To shed this load of resources and cost, it’s essential to sort out means which give real relief to this increasinglysignificant problem. To compare outcomes of sustained natural apophyseal glides (SNAGs) versus Maitland manual therapy in improving non-specific neck pain. It was a quasi-experimental study design. The study was conducted in Chaudhary Muhammad Akram, Teaching & Research Hospital, Lahore and SuriyaAzeem Teaching Hospital, Lahore within six months from June 2015 to December 2015. A total of 75 subjects with non-specific neck pain using non-probability convenience sampling technique who fulfilled the specific inclusion and exclusion criteria were randomly allocated to three groups; group 1 received SNAGs,group 2 Maitland mobilization and group 3 conventional treatment. Baseline, post-intervention and follow up readings were taken through numeric pain rating scale (NPRS) for pain intensity, neck disability index (NDI) for functional status,goniometer for range of motion and manual muscle testing for muscle strengthof neck. The subject in each group were given twelve sessions, with three sessions a week. Data were analyzed through statistical package of social sciences (SPSS) 21. The results of each group showed pre-treatment pain intensity for group 1 was 7.04+1.338 that changed to 3.52+0.714 and for group 2 it was changed from 7.52+0.872 to 5.16+0.850 and 7.16+0.943 to 5.12+0.781 for group 3. The NDI score for group 1, 2 and 3 were 31.56+5.560, 25.040+7.086 and 25.560+5.477 that were changed to 13.120+2.759, 16.360+2.899 and 12.600+2.020 respectively. The one way ANOVA test compared mean of three groups and p-value for painintensity after treatment was p=0.000 and for functional status p=0.000. The study showed that SNAGs mobilization was more effective in the management of non-specific neck pain and also conventional treatment improved functional status of neck than Maitland mobilization.

scholarly journals Effect of Cervical Mobilization, Transcutaneous Electrical Stimulation and Suboccipital Release in Cervicogenic Headache: A Case Report

2021 ◽  
Vol 11 (8) ◽  
pp. 81-85
Author(s):  
Darshana Fursule ◽  
Kapil Garg
Keyword(s):  
Case Report ◽  
Cervical Spine ◽  
Range Of Motion ◽  
Rating Scale ◽  
Neck Disability Index ◽  
Cervicogenic Headache ◽  
Pain Rating ◽  
Numerical Pain Rating Scale ◽  
Neck Disability ◽  
Pain Rating Scale

Background: Cervicogenic headaches are one of the common musculoskeletal disorders that originates in the neck and are radiates from neck to head. Cervicogenic headache is usually treated with a comprehensive strategy that includes pharmacologic, nonpharmacologic, manipulative, anesthetic, surgical procedures and physiotherapy. Physiotherapy includes spinal manipulation, mobilization, myofascial release, exercises and electrotherapeutic modalities. Purpose: This case report aims to evaluate the effects of combination of cervical spine mobilization, TENS, Suboccipital release on cervicogenic headache in maintaining long-term benefits. Methods: This a case report of 31-year-old male having cervicogenic headache from 4-5 years. He reported symptoms like pain in right side neck which radiates into head till forehead and stiffness in neck. Physiotherapy treatment like cervical spine mobilization, TENS and Suboccipital release was given for 5 sessions (alternate days) for 10 days. Outcome Measures: Numerical pain rating scale, Neck disability Index and Cervical range of motion was used as outcome measures. Results: There was marked decrease in pain intensity from 8 on NPRS to 1 on NPRS. Also there was increase in cervical range of motion specially flexion, lateral flexion and rotation and decrease in neck disability index from 28 to 10. Conclusion: Physical therapy with TENS, Cervical spine mobilization & sub occipital release can be used as an effective intervention protocol for reducing pain and stiffness and increasing range of motion in patients with Cervicogenic Headache. Key words: Transcutaneous electrical nerve stimulation, Cervical Spine mobilization, Suboccipital release, Cervicogenic Headache, Numerical Pain Rating Scale, Neck Disability Index.

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