Minimum Important Differences for the Patient-Specific Functional Scale, 4 Region-Specific Outcome Measures, and the Numeric Pain Rating Scale

2014 ◽  
Vol 44 (8) ◽  
pp. 560-564 ◽  
Author(s):  
J. Haxby Abbott ◽  
John Schmitt
Keyword(s):  
Outcome Measures ◽  
Rating Scale ◽  
Patient Specific ◽  
Pain Rating ◽  
Functional Scale ◽  
Specific Outcome ◽  
Numeric Pain Rating Scale ◽  
Pain Rating Scale

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.

Responsiveness of the Numeric Pain Rating Scale in Patients With Shoulder Pain and the Effect of Surgical Status

2011 ◽  
Vol 20 (1) ◽  
pp. 115-128 ◽  
Author(s):  
Lori A. Michener ◽  
Alison R. Snyder ◽  
Brian G. Leggin
Keyword(s):  
Shoulder Pain ◽  
Outcome Measures ◽  
Rating Scale ◽  
Effect Sizes ◽  
Outpatient Rehabilitation ◽  
Pain Rating ◽  
Characteristic Analysis ◽  
Point Change ◽  
Numeric Pain Rating Scale ◽  
Pain Rating Scale

Context:The Numeric Pain Rating Scale (NPRS) is commonly used to assess pain. Change in the NPRS across time can be interpreted with responsiveness indices.Objective:To determine the minimal clinically important difference (MCID) of the NPRS.Design:Single-group repeated measures.Setting:Outpatient rehabilitation clinics.Patients:Patients with shoulder pain (N = 136).Main Outcome Measures:At the initial evaluation patients completed the Penn Shoulder Score (PSS), which includes pain, satisfaction, and function sections. Pain was measured using an 11-point NPRS for 3 conditions of pain: at rest, with normal daily activities, and with strenuous activities. The NPRS average was calculated by averaging the NPRS scores for 3 conditions of pain. The final PSS was completed after 3–4 wk of rehabilitation. To determine the MCID for the NPRS average, the minimal detectible change of 8.6 points for the PSS function scale (0–60 points) was used as an external criterion anchor to classify patients as meaningfully improved (≥8.6 point change) or not improved (<8.6-point change). The MCID for the NPRS average was also determined for subgroups of surgical and nonsurgical patients. Cohen’s effect sizes were calculated as a measure of group responsiveness for the NPRS average.Results:Using a receiver-operating-characteristic analysis, the MCID for the average NPRS for all patients was 2.17, and it was 2.17 for both the surgical and nonsurgical subgroup: area-under-the-curve range .74–.76 (95%CI: .55–.95). The effect size for all patients was 1.84, and it was 1.51 and 1.94 for the surgical and nonsurgical groups, respectively.Conclusions:The NPRS average of 3 pain questions demonstrated responsiveness with an MCID of 2.17 in patients with shoulder pain receiving rehabilitation for 3–4 wk. The effect sizes indicated a large effect. However, responsiveness values are not static. Further research is indicated to assess responsiveness of the NPRS average in different types of patients with shoulder pain.

scholarly journals Isometric versus isotonic exercise for greater trochanteric pain syndrome: a randomised controlled pilot study

2019 ◽  
Vol 5 (1) ◽  
pp. e000558 ◽  
Author(s):  
Christopher Clifford ◽  
Lorna Paul ◽  
Grant Syme ◽  
Neal L Millar
Keyword(s):  
Outcome Measures ◽  
Rating Scale ◽  
Pain Syndrome ◽  
Global Rating ◽  
Pain Rating ◽  
Greater Trochanteric Pain Syndrome ◽  
Isotonic Exercise ◽  
Numeric Pain Rating Scale ◽  
Randomised Controlled ◽  
Pain Rating Scale

ObjectivesGreater trochanteric pain syndrome (GTPS) is a common cause of lateral hip pain. Limited evidence exists for the effectiveness of exercise for GTPS. This study aimed to compare the effectiveness of isometric and isotonic exercise for individuals with GTPS.MethodsThis randomised controlled pilot trial recruited 30 participants with GTPS. Both programmes consisted of daily, progressive home exercise for 12 weeks with 8 individual physiotherapy sessions over the trial period. The primary outcome measure was the Victorian Institute of Sport Assessment-Gluteal (VISA-G) and secondary outcome measures included the Numeric Pain Rating Scale (0–10) and an 11-point Global Rating of Change Scale. Outcome measures were assessed at baseline, 4 and 12 weeks.ResultsTwenty-three participants completed the trial. After 12 weeks, mean VISA-G scores improved in both groups; 55–65 in the isometric group and 62–72 in the isotonic group. 55% of the isometric group and 58% of the isotonic group achieved a reduction in pain of at least 2 points (minimally clinically important difference (MCID)) on the Numeric Pain Rating Scale. 64% of the isometric group and 75% of the isotonic group had improved by at least 2 points (MCID) on the Global Rating of Change Scale.ConclusionIsometric and isotonic exercise programmes appear to be effective for individuals with GTPS and should be considered in the loading management of patients with this condition.

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 A De Quervain-féle tendinopathia kezelése konzervatív módszerekkel

2020 ◽  
Vol 161 (11) ◽  
pp. 419-424
Author(s):  
László Földvári-Nagy ◽  
Johanna Takács ◽  
Judit Réka Hetthéssy ◽  
Ágnes Andrea Mayer ◽  
Noémi Szakács ◽  
...  
Keyword(s):  
Rating Scale ◽  
Outcome Measure ◽  
Pain Rating ◽  
De Quervain ◽  
Numeric Pain Rating Scale ◽  
Microsoft Office ◽  
Pain Rating Scale

Absztrakt: Bevezetés: A De Quervain-féle tendinopathia a csukló-kéz régióját érintő betegség. A hüvelykujj mozgatása fájdalmassá válik, a kéz funkciója jelentősen romlik. A betegség a legújabb kutatások szerint inkább degeneratív, semmint gyulladásos eredetű. Első lépésként a kéz sínezése, nemszteroid gyulladáscsökkentő szerek és különböző fizikoterápiás kezelések alkalmazása javasolt. Hatástalanságuk esetén további lehetőség az ínhüvelybe fecskendezett szteroidinjekció és a műtéti úton végzett ínhüvelybemetszés. Célkitűzés: Kutatásunkban megvizsgáltuk, hogy az excentrikus tréninggel kibővített konzervatív kezelés megfelelő alternatíváját nyújthatja-e a jelenleg elfogadott kezelési lehetőségeknek. Módszer: Az excentrikus tréning 8 hétig tartott, melyet indokolt esetben 12 hetesre bővítettünk. A betegek (n = 9) a betanítást követően naponta többször végezték a tréninget, amit a heti találkozók alkalmával kontrolláltunk. Az 1., a 8., valamint a 12. heti találkozó során az inspekciót követően mértük az ízületi mozgástartományt, az izomerőt, a fájdalmas régiók számát, illetve elvégeztük a ’Numeric Pain Rating Scale’, a ’Quick Disabilities of the Arm, Shoulder and Hand’, valamint a ’Patient-Rated Wrist Evaluation’ kérdőívek felvételét. A méréseket páros mintás t-teszttel és ismételt méréses varianciaanalízissel elemeztük. Az elemzéseket IBM SPSS Statistics 25.0 és Microsoft Office Excel Professional Plus 2016 programmal végeztük; p<0,05 esetén tekintettük statisztikailag szignifikánsnak eredményeinket. Eredmények: Szignifikáns javulást mértünk a fájdalom intenzitása (’Numeric Pain Rating Scale’ p = 0,005, n = 9) és a kéz, valamint a csukló funkciója terén (’Quick Disabilities of the Arm, Shoulder and Hand Outcome Measure’ kérdőív 1. rész p<0,001, 2. rész p<0,001, ’Patient-Rated Wrist Evaluation’ kérdőív p<0,001; n = 9). Következtetés: Eredményeink alapján megfelelő betegbeválasztás mellett az excentrikus tréninggel kibővített konzervatív kezelés valós alternatívája lehet a jelenleg alkalmazott kezeléseknek. Orv Hetil. 2020; 161(11): 419–424.

scholarly journals Responsiveness of pain, functional capacity tests, and disability level in individuals with chronic nonspecific low back pain

2019 ◽  
Vol 40 (01) ◽  
pp. 11-17 ◽  
Author(s):  
Prasert Sakulsriprasert ◽  
Roongtiwa Vachalathiti ◽  
Pathaimas Kingcha
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Functional Capacity ◽  
Rating Scale ◽  
Low Back ◽  
Pain Rating ◽  
Sit To Stand ◽  
Numeric Pain Rating Scale ◽  
Pain Rating Scale ◽  
Disability Level

Background: Clinical outcomes are very important in clinical assessment, and responsiveness is a component inside the outcome measures that needs to be investigated, particularly in chronic nonspecific low back pain (CNSLBP). Objective: This study aimed to investigate the responsiveness of pain, functional capacity tests, and disability in individuals with CNSLBP. Methods: Twenty subjects were assessed in pain using the following methods: visual analog scale (VAS) and numeric pain rating scale (NPRS), functional capacity tests: functional reach test (FRT), five-time sit-to-stand test (5 TSST), and two-minute step test (2 MST), and disability level: modified Oswestry Disability Questionnaire (MODQ), Thai version before and after 2-week intervention session. For interventions, the subjects received education, spinal manipulative therapy, and individual therapeutic exercise twice a week, for a total of two weeks. The statistics analyzed were change scores, effect size (ES), and standardized response mean (SRM). Results: The most responsive parameter for individuals with CNSLBP was pain as measured by numeric pain rating scale (NPRS) (ES [Formula: see text]0.986, SRM [Formula: see text]0.928) and five-time sit-to-stand test (5 TSST) (SRM [Formula: see text]0.846). Conclusion: This study found that NPRS pain and 5 TSST were responsive in individuals with CNSLBP at two weeks after the beginning of interventions.

scholarly journals PENGARUH WILLIAM FLEXION EXERCISE TERHADAP PENURUNAN INTENSITAS NYERI HAID (DYSMENORRHEA) PADA SISWI SMAN 7 KOTA MALANG

2019 ◽  
Vol 9 (1) ◽  
pp. 39
Author(s):  
Jaenal Abidin ◽  
Supriyadi Supriyadi ◽  
Mulyani Surendra
Keyword(s):  
Rating Scale ◽  
Sampling Technique ◽  
Control Group ◽  
Pain Rating ◽  
Menstrual Pain ◽  
Control Group Design ◽  
Group Design ◽  
Equivalent Control ◽  
Numeric Pain Rating Scale ◽  
Pain Rating Scale

AbstrakTujuan penelitian ini untuk mengetahui pengaruh William Flexion Exerciseterhadap penurunan intensitas nyeri haid. Penelitian ini menggunakan rancanganeksperimen semu dengan desain non equivalent control group design. Populasi dalampenelitian ini adalah seluruh siswi kelas XI SMAN 7 Kota Malang yang mengalaminyeri haid yang berjumlah 143 orang. Sampel yang diambil 20 orang untuk masingmasingkelompok. Teknik pengambilan sampel menggunakan purposive sampling.Instrumen yang digunakan yaitu Numeric Pain Rating Scale (NPRS). Hasil ujiANOVA diperoleh nilai p = 0,006. Berdasarkan hasil analisis data dapat disimpulkanbahwa terdapat pengaruh William Flexion Exercise terhadap penurunan intensitasnyeri haid (Dysmenorrhea) antara kelompok eksperimen dan kelompok kontrol padasiswi SMAN 7 Kota Malang.Kata Kunci: nyeri haid, william flexion exerciseAbstractThe purpose of this study was to determine the effect of william flexion exerciseon decreasing the intensity of menstrual pain. This study used quasy experimentaldesign with a non equivalent control group design. The population in this study wereall XI of SMAN 7 Malang City who experienced 143 people. Samples were taken by 20people for each group. The sampling technique used purposive sampling instrument.Used is the Numeric Pain Rating Scale (NPRS). ANOVA test results obtained values p= 0,006. Based on the reluts of data analysis it can be concluded that there are in theinfluence of william flexion exercise on the decrease in menstrual pain intensity(Dysmenorrhea) between control group on female students of SMAN 7 Malang City.Keywords: dysmenorrhea, william flexion exercise

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