Clinical Scale for Neuropathic Pain

Neuropathic pain caused by a lesion or disease of the somatosensory nervous system is underdiagnosed and difficult to treat. Questionnaires based on self-reported symptoms have improved diagnosis and management of neuropathic pain. Visual analog scale and numeric rating scale are most well-known unidimensional pain questionnaires. Multidimensional questionnaire or specialized questionnaire for neuropathic pain are more useful to diagnose neuropathic pain. Screening questionnaires help to identify neuropathic pain easily, and assessment questionnaires make it possible to create phenotypic profiles of neuropathic pain and determine an efficacy of management.

Characteristics, Properties, and Associations of Self-Assessed Pain Questionnaires: A Literature Review and Prospective Cohort Study Among Dance Students

OBJECTIVES: To provide an overview of measurement properties of the Oslo Sports Trauma Research Center Questionnaire (OSTRCQ), pain visual analogue scale (VAS-pain) and Self-Estimated Functional Inability Because of Pain (SEFIP) scale in dance populations, and to investigate the relationship between these questionnaires in pre-professional contemporary dancers. METHODS: A search of PubMed was conducted and studies were included if they 1) used one of the three questionnaires within a dance population and 2) assessed the reliability, validity, or responsiveness of the questionnaire(s). 134 dance students (67.5% female; 19.4±1.5 yrs) were prospectively followed during 1 academic year. The OSTRCQ, VAS-pain, SEFIP, and injuries were self-assessed on a monthly basis. Pearson correlation analyses and repeated measures correlation analyses were performed to identify possible associations. RESULTS: The literature overview resulted in two studies describing measurement properties of the SEFIP (n=1) and OSTRCQ (n=1). Prevalence of injuries ranged from 23.1 to 42.6%. Weak monthly correlations (r=0.14–0.50) were found between OSTRCQ and SEFIP. Moderate monthly correlations (r=0.54–0.71) were found between OSTRCQ and VAS-pain, and weak/moderate monthly correlations (r=0.30–0.62) were found between SEFIP and VAS-pain. Repeated measures correlation demonstrated a moderate overall correlation between ORSTCQ and VAS-pain (r=0.57), with weak overall correlations between ORSTCQ and SEFIP (r=0.26) and SEFIP and VAS-pain (r=0.34). CONCLUSIONS: Studies on measurement properties of questionnaires in dance are scarce. Weak/moderate associations were found between the OSTRCQ, SEFIP, and the VAS-pain questionnaires. Future high-quality research should investigate measurement properties of these questionnaires within dance populations. The results contribute by substantiating choices when developing a surveillance system.

Potential Unintended Effects of Standardized Pain Questionnaires: A Qualitative Study

Objective Low back pain is a common musculoskeletal condition with substantial individual and societal costs. Standardized self-report questionnaires are commonly used in clinical practice to identify prognostic risk factors and tailor interventions for low back pain. However, most of these low back pain questionnaires have been developed in Western cultures and may not be clinically applicable to other cultures. These cultural aspects have not been explored. This study aimed to investigate the cultural assumptions underlying back pain questionnaires and the potential implications of using standardized questionnaires with non-Western populations. Design An interpretive qualitative design was employed. Subjects Participants (N = 16) self-identified as coming from culturally and linguistically diverse backgrounds. Methods Data collection and analysis were guided by thematic analysis. Four focus groups of three to five participants were conducted during which participants discussed two questionnaires commonly used in low back pain settings: the Fear-Avoidance Beliefs Questionnaire and Örebro Musculoskeletal Pain Questionnaire. Results Analysis identified four themes: questionnaires affect the patient–clinician encounter; results are not only about back pain; questionnaires affect people’s understanding of their back pain; and results potentially affect people’s lives beyond their back condition. Conclusions Findings suggest that questionnaires could potentially negatively affect the patient–clinician rapport and lead to inaccurate and unanticipated results when used with culturally and linguistically diverse populations. Findings are also likely to be applicable to people with low back pain more broadly, regardless of culture. Implications include a need for cultural sensitivity when using questionnaires, greater consideration of when to use these measures, and adaptations to the use/design of standardized questionnaires.

Gambaran nyeri kepala primer pada mahasiswa angkatan 2013 Fakultas Kedokteran Universitas Sam Ratulangi Manado

This study aimed to obtain the profile of primary headache among medical students batch 2013 in University of Sam Ratulangi Manado. This was a descriptive study. The headache description was assessed with questionnaires (Pain questionnaires PERDOSSI). There were 176 respondents consisted of 45 males and 131 females. The percentages of each headache type were as follows: tension-type 64%, migraine without aura 20%, migraine with aura 15%, and cluster headache 1%. The results showed that stress triggered 84% of headache cases. There were 73% of respondents who suffered from headache had family history of headache.Keywords: primary headache, types of headache Abstrak: Penelitian ini bertujuan untuk mendapatkan gambaran nyeri kepala primer pada mahasiswa kedokteran Universitas Negeri Sam Ratulangi angkatan 2013. Jenis penelitian ini deskriptif. Deskripsi nyeri kepala pada responden dinilai dengan kuesioner (kuesioner nyeri PERDOSSI ). Terdapat 176 responden, terdiri dari 45 responden laki-laki dan 131 responden perempuan. Persentase untuk setiap jenis sakit kepala ialah sebagai berikut: tipe tegang 64%, migraine tanpa aura 20%, migrain dengan aura 15%, dan nyeri kepala klaster 1%. Hasil penelitian menunjukkan bahwa stres memicu 84% dari kasus nyeri kepala. Pada penelitian ini didapatkan 73% dari responden yang menderita serangan nyeri kepala memiliki riwayat keluarga sakit kepala.Kata kunci: nyeri kepala primer, jenis sakit kepala

An Evaluation of Chronic Pain Questionnaires in the Adult Population

Background and Purpose: Considering pain’s subjectivity, measurement and its processes are indispensable to clinicians and researchers. Development and testing methods of recently published chronic pain questionnaires were analyzed to determine the state of measurement in chronic pain. Methods: There were 8 questionnaires analyzed against 28 criteria, which combined specific testing standards and commonly accepted reliability statistics. Results: Only 1 questionnaire received a rating of good method quality. The 7 remaining questionnaires received a rating of poor method quality. Conclusions: Newly developed chronic pain self-report questionnaires revealed deficiencies in construction and testing methods. It is proposed that an adapted version of the Standards of Educational and Psychological Testing serves as a useful guide for developing and testing new health questionnaires.