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Assessing pain intensity following spinal cord injury : should rating scales measure 'overall' or 'maximal' values ?

FRANK AO; SPYRIDONIS F; GHINEA G
INT J REHABIL RES , 2015, vol. 38, n° 1, p. 92-94
Doc n°: 173645
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1097/MRR.0000000000000093
Descripteurs : AE21 - ORIGINE TRAUMATIQUE

Rating scales (RSs) are important for the assessment of pain intensity (PI)
following a spinal cord injury (SCI). Using a Graphic Rating Scale, this pilot
study measured an 'overall' level of PI repeated about every 2 h over 1 day and
compared it with maximal PI scores reported previously. Patients were categorized
into severity groups according to the overall Graphic Rating Scale score at
initial assessment (T0). Eight men and six women (mean age 53.1; range 28-75)
participated. Comparison of the overall PI scores and their changes over time
with the maximal PI scores reported previously showed loss of patients in the
severe group and less pronounced PI changes over time. Rating scales used in
spinal cord injury services should measure maximal pain experienced 'right now'
to eliminate potential averaging out of pain over time, which might allow
physicians to assist patients in understanding their pain and begin their
adjustment.

Langue : ANGLAIS

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