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  • Measuring Pain Intensity in Patients with Neck Pain: Does It Matter How You Do It?

    Author(s)
    Kamper, Steven J
    Grootjans, Sanneke JM
    Michaleff, Zoe A
    Maher, Christopher G
    McAuley, James H
    Sterling, Michele
    Griffith University Author(s)
    Sterling, Michele
    Year published
    2015
    Metadata
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    Abstract
    The aim of this study was to investigate whether variations in the way that pain intensity is measured in patients with neck pain influences the magnitude of pain ratings. The study uses data from 3 longitudinal studies (n = 361 at baseline) on people with neck pain due to whiplash injuries. Pain measures included verbal rating scales, numerical rating scales and a visual analog scale. Different measures asked patient to rate current pain, average pain over 24 hours, over 1 week, or over 4 weeks. Scores were converted to a 0-100 scale and tracked over time, correlations between measures were calculated. Mixed models regression ...
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    The aim of this study was to investigate whether variations in the way that pain intensity is measured in patients with neck pain influences the magnitude of pain ratings. The study uses data from 3 longitudinal studies (n = 361 at baseline) on people with neck pain due to whiplash injuries. Pain measures included verbal rating scales, numerical rating scales and a visual analog scale. Different measures asked patient to rate current pain, average pain over 24 hours, over 1 week, or over 4 weeks. Scores were converted to a 0-100 scale and tracked over time, correlations between measures were calculated. Mixed models regression was used to explore the factors which influenced the differences between scores on the measures. Scores on the different measures were significantly different from each other in each dataset (P < 0.02). The effect of recall period was significant in all datasets and the effect of number of response options was significant in 2 of 3 datasets. Pain intensity ratings appear to be sensitive to method of measurement. It is likely the length of recall time (eg, pain today vs. average pain over 4 weeks) has a significant influence on pain ratings. The influence of number of response options is less certain. Systematic reviewers should not uncritically rescale and pool absolute pain scores from instruments with varying scale descriptors or recall periods.
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    Journal Title
    Pain Practice
    DOI
    https://doi.org/10.1111/papr.12169
    Subject
    Clinical sciences
    Physiotherapy
    Neurosciences
    Medical physiology
    Publication URI
    http://hdl.handle.net/10072/67756
    Collection
    • Journal articles

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