pain measurement ---new advance in Pain measurement
发布于 2007-11-05 · 浏览 476 · IP 山西山西
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TCM dignose and teatment measurement is hard to do ,for many of them is done by the objictive responds,hard to aknowleged by the other fields of scinece work.But what they are doing in such cases , is an intersting things for the TCM reserchers .Here I got an article about this ----pain---------Pain measurement in patients with low back pain by Anne F Mannion*, Federico Balagué, Ferran Pellisé and Christine
I wish this will be of help .
----------------------------------------wjr
http://www.nature.com/ncprheum/journal/v3/n11/full/ncprheum0646.html
Can pain be measured?
Pain has been defined as "an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage."14 Pain is a highly personal experience and the patient is thus the best informant;2, 15, 16 it is a multidimensional phenomenon that includes physiologic, sensory, affective, cognitive, behavioral, and sociocultural aspects. The understanding and interpretation of symptoms (beliefs and cognitions) is well known to modulate the pain experience. This experience might be associated with emotional reactions, such as anxiety, distress, or depression, which could in turn give rise to illness behaviors that then influence the individual's private, social, and professional activities. The social environment might or might not allow or reinforce the expression of symptoms and their consequences. Consideration of these various dimensions acknowledges the multifaceted nature of pain and confirms that the global evaluation of pain is not a straightforward matter.
The influence of various factors that modify patients' pain perception and reporting—such as age, sex, race, income, type of health insurance, comorbidity, education, work satisfaction, anxiety, and depression—appears to be variable.16, 17, 18, 19, 20, 21 The identification of confounders in the measurement of pain is, however, difficult because of the lack of any external reference or gold standard. Typically, predictors are sought that (statistically) account for the differences in pain levels of patients with a given clinical condition or in response to experimental pain. Whether this model is valid (i.e. whether the 'exposure' or pain stimulus can otherwise be considered the same in all individuals) is, however, not certain.
A review of pain assessment in clinical and health services research highlighted the pros and cons of the most frequently used tools.22 The recall of key parameters of chronic recurrent pain (average intensity, interference with activities, activity-limitation days, and days with pain) had acceptable validity for at least a 3-month recall period.22 Hence, despite its intrinsic complexity, it is still possible for clinicians and researchers to gather useful information on pain.
Top of pageThe available tools
An exhaustive description of all the available pain measurement tools is beyond the scope of this article. Interested readers are referred to a review on the topic published elsewhere.23 In many patients with back disorders, back pain and leg pain coexist with different intensities and respond differently to treatment; as such, the severity of each should always be measured separately.6
I wish this will be of help .
----------------------------------------wjr
http://www.nature.com/ncprheum/journal/v3/n11/full/ncprheum0646.html
Can pain be measured?
Pain has been defined as "an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage."14 Pain is a highly personal experience and the patient is thus the best informant;2, 15, 16 it is a multidimensional phenomenon that includes physiologic, sensory, affective, cognitive, behavioral, and sociocultural aspects. The understanding and interpretation of symptoms (beliefs and cognitions) is well known to modulate the pain experience. This experience might be associated with emotional reactions, such as anxiety, distress, or depression, which could in turn give rise to illness behaviors that then influence the individual's private, social, and professional activities. The social environment might or might not allow or reinforce the expression of symptoms and their consequences. Consideration of these various dimensions acknowledges the multifaceted nature of pain and confirms that the global evaluation of pain is not a straightforward matter.
The influence of various factors that modify patients' pain perception and reporting—such as age, sex, race, income, type of health insurance, comorbidity, education, work satisfaction, anxiety, and depression—appears to be variable.16, 17, 18, 19, 20, 21 The identification of confounders in the measurement of pain is, however, difficult because of the lack of any external reference or gold standard. Typically, predictors are sought that (statistically) account for the differences in pain levels of patients with a given clinical condition or in response to experimental pain. Whether this model is valid (i.e. whether the 'exposure' or pain stimulus can otherwise be considered the same in all individuals) is, however, not certain.
A review of pain assessment in clinical and health services research highlighted the pros and cons of the most frequently used tools.22 The recall of key parameters of chronic recurrent pain (average intensity, interference with activities, activity-limitation days, and days with pain) had acceptable validity for at least a 3-month recall period.22 Hence, despite its intrinsic complexity, it is still possible for clinicians and researchers to gather useful information on pain.
Top of pageThe available tools
An exhaustive description of all the available pain measurement tools is beyond the scope of this article. Interested readers are referred to a review on the topic published elsewhere.23 In many patients with back disorders, back pain and leg pain coexist with different intensities and respond differently to treatment; as such, the severity of each should always be measured separately.6
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