Articles: pain-measurement.
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Social science & medicine · Mar 1993
Comparative StudyComparing nurses' and patients' pain evaluations: a study of hospitalized patients in Kuwait.
All eligible patients hospitalized on the general medical, surgical and pediatric wards of a district hospital in Kuwait during the first 2 weeks of April 1990 (N = 199) were interviewed about their pain and the medical care provided. Patients rated their current pain using a 0-10 visual analogue scale (VAS) on which 0 was labelled 'no pain' and 10 'unbearable pain', and also the least and worst levels of pain which they had experienced during the previous 24 hr. Pediatric patients rated their mood at these times using a cartoon faces scale ([1]: McGrath P. ⋯ Also, when specifically questioned, a substantial proportion of patients stated that pain had had a negative impact on their mood and activity. Various explanations for these findings are discussed, and their implications for effective pain management. Some of the special problems facing nurses in Kuwait are considered.
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Fibromyalgia syndrome (FS) is most common in midlife, but may be seen at any age. Its prevalence and assessment of tenderness in healthy children is not known. We assessed 338 healthy schoolchildren for tenderness thresholds and prevalence of FS. ⋯ Thresholds of tenderness of TP and control points in the children with FS were 2.5 (0.4) (kg) and 4.2 (0.5) (kg) vs 4.5 (1.2) (kg) and 6.6 (1.4) (kg) respectively in the children without FS (p < 0.001). We suggest that FS is common in the pediatric age group. Boys have lower tenderness than girls; children with FS have lower thresholds for tenderness both at control and TP compared to the subjects without FS.
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J Manipulative Physiol Ther · Jan 1993
Randomized Controlled Trial Clinical TrialThe Hmax/Mmax ratio as an outcome measure for acute low back pain.
To evaluate the use of the Hmax/Mmax (H/M) ratio as an outcome measure for acute low back pain and to determine the change of this ratio in acute low back pain patients treated with spinal manipulation. ⋯ The H/M ratio was found to be within normal limits in subjects with acute low back pain. The H/M ratio showed greater change in the group which received spinal manipulation, but the change was subtle. The results indicate that the H/M ratio may be of limited value in clinical practice.
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J Manipulative Physiol Ther · Jan 1993
Comparative StudyThe relationship between the St. Thomas and Oswestry disability scores and the severity of low back pain.
To investigate the relationship between the two disability questionnaires and low back pain severity using the visual analog scale (VAS). ⋯ The consequence of pain (disability) appears to have a weak relationship to pain severity. Despite the moderate correlation between the two disability questionnaires, it is suggested that they are not interchangeable.