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

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

Frank, Andrew O., Spyridonis, Fotios ORCID: 0000-0003-4253-365X and Ghinea, Gheorghita (2015) Assessing pain intensity following spinal cord injury: should rating scales measure 'overall' or 'maximal' values? International Journal of Rehabilitation Research, 38 (1). pp. 92-94. ISSN 0342-5282 (Print), 1473-5660 (Online) (doi:https://doi.org/10.1097/MRR.0000000000000093)

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Abstract

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.

Item Type: Article
Uncontrolled Keywords: Clinical significance; Comparison study; Pain assessment; Rating scales; Rehabilitation; Spinal cord injury
Faculty / Department / Research Group: Faculty of Architecture, Computing & Humanities
Faculty of Architecture, Computing & Humanities > Department of Computing & Information Systems
Last Modified: 05 Apr 2018 13:01
Selected for GREAT 2016: None
Selected for GREAT 2017: None
Selected for GREAT 2018: GREAT b
Selected for GREAT 2019: None
URI: http://gala.gre.ac.uk/id/eprint/16560

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