Articles: pain-measurement.
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Pain perception threshold (PPT), maximal pain tolerance (MPT) and pain discrimination of CLBP patients and controls were tested. Pain perception threshold was significantly higher in the patient group for two different pain stimuli (electrical and pressure pain). ⋯ It is concluded that CLBP patients have a decreased sensitivity for experimental pain. Two theories which might explain this decreased sensitivity are discussed.
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The study's purpose was to determine if children, their parents, and their nurses differ in their perception of pain associated with health care procedures. A convenience sample of 40 subjects was obtained in a pediatric clinic. The subjects were triads of a child, the child's parent, and the nurse. ⋯ No significant differences were found between the child's and the parent's scores. A significant difference was found between the child's and nurse's score (p = .0084). Initial findings suggest that there are differences in pain perception between nurses and children.
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Using a new electronic algometer, the mean values and standard deviations of pressure pain threshold and the intrarater and interrater reliability were evaluated on 13 muscles of the human head and neck region. The subjects were 40 healthy individuals, 21 females and 19 males. ⋯ Statistically significant correlation coefficients were obtained from the values of intra-examiners and inter-examiners in all muscles except the medial pterygoid and middle sternocleidomastoid muscle in male subjects (p < 0.05). This study showed that the electronic algometer could be recommended for evaluation of the pressure pain threshold of human head and neck muscles in clinical and experimental studies.
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The Hospice journal · Jan 1992
Assessment of the terminally ill patient with pain: the example of cancer.
Efforts to understand pain associated with terminal illness have been guided traditionally by the biomedical model in which psychological and environmental factors are considered incidental and not causally significant influences of pain. More recent conceptualizations of pain, however, recognize that pain can be affected by a variety of factors including mood, beliefs about pain, past learning, as well as physical perturbations. This development has led to assessment strategies that are more comprehensive, multidimensional, and less singularly aligned with a biomedical model. ⋯ Thus, in this paper we will describe a comprehensive, multi-dimensional assessment of cancer pain. Information regarding cancer and cancer pain is first presented and then a strategy for comprehensively assessing cancer pain is outlined. Recent developments in the assessment of cancer pain are briefly reviewed.
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Comparative Study
Comparison of contemporaneous and retrospective assessment of postoperative pain using the visual analogue scale.
We have assessed postoperative pain in 50 patients who had undergone total abdominal hysterectomy, using repeated contemporaneous and single retrospective visual analogue scores. There were significant correlations between the median, mean and greatest contemporaneous scores, and the single retrospective scores, but there was a wide scatter of results among and within individual patients. We conclude that the wide variability between the two methods of assessment suggests that the two techniques should not be used interchangeably.