Articles: pain-measurement.
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Four simple tests which can be used for routine sensory testing following trigeminal nerve injuries are suggested. The methods for constructing the equipment needed for these tests are described.
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This paper reports the development and validation of the Pain Beliefs Questionnaire (PBQ). This is a 20-item questionnaire covering beliefs about the cause and treatment of pain. It was administered to 294 subjects, comprising 100 chronic pain patients and 194 controls. ⋯ Secondly, as predicted significant associations were observed between scores on the Organic Beliefs scale and scores on the Chance and Powerful Others scales of the Multidimensional Health Locus of Control (MHLC), and also between the Psychological Beliefs and Internal scales of the MHLC. No relationship, however, emerged between these scales and measures of pain intensity. The implications of these findings for the assessment and management of chronic pain patients, and in the understanding of the development of chronic pain, are discussed.
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Pain provocation was analyzed in 1477 intervertebral discs in 523 patients subjected to lumbar computed tomography/discography. The relation between pain provocation and the degree of general degeneration and anular disruption assessed according to the Dallas Discogram Description as indices of intradiscal deterioration was investigated. ⋯ Pain provocation showed little relation to intradiscal deterioration, whereas a strong relation was found between it and herniated nucleus pulposus. in herniated nucleus pulposus, discs with extraligamentous extrusion or sequestration, large protrusions, maximum protrusion site at the nerve root portion, and herniation routes passing through the central portion of the disc showed a high pain provocation ratio. Pain provocation ratios of discs associated with spinal canal stenosis were extremely low.
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Chinese Med J Peking · Nov 1992
Comparative StudyComparison of two pain rating scales among Chinese cancer patients.
The Simple Descriptive Scale (SDS) has been known to be easier to use, but lacks sensitivity when compared to the Visual Analogue Scale (VAS). In this study, 79 cancer patients quantified the intensity of their pain experience on both the VAS and SDS before receiving pain therapy and on the fifth day after commencing the therapy. ⋯ The results demonstrate that the SDS provides a simpler and, perhaps, equally sensitive alternative to the VAS, in measurement of cancer pain among Chinese patients. It would be particularly useful for those with language barriers and/or other factors in understanding the requirements or the VAS.
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The key to effective pain control is accurate assessment and, more importantly, the belief that what patients state about their pain is true. This research study investigates nurses' attitudes to pain and its assessment, and reveals why pain control continues to be an inconsistent affair.