Article

OBJECTIVE: To systematically review the psychometric properties and clinical
utility of measures of pain in neurological conditions.
DATA SOURCES: Electronic
databases (AMED, CINAHL, MEDLINE, PEDro and Web of Knowledge) were searched from
their inception to February 2013. REVIEW METHODS: Studies investigating any
measurement tool to assess pain in central nervous system conditions were
systematically identified.
Data about their psychometric properties and clinical
utility were extracted and analysed independently.
The strength of the
psychometric properties and clinical utility were assessed. RESULTS: A total of
13 articles met the selection criteria, which assessed 11 measurement tools;
eight pain rating scales; one Neuropathic Pain Scale; and two measures of pain
interference with every-day life. Most of the pain rating scales were
specifically for hemiplegic shoulder pain. None had been sufficiently developed
to recommend for use in clinical practice or research. Evaluation of reliability
and the ability to detect change were particularly sparse. Reliability depended
on the type of tools used. Patients with right hemisphere damage favoured
verbal/written responses, while people with left hemisphere damage preferred and
reported more effectively using visual/numeric responses. Validity between
measures of pain intensity was moderate, while validity with mood or quality of
life was weak to moderate. CONCLUSION: None of the selected measures of pain have
been fully developed or evaluated to demonstrate that they provide accurate,
relevant reproducible information.
CI - (c) The Author(s) 2013.

Langue : ANGLAIS