Neuropathic pain assessment scales in spinal cord injuries: a review of recent data

  • Migkou S
  • Evangelopoulos DS
  • Evangelopoulos ME
  • Pneumaticos S
Keywords: neuropathic pain, verbal descriptor, spinal cord injury, pain scale, assessment tool

Abstract

Pain due to central or peripheral nervous system lesions, following spinal cord injuries is a widely known pathology, referred to as neuropathic pain.Many inventories have been developed for the evaluation of neuropathic pain, such as the inventory of neuropathic pain symptoms (NPSI) and the short form McGill pain questionnaire 2 (SF-MPQ-2). Neuropathic pain assessment tools represent a significant progress in clinical and in neuropathic pain research and are practical guides for the evaluation of neuropathic pain in patients, especially in primary care settings, providing clinical information for distinguishing neuropathic pain from non-neuropathic pain. Some tools evaluate qualitatively neuropathic pain (mostly used in clinical settings), while others use quantitative parameters (mostly used in research). In this literature review, different neuropathic pain assessment tools are reviewed as well as the usefulness of verbal pain description items, in the classification of pain following spinal cord injuries. Moreover, their predictive validity is considered. According to literature, verbal pain description inventories are not sufficiently specific for the diagnosis and classification of spinal cord injuries pain. Researchers suggest the implementation of multiple variables inventories for pain classification and for the evaluation of their validity either as clinical or research tools.

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Author Biographies

Migkou S

Department of Physical Medicine and Rehabilitation, KAT Hospital, Athens, Greece

Evangelopoulos DS

3rd Department of Orthopaedic Surgery, University of Athens, KAT Hospital, Athens, Greece

Evangelopoulos ME

Department of Neurology, University of Athens, Eginition Hospital, Athens, Greece

Pneumaticos S

3rd Department of Orthopaedic Surgery, University of Athens, KAT Hospital, Athens, Greece

References

1. Saulino M. Spinal Cord Injury Pain. Phys Med Rehabil ClinN Am2014;25(2):397–410.
2. Attal, N., Bouhassira, D., & Baron, R. Diagnosis and assessment of neuropathic pain through questionnaires. Lancet Neurol2018; 17(5), 456-466.
3. Treede, R. D., Jensen, T. S., Campbell, J. N., Cruccu, G., Dostrovsky, J. O., Griffin, J. W. & Serra, J. Neuropathic pain: redefinition and a grading system for clinical and research purposes. Neurol, 2008; 70(18), 1630-1635.
4. Lee, S., Zhao, X., Hatch,M., Chun, S., & Chang, E. Central Neuropathic Pain in Spinal Cord Injury.Crit Rev Phys Rehabil Med. 2013; 25(3-4): 159–172.5. Bryce, T.N, Biering-Sorensen, F., Finnerup, N.B., Cardenas, D.D., Defrin, R., Lundeberg, T., Norrbrink, C., Richards, J.S., Siddall, P., Stripling, T., Treede, R.D., Waxman, S.G., Widerström-Noga, E., Yezierski, R.P., Dijkers, M. International spinal cord injury pain classification: part I. Background and description. Spinal Cord2012;50(6):413–7.
6. Widerström-Noga, E., Biering-Sørensen, F., Bryce, T., Cardenas, D.D., Finnerup, N.B., Jensen, M.P., Richards, J.S., Siddall, P.J. The international spinal cord injury pain basic data set. Spinal Cord. 2008;46(12):818-23.
7. Hallström, H., & Norrbrink, C. Screening tools for neuropathic pain: can they be of use in individuals with spinal cord injury? Pain 2011; 152(4): 772-779.
8. Baron, R., & Tölle, T.R. Assessment and diagnosis of neuropathic pain. Curr OpinSupport PalliatCare2008; 2(1), 1-8.
9. Yucel, A., Senocak, M., Orhan, E. K., Cimen, A., & Ertas, M.. Results of the Leeds assessment of neuropathic symptoms and signs pain scale in Turkey: a validation study. JPain 2004; 5(8): 427-432.
10. Tampin, B., Briffa, N. K., Goucke, R., & Slater, H. Identification of neuropathic pain in patients with neck/upper limb pain: application of a grading system and screening tools. Pain2013; 154(12): 2813-2822.
11. Freynhagen, R., Baron, R., Gockel, U., & Tölle, T. R.. PainDETECT: a new screening questionnaire to identify neuropathic components in patients with back pain. Cur Med Res Opin 2006; 22(10): 1911-1920.
12. Scholz, J., Mannion, R.J., Hord, D.E., Griffin, R.S., Rawal, B., Zheng, H., Scoffings, D., Phillips, A., Guo, J., Laing, R.J.C., Abdi, S., Decosterd, I., &Woolf , C.J. A Novel Tool for the Assessment of Pain: Validation in Low Back Pain.PLoS Med2009; 6(4): e1000047.
13. Bouhassira, D., Attal, N., Fermanian, J., Alchaar, H., Gautron, M., Masquelier, E., Rostaing, S., Lanteri-Minet, M., Collin, E., Grisart, J., Boureau, F. Development and validation of the Neuropathic Pain Symptom Inventory. Pain 2004; 108: 248-257.
14. Dworkin, R.H., Turk, D.C., Revicki, D.A., Harding, G., Coyne, K.S., Peirce-Sandner, S., et al. Development and initial validation of an expanded and revised version of the Short-form McGill Pain Questionnaire (SF-MPQ-2). Pain 2009;144:35–42.
15. Putzke, J.D., Richards, J.S., Hicken, B.L., Ness, T.J., Kezar, L., & DeVivo, M.. Pain classification following spinal cord injury: the utility of verbal descriptors. Spinal Cord 2002; 40(3): 118-127.
16. Gilron, I., Tu, D.& Holden, R.R.Sensory and affective pain descriptors respond differentially to pharmacological interventions in neuropathic conditions.Clin J Pain 2013;29(2):124-31.
17. Holtan, A. & Kongsgaard, U.E.The use of pain descriptors in cancer patients.J Pain Symptom Manage2009;38(2):208-15.
Published
2021-08-20