A prospective, multisite, international validation of the Complex Regional Pain Syndrome Severity Score.

Abstract:

:Clinical diagnosis of complex regional pain syndrome (CRPS) is a dichotomous (yes/no) categorization, a format necessary for clinical decision making. Such dichotomous diagnostic categories do not convey an individual's subtle gradations in the severity of the condition over time and have poor statistical power when used as an outcome measure in research. This prospective, international, multicenter study slightly modified and further evaluated the validity of the CRPS Severity Score (CSS), a continuous index of CRPS severity. Using a prospective design, medical evaluations were conducted in 156 patients with CRPS to compare changes over time in CSS scores between patients initiating a new treatment program and patients on stable treatment regimens. New vs stable categorizations were supported by greater changes in pain and function in the former. Results indicated that CSS values in the stable CRPS treatment group exhibited much less change over time relative to the new treatment group, with intraclass correlations nearly twice as large in the former. A calculated smallest real difference value revealed that a change in the CSS of ≥4.9 scale points would indicate real differences in CRPS symptomatology (with 95% confidence). Across groups, larger changes in CRPS features on the CSS over time were associated in the expected direction with greater changes in pain intensity, fatigue, social functioning, ability to engage in physical roles, and general well-being. The overall pattern of findings further supports the validity of the CSS as a measure of CRPS severity and suggests it may prove useful in clinical monitoring and outcomes research.

journal_name

Pain

journal_title

Pain

authors

Harden RN,Maihofner C,Abousaad E,Vatine JJ,Kirsling A,Perez RSGM,Kuroda M,Brunner F,Stanton-Hicks M,Marinus J,van Hilten JJ,Mackey S,Birklein F,Schlereth T,Mailis-Gagnon A,Graciosa J,Connoly SB,Dayanim D,Massey M,Fr

doi

10.1097/j.pain.0000000000000927

subject

Has Abstract

pub_date

2017-08-01 00:00:00

pages

1430-1436

issue

8

eissn

0304-3959

issn

1872-6623

pii

00006396-201708000-00006

journal_volume

158

pub_type

杂志文章,多中心研究

相关文献

PAIN文献大全
  • Substance dependence and chronic pain: profile of 50 patients treated in an alcohol and drug dependence unit.

    abstract::Fifty adult patients with chronic pain and substance dependence were admitted to an inpatient unit for treatment of addiction without primary emphasis on treatment of pain. As a group they had received considerable medical attention for their pain, but relatively little for their addictions. When compared with a group...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(86)90072-2

    authors: Finlayson RE,Maruta T,Morse RM,Swenson WM,Martin MA

    更新日期:1986-08-01 00:00:00

  • Activation of the Notch signaling pathway in the anterior cingulate cortex is involved in the pathological process of neuropathic pain.

    abstract::Plastic changes in the anterior cingulate cortex (ACC) are critical in pain hypersensitivity caused by peripheral nerves injury. The Notch signaling pathway has been shown to regulate synaptic differentiation and transmission. Therefore, this study was to investigate the function of the Notch signaling pathway in the ...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1097/j.pain.0000000000002014

    authors: Duan H,Shen F,Li L,Tu Z,Chen P,Chen P,Wang Z,Liang W,Wang Y

    更新日期:2021-01-01 00:00:00

  • Psychophysical evidence for a neuropathic component of chronic neck pain.

    abstract::Recent studies into the common complaint of chronic neck pain have focused on its anatomical origin, identifying especially the cervical zygapophysial joints. However the pathophysiology of chronic neck pain remains poorly understood. In this psychophysical study, responses to electrocutaneous stimulation in subjects ...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/s0304-3959(98)00013-x

    authors: Sheather-Reid RB,Cohen ML

    更新日期:1998-04-01 00:00:00

  • Morphine and ibuprofen compared using the cold pressor test.

    abstract::The analgesic efficacy of single doses of oral morphine sulphate solution (10 mg) and ibuprofen 600 mg was compared in 12 volunteers using a double-blind, double-dummy, placebo-controlled design on the cold pressor experimental pain model. Measurement of pain intensity was made before medication and then at 30, 60, 90...

    journal_title:Pain

    pub_type: 临床试验,杂志文章

    doi:10.1016/0304-3959(88)90156-X

    authors: Jones SF,McQuay HJ,Moore RA,Hand CW

    更新日期:1988-08-01 00:00:00

  • Effects of vibratory stimulation on muscular pain threshold and blink response in human subjects.

    abstract::The effects of vibratory stimulation on muscular pain threshold were investigated in 28 healthy subjects. Pain sensation was evaluated by the subjects' verbal reports in response to electrical stimulation of the vastus medialis muscle. Concomitant variations of blink response evoked as a component of the startle react...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(86)90046-1

    authors: Pantaleo T,Duranti R,Bellini F

    更新日期:1986-02-01 00:00:00

  • Intrathecal co-administration of substance P and NMDA augments nociceptive responses in the formalin test.

    abstract::The effects of intrathecal administration of substance P and N-methyl-D-aspartate (NMDA) were studied in the formalin test in mice. Both substances were administered 5 min before injection of formalin into the hind paw. Co-administration of substance P and NMDA intensified the response in both the 1st (0-10 min) and t...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(92)90260-I

    authors: Mjellem-Joly N,Lund A,Berge OG,Hole K

    更新日期:1992-11-01 00:00:00

  • Differential effects of morphine on the affective and the sensory component of carrageenan-induced nociception in the rat.

    abstract::Pain is generally considered to have a sensory and an affective component. Clinical research has suggested that morphine more potently attenuates the affective component as compared to the sensory component. Because preclinical nociception models typically focus on the sensory component of nociception, and do not asse...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2007.07.027

    authors: van der Kam EL,De Vry J,Schiene K,Tzschentke TM

    更新日期:2008-06-01 00:00:00

  • The organization of spinal pathways to ventrobasal thalamus in an experimental model of pain (the arthritic rat). An electrophysiological study.

    abstract::The spinal ascending pathways responsible for neuronal ventrobasal (VB) thalamic responses elicited by joint stimulation of the posterior paw were determined in arthritic rats used as a model of experimental pain. Responses of a same neurone to mechanical (movement--pressure--brushing) or thermal stimulation (50 degre...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(86)90059-X

    authors: Guilbaud G,Peschanski M,Briand A,Gautron M

    更新日期:1986-09-01 00:00:00

  • Altered C-tactile processing in human dynamic tactile allodynia.

    abstract::Human unmyelinated (C) tactile afferents signal the pleasantness of gentle skin stroking on hairy (nonglabrous) skin. After neuronal injury, that same type of touch can elicit unpleasant sensations: tactile allodynia. The prevailing pathophysiological explanation is a spinal cord sensitization, triggered by nerve inju...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2012.10.024

    authors: Liljencrantz J,Björnsdotter M,Morrison I,Bergstrand S,Ceko M,Seminowicz DA,Cole J,Bushnell CM,Olausson H

    更新日期:2013-02-01 00:00:00

  • Hypnotic analgesia reduces R-III nociceptive reflex: further evidence concerning the multifactorial nature of hypnotic analgesia.

    abstract::Mechanisms of hypnotic analgesia were investigated by examining changes in the R-III, a nociceptive spinal reflex, during hypnotic reduction of pain sensation and unpleasantness. The R-III was measured in 15 healthy volunteers who gave VAS-sensory and VAS-affective ratings of an electrical stimulus during conditions o...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(94)00134-Z

    authors: Kiernan BD,Dane JR,Phillips LH,Price DD

    更新日期:1995-01-01 00:00:00

  • Antiallodynic effects of intrathecally administered 5-HT(2C) receptor agonists in rats with nerve injury.

    abstract::Intrathecal administration of serotonin type 2 (5-HT(2)) receptor agonists, alpha-methyl-5-hydroxytryptamine maleate (alpha-m-5-HT) or (+/-)-1-(4-iodo-2,5-dimethoxyphenyl)-2-aminopropane hydrochloride (DOI), produces antiallodynic effects in a rat model of neuropathic pain. In the present study, we examined the antial...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2003.12.019

    authors: Obata H,Saito S,Sakurazawa S,Sasaki M,Usui T,Goto F

    更新日期:2004-03-01 00:00:00

  • Differential effect of intravenous S-ketamine and fentanyl on atypical odontalgia and capsaicin-evoked pain.

    abstract::Atypical odontalgia (AO) is an intraoral pain condition of currently unknown mechanisms. In 10 AO patients and 10 matched healthy controls, we examined the effect of intravenous infusion of an N-methyl-D-aspartate (NMDA) receptor antagonist S-ketamine and a mu-opioid agonist fentanyl on spontaneous AO pain and on an a...

    journal_title:Pain

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/j.pain.2006.09.032

    authors: Baad-Hansen L,Juhl GI,Jensen TS,Brandsborg B,Svensson P

    更新日期:2007-05-01 00:00:00

  • 5-hydroxytryptamine1A receptor is involved in the bee venom induced inflammatory pain.

    abstract::Injection of bee venom into one hindpaw of rat can elicit acute inflammation together with spontaneous pain, heat hyperalgesia and mechanical hyperalgesia/allodynia in the injected paw. 5-hydroxytryptamine (5-HT)1A receptor is the predominant receptor subtype in the spinal dorsal horn mediating the function of 5-HT in...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/s0304-3959(03)00315-4

    authors: Wang W,Wu SX,Wang YY,Liu XY,Li YQ

    更新日期:2003-11-01 00:00:00

  • Reactive oxygen species (ROS) are involved in enhancement of NMDA-receptor phosphorylation in animal models of pain.

    abstract::Recent studies indicate that reactive oxygen species (ROS) play an important role in neuropathic pain, predominantly through spinal mechanisms. Since the data suggest that ROS are involved in central sensitization, the present study examines the levels of activated N-methyl-d-aspartate (NMDA) receptors in the dorsal h...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2007.01.011

    authors: Gao X,Kim HK,Mo Chung J,Chung K

    更新日期:2007-10-01 00:00:00

  • Essential role of the synaptic vesicle protein synapsin II in formalin-induced hyperalgesia and glutamate release in the spinal cord.

    abstract::The synaptic vesicle protein synapsin II plays an important role in the regulation of neurotransmitter release and synaptic plasticity. Here, we investigated its involvement in the synaptic transmission of nociceptive signals in the spinal cord and the development of pain hypersensitivity. We show that synapsin II is ...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2005.02.027

    authors: Schmidtko A,Del Turco D,Coste O,Ehnert C,Niederberger E,Ruth P,Deller T,Geisslinger G,Tegeder I

    更新日期:2005-05-01 00:00:00

  • Endocannabinoids: a unique opportunity to develop multitarget analgesics.

    abstract::After 4 millennia of more or less documented history of cannabis use, the identification of cannabinoids, and of Δ(9)-tetrahydrocannabinol in particular, occurred only during the early 1960s, and the cloning of cannabinoid CB1 and CB2 receptors, as well as the discovery of endocannabinoids and their metabolic enzymes,...

    journal_title:Pain

    pub_type: 杂志文章,评审

    doi:10.1016/j.pain.2013.03.023

    authors: Maione S,Costa B,Di Marzo V

    更新日期:2013-12-01 00:00:00

  • Long-term maintenance of the analgesic effects of transcranial magnetic stimulation in fibromyalgia.

    abstract::We assessed for the first time the long-term maintenance of repetitive transcranial magnetic stimulation (rTMS)-induced analgesia in patients with chronic widespread pain due to fibromyalgia. Forty consecutive patients were randomly assigned, in a double-blind fashion, to 2 groups: one receiving active rTMS (n=20) and...

    journal_title:Pain

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.pain.2011.01.034

    authors: Mhalla A,Baudic S,de Andrade DC,Gautron M,Perrot S,Teixeira MJ,Attal N,Bouhassira D

    更新日期:2011-07-01 00:00:00

  • Patterns of recovery from pain after cesarean delivery.

    abstract::We know very little about the change in pain in the first 2 months after surgery. To address this gap, we studied 530 women scheduled for elective cesarean delivery who completed daily pain diaries for 2 months after surgery through text messaging. Over 82% of subjects missed fewer than 10 diary entries and were inclu...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1097/j.pain.0000000000001313

    authors: Booth JL,Sharpe EE,Houle TT,Harris L,Curry RS,Aschenbrenner CA,Eisenach JC

    更新日期:2018-10-01 00:00:00

  • Functional differences between neurochemically defined populations of inhibitory interneurons in the rat spinal dorsal horn.

    abstract::In order to understand how nociceptive information is processed in the spinal dorsal horn we need to unravel the complex synaptic circuits involving interneurons, which constitute the vast majority of the neurons in laminae I-III. The main limitation has been the difficulty in defining functional populations among the...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2013.05.001

    authors: Polgár E,Sardella TCP,Tiong SYX,Locke S,Watanabe M,Todd AJ

    更新日期:2013-12-01 00:00:00

  • Peripheral administration of nerve growth factor in the adult rat produces a thermal hyperalgesia that requires the presence of sympathetic post-ganglionic neurones.

    abstract::Previous evidence suggests that, in adult animals, nerve growth factor (NGF) can induce hyperalgesia, and may be an endogenous mediator in some persistent pain states. Here we have studied the effects of single intradermal injections of 50-500 ng of human recombinant NGF into the plantar skin of adult rat hindpaws. We...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(95)00024-M

    authors: Andreev NY,Dimitrieva N,Koltzenburg M,McMahon SB

    更新日期:1995-10-01 00:00:00

  • Hyperbaric oxygen therapy in cluster headache.

    abstract::Preliminary reports have shown that hyperbaric oxygen (HBO) interrupts cluster headache (CH) attacks. In the present study, 6 of 7 patients with episodic cluster headache who were treated with hyperbaric oxygen experienced an interruption of the attack. In 3 of 6 responders the florid period of the cluster headache wa...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(93)90137-E

    authors: Di Sabato F,Fusco BM,Pelaia P,Giacovazzo M

    更新日期:1993-02-01 00:00:00

  • Determinants of success and failure of EMLA.

    abstract::Although EMLA is known to be an effective topical anesthetic, its rate of success is unknown. Indeed, researchers have suggested that EMLA may fail with young and apprehensive children. Therefore, the objectives of this study were to assess EMLA's rate of success as well as factors which predict success. A double-blin...

    journal_title:Pain

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0304-3959(95)00100-X

    authors: Lander J,Hodgins M,Nazarali S,McTavish J,Ouellette J,Friesen E

    更新日期:1996-01-01 00:00:00

  • Central poststroke pain and reduced opioid receptor binding within pain processing circuitries: a [11C]diprenorphine PET study.

    abstract::Based on concepts that endogenous opioids participate in neural transmission of pain, the present study in central poststroke pain (CPSP) patients investigated changes in opioid receptor (OR) binding in neural structures centrally involved in the processing of pain. Five patients with central pain after lesions in the...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2003.08.014

    authors: Willoch F,Schindler F,Wester HJ,Empl M,Straube A,Schwaiger M,Conrad B,Tölle TR

    更新日期:2004-04-01 00:00:00

  • Dural afferents express acid-sensing ion channels: a role for decreased meningeal pH in migraine headache.

    abstract::Migraine headache is one of the most common neurological disorders. The pathological conditions that directly initiate afferent pain signaling are poorly understood. In trigeminal neurons retrogradely labeled from the cranial meninges, we have recorded pH-evoked currents using whole-cell patch-clamp electrophysiology....

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2010.09.036

    authors: Yan J,Edelmayer RM,Wei X,De Felice M,Porreca F,Dussor G

    更新日期:2011-01-01 00:00:00

  • Reliability and validity of the evaluation of pain in patients with total knee replacement.

    abstract::Ninety-two knees in 46 patients were evaluated with regard to pain: in 51 of these knees, implantation of a hinged endoprosthesis had been performed. The reliability and validity of 2 pain evaluation methods were assessed: the knee-pain questionnaire method (standard version including 10 questions and modified version...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(89)90069-9

    authors: Boeckstyns MEH,Backer M

    更新日期:1989-07-01 00:00:00

  • Generalization of placebo pain relief.

    abstract:ABSTRACT:Efficacy of treatment is heavily dependent on experience and expectations. Moreover, humans can generalize from one experience to a perceptually similar but novel situation. We investigated whether and how this applies to pain relief, using ecologically valid tonic pain stimuli treated by surreptitiously lower...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1097/j.pain.0000000000002166

    authors: Kampermann L,Tinnermann A,Büchel C

    更新日期:2020-12-15 00:00:00

  • Antinociceptive effect of peripheral serotonin 5-HT2B receptor activation on neuropathic pain.

    abstract::Serotonin is critically involved in neuropathic pain. However, its role is far from being understood owing to the number of cellular targets and receptor subtypes involved. In a rat model of neuropathic pain evoked by chronic constriction injury (CCI) of the sciatic nerve, we studied the role of 5-HT(2B) receptor in d...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2012.03.024

    authors: Urtikova N,Berson N,Van Steenwinckel J,Doly S,Truchetto J,Maroteaux L,Pohl M,Conrath M

    更新日期:2012-06-01 00:00:00

  • The roles of NMDA receptor activation and nucleus reticularis gigantocellularis in the time-dependent changes in descending inhibition after inflammation.

    abstract::Previous studies indicate that descending modulation of nociception is progressively increased following persistent inflammation. The present study was designed to further examine the role of supraspinal neurons in descending modulation following persistent inflammation. Constant levels of paw withdrawal (PW) and tail...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/s0304-3959(02)00017-9

    authors: Terayama R,Dubner R,Ren K

    更新日期:2002-05-01 00:00:00

  • Differential nociceptive deficits in patients with borderline personality disorder and self-injurious behavior: laser-evoked potentials, spatial discrimination of noxious stimuli, and pain ratings.

    abstract::Approximately 70-80% of women meeting criteria for borderline personality disorder (BPD) report attenuated pain perception or analgesia during non-suicidal, intentional self-mutilation. The aim of this study was to use laser-evoked potentials (LEPs) and psychophysical methods to differentiate the factors that may unde...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2004.04.035

    authors: Schmahl C,Greffrath W,Baumgärtner U,Schlereth T,Magerl W,Philipsen A,Lieb K,Bohus M,Treede RD

    更新日期:2004-07-01 00:00:00

  • Attempting to solve the problem of pain: a questionnaire study in acute and chronic pain patients.

    abstract::When faced with the problem of pain one can attempt a solution aimed at relief (assimilation) or a solution aimed at acceptance (accommodation). Using this dual process model of adaptation to pain, this study compares acute and chronic pain patients on their approach to problem solving. Three hundred and sixty-four pa...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2007.10.020

    authors: Crombez G,Eccleston C,Van Hamme G,De Vlieger P

    更新日期:2008-07-31 00:00:00