The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
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Feasibility and Validity of the Daily Physical Pain Intensity (DPPI) Scale for Pain Assessment

  • Nam, Yeon-Gyo (Department of Physical Therapy, Graduate School of Sun Moon University) ;
  • Lee, Dong-Yeop (Department of Physical Therapy, Graduate School of Sun Moon University) ;
  • Yu, Jae-Ho (Department of Physical Therapy, Graduate School of Sun Moon University) ;
  • Kim, Jin-Seop (Department of Physical Therapy, Graduate School of Sun Moon University) ;
  • Hong, Ji-heon (Department of Physical Therapy, Graduate School of Sun Moon University)
  • Received : 2016.11.17
  • Accepted : 2016.12.20
  • Published : 2016.12.31
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Abstract

Purpose: The purpose of this study was the examination of the correlations between the daily physical pain intensity (DPPI) scale and the numeric rating scale (NRS), and between the DPPI scale and the quality of life (QOL) of short form health survey (SF-36) and beck depression inventory (BDI) questionnaires. The focus of the DPPI scale was the daily-living activities of the individual, and the scale contains three items regarding the pain per movement range, the pain per day, and the pain when touching the pain area. Methods: A total of 241 adults answered the DPPI, NRS, SF-36, and BDI questionnaires. Pearson's correlation coefficients were calculated for the various relations of the DPPI to the other scales. Results: High correlations were shown between the NRS and the DPPI (r=0.809, p<0.05). The DPPI scale (r=0.437, p<0.05) showed "moderate" significant correlations with the SF-36 and the NRS (r=0.370, p<0.05), and it showed "weak" significant correlations with the SF-36. There are no statistically significant correlations between the DPPI, the NRS score, and the BDI score (p>0.05). Conclusion: This study was the first attempt to establish the concurrent validity of a new focus on daily-living activities for the assessment of pain. This study showed promise for the development of activities of daily living focused tool for an assessment of the subjective pain in patients that was more objective.

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References

  1. Classification of chronic pain. Descriptions of chronic pain syndromes and definitions of pain terms. Prepared by the International Association for the Study of Pain. Subcommittee on Taxonomy. Pain Suppl. 1986;3:S1-226.
  2. Bair MJ, Robinson RL, Katon W et al. Depression and pain comorbidity: a literature review. Arch Intern Med. 2003;163(20):2433-45. https://doi.org/10.1001/archinte.163.20.2433
  3. Bartynski WS. Clinical, anatomic, and imaging correlation in spine-related pain: the essential elements. Tech Vasc Interv Radiol. 2009;12(1):2-10. https://doi.org/10.1053/j.tvir.2009.06.002
  4. Bigliani LU, Kelkar R, Flatow EL et al. Glenohumeral stability. Biomechanical properties of passive and active stabilizers. Clin Orthop Relat Res. 1996(330):13-30.
  5. Chanques G, Jaber S, Barbotte E et al. Impact of systematic evaluation of pain and agitation in an intensive care unit. Crit Care Med. 2006;34(6):1691-9. https://doi.org/10.1097/01.CCM.0000218416.62457.56
  6. Dunwoody CJ, Krenzischek DA, Pasero C et al. Assessment, physiological monitoring, and consequences of inadequately treated acute pain. Pain Manag Nurs. 2008;9(1 Suppl):S11-21. https://doi.org/10.1016/j.pmn.2007.11.006
  7. Eccleston C, Crombez G. Pain demands attention: a cognitive-affective model of the interruptive function of pain. Psychol Bull. 1999;125(3): 356-66. https://doi.org/10.1037/0033-2909.125.3.356
  8. Ellingson LD, Colbert LH, Cook DB. Physical activity is related to pain sensitivity in healthy women. Med Sci Sports Exerc. 2012;44(7):1401-6. https://doi.org/10.1249/MSS.0b013e318248f648
  9. Feuerstein M, Beattie P. Biobehavioral factors affecting pain and disability in low back pain: mechanisms and assessment. Phys Ther. 1995;75(4):267-80. https://doi.org/10.1093/ptj/75.4.267
  10. Field T, Diego M, Gonzalez G, Funk CG. Knee arthritis pain is reduced and range of motion is increased following moderate pressure massage therapy. Complement Ther Clin Pract. 2015;21(4):233-7. https://doi.org/10.1016/j.ctcp.2015.08.002
  11. Gélinas C, Puntillo KA, Joffe AM et al. A Validated approach to evaluating psychometric properties of pain assessment tools for use in nonverbal critically ill adults. Semin Respir Crit Care Med. 2013;34(02):153-68. https://doi.org/10.1055/s-0033-1342970
  12. Gronblad M, Jarvinen E, Airaksinen O et al. Relationship of subjective disability with pain intensity, pain duration, pain location, and work-related factors in non-operated patients with chronic low back pain. Clin J Pain. 1996;12(3):194-200. https://doi.org/10.1097/00002508-199609000-00007
  13. Hawker GA, Mian S, Kendzerska T et al. Measures of adult pain: visual analog scale for pain (VAS pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), short-form McGill pain questionnaire (SF-MPQ), chronic pain grade scale (CPGS), short form-36 bodily pain scale (SF-36 BPS), and measure of intermittent and constant osteoarthritis pain (ICOAP). Arthritis Care Res (Hoboken). 2011;63(11 Suppl):S240-52. https://doi.org/10.1002/acr.20543
  14. Herr KA, Mobily PR. Complexities of pain assessment in the elderly. Clinical considerations. J Gerontol Nurs. 1991;17(4):12-9. https://doi.org/10.3928/0098-9134-19910401-04
  15. Ista E, van Dijk M, van Achterberg T. Do implementation strategies increase adherence to pain assessment in hospitals?: a systematic review. Int J Nurs Stud. 2013;50(4):552-68. https://doi.org/10.1016/j.ijnurstu.2012.11.003
  16. Kim HJ, Suh BG, Lee DB et al. The influence of pain sensitivity on the symptom severity in patients with lumbar spinal stenosis. Pain Physician. 2013;16(2):135-44.
  17. Krebs EE, Carey TS, Weinberger M. Accuracy of the pain numeric rating scale as a screening test in primary care. J Gen Intern Med. 2007; 22(10):1453-8. https://doi.org/10.1007/s11606-007-0321-2
  18. Johnston CC, Gagnon A, Rennick J et al. One-on-one coaching to improve pain assessment and management practices of pediatric nurses. J Pediatr Nurs. 2007;22(6):467-78. https://doi.org/10.1016/j.pedn.2007.07.004
  19. LEEDUIK. Textbook of pain medicine. 4 ed. The Korean Pain Society. 2012.
  20. Lippitt SB, Vanderhooft JE, Harris SL et al. Glenohumeral stability from concavity-compression: a quantitative analysis. J Shoulder Elbow Surg. 1993;2(1):27-35. https://doi.org/10.1016/S1058-2746(09)80134-1
  21. McWilliams LA, Goodwin RD, Cox BJ. Depression and anxiety associated with three pain conditions: results from a nationally representative sample. Pain. 2004;111(1-2):77-83. https://doi.org/10.1016/j.pain.2004.06.002
  22. Melzack R. The McGill pain questionnaire: major properties and scoring methods. Pain. 1975;1(3):277-99. https://doi.org/10.1016/0304-3959(75)90044-5
  23. Radcliff KE, Rihn J, Hilibrand A et al. Does the duration of symptoms in patients with spinal stenosis and degenerative spondylolisthesis affect outcomes?: analysis of the spine outcomes research trial. Spine (Phila Pa 1976). 2011;36(25):2197-210. https://doi.org/10.1097/BRS.0b013e3182341edf
  24. Krebs EE, Carey TS, Weinberger M. Accuracy of the pain numeric rating scale as a screening test in primary care. J Gen Intern Med. 2007; 22(10):1453-8. https://doi.org/10.1007/s11606-007-0321-2
  25. Huskisson EC, Wojtulewski JA, Berry H et al. Treatment of rheumatoid arthritis with fenoprofen: comparison with aspirin. Br Med J 1974;1:176-80. https://doi.org/10.1136/bmj.1.5900.176
  26. Sullivan MS, Shoaf LD, Riddle DL. The relationship of lumbar flexion to disability in patients with low back pain. Phys Ther. 2000;80(3):240-50.
  27. Kim O. Sex differences in social support, loneliness, and depression among Korean college students. Psychol Rep. 2001;88(2):521-6. https://doi.org/10.2466/pr0.2001.88.2.521
  28. Lim KB, Kim JY, Lee HJ et al. The relations among pain, emotional and cognitive-behavioral factors in chronic musculoskeletal pain patients. J vKorean Acad Rehabil Med. 2008;32(4):424-9.
  29. Tang NK, Sanborn AN. Better quality sleep promotes daytime physical activity in patients with chronic pain? A multilevel analysis of the within-person relationship. PLoS One. 2014;9(3):e92158. https://doi.org/10.1371/journal.pone.0092158
  30. Meyer TJ, Miller ML, Metzger RL et al. Development and validation of the Penn state worry questionnaire. Behav Res Ther. 1990;28(6):487-95. https://doi.org/10.1016/0005-7967(90)90135-6
  31. Radnovich R, Chapman CR, Gudin JA et al. Acute pain: effective management requires comprehensive assessment. Postgrad Med. 2014;126(4):59-72.
  32. Breslau N, Davis GC. Migraine, major depression and panic disorder: a prospective epidemiologic study of young adults. Cephalalgia. 1992;12(2):85-90. https://doi.org/10.1046/j.1468-2982.1992.1202085.x
  33. You JE, Jung EH. The effects of traditional physical therapy on pain reduction and depression level of patients with chronic low back pain. J Kor Soc Phys Ther. 2001;13(3):677-83
  34. Smarr KL, Keefer AL. Measures of depression and depressive symptoms: beck depression inventory-II (BDI-II), center for epidemiologic studies depression scale (CES-D), geriatric depression scale (GDS), hospital anxiety and depression scale (HADS), and patient health questionnaire-9 (PHQ-9). Arthritis Care Res (Hoboken). 2011;63(11 Suppl):S454-66. https://doi.org/10.1002/acr.20556