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Published on: January 27, 2010
Differences in pain perception in women using concentric and monopolar needles
Janet M Balbierz1, Jack H Petajan, Stephen C Alder
1Northwest Physical Medicine, McMinnville, OR, USA.
Archives of Physical Medicine and Rehabilitation
|October 7, 2006
Summary
This study found no significant difference in pain perception between concentric and monopolar needle electrodes. However, participants reported lower pain scores with their preferred needle type.
Area of Science:
- Neurology
- Pain Management
- Electrophysiology
Background:
- Needle selection in electrodiagnostic studies can influence patient comfort.
- Understanding pain perception differences between needle types is crucial for patient-reported outcomes.
Purpose of the Study:
- To compare pain perception between concentric needle electrodes and monopolar needle electrodes in healthy females.
- To assess needle preference and its correlation with reported pain.
Main Methods:
- Prospective randomized study involving 80 healthy female participants.
- Biceps and abductor pollicis brevis (APB) muscles were tested with both needle types.
- Pain was measured using a verbal analog scale (0-10); needle preference was recorded.
Main Results:
- No significant difference in mean pain scores between concentric (3.06) and monopolar (3.10) needles (P=.803).
- Abductor pollicis brevis (APB) muscle was significantly more painful than biceps (P<.001).
- Lower pain scores were reported for the preferred needle type (P<.20).
Conclusions:
- Concentric and monopolar needle electrodes elicit similar pain perception in healthy females.
- Patient preference for a needle type may correlate with lower reported pain.
- Further research could explore factors influencing needle preference.
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