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Related Experiment Video

Updated: Jun 23, 2026

Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery

Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery

Published on: April 14, 2016

Exploring indicators for pain rehabilitation: a Delphi study using a multidisciplinary expert panel.

Asa Skjutar¹, Kyllike Christensson, Maria Müllersdorf

¹Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.

Musculoskeletal Care

|May 9, 2009

Summary

Identifying key indicators for pain rehabilitation is crucial for timely intervention. This study identified 20 indicators, including patient factors and tacit knowledge, to improve chronic pain management.

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Area of Science:

Rehabilitation Medicine
Pain Management
Health Services Research

Background:

Delayed or absent rehabilitation for chronic pain patients is a significant issue due to a lack of clear referral guidelines.
Establishing indicators for intervention can prevent health deterioration in patients with chronic pain.

Purpose of the Study:

To explore and identify indicators signaling the need for pain rehabilitation.
To inform the development of referral guidelines for chronic pain management.

Main Methods:

A three-round Delphi study involving a multidisciplinary expert panel (n=23) from Swedish pain rehabilitation units.
Experts generated and subsequently ranked indicators using a four-point Likert scale.

Main Results:

Twenty multifaceted indicators for pain rehabilitation needs assessment were identified.
Key indicators included patient activity levels, coping mechanisms, mental health, pain perception, and psychosocial factors.
Less quantifiable indicators, such as tacit knowledge and primary healthcare context, were also highlighted.

Conclusions:

The identified indicators provide a comprehensive basis for assessing the complex needs of patients requiring pain rehabilitation.
Consensus was reached on 19 out of 20 indicators, underscoring the need for further research to refine assessment processes and ensure equitable patient care.