在慢性肌肉骨疾病中应用诺基普拉斯疼痛标准:一项小幅研究
Paraskevi Bilika1, Jo Nijs2,3,4, Evdokia Billis5
1Clinical Exercise Physiology and Rehabilitation Research Laboratory, Department of Physiotherapy, School of Health Sciences, University of Thessaly, 35100 Lamia, Greece.
Journal of clinical medicine
|February 26, 2025
概括
国际疼痛研究协会 (IASP) 对鼻膜疼痛的标准在识别这种疼痛类型方面显示出良好的可靠性和有效性. 需要进一步的研究来实现现实世界的临床应用.
科学领域:
- 疼痛研究 疼痛研究
- 临床诊断 临床诊断 临床诊断
- 诺西普拉斯疼痛鉴定
背景情况:
- 国际疼痛研究协会 (IASP) 制定了新的临床标准和分级系统,以分类的疼痛.
- 这些标准旨在提高诊断的准确性,对nociplastic疼痛.
- 评估这些IASP标准的可靠性和有效性对于临床实施至关重要.
研究的目的:
- 评估IASP标准的可靠性和标准有效性,以识别nociplastic疼痛.
- 通过使用临床图片来评估IASP标准的有效性.
- 为了确定IASP标准的诊断准确性.
主要方法:
- 一项可靠性和诊断准确性研究,利用32个临床细节.
- 由两名专家物理治疗师进行独立审查,以评估评价者之间和评价者内部的可靠性.
- 标准有效性根据标准化图表进行评估,并计算灵敏度,特异性和预测值.
主要成果:
- 国际会计准则标准表明,内部评价者之间的协议中度到完美 (κ = 0.71-1.00) 和内部评价者之间的协议弱到完美 (κ = 0.52-1.00).
- 标准有效性是中度 (κ = 0.68),具有高特异性 (89.0%) 和中度敏感性 (69.0%).
- 观察到高正 (81.8%) 和负 (81.0%) 的预测值.
结论:
- 在这项初步研究中,IASP对nociplastic疼痛的标准显示出令人满意的可靠性和标准有效性.
- 这些标准在识别和排除诺西普拉斯疼痛时似乎是准确的.
- 建议进行进一步的研究,以评估现实世界的临床实用性,并发/预后有效性以及与各种评分器的概括性.
关键词:
慢性肌肉骨疼痛是什么临床标准 临床标准 临床标准诺西普拉斯疼痛是一种疼痛.疼痛评估疼痛的评估.疼痛的表型化 疼痛的表型化可靠性的可靠性灵敏度 灵敏度 灵敏度 灵敏度 灵敏度特殊性的特异性的有效性有效性.更多相关视频
06:04Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
Published on: July 4, 2018
08:16Partial Sciatic Nerve Ligation: A Mouse Model of Chronic Neuropathic Pain to Study the Antinociceptive Effect of Novel Therapies
Published on: October 6, 2022
相关概念视频
01:44Nociception
27.6K
Nociception—the ability to feel pain—is essential for an organism’s survival and overall well-being. Noxious stimuli such as piercing pain from a sharp object, heat from an open flame, or contact with corrosive chemicals are first detected by sensory receptors, called nociceptors, located on nerve endings. Nociceptors express ion channels that convert noxious stimuli into electrical signals. When these signals reach the brain via sensory neurons, they are perceived as pain.
27.6K
01:25Analgesia and Pain Management
422
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
422