Association of neuropathic pain and it’s intensity in patients with traumatic transfemoral and transhumeral amputees
Keywords:
Amputation traumatic, chronic pain, neuropathic pain.Abstract
Background: Neuropathic Pain is a pain arising from a direct consequence of a lesion or disease affecting the somatosensory system. Amputee acquired patients with pain,could have association neuropathic pain.
Objective: The objective aim this study to determine the presence and absent of neuropathic pain in transfemoral and transhumeral amputee acquired.
Methods/design: In 2009, 35 Transfemoral and Transhumeral amputee patients were evaluated with Neuropathic Pain DN4 test (DN4), and Numeric Rating Scale
temporally average. Statistical association studies were applied to database.
Results: Prevalence of Neuropathic Pain was 57.1% using DN4 test and the presence of pain was 85,7% whit the temporally average Numeric Rating Scale. Association between the DN4 test and numeric rating scale showed a mild positive correlation, but this was significant statistically (p<0.01).
Discussion: More than half of the patients had neuropathic pain expression that was DN4 positive. The use of DN4 with numeric rating scale can be used to separate between neuropathic pain, mixed and nociceptive pain, with useful clinical application.
Conclusion: Transfemoral and transhumeral amputee patients with pain can to refer
more pain intensity perception when have neuropathic pain association.
Author Biographies
Gonzalo Pizarro, Universidad de Chile
Médico de Salud Pública. Universidad de Chile
Tania Herrera, Universidad de Chile
Médico de Salud Pública. Universidad de Chile.
Eduardo San Martin, Clínica Los Coihues.
Médico Cirujano. Clínica Los Coihues.
Carolina Sylva D., Clínico Mutual de Seguridad.
Jefe Servicio Rehabilitación Hospital Clínico Mutual de Seguridad.
References
1. Cristian A, Thomas J, Nisembaum M, Jeu Pharm LA. Practical consideration in the assessment and treatment of pain in adults with physical disabilities. Phys Med Rehab Clin N Am 2005; 16:57-90.
2. Toth C, Lander J, and Wiebe S. The Prevalence and Impact of Chronic Pain with Neuropathic Pain. Symptoms in the General Population pme_655:918-929.
3. Pérez C, Galvez R, Huelbes S, Insausti J, Bouhassira D, Diaz S, et al. Validity and reliability of the Spanish version of the DN4 (Douleur Neuropathique 4 questions) questionnaire for differential diagnosis of pain syndromes associated to a neuropathic or somatic component. Health and Quality of Life Outcomes 2007;5:66. doi:10.1186/ 1477-7525-5-66.
4. Treede RD, Jensen TS, Campbell JN, Cruccu G, Dostrovsky JO, Griffin JW, et al. Neuropathic pain: Redefinition and a grading system for clinical and research
purpose. Neurology 2008;70;1630-1635; originally published online Nov. 14, 2007.
5. Geber C, Baumgärtner U, Schwab H. Revised Definition of Neuropathic and Its Grading System: An Series Illustrating Its Use Practice. The American Journal October 2009;122(10A).
6. Haanpää ML, Backonja MM, Bennett MI, Bouhassira D, Cruccu G, Hansson PT, et al. Assessment of Neuropathic Pain in Primary Care. The American Journal of Medicine October 2009;122(10A).
7. Cristian A, Thomas J, Nisembaum M, Jeu Pharm LA. Practical consideration in the assessment and treatment of pain in adults with physical disabilities Phys Med Rehab Clin N Am 2005;16:57-90.
8. Marshall HM, Jensen MP, Ehde DM, Campbell KM. Pain Site and Impairment in Individuals With Amputation Pain. Arch Phys Med Rehabil August 2002;83:1116-1119.
9. Woodhouse A. Phantom limb sensation. Clinical and Experimental Pharmacology and Physiology 2005;32:132-134.
10. Organización Mundial de la Salud (OMS). Clasificación Internacional del Funcionamiento, de la Discapacidad y de la Salud. Librería de la OMS.
11. Serrano-Atero MS, Caballero J , Cañas A, García-Sau-ra PL, Serrano-Álvarez C y Prieto J. Valoración del dolor (I) Revisión. Rev Soc Esp Dolor 2002;9:94-108.
12. Cristian A, Thomas J, Nisenbaum M, Jeu Pharm LA. Practical consideration in the assessment and treatment of pain in adults with physical disabilities. Phys Med Rehabil Clin N Am 2005;1657-90.
13. Paeile C, Bilbeny N. El dolor. De lo molecular a lo clínico. Tercera edición. 2005.
14. Instituto de Seguridad Laboral. Ley núm. 16.744. Normativa Complementaria. 3.a Edición. Gobierno de Chile. Ministerio del Trabajo y Previsión Social.
15. MacIver K, Lloyd DM, Kelly S, Roberts N, Nurmikko T. Phantom limb pain, cortical reorganization and the therapeutic effect of mental imagery. Brain 2008;131:2181-2191.
16. Baron R. Mechanisms of Disease: neuropathic pain—a clinical perspective. Review.www. nature.com/clinicalpractice/neuro.
17. Calmels P, Mick G, Perrouin-Verbe B, Ventura M. Neuropathic pain in spinal cord injury: Identification, classification, evaluation. Annals of Physical and Rehabilitation Medicine 2009; 52:83-102.
18. Fleckenstein J, Kramer S, Hoffrogge P, Thomas S. Acupuncture in acute herpes zoster pain therapy (ACUZoster) –design and protocol of a randomised controlled trial BMC. Complementary and Alternative Medicine 2009; 9:31.
19. Maslakowski C. How to stop the hurting. Pain management strategies J&D Educational Services, Inc www.jdeducation.com
20. Pedraza L. Dolor neuropático. Diagnóstico y tratamiento. Rev Med Clin CONDES 2007;18(3):233-238.
2. Toth C, Lander J, and Wiebe S. The Prevalence and Impact of Chronic Pain with Neuropathic Pain. Symptoms in the General Population pme_655:918-929.
3. Pérez C, Galvez R, Huelbes S, Insausti J, Bouhassira D, Diaz S, et al. Validity and reliability of the Spanish version of the DN4 (Douleur Neuropathique 4 questions) questionnaire for differential diagnosis of pain syndromes associated to a neuropathic or somatic component. Health and Quality of Life Outcomes 2007;5:66. doi:10.1186/ 1477-7525-5-66.
4. Treede RD, Jensen TS, Campbell JN, Cruccu G, Dostrovsky JO, Griffin JW, et al. Neuropathic pain: Redefinition and a grading system for clinical and research
purpose. Neurology 2008;70;1630-1635; originally published online Nov. 14, 2007.
5. Geber C, Baumgärtner U, Schwab H. Revised Definition of Neuropathic and Its Grading System: An Series Illustrating Its Use Practice. The American Journal October 2009;122(10A).
6. Haanpää ML, Backonja MM, Bennett MI, Bouhassira D, Cruccu G, Hansson PT, et al. Assessment of Neuropathic Pain in Primary Care. The American Journal of Medicine October 2009;122(10A).
7. Cristian A, Thomas J, Nisembaum M, Jeu Pharm LA. Practical consideration in the assessment and treatment of pain in adults with physical disabilities Phys Med Rehab Clin N Am 2005;16:57-90.
8. Marshall HM, Jensen MP, Ehde DM, Campbell KM. Pain Site and Impairment in Individuals With Amputation Pain. Arch Phys Med Rehabil August 2002;83:1116-1119.
9. Woodhouse A. Phantom limb sensation. Clinical and Experimental Pharmacology and Physiology 2005;32:132-134.
10. Organización Mundial de la Salud (OMS). Clasificación Internacional del Funcionamiento, de la Discapacidad y de la Salud. Librería de la OMS.
11. Serrano-Atero MS, Caballero J , Cañas A, García-Sau-ra PL, Serrano-Álvarez C y Prieto J. Valoración del dolor (I) Revisión. Rev Soc Esp Dolor 2002;9:94-108.
12. Cristian A, Thomas J, Nisenbaum M, Jeu Pharm LA. Practical consideration in the assessment and treatment of pain in adults with physical disabilities. Phys Med Rehabil Clin N Am 2005;1657-90.
13. Paeile C, Bilbeny N. El dolor. De lo molecular a lo clínico. Tercera edición. 2005.
14. Instituto de Seguridad Laboral. Ley núm. 16.744. Normativa Complementaria. 3.a Edición. Gobierno de Chile. Ministerio del Trabajo y Previsión Social.
15. MacIver K, Lloyd DM, Kelly S, Roberts N, Nurmikko T. Phantom limb pain, cortical reorganization and the therapeutic effect of mental imagery. Brain 2008;131:2181-2191.
16. Baron R. Mechanisms of Disease: neuropathic pain—a clinical perspective. Review.www. nature.com/clinicalpractice/neuro.
17. Calmels P, Mick G, Perrouin-Verbe B, Ventura M. Neuropathic pain in spinal cord injury: Identification, classification, evaluation. Annals of Physical and Rehabilitation Medicine 2009; 52:83-102.
18. Fleckenstein J, Kramer S, Hoffrogge P, Thomas S. Acupuncture in acute herpes zoster pain therapy (ACUZoster) –design and protocol of a randomised controlled trial BMC. Complementary and Alternative Medicine 2009; 9:31.
19. Maslakowski C. How to stop the hurting. Pain management strategies J&D Educational Services, Inc www.jdeducation.com
20. Pedraza L. Dolor neuropático. Diagnóstico y tratamiento. Rev Med Clin CONDES 2007;18(3):233-238.
How to Cite
1.
Pizarro G, Herrera T, San Martin E, Sylva D. C. Association of neuropathic pain and it’s intensity in patients with traumatic transfemoral and transhumeral amputees. Rev. Colomb. Med. Fis. Rehabil. [Internet]. 2012 Dec. 27 [cited 2024 May 13];22(2):76-85. Available from: https://revistacmfr.org/index.php/rcmfr/article/view/55
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Published
2012-12-27
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