Does anybody know what is the tool to assess the continuing pain « which is disproportionate to any inciting event » of patient with CRPS (Bruel et al., 1999)?
In my Somatosensory Rehabilitation Center, we are using the Mcgill Pain Questionnaire and we consider that a pain is a continuing pain if its value is ≥ 20 %.
Are we right or does it exist an international concensus ?
I am looking forward to hearing from you
If doing research on subjects with CRPS you should use the Budapest Criteria and follow carefully as for research
There are no specific measures for pain in CRPS. There are NO objective measures of pain.
There are the IMMPACT criteria, I suggest you use them.
Generally the field of research in CRPS will not be helped by inappropriate selection and outcome measures. Sadly that has been done too often in the past.
Good luck
My experience with CRPS clinically is that there is often little value in measuring pain in this group. You are often much better off measuring function via tools like the DASH or QuickDASH
You are right to the upper extremity. I am doing prospective observations about hand, foot, shoulder, knee, elbow and ankle CRPS. I need a tool for all of them
Yes, that makes it more complex. Most of the research I've read on CRPS usethe McGill or a simple 100 mm visual analogue scale. See
Graded motor imagery for pathologic pain: a randomized controlled trial by Moseley, G Lorimer
Neurology, ISSN 0028-3878, 12/2006, Volume 67, Issue 12, pp. 2129 - 2134
as an example.
There is also the CRPS Severity Score (see http://rsds.org/pdfsall/HardenRN_Pain_2010.pdf) which is not specific to upper limb.It might suit your needs- but I can't find a simple summary of it!
You could also see the attached link for an unpublished masters thesis on measuring CRPS outcomes.
Very interesting question- I'm hoping someone else can help you more!
http://digitalcommons.mcmaster.ca/A422F830-9937-40E7-87F7-29EC59DEDCD7/FinalDownload/DownloadId-F6D1C657863A6C15CFA802784C675930/A422F830-9937-40E7-87F7-29EC59DEDCD7/cgi/viewcontent.cgi?article=6457&context=opendissertations
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