Features and methods to discriminate between mechanism-based categories of pain experienced in the musculoskeletal system: a Delphi expert consensus study

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Features and methods to discriminate between mechanism-based categories of pain experienced in the musculoskeletal system: a Delphi expert consensus study

Shraim, M. A. (author): Univ Queensland, NHMRC Ctr Clin Res Excellence Spinal Pain Injury, Sch Hlth & Rehabil Sci, Brisbane, Qld, Australia.

Sluka, K. A. (author): Univ Iowa, Dept Phys Therapy & Rehabil Sci, Iowa City, IA USA.

Sterling, M. (author): Univ Queensland, RECOVER Injury Res Ctr, NHMRC Ctr Res Excellence Recovery Following Rd Tr, Brisbane, Qld, Australia.

Arendt-Nielsen, L. (author): Aalborg Univ, Dept Med Gastroenterol, CNAP Sch Med, Aalborg Hosp, Aalborg, Denmark.

Argoff, C. (author): Albany Med Coll, Albany, NY 12208 USA.,Northwestern Univ, Dept Phys Therapy & Human Movement Sci, Chicago, IL 60611 USA.

Bagraith, K. S. (author): Gold Coast Hosp & Hlth Serv, Interdisciplinary Persistent Pain Ctr, Gold Coast, Qld, Australia.,Univ Coll Dublin, UCD Sch Publ Hlth Physiotherapy & Sports Sci, Dublin 4, Ireland.

Baron, R. (author): Neurozentrum, Dept Neurol, Div Neurol Pain Res & Therapy, House D, Kiel, Germany.

Brisby, Helena, 1965 (author): Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics,Univ Gothenburg, Inst Clin Sci, Dept Orthopaed, Sahlgrenska Acad, Gothenburg, Sweden.

Carr, D. B. (author): Tufts Univ, Sch Med, Dept Publ Hlth & Community Med, Boston, MA 02111 USA.

Chimenti, R. L. (author): Univ Iowa, Dept Phys Therapy & Rehabil Sci, Iowa City, IA USA.

Courtney, C. A. (author)

Curatolo, M. (author): Univ Washington, Dept Anesthesiol & Pain Med, Seattle, WA 98195 USA.,Northwestern Univ, Feinberg Sch Med, Shirley Ryan AbilityLab, Chicago, IL USA.

Darnall, B. D. (author): Stanford Univ, Sch Med, Dept Anesthesiol Perioperat & Pat Med, Div Pain Med, Palo Alto, CA USA.

Ford, J. J. (author): La Trobe Univ, Sch Allied Hlth Human Serv & Sport, Discipline Physiotherapy, Bundoora, Vic, Australia.

Graven-Nielsen, T. (author): Aalborg Univ, Ctr Neuroplast & Pain CNAP, Dept Hlth Sci & Technol, Aalborg, Denmark.

Kolski, M. C. (author)

Kosek, Eva (author): Karolinska Institutet,Uppsala universitet,Klinisk smärtforskning,Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden.

Liebano, R. E. (author): Fed Univ Sao Carlos UFSCar, Physiotherapeut Resources Lab, Dept Phys Therapy, Sao Carlos, SP, Brazil.

Merkle, S. L. (author): US Army Res Inst Environm Med, Mil Performance Div, Natick, MA USA.

Parker, R. (author): Groote Schuur Hosp, Fac Hlth Sci, Dept Anaesthesia & Perioperat Med, Cape Town, South Africa.;Univ Cape Town, Cape Town, South Africa.

Reis, F. J. J. (author): Inst Fed Rio de Janeiro IFRJ, Phys Therapy Dept, Rio De Janeiro, Brazil.;Vrije Univ Brussel, Fac Phys Educ & Physiotherapy, Dept Physiotherapy Human Physiol & Anat, Pain Mot Res Grp, Brussels, Belgium.

Smart, K. (author)

Smeets, Rjem (author)

Svensson, P. (author): Aarhus Univ, Dept Dent & Oral Hlth, Sect Orofacial Pain & Jaw Funct, Aarhus, Denmark.

Thompson, B. L. (author): Univ Otago, Dept Orthopaed Surg & Musculoskeletal Med, Orthopaed Surg & Musculoskeletal Med, Christchurch, New Zealand.

Treede, R. D. (author): Heidelberg Univ, Neurophysiol Mannheim Ctr Translat Neurosci, Dept Neurophysiol, Heidelberg, Germany.

Ushida, T. (author): Aichi Med Univ, Multidisciplinary Pain Ctr, Nagakute, Aichi, Japan.

Williamson, O. D. (author): Simon Fraser Univ, Sch Interact Arts & Technol, Surrey, BC, Canada.

Hodges, P. W. (author): Univ Queensland, NHMRC Ctr Clin Res Excellence Spinal Pain Injury, Sch Hlth & Rehabil Sci, Brisbane, Qld, Australia.

Smeets, Rob J. E. M. (author): Maastricht Univ, Res Sch CAPHRI, Dept Rehabil Med, Maastricht, Netherlands.;CIR Rehabil, Eindhoven, Netherlands.

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Univ Queensland, NHMRC Ctr Clin Res Excellence Spinal Pain Injury, Sch Hlth & Rehabil Sci, Brisbane, Qld, Australia Univ Iowa, Dept Phys Therapy & Rehabil Sci, Iowa City, IA USA. (creator_code:org_t)

2022-01-19
2022
English.
In: Pain. - : Ovid Technologies (Wolters Kluwer Health). - 0304-3959 .- 1872-6623. ; 163:9, s. 1812-1828

Related links:: https://gup.ub.gu.se...; show more...; https://doi.org/10.1...; https://urn.kb.se/re...; http://kipublication...; show less...

Journal article (peer-reviewed)

Abstract Subject headings

Classification of musculoskeletal pain based on underlying pain mechanisms (nociceptive, neuropathic, and nociplastic pain) is challenging. In the absence of a gold standard, verification of features that could aid in discrimination between these mechanisms in clinical practice and research depends on expert consensus. This Delphi expert consensus study aimed to: (1) identify features and assessment findings that are unique to a pain mechanism category or shared between no more than 2 categories and (2) develop a ranked list of candidate features that could potentially discriminate between pain mechanisms. A group of international experts were recruited based on their expertise in the field of pain. The Delphi process involved 2 rounds: round 1 assessed expert opinion on features that are unique to a pain mechanism category or shared between 2 (based on a 40% agreement threshold); and round 2 reviewed features that failed to reach consensus, evaluated additional features, and considered wording changes. Forty-nine international experts representing a wide range of disciplines participated. Consensus was reached for 196 of 292 features presented to the panel (clinical examination-134 features, quantitative sensory testing-34, imaging and diagnostic testing-14, and pain-type questionnaires-14). From the 196 features, consensus was reached for 76 features as unique to nociceptive (17), neuropathic (37), or nociplastic (22) pain mechanisms and 120 features as shared between pairs of pain mechanism categories (78 for neuropathic and nociplastic pain). This consensus study generated a list of potential candidate features that are likely to aid in discrimination between types of musculoskeletal pain.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)

Keyword

Pain mechanisms
Expert consensus
Clinical examination
Quantitative
sensory testing
Imaging
Diagnostic tests
Questionnaires
neuropathic pain
grading system
primary-care
classification
recommendations
Anesthesiology
Neurosciences & Neurology
Pain mechanisms

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ref (subject category)
art (subject category)

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Anesthesiology a ...

Articles in the publication: Pain

By the university: University of Gothenburg; Uppsala University; Karolinska Institutet

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