Assessment of Nociception and Pain in Participants in an Unresponsive or Minimally Conscious State After Acquired Brain Injury: The Relation Between the Coma Recovery Scale–Revised and the Nociception Coma Scale–Revised
| Autor: | Solveig Lægreid Hauger, Charlotte Martial, Marianne Løvstad, Steven Laureys, Camille Chatelle, Frank Becker, Petra Maurer-Karattup, Joseph T. Giacino, Bernd Eifert, Dana Boering |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Nociception medicine.medical_specialty Psychometrics Pain Physical Therapy Sports Therapy and Rehabilitation Disorders of consciousness Audiology behavioral disciplines and activities 03 medical and health sciences 0302 clinical medicine Level of consciousness medicine Humans Glasgow Coma Scale Prospective Studies 030212 general & internal medicine Correlation of Data Acquired brain injury Pain Measurement Coma business.industry Persistent Vegetative State Rehabilitation Minimally conscious state Middle Aged medicine.disease Brain Injuries Consciousness Disorders Female medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Archives of Physical Medicine and Rehabilitation. 99:1755-1762 |
| ISSN: | 0003-9993 |
| Popis: | Objectives To investigate the relation between consciousness and nociceptive responsiveness (ie, Nociception Coma Scale–Revised [NCS-R]), to examine the suitability of the NCS-R for assessing nociception in participants with disorders of consciousness (DOC), and to replicate previous findings on psychometric properties of the scale. Design Specialized DOC program. Setting Specialized DOC program and university hospitals. Participants Participants (N=85) diagnosed with DOC. Interventions Not applicable. Main Outcome Measures We prospectively assessed consciousness with the Coma Recovery Scale–Revised (CRS-R). Responses during baseline, non-noxious, and noxious stimulations were scored with the NCS-R and CRS-R oromotor and motor subscales. Results CRS-R total scores correlated with NCS-R total scores and subscores. CRS-R motor subscores correlated with NCS-R total scores and motor subscores, and CRS-R oromotor subscores correlated with NCS-R total scores as well as verbal and facial expression subscores. There was a difference between unresponsive wakefulness syndrome and minimally conscious state in the proportion of grimacing and/or crying participants during noxious conditions. We replicated previous findings on psychometric properties of the scale but found a different score as the best threshold for nociception. Conclusions We report a strong relation between the responsiveness to nociception and the level of consciousness. The NCS-R seems to be a valuable tool for assessing nociception in an efficient manner, but additional studies are needed to allow recommendations for clinical assessment of subjective pain experience. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|