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ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2014, Number 4

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Acta Ortop Mex 2014; 28 (4)

Adaptation in Spanish for the Mexican population with lumbar radiculopathy of the Standardized Evaluation of Pain

Cruz-Medina E, Coronado-Zarco R, Arellano-Hernández A, Nava-Bringas TI, Rodríguez-Leyva J A, Esparza-Ramos SB

Language: Spanish
References: 33
Page: 233-239
PDF size: 171.35 Kb.


ABSTRACT

Introduction: The clinical assessment of radicular pain associates the signs and symptoms of the painful phenotype with the underlying mechanism. The Standardized Evaluation of Pain (StEP) distinguishes between axial and radicular lumbar pain by means of a questionnaire (3 questions) and a physical exam (8 tests). Objective: To adapt the StEP scale to Spanish. Methodology: Selection of the scale, translation-back translation, adjustments, items and utility, pilot test, validity and reliability tests. Inclusion criteria: Any sex, over age 18, lumbar pain with or without irradiation, signing of the informed consent. Exclusion criteria: Neuropathies, polyneuropathies, myopathies, neurologic, myofascial, venous, psychiatric, cardiovascular disease, postoperative status. Sample: 21 patients. Results: Patients were assessed twice with a one-week interval with the help of 2 evaluators. There were 21 patients, 9 females (42.9%) and 12 males (57.1%); ages 22-58 years (mean 38). Diagnoses: low back pain, 7 (33.3%); lumbosciatica, 6 (28.6%); disc herniation, 5 (23.8%); spondylolisthesis, 2 (9.5%); radiculopathy, 1 (4.8%). Evaluator 1: axial, 18 (85.7%); radicular, 3 (14.3%). Evaluator 2: axial, 14 (66.7%); radicular, 7 (33.3%). Validity results were appropriate. Internal consistency (Cornbach’s alpha), 0.7. Test/re-test time: 10-15 minutes. Inter-evaluator reliability (Kappa index), 0.5. Conclusion: The scale showed variability in identifying radicular pain compared to what its author reported initially. However, it is considered as a useful tool to clinically identify radiculopathy.


REFERENCES

  1. Pérez CJ, Abejón D, Ortiz JR, Pérez JR: El dolor y su tratamiento a través de la historia. Rev Soc Esp Dolor. 2005; 12: 373-84.

  2. Sánchez HB: Abordajes teóricos para comprender el dolor humano. Aquichan. 2003; 3(3): 32-41.

  3. Puebla DF: Tipos de dolor y escala terapéutica de la OMS. Dolor iatrogénico. Oncología. 2005; 28(3): 139-4.

  4. Villar J. Cómo investigar en algo tan subjetivo como el dolor. Rev Soc Esp Dolor. 2006; 13(4): 250-3.

  5. IASP Pain terminology. Part III. Pain terms. A current list whit definitions and notes on usage. Classification of chronic pain. Merskey H, Bogduk N: Task force on taxonomy. 2th ed. Seattle: 1994; 209-14.

  6. López TF: Definición y clasificación del dolor. Clín Urol Complutense. 1996; 4: 49-55.

  7. Villanueva C, Lara PE: Analgésicos en ortopedia. Act Ortop Mex. 2010; 24(2): 114-22.

  8. Gomella L, Haist, S: Clinician’s Pocket reference. Cap. 14. Pain management. 9th edition. McGraw-Hill, Medical publishing division; 2002.

  9. Nieto MJ, Cruciani RA: Fisiopatología y tratamiento del dolor neuropático: avances más recientes. Rev Soc Esp Dolor. 2006; 13(4): 312-27.

  10. Lynch M: Pain as the fifth vital sing. J Intrav Nursing. 2001; 24(2): 85-94.

  11. Helms J, Barone C: Physiology and treatment of pain. Crit Care Nurse. 2008; 28(6): 38-50.

  12. Pavez UF: Agentes físicos superficiales y dolor. Análisis de su eficiencia a la luz de la evidencia científica. Rev Soc Esp Dolor. 2009; 16(3): 182-9.

  13. Bogduk N: On the definitions and physiology of back pain, referred pain, and radicular pain. Pain. 2009; 147: 17-9.

  14. Wilbourn AJ, Aminoff ME: AAEE. Minimograph no.32. The electro physiologic examination en patients with radiculopathies. Muscle & Nerve. 1998; 21: 1612-31.

  15. Devereaux M: Anatomy and examination of spine. Neurol Clin. 2007; 25: 331-51.

  16. Robinson LR: Electromyography, magnetic resonant Imaging and radiculopathy: It’s time to focus on specificity. Muscle & Nerve. 1999; 22: 149-50.

  17. Young W: The clinical diagnosis of lumbar radiculopathy. Semi in ultrasound, CT and MRI. 1993; 14(6): 385-8.

  18. Tarulli S, Raynor E: Lumbosacral radiculopathy. Neurol Clin. 2007; (25): 387-405.

  19. Cannon DE, Dilligham TR, Miao H, Andary MT, Pezzin LE: Musculoskeletal disorders in referral for suspected lumbosacral radiculopathy. Am J Phys Med Rehabil. 2007; 86: 957-61.

  20. Nardin R, Patel M, Gudas T. Rtkore S, Raynourd E: Electromyography and Magnetic resonance image in the evaluation of radiculopathy. Muscle & Nerve. 1999; 22: 151-5.

  21. Mamede E, Soares J, Avanz O: Study of the relationship and importance of clinical semiology, axial computed tomography and electroneuromyography in lumbar radiculopathies. Acta Ortop Bras. 2002; 10(4): 18-25.

  22. Schäfer A, Hall T, Briffa K: Classification of low back-related-leg pain- A proposed phato-mechanism-based approach. Manual therapy. 2009; 14: 222-30.

  23. Hansson P, Backonja M, Bouhassira D: Usefulness an limitations of quantitative sensory testing clinical and research application in neurophatic pain states. Pain. 2007; 129: 256-9.

  24. Scholz J, Mannion RJ, Hord DE, Griffin RS, Rawal B, Zheng H, et al: A novel tool for the assessment of pain: validation in low back pain. PLoS Medicine. 2009; 6(4): 1-16.

  25. Lurie JD: What diagnostic tests are useful for low back pain? Best Practice & Research. 2005; 19 (4): 557-75.

  26. Krause SJ, Backonja MM: Development of a neuropathic pain questionnaire. Clin J Pain. 2003; 19: 306-14.

  27. Cruccu G, Truini A: Tools for assessing neuropathic pain. PLos Medicine. 2009; 6(4): 1-5.

  28. Sánchez PR, Gómez RC: Conceptos básicos sobre validación de escalas. Rev Col Siquiatría. 1998; 27(2): 121-30.

  29. Sánchez R, Echeverry J: Validación de escalas de medición en salud. Rev Sal Púb. 2004; 6(3): 302-18.

  30. Kovacs FM, Llobera J, Gil del Real MT, Abraira V, Gestoso M, Fernández C: Validation of the Spanish version of the Roland-Morris questionnaire. Spine. 2002; 27(2): 538-42.

  31. Misha MB: Defining neuropathic pain. Anesth Analg. 2003; 97: 785-90.

  32. Baron R, Tölle T: Assessment and diagnosis of neuropathic pain. Curr Opin Support Palliat Care. 2008; 2: 1-8.

  33. Cruciani R, Nieto MJ: Fisiopatología y tratamiento del dolor neuropático: avances más recientes. Soc Esp Dolor. 2006; 5: 312-27.




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