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Titre : | Test-retest reliability of pain extent and pain location in patients with temporomandibular disorders using a digital method for pain drawing |
Auteurs : | Benjamin De Longhi |
Type de document : | Travail de fin d'études |
Editeur : | Bruxelles : Parnasse-ISEI, 2017 |
Format : | 26 p. |
Langues: | Anglais |
Index. décimale : | TFE - Kinésithérapie |
Descripteurs : |
HE Vinci Articulation temporomandibulaire ; Dessin ; Douleur ; Reproductibilité des résultats |
Mots-clés: | Dessiner ; peindre |
Résumé : |
Objectives: pain drawings (PDs) are widely applied in the evaluation of pain in patients and
are part of the Diagnostic Criteria for Temporomandibular Disorders (DC-TMD). PD is a very interesting tool to highlight regional and widespread pain. The primary aim of this study is to present the test-retest reliability for the measurement of pain extent and pain location using a novel digital PDs acquisition and analysis, especially for patients with painful temporomandibular disorders (TMD). The secondary aim is to explore the association between PD variables and clinical features in patients with painful TMD. Methods: Forty patients with painful TMD assessed by the DC-TMD were recruited. Each patient shaded two consecutive PDs, using a digital tablet. A software then generated pain extent, pain overlap between PDs and pain frequency map. Correlations were obtained between pain extent and clinical features including secondary hyperalgesia, central sensitization, pain intensity, pain catastrophizing, anxiety and depression, neck disability, impact of headaches, symptoms of hyperventilation and quality of life. Results: The intraclass correlation coefficients for pain extent for the five PDs were very high: 0.95 (95% CI: 0.890.97), 0.97 (95% CI: 0.930.98), 0.95 (95% CI: 0.910.97), 0.91 (95% CI: 0.840.95) and 0.96 (95% CI: 0.930.98), respectively for the mouth, right head, left head, body front and body back. The Bland Altman showed a mean difference close to zero for the 5 PDs. Significant correlations were observed between pain extent and clinical features except for secondary hyperalgesia and pain catastrophizing. Conclusions: The test-retest reliability of pain extent, using a new method of pain drawing, especially for patients with painful TMD, was studied here and the results were very reliable. Pain extent is associated with a number of clinical features. |
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Disponible en ligne : | Oui |
Département : | Kinésithérapie |
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TFe_Kine_201801_De_Longhi_Benjamin.pdf Adobe Acrobat PDF |