A Novel Quantitative Pain Assessment Instrument That Provides Means of Comparing Patient's Pain Magnitude With a Measurement of Their Pain Tolerance

Journal of Clinical Medicine Research
Lanny L JohnsonAllison De Young

Abstract

Traditional pain assessment instruments are subjective in nature. They are limited to subjective reporting of the presence and magnitude of pain. There is no means of validating their response or assessing their pain tolerance. The objective of this study was to determine the potential value of a novel addition to the traditional physical examination concerning a patient's pain and more importantly their pain tolerance. Extensive preliminary data were collected on 359 consecutive private practice knee patients referable the subject's pain, including the magnitude, the most pain ever experienced, and their opinion of personal pain tolerance. The novel evaluation included physical testing of a series of small ball drops through a vertical tube from various fixed levels on the index finger and patella. The patient's response to this impact testing provided quantitative information, from which a comparison was made to their pain opinion and also to that of other patients with similar demographics. Nine percent of the patients rated their pain tolerance below the midpoint on the visual analog scale. Seventy-one percent thought they were above the midpoint on the scale in regards to pain tolerance. There were discrepancies in both di...Continue Reading

Citations

Sep 1, 1980·AORN Journal·S S Sweeney
Aug 23, 2019·The Journal of Bone and Joint Surgery. American Volume·Lanny L Johnson
Jun 7, 2020·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Joshua D Harris

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