Toward Understanding Movement-evoked Pain (MEP) and its Measurement
Toward Understanding Movement-evoked Pain (MEP) and its Measurement
复制标题
理解运动诱发疼痛 (MEP) 及其测量
DOI：
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发表时间：
2020
期刊：
影响因子：
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通讯作者：
Staja Q. Booker
中科院分区：
文献类型：
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作者：
Dottington Fullwood;Sydney Means;E. Merriwether;Ruth L. Chimenti;Simar S. Ahluwalia;Staja Q. Booker
目的：患有慢性疼痛的人经常报告运动会加剧疼痛。越来越多的研究人员和临床医生已经认识到测量和区分运动诱发疼痛(MEP)和休息时疼痛作为结果的重要性。这篇范围综述描述了文献，并描述了MEP测量技术。材料和方法：范围综述利用6个数据库来确定针对疼痛或运动相关结果的原始研究。我们的搜索返回了7322篇文章，这些文章按标题和摘要进行了筛选，并由2名审稿人进行了筛选。纳入标准侧重于对患有慢性疼痛的成年人在运动任务之前、期间和之后的MEP进行测量。对18岁以下儿童或非人类动物的研究、案例研究、定性研究、书籍章节、与癌症相关的疼痛、非英语语言和没有全文发表的摘要被排除在研究之外。结果：38项研究的结果显示MEP的测量结果差异很大，而几乎所有的研究都没有提供明确的概念或操作定义。此外，研究共同阐明了MEP与休息疼痛、运动刺激方法和疼痛强度的主要结果相比的差异。讨论：这些结果具有临床意义和研究意义。为了推进MEP的研究，我们在研究出版物中提供了一致的术语、标准化的测量(适用于疼痛类型/人群)和明确的方法学过程。在研究结果的基础上，我们提出了MEP的初步定义，这可能会受益于持续的学术对话。
Objective: Individuals with chronic pain conditions often report movement as exacerbating pain. An increasing number of researchers and clinicians have recognized the importance of measuring and distinguishing between movement-evoked pain (MEP) and pain at rest as an outcome. This scoping review maps the literature and describes MEP measurement techniques. Materials and Methods: The scoping review utilized 6 databases to identify original studies that targeted pain or movement-related outcomes. Our search returned 7322 articles that were screened by title and abstract by 2 reviewers. The inclusion criteria focused on the measurement of MEP before, during, and after movement tasks in adults with chronic pain. Studies of children below 18 years of age or with nonhuman animals, case studies, qualitative studies, book chapters, cancer-related pain, non-English language, and abstracts with no full publish text were excluded from the study. Results: Results from 38 studies revealed great variation in the measurement of MEP, while almost all of the studies did not provide an explicit conceptual or operational definition for MEP. In addition, studies collectively illuminated differences in MEP compared with rest pain, movement provocation methods, and pain intensity as the primary outcome. Discussion: These results have clinically significant and research implications. To advance the study of MEP, we offer that consistent terminology, standardized measurement (appropriate for pain type/population), and clear methodological processes be provided in research publications. On the basis of the findings, we have put forth a preliminary definition of MEP that may benefit from the continued scholarly dialog.
感知到的不公正有助于解释患有非特异性慢性腰痛的成年人的慢性疼痛耻辱与运动诱发的疼痛之间的关联。
DOI：
10.1093/pm/pnaa095
发表时间：
2020
期刊：
Pain medicine (Malden, Mass.)
影响因子：
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作者：
Penn,TerenceM;Overstreet,DemarioS;Aroke,EdwinN;Rumble,DeannaD;Sims,AndrewM;Kehrer,CarolineV;Michl,AvaN;Hasan,FarihaN;Quinn,TammieL;Long,DLeann;Trost,Zina;Morris,MatthewC;Goodin,BurelR
通讯作者：
Goodin,BurelR