Cross-cultural adaptation of the painDETECT questionnaire into Brazilian Portuguese

Rio, Jéssica Pinto Martins do; Bittencourt, Juliana Valentim; Corrêa, Letícia Amaral; Freynhagen, Rainer; Reis, Felipe José Jandre dos; Melo, Tamiris Barbosa de; Galace, Diego; Nogueira, Leandro Alberto Calazans

doi:10.1016/j.bjane.2021.06.013

Cited by 8 publications

(4 citation statements)

References 14 publications

(17 reference statements)

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“…It evaluates pain intensity, pain pattern and pain quality. By summing up the scores given in each domain, a final score between −1 and 38 can be achieved, with higher scores indicating more likely neuropathic pain 3 . Trained technicians examined the feet of participants for deformities, dry skin, callus and ulcerations.…”

Section: Methodsmentioning

confidence: 99%

Analysis of clinical phenotypes of neuropathic symptoms in patients with type 2 diabetes: A multicenter study

Kim

Lee

Lee³

et al. 2022

J of Diabetes Invest

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Aims/Introduction: We investigated the classification of diabetic peripheral neuropathy (DPN) patients by subjective symptoms, and identification of the relationship between the patterns and intensities of symptoms and the clustered groups of DPN patients. Materials and Methods: This multicenter study analyzed epidemiological data and sensory symptoms of 649 patients with DPN. Cluster analysis was carried out to identify subgroups of patients with characteristic symptom profiles. Factor analysis was carried out to investigate the symptom patterns of the clustered groups of DPN patients. Results: Three clusters of patients with DPN were identified: severe symptoms with decreased quality of life (cluster 1, n = 119, 18.3%), predominantly insensate symptoms with relatively good quality of life (cluster 2, n = 318, 49.0%), and moderate pain intensity and decreased quality of life (cluster 3, n = 204, 31.4%). The frequency of symptoms on each item of the Michigan Neuropathy Screening Instrument questionnaire showed a similar distribution according to pain intensities along with the three clusters. Conclusions: Our study supports the hypothesis that diversity in sensory symptoms exists in patients with DPN. Heterogeneity in DPN patients should be taken into account for a more stratified or individualized treatment approach. Based on a multicenter study, we identified three clusters of patients with DPN. Our research supports the hypothesis that diversity in sensory symptoms exists in patients with DPN. Heterogeneity in DPN patients should be taken into account for a more stratified or individualized treatment approach.

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Section: Methodsmentioning

confidence: 99%

Analysis of clinical phenotypes of neuropathic symptoms in patients with type 2 diabetes: A multicenter study

Kim

Lee

Lee³

et al. 2022

J of Diabetes Invest

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“…Participants were included in the study if they selfreported (1) nonspecific cLBP (lasting at least three months); (2) aged between 18 and 55 years; (3) with moderate or severe current pain intensity (at least 3 points on the Numeric Pain Rating Scale); (4) who were not undergoing physical therapy treatment for LBP; and (5) with no symptoms below the knee. We excluded participants with self-reported (1) chronic widespread pain; (2) ligament laxity or hyperflexibility; (3) pregnant women; (4) conditions that contraindicated the use of vertebral manipulation techniques at high speed and low amplitude (red flags) such as vertebral fractures, cauda equina syndrome, cancer, inflammatory rheumatic diseases, vertebral infections, bone tuberculosis; (5) any condition that could interfere with pain sensitivity measures (for instance, changes in skin sensitivity, neurological diseases, or psychiatric diseases); (6) any condition that could interfere with body balance (for instance, neurological diseases or vestibulopathy); and (7) score equal to or greater than 19 in the Brazilian version of painDETECT questionnaire [30]. After performing the pre-intervention evaluation, the examiner (Examiner 1) left the evaluation room to remain blind to the intervention, and a physiotherapist (Examiner 2) with experience in spinal manipulation entered the room to perform the manipulation technique or the simulated technique according to the randomisation.…”

Section: Participants Therapists and Centresmentioning

confidence: 99%

One spinal manipulation session reduces local pain sensitivity but does not affect postural stability in individuals with chronic low back pain: a randomised, placebo-controlled trial

Freitas,

Corrêa,

Bittencourt

et al. 2024

Chiropr Man Therap

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Background Clinical practice guidelines recommend spinal manipulation for patients with low back pain. However, the effects of spinal manipulation have contradictory findings compared to placebo intervention. Therefore, this study investigated the immediate effects of lumbar spinal manipulation on pressure pain threshold (PPT) and postural stability in people with chronic low back pain (cLBP). Second, we investigated the immediate effect of lumbar spinal manipulation on pain intensity and the interference of the participant beliefs about which treatment was received in the PPT, postural stability, and pain intensity. Methods A two-arm, randomised, placebo-controlled, double-blind trial was performed. Eighty participants with nonspecific cLPB and a minimum score of 3 on the Numeric Pain Rating Scale received one session of lumbar spinal manipulation (n = 40) or simulated lumbar spinal manipulation (n = 40). Primary outcomes were local and remote PPTs and postural stability. Secondary outcomes were pain intensity and participant’s perceived treatment allocation. Between-group mean differences and their 95% confidence intervals (CIs) estimated the treatment effect. One-way analysis of covariance (ANCOVA) was performed to assess whether beliefs about which treatment was received influenced the outcomes. Results Participants had a mean (SD) age of 34.9 (10.5) years, and 50 (62.5%) were women. Right L5 [between-group mean difference = 0.55 (95%CI 0.19 to 0.90)], left L5 [between-group mean difference = 0.45 (95%CI 0.13 to 0.76)], right L1 [between-group mean difference = 0.41 (95%CI 0.05 to 0.78)], left L1 [between-group mean difference = 0.57 (95%CI 0.15 to 0.99)], left DT [between-group mean difference = 0.35 (95%CI 0.04 to 0.65)], and right LE [between-group mean difference = 0.34 (95%CI 0.08 to 0.60)] showed superior treatment effect in the spinal manipulation group than sham. Neither intervention altered postural stability. Self-reported pain intensity showed clinically significant decreases in both groups after the intervention. A higher proportion of participants in the spinal manipulation group achieved more than two points of pain relief (spinal manipulation = 90%; sham = 60%). The participants’ perceived treatment allocation did not affect the outcomes. Conclusion One spinal manipulation session reduces lumbar pain sensitivity but does not affect postural stability compared to a sham session in individuals with cLPB. Self-reported pain intensity lowered in both groups and a higher proportion of participants in the spinal manipulation group reached clinically significant pain relief. The participant’s belief in receiving the manipulation did not appear to have influenced the outcomes since the adjusted model revealed similar findings.

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“…The optimal cut-off point was established at 40/100 in patients with central sensitivity syndrome 31,32 . The severity of symptoms related to central sensitization has been classified into sub-clinical (0-29), mild (30)(31)(32)(33)(34)(35)(36)(37)(38)(39), moderate (40)(41)(42)(43)(44)(45)(46)(47)(48)(49), severe (50-59) and extreme (60-100) 31,33 , where higher scores indicate an increase in the severity of symptoms 34 . The Brazilian version of the CSI demonstrated strong psychometric properties 35 .…”

Section: Pain Characteristicsmentioning

confidence: 99%

“…The cut-off points for the original questionnaire indicate that in the scores≤12 a neuropathic component is unlikely, whereas, in the ≥19 scores, a neuropathic component is probable 27,36 . The Brazilian version of PainDETECT is indicated as useful to identify neuropathic components in the pain of Brazilian patients 37 .…”

Section: Pain Characteristicsmentioning

confidence: 99%

Patients with fibromyalgia present different pain phenotypes compared to patients with generalized pain

Bittencourt¹,

Corrêa²,

Bezerra³

et al. 2022

BrJP

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BACKGROUND AND OBJECTIVES: Fibromyalgia and generalized pain represent a global health problem and are distinct musculoskeletal disorders, but there is an overlap in the clinical presentation between these conditions. However, no study has compared pain characteristics between patients with fibromyalgia and patients with generalized pain. Therefore, the present study aimed to compare pain characteristics and functional limitation of patients with fibromyalgia and patients with generalized pain. METHODS: A pre-planned secondary analysis of data collected from 311 patients with musculoskeletal pain was performed. Pain characteristics included pain intensity, pain duration, pain area, symptoms of central sensitization, presence of neuropathic-like symptoms, and the conditioned pain modulation. The Patient-Specific Functional Scale assessed functional limitation. RESULTS: 98 patients with generalized pain were identified, being 58 (59.18%) classified in the fibromyalgia group and 40 (40.82%) classified in the generalized pain group. Significant differences were found between groups for Widespread Pain Index, Symptom Severity Scale, and Polysymptomatic Distress Scale. Participants with fibromyalgia presented higher values of pain intensity (fibromyalgia = 7.29±2.07, generalized pain = Patients with fibromyalgia present different pain phenotypes compared to patients with generalized painPacientes com fibromialgia apresentam fenótipos de dor diferentes em comparação com pacientes com dor generalizada

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Cross-cultural adaptation of the painDETECT questionnaire into Brazilian Portuguese

Cited by 8 publications

References 14 publications

Analysis of clinical phenotypes of neuropathic symptoms in patients with type 2 diabetes: A multicenter study

Analysis of clinical phenotypes of neuropathic symptoms in patients with type 2 diabetes: A multicenter study

One spinal manipulation session reduces local pain sensitivity but does not affect postural stability in individuals with chronic low back pain: a randomised, placebo-controlled trial

Patients with fibromyalgia present different pain phenotypes compared to patients with generalized pain

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