The skin conductance-based non-invasive pain assessment instrument for infants

Kusumaningrum, Arie; Rustina, Yeni; Abuzairi, Tomy; Ibrahim, Nurhadi

doi:10.4038/sljch.v51i3.10249

Cited by 3 publications

(2 citation statements)

References 26 publications

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“…In pain assessment, EDA plays a crucial role by offering a quantitative and objective measure of physiological responses to pain. It provides valuable insights into pain intensity, complementing self-reporting to enhance pain assessment accuracy in research and clinical settings 26,32 . EDA encompasses data related to both the slow shifts (tonic component) and the signal's rapid alterations (phasic changes).…”

Section: Data Description and Preprocessingmentioning

confidence: 99%

Study of Influence of Preexisting Pain on the Body's Response to External Pain Stimuli

Ozek,

Lu,

Radhakrishnan

et al. 2024

Preprint

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The assessment of pain severity is essential for effective pain treatment. In clinical settings, pain intensity assessment relies on self-reporting methods, which are subjective to individuals and impractical for non-communicative or critically ill patients. In literature, there have been numerous attempts to objectively measure pain. In these studies, participants experience only one source of pain, which is not always the case in patients' medical conditions. In this study, our objective is to investigate the hypothesis that an individual's physiological response to external pain differs depending on experiencing preexisting pain. The underlying premise is that the body may exhibit different physiological responses to an external pain stimulus, depending on the intensity of the preexisting pain. To assess this hypothesis, we recruited 39 healthy subjects aged 22-37; among them, 23 were female, and 16 were male. Physiological signals - Electrodermal Activity and Electromyography - were recorded while participants underwent a combination of heat pain and cold stimuli. Through statistical analysis, we confirmed the hypothesis that the body exhibits different physiological responses to an external pain stimulus when influenced by preexisting pain. We identified key features of physiological signals (e.g., statistics and distributions) that significantly differ in response to new pain stimuli.

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Section: Data Description and Preprocessingmentioning

confidence: 99%

Study of Influence of Preexisting Pain on the Body's Response to External Pain Stimuli

Ozek,

Lu,

Radhakrishnan

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…Currently, the Skin Conductance is being studied a lot due to its potential as a basis for noninvasive methods for measuring pain in infants. 5 Furthermore, over the last few years, research publications have shown increasing SC use to measure infant pain. 6 Many recent studies have found SC as an objective, simple, noninvasive, fast-response, and accurate tool to detect the neonate's autonomy reflex function.…”

Section: Introductionmentioning

confidence: 99%

Analysis of the infant’s acute pain assessment using developed conductance skin electric instrument compared to the behavioural and faces pain scale in painful injected vaccine

et al. 2023

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This study compared the scale of infant pain during vaccinated injection using conductance skin electric (Skin Conductance), the Wong-Baker Faces Scale (WBFS) instrument, and Face Leg Activity Cry and Consolability (FLACC) instruments. It was observational cohort study with pre-experimental design using vaccinated injection as pain stimuli. This study investigated 121 infants (59 boys, 62 girls), age/PNA 4.37 ± 2.97 months, and current body weight 6522 ± 1378.65 grams). Most infants had adequate birth weight 71 (89.9%) about 2985.74 ± 405.83 kg and mature infants as 67 (84.4%), about 38,52 ± 2,09 weeks. Pain measurement of all three instruments was do simultaneously using a developed Skin Conductance (SC) apparatus and video recording (to assess behaviour and face). WBFS, FLACC and SC have the same significance in measuring infants’ pain scale during vaccination injection. Statistical analysis showed a significant difference in the three pain measurement instruments between before and during injection with a p value of <0.001. So that SC can be recommended for pain measurement.

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Sympathetic Nervous System Activity and Pain-Related Response Indexed by Electrodermal Activity During the Earliest Postnatal Life in Healthy Term Neonates

et al. 2023

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Sympathetic nervous system (SNS) undergoes a prolonged period of fetal and neonatal development and maturation during which is vulnerable to a variety of influences (e.g. painful experiences). Thus, we aimed to evaluate SNS activity at rest and in response to stressful stimulus (pain) within the earliest postnatal life in healthy term neonates using electrodermal activity (EDA) measures. In twenty eutrophic healthy term neonates EDA was recorded within the first two hours after birth (measurement 1 – M1) and 72 h after birth (measurement 2 – M2) at rest and in response to pain (M1 – intramuscular K vitamin administration; M2 – heel stick). Evaluated parameters were skin conductance level (SCL), non-specific skin conductance responses (NS.SCRs), skin SCL 10 s before pain stimulus (SCL_10 before pain), skin conductance response (SCR) peak after pain stimulus, SCL 10 s after pain stimulus (SCL_10 after pain), SCR magnitude, latency, SCR rise/decline time, SCR half recovery time. SCL was significantly decreased at rest during M2 compared to M1 (p=0.010). SCL_10 before pain, SCR peak after pain, and SCL_10 after pain stimulus were significantly decreased in M2 compared to M1 (p=0.014, p=0.020, p=0.011, respectively). SCL was significantly decreased and NS.SCRs were significantly higher in the recovery period after the pain stimulus during M2 compared to M1 (p=0.015, p=0.032, respectively). Our results indicate EDA parameters sensitive to detect sympathetic changes during the earliest postnatal life reflecting its potential in early diagnosis of the autonomic maturation – linked pathological states in neonates.

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The skin conductance-based non-invasive pain assessment instrument for infants

Cited by 3 publications

References 26 publications

Study of Influence of Preexisting Pain on the Body's Response to External Pain Stimuli

Study of Influence of Preexisting Pain on the Body's Response to External Pain Stimuli

Analysis of the infant’s acute pain assessment using developed conductance skin electric instrument compared to the behavioural and faces pain scale in painful injected vaccine

Sympathetic Nervous System Activity and Pain-Related Response Indexed by Electrodermal Activity During the Earliest Postnatal Life in Healthy Term Neonates

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