Mesure de la douleur : Questions médicales fréquentes
Nom anglais: Pain Measurement
Descriptor UI:D010147
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"name": "Diagnostic",
"headline": "Diagnostic sur Mesure de la douleur",
"description": "Comment évaluer l'intensité de la douleur ?\nQuels outils sont utilisés pour mesurer la douleur ?\nQu'est-ce que l'échelle visuelle analogique ?\nComment la douleur chronique est-elle diagnostiquée ?\nQuel rôle joue l'anamnèse dans le diagnostic de la douleur ?",
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"headline": "Symptômes sur Mesure de la douleur",
"description": "Quels sont les symptômes associés à la douleur ?\nComment la douleur affecte-t-elle la qualité de vie ?\nQuels types de douleur existent ?\nLa douleur peut-elle être psychologique ?\nQuels signes indiquent une douleur sévère ?",
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"name": "Prévention",
"headline": "Prévention sur Mesure de la douleur",
"description": "Comment prévenir la douleur chronique ?\nQuels exercices sont recommandés pour prévenir la douleur ?\nLe stress peut-il provoquer de la douleur ?\nComment l'alimentation influence-t-elle la douleur ?\nLa posture peut-elle affecter la douleur ?",
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},
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"name": "Traitements",
"headline": "Traitements sur Mesure de la douleur",
"description": "Quels traitements sont disponibles pour la douleur ?\nComment les opioïdes sont-ils utilisés dans le traitement de la douleur ?\nQu'est-ce que la thérapie cognitivo-comportementale ?\nLes traitements alternatifs sont-ils efficaces ?\nQuel est le rôle de la physiothérapie dans la gestion de la douleur ?",
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"name": "Complications",
"headline": "Complications sur Mesure de la douleur",
"description": "Quelles sont les complications de la douleur non traitée ?\nComment la douleur chronique affecte-t-elle la santé mentale ?\nLa douleur peut-elle entraîner des dépendances ?\nQuels sont les risques d'une mauvaise gestion de la douleur ?\nLa douleur peut-elle affecter le système immunitaire ?",
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"name": "Facteurs de risque",
"headline": "Facteurs de risque sur Mesure de la douleur",
"description": "Quels sont les facteurs de risque de la douleur chronique ?\nLe mode de vie influence-t-il la douleur ?\nLes femmes sont-elles plus à risque de douleur ?\nLe stress est-il un facteur de risque pour la douleur ?\nLes maladies chroniques augmentent-elles le risque de douleur ?",
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"@type": "Question",
"name": "Comment évaluer l'intensité de la douleur ?",
"position": 1,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'intensité de la douleur peut être évaluée à l'aide d'échelles numériques ou visuelles."
}
},
{
"@type": "Question",
"name": "Quels outils sont utilisés pour mesurer la douleur ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des questionnaires, des échelles visuelles et des échelles numériques sont couramment utilisés."
}
},
{
"@type": "Question",
"name": "Qu'est-ce que l'échelle visuelle analogique ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "C'est une méthode où le patient indique son niveau de douleur sur une ligne de 0 à 10."
}
},
{
"@type": "Question",
"name": "Comment la douleur chronique est-elle diagnostiquée ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle est diagnostiquée par l'historique médical et des évaluations de la douleur sur le long terme."
}
},
{
"@type": "Question",
"name": "Quel rôle joue l'anamnèse dans le diagnostic de la douleur ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'anamnèse aide à comprendre l'origine, la durée et les facteurs aggravants de la douleur."
}
},
{
"@type": "Question",
"name": "Quels sont les symptômes associés à la douleur ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes peuvent inclure fatigue, insomnie, anxiété et dépression, en plus de la douleur."
}
},
{
"@type": "Question",
"name": "Comment la douleur affecte-t-elle la qualité de vie ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "La douleur peut limiter les activités quotidiennes, affecter le sommeil et provoquer des troubles émotionnels."
}
},
{
"@type": "Question",
"name": "Quels types de douleur existent ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Il existe des douleurs aiguës, chroniques, neuropathiques et somatiques, chacune ayant des caractéristiques distinctes."
}
},
{
"@type": "Question",
"name": "La douleur peut-elle être psychologique ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, la douleur psychologique est réelle et peut être causée par des facteurs émotionnels ou mentaux."
}
},
{
"@type": "Question",
"name": "Quels signes indiquent une douleur sévère ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des signes comme une agitation, des pleurs ou une incapacité à se concentrer peuvent indiquer une douleur sévère."
}
},
{
"@type": "Question",
"name": "Comment prévenir la douleur chronique ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un mode de vie sain, l'exercice régulier et la gestion du stress peuvent aider à prévenir la douleur chronique."
}
},
{
"@type": "Question",
"name": "Quels exercices sont recommandés pour prévenir la douleur ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des exercices d'étirement, de renforcement et d'aérobic sont recommandés pour maintenir la santé physique."
}
},
{
"@type": "Question",
"name": "Le stress peut-il provoquer de la douleur ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le stress peut exacerber la douleur et contribuer à des conditions comme les maux de tête ou les douleurs musculaires."
}
},
{
"@type": "Question",
"name": "Comment l'alimentation influence-t-elle la douleur ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une alimentation équilibrée peut réduire l'inflammation et aider à gérer la douleur, surtout dans les maladies chroniques."
}
},
{
"@type": "Question",
"name": "La posture peut-elle affecter la douleur ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, une mauvaise posture peut entraîner des douleurs musculo-squelettiques, surtout au niveau du dos."
}
},
{
"@type": "Question",
"name": "Quels traitements sont disponibles pour la douleur ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les traitements incluent des analgésiques, des thérapies physiques et des interventions psychologiques."
}
},
{
"@type": "Question",
"name": "Comment les opioïdes sont-ils utilisés dans le traitement de la douleur ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les opioïdes sont prescrits pour des douleurs modérées à sévères, mais nécessitent une surveillance étroite."
}
},
{
"@type": "Question",
"name": "Qu'est-ce que la thérapie cognitivo-comportementale ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "C'est une approche psychologique qui aide à gérer la douleur en modifiant les pensées et comportements."
}
},
{
"@type": "Question",
"name": "Les traitements alternatifs sont-ils efficaces ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des traitements comme l'acupuncture et la méditation peuvent aider à réduire la douleur pour certains patients."
}
},
{
"@type": "Question",
"name": "Quel est le rôle de la physiothérapie dans la gestion de la douleur ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "La physiothérapie aide à améliorer la mobilité et à réduire la douleur par des exercices et des techniques manuelles."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications de la douleur non traitée ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "La douleur non traitée peut entraîner des troubles psychologiques, une diminution de la qualité de vie et des incapacités."
}
},
{
"@type": "Question",
"name": "Comment la douleur chronique affecte-t-elle la santé mentale ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle peut provoquer ou aggraver des troubles comme l'anxiété et la dépression, affectant le bien-être général."
}
},
{
"@type": "Question",
"name": "La douleur peut-elle entraîner des dépendances ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'utilisation prolongée d'analgésiques, en particulier les opioïdes, peut mener à une dépendance."
}
},
{
"@type": "Question",
"name": "Quels sont les risques d'une mauvaise gestion de la douleur ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une mauvaise gestion peut entraîner des complications physiques, psychologiques et une détérioration de la condition sous-jacente."
}
},
{
"@type": "Question",
"name": "La douleur peut-elle affecter le système immunitaire ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, la douleur chronique peut affaiblir le système immunitaire, rendant le corps plus vulnérable aux infections."
}
},
{
"@type": "Question",
"name": "Quels sont les facteurs de risque de la douleur chronique ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent l'âge, les antécédents familiaux, les blessures et les conditions médicales préexistantes."
}
},
{
"@type": "Question",
"name": "Le mode de vie influence-t-il la douleur ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, un mode de vie sédentaire, le tabagisme et une mauvaise alimentation peuvent augmenter le risque de douleur."
}
},
{
"@type": "Question",
"name": "Les femmes sont-elles plus à risque de douleur ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des études montrent que les femmes rapportent souvent des niveaux de douleur plus élevés que les hommes."
}
},
{
"@type": "Question",
"name": "Le stress est-il un facteur de risque pour la douleur ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le stress chronique peut contribuer à l'apparition et à l'aggravation de la douleur."
}
},
{
"@type": "Question",
"name": "Les maladies chroniques augmentent-elles le risque de douleur ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des conditions comme l'arthrite, le diabète et les maladies cardiaques sont souvent associées à la douleur."
}
}
]
}
]
}
Rett Syndrome (RTT) is a severe, neurodevelopmental disorder mainly caused by mutations in the MECP2 gene, affecting around 1 in 10,000 female births. Severe physical, language, and social impairments...
The first aim was to describe pain situations of RTT by collecting information by parents; the second aim was to test and compare existing questionnaires for non-communicating disorders on pain such a...
Nineteen participants, eighteen girls with RTT and one girl with RTT with 27 manifestations of pain were video-recorded both in pain and base-line conditions. Two independent observers codified the 90...
The two studies showed that the most significant pain behaviors expressed by girls with respect to the baseline condition, at the facial level were a wrinkled forehead, wide eyes, grinding, banging te...
The results of the two studies helped to create an easy-to-apply scale that healthcare professionals can use to assess pain in patients with Rett's syndrome. This scale used PAINAD as its basic struct...
Assessment of pain is challenging given its subjective nature. Standard pain assessment tools have limitations. We aimed to compare the verbal numeric rating scale (NRS) and Grasp, a novel handheld el...
To compare Grasp and NRS, healthy adult volunteers were invited to undergo two subsequent standardised tests of cold-triggered pain using a cold pressor test (CPT) at a temperature of 3°C. Pain intens...
In total, 102 subjects were included, and 96 subjects (56 females) completed all three tests. The association of pain intensity reported by Grasp and NRS was moderate with a mean...
Pain intensity reported by squeezing Grasp did not show acceptable association with pain intensity reported by NRS during CPTs. The association between pain intensity reported by Grasp during two CPTs...
We studied the reliability and validity of the COMFORTneo scale, designed to measure neonatal prolonged pain....
This prospective observational study evaluated four clinimetric properties of the COMFORTneo scale from NICU nurses' assessments of neonates' pain. Intra-rater reliability was determined from three vi...
Intra-rater reliability: Twenty-two nurses assessed pain twice with an intraclass correlation coefficient (ICC) of 0.70. Inter-rater reliability: The ICC for 310 COMFORTneo scores together with 62 nur...
The COMFORTneo can be used to reliably and validly assess pain in NICU patients....
Temporal summation of second pain (TSSP) has been suggested as a psychophysical index for central sensitization, one of the critical mechanisms in the chronification of pain. However, there is no gold...
The main objective of this study is to validate the PIPP-R scale (Premature Infant Pain Profile-Revised) for measuring neonatal pain in the Spanish hospital setting....
The original scale will be translated from English into Spanish and a consensus translation will be prepared by the research team, which will be back-translated from Spanish into English. The content ...
The original version of the PIPP-R scale is useful for objectively assessing neonatal acute and procedural pain from a gestational age of 25 weeks and over. It is important to culturally adapt the ori...
Detecting pain in older people with dementia is challenging. Consequentially, pain is often under-reported and under-treated. There remains uncertainty over what measures should be promoted for use to...
A search of clinical trials registered on the ClinicalTrial.gov and ISRCTN registries was performed to identify outcome measures used to assess pain in people with dementia. Following this, a systemat...
From 188 clinical trials, nine outcome measures were identified. These included: Abbey Pain Scale, ALGOPLUS, DOLOPLUS-2, Facial Action Coding System, MOBID-2, self-reported pain through the NRS or VAS...
Whilst these reflect measurement tools used in research, further consideration on how these reflect clinical practice should be considered....
CRD42021282032....
Poor sleep quality is often comorbid with chronic pain. Research has also shown that poor and disrupted sleep may increase risk for chronic pain by promoting pronociceptive processes. This could occur...
To examine the measurement properties of the Regular Physical Exercise Adherence Scale (REPEAS) in Brazilians with chronic pain....
Cross-sectional and longitudinal design (washout period for reliability). The study was conducted in two Brazilian states, Maranhão and São Paulo, and included Brazilian adults, irregular exercisers, ...
The two-dimensional structure was tested through confirmatory factor analysis, which resulted in adequate fit indeces: chi-square values/degrees of freedom = 1.541, Tucker-Lewis Index = 0.966, compara...
The REPEAS is a valid instrument with a two-dimensional internal structure consisting of 12 items. It has a reliable construct and is suitable for use in the clinical and epidemiological context for a...
Virtual reality hypnosis (VRH) has emerged as a new and promising option for pain management. Nonetheless, neural dynamics of pain modulation during VRH have not been investigated yet. The aim of this...
Eighteen healthy subjects underwent noxious electrical stimulations in both normal wakefulness and VRH conditions. Dissociation, absorption, time perception, anxiety, pain intensity and unpleasantness...
VRH condition was associated with lower pain and higher dissociation. VRH significantly decreased amplitudes of N100 and P200 ERP components, reduced EEG power between 1 and 5 Hz from 100 to 560 ms, a...
VRH modulates cerebral pain processes and body physiology, leading to reduced pain levels. These findings offer a first insight on the analgesic mechanisms of VRH and suggest that VRH is an effective ...
VRH decreases experimental pain perception, increases subject level of dissociation and modulates cerebral pain processing mechanisms. Pain can be managed with analgesic medication but also through co...
Measures of pain intensity (eg, numeric rating scales [NRS]) are widely used in clinical research and practice. While these measures have evidence for validity and reliability, poor standardization of...