Development and validation of a pressure-type automated quantitative sensory testing system for point-of-care pain assessment
详细信息 查看全文
- 作者：Steven E. Harte (1)
Mainak Mitra (2)
Eric A. Ichesco (1)
Megan E. Halvorson (1)
Daniel J. Clauw (1)
Albert J. Shih (2)
Grant H. Kruger (1) (2) - 关键词：Chronic pain ; Fibromyalgia ; MAST ; Pressure pain threshold
- 刊名：Medical and Biological Engineering and Computing
- 出版年：2013
- 出版时间：June 2013
- 年：2013
- 卷：51
- 期：6
- 页码：633-644
- 全文大小：710KB
- 参考文献：1. Arendt-Nielsen L, Yarnitsky D (2009) Experimental and clinical applications of quantitative sensory testing applied to skin, muscles and viscera. J Pain 10(6):556-72 CrossRef
2. Cathcart S, Winefield AH, Rolan P, Lushington K (2009) Reliability of temporal summation and diffuse noxious inhibitory control. Pain Res Manag 14(6):433-38
3. Chesterton LS, Sim J, Wright CC, Foster NE (2007) Interrater reliability of algometry in measuring pressure pain thresholds in healthy humans, using multiple raters. Clin J Pain 23(760):760-66 CrossRef
4. Clauw DJ (2009) Fibromyalgia: an overview. Am J Med 122(12 Suppl):S3–S13 CrossRef
5. Coronado RA, Kindler LL, Valencia C, George SZ (2011) Thermal and pressure pain sensitivity in patients with unilateral shoulder pain: comparison of involved and uninvolved sides. J Orthop Sports Phys Ther 41(3):165-73
6. Diatchenko L, Slade GD, Nackley AG, Bhalang K, Sigurdsson A, Belfer I, Goldman D, Xu K, Shabalina SA, Shagin D, Max MB, Makarov SS, Maixner W (2005) Genetic basis for individual variations in pain perception and the development of a chronic pain condition. Hum Mol Genet 14(1):135-43 CrossRef
7. Dyck PJ, Zimmerman IR, O’Brien PC, Ness A, Caskey PE, Karnes J, Bushek W (1978) Introduction of automated systems to evaluate touch-pressure, vibration, and thermal cutaneous sensation in man. Ann Neurol 4(6):502-10 CrossRef
8. Edwards RR, Sarlani E, Wesselmann U, Fillingim RB (2005) Quantitative assessment of experimental pain perception: multiple domains of clinical relevance. Pain 114(3):315-19 CrossRef
9. Eisenberg E, Midbari A, Haddad M, Pud D (2010) Predicting the analgesic effect to oxycodone by ‘static-and ‘dynamic-quantitative sensory testing in healthy subjects. Pain 151(1):104-09 CrossRef
10. Finocchietti S, Nielsen M, Morch CD, Arendt-Nielsen L, Graven-Nielsen T (2011) Pressure-induced muscle pain and tissue biomechanics: a computational and experimental study. Eur J Pain 15(1):36-4 CrossRef
11. Geisser ME, Gracely RH, Giesecke T, Petzke FW, Williams DA, Clauw DJ (2007) The association between experimental and clinical pain measures among persons with fibromyalgia and chronic fatigue syndrome. Eur J Pain 11(2):202-07 CrossRef
12. Geisser ME, Glass JM, Rajcevska LD, Clauw DJ, Williams DA, Kileny PR, Gracely RH (2008) A psychophysical study of auditory and pressure sensitivity in patients with fibromyalgia and healthy controls. J Pain 9(5):417-22 CrossRef
13. Giesecke T, Gracely RH, Williams DA, Geisser ME, Petzke FW, Clauw DJ (2005) The relationship between depression, clinical pain, and experimental pain in a chronic pain cohort. Arthr Rheum 52(5):1577-584 CrossRef
14. Gordon CC, Churchill T, Clauser CE, Bradtmiller CB, McConville JT, Tebbetts I, Walker RA (1989) 1988 Anthropometric survey of U.S. army personnel: methods and summary statistics. United States Army Natick Research, Development and Engineering Center, Natick
15. Gracely RH, Lota L, Walter DJ, Dubner R (1988) A multiple random staircase method of psychophysical pain assessment. Pain 32(1):55-3 CrossRef
16. Gracely RH, Petzke F, Wolf JM, Clauw DJ (2002) Functional magnetic resonance imaging evidence of augmented pain processing in fibromyalgia. Arthr Rheum 46(5):1333-343 CrossRef
17. Gracely RH, Grant MA, Giesecke T (2003) Evoked pain measures in fibromyalgia. Best Pract Res CL Rh 17(4):593-09 CrossRef
18. Granges G, Littlejohn G (1993) Pressure pain threshold in pain-free subjects, in patients with chronic regional pain syndromes, and in patients with fibromyalgia syndrome. Arthr Rheum 36(5):642-46 CrossRef
19. Granot M (2009) Can we predict persistent postoperative pain by testing preoperative experimental pain? Curr Opin Anaesthesiol 22(3):425-30 CrossRef
20. Greenspan JD, Slade GD, Bair E, Dubner R, Fillingim RB, Ohrbach R, Knott C, Mulkey F, Rothwell R, Maixner W (2011) Pain sensitivity risk factors for chronic TMD: descriptive data and empirically identified domains from the OPPERA case control study. J Pain 12(11 Suppl):T61–T74
21. Gruener G, Dyck PJ (1994) Quantitative sensory testing: methodology, applications, and future directions. J Clin Neurophysiol 11(6):568-83 CrossRef
22. Hansson P, Backonja M, Bouhassira D (2007) Usefulness and limitations of quantitative sensory testing: clinical and research application in neuropathic pain states. Pain 129(3):256-59 CrossRef
23. Harris RE, Gracely RH, McLean SA, Williams DA, Giesecke T, Petzke F, Sen A, Clauw DJ (2006) Comparison of clinical and evoked pain measures in fibromyalgia. J Pain 7(7):521-27 CrossRef
24. Harris RE, Sundgren PC, Pang Y, Hsu M, Petrou M, Kim SH, McLean SA, Gracely RH, Clauw DJ (2008) Dynamic levels of glutamate within the insula are associated with improvements in multiple pain domains in fibromyalgia. Arthr Rheum 58(3):903-07 CrossRef
25. Harris RE, Sundgren PC, Craig AD, Kirshenbaum E, Sen A, Napadow V, Clauw DJ (2009) Elevated insular glutamate in fibromyalgia is associated with experimental pain. Arthr Rheum 60(10):3146-152 CrossRef
26. Hollins M, Harper D, Gallagher S, Owings EW, Lim PF, Miller V, Siddiqi MQ, Maixner W (2009) Perceived intensity and unpleasantness of cutaneous and auditory stimuli: an evaluation of the generalized hypervigilance hypothesis. Pain 141(3):215-21 CrossRef
27. Institute of Medicine (2011) Relieving pain in America: a blueprint for transforming prevention, care, education, and research. The National Academies Press, Washington, DC
28. Jensen K, Andersen HO, Olesen J, Lindblom U (1986) Pressure-pain threshold in human temporal region. Evaluation of a new pressure algometer. Pain 25(3):313-23 CrossRef
29. Johansson RS, Vallbo AB (1979) Tactile sensibility in the human hand: relative and absolute densities of four types of mechanoreceptive units in glabrous skin. J Physiol 286:283-00
30. Kallai I, Barke A, Voss U (2004) The effects of experimenter characteristics on pain reports in women and men. Pain 112(1-):142-47 CrossRef
31. Keele KD (1954) Pain-sensitivity tests; the pressure algometer. Lancet 266(6813):636-39 CrossRef
32. Kehlet H, Jensen TS, Woolf CJ (2006) Persistent postsurgical pain: risk factors and prevention. Lancet 367(9522):1618-625 CrossRef
33. Kindler LL, Bennett RM, Jones KD (2011) Central sensitivity syndromes: mounting pathophysiologic evidence to link fibromyalgia with other common chronic pain disorders. Pain Manag Nurs 12(1):15-4 CrossRef
34. Kosek E, Ekholm J, Nordemar R (1993) A comparison of pressure pain thresholds in different tissues and body regions. Long-term reliability of pressure algometry in healthy volunteers. Scan. J Rehabil Med 25(3):117-24
35. Kupers R, Lonsdale MN, Aasvang E, Kehlet H (2011) A positron emission tomography study of wind-up pain in chronic postherniotomy pain. Eur J Pain 15(7):698 e691-16
36. Landau R, Kraft JC, Flint LY, Carvalho B, Richebe P, Cardoso M, Lavand’homme P, Granot M, Yarnitsky D, Cahana A (2010) An experimental paradigm for the prediction of Post-Operative Pain (PPOP). J Vis Exp (35): n/a
37. Levine FM, DeSimon LL (1991) The effects of experimenter gender on pain report in male and female subjects. Pain 44(1):69-2 CrossRef
38. Nahman-Averbuch H, Yarnitsky D, Granovsky Y, Sprecher E, Steiner M, Tzuk-Shina T, Pud D (2011) Pronociceptive pain modulation in patients with painful chemotherapy-induced polyneuropathy. J Pain Symptom Manag 42(2):229-38 CrossRef
39. Neziri AY, Curatolo M, Nuesch E, Scaramozzino P, Andersen OK, Arendt-Nielsen L, Juni P (2011) Factor analysis of responses to thermal, electrical, and mechanical painful stimuli supports the importance of multi-modal pain assessment. Pain 152(5):1146-155 CrossRef
40. Nie H, Arendt-Nielsen L, Andersen H, Graven-Nielsen T (2005) Temporal summation of pain evoked by mechanical stimulation in deep and superficial tissue. J Pain 6(6):348-55 CrossRef
41. Overduin SA, Servos P (2004) Distributed digit somatotopy in primary somatosensory cortex. Neuroimage 23(2):462-72 CrossRef
42. Persson AL, Brogardh C, Sjolund BH (2004) Tender or not tender: test-retest repeatability of pressure pain thresholds in the trapezius and deltoid muscles of healthy women. J Rehabil Med 36(1):17-7 CrossRef
43. Petzke F, Khine A, Williams D, Groner K, Clauw DJ, Gracely RH (2001) Dolorimetry performed at 3 paired tender points highly predicts overall tenderness. J Rheumatol 28(11):2568-569
44. Petzke F, Clauw DJ, Ambrose K, Khine A, Gracely RH (2003) Increased pain sensitivity in fibromyalgia: effects of stimulus type and mode of presentation. Pain 105(3):403-13 CrossRef
45. Petzke F, Gracely RH, Park KM, Ambrose K, Clauw DJ (2003) What do tender points measure? Influence of distress on 4 measures of tenderness. J Rheumatol 30(3):567-74
46. Petzke F, Harris RE, Williams DA, Clauw DJ, Gracely RH (2005) Differences in unpleasantness induced by experimental pressure between patients with fibromyalgia and controls. Eur J Pain 9:325-35 CrossRef
47. Rainwater AJ, McNeil DW (1991) Reinventing the algometer: synopsis of the literature and presentation of a reliable, inexpensive model. Behav Res Meth Ins C 24(4):486-92 CrossRef
48. Sand T, Zwart JA, Helde G, Bovim G (1997) The reproducibility of cephalic pain pressure thresholds in control subjects and headache patients. Cephalalgia 17(7):748-55 CrossRef
49. Song GH, Venkatraman V, Ho KY, Chee MWL, Yeoh KG, Wilder-Smith CH (2006) Cortical effects of anticipation and endogenous modulation of visceral pain assessed by functional brain MRI in irritable bowel syndrome patients and healthy controls. Pain 126(1-):79-0 CrossRef
50. Svensson P, List T, Hector G (2001) Analysis of stimulus-evoked pain in patients with myofascial temporomandibular pain disorders. Pain 92(3):399-09 CrossRef
51. Treede RD, Rolke R, Andrews K, Magerl W (2002) Pain elicited by blunt pressure: neurobiological basis and clinical relevance. Pain 98(3):235-40 CrossRef
52. Weissman-Fogel I, Granovsky Y, Crispel Y, Ben-Nun A, Best LA, Yarnitsky D, Granot M (2009) Enhanced presurgical pain temporal summation response predicts post-thoracotomy pain intensity during the acute postoperative phase. J Pain 10(6):628-36 CrossRef
53. Wilbarger JL, Cook DB (2011) Multisensory hypersensitivity in women with fibromyalgia: implications for well being and intervention. Arch Phys Med Rehabil 92(4):653-56 CrossRef
54. Wolfe F, Clauw DJ, Fitzcharles MA, Goldenberg DL, Hauser W, Katz RS, Mease P, Russell AS, Russell IJ, Winfield JB (2011) Fibromyalgia criteria and severity scales for clinical and epidemiological studies: a modification of the ACR Preliminary Diagnostic Criteria for Fibromyalgia. J Rheumatol 38(6):1113-122 CrossRef
55. Yarnitsky D (2010) Conditioned pain modulation (the diffuse noxious inhibitory control-like effect): its relevance for acute and chronic pain states. Curr Opin Anaesthesiol 23(5):611-15 CrossRef
56. Yarnitsky D, Granot M, Nahman-Averbuch H, Khamaisi M, Granovsky Y (2012) Conditioned pain modulation predicts duloxetine efficacy in painful diabetic neuropathy. Pain 153(6):1193-198 CrossRef
57. Ylinen J, Nykanen M, Kautiainen H, Hakkinen A (2007) Evaluation of repeatability of pressure algometry on the neck muscles for clinical use. Man Ther 12(2):192-97 CrossRef - 作者单位：Steven E. Harte (1)
Mainak Mitra (2)
Eric A. Ichesco (1)
Megan E. Halvorson (1)
Daniel J. Clauw (1)
Albert J. Shih (2)
Grant H. Kruger (1) (2)
1. Department of Anesthesiology, Chronic Pain and Fatigue Research Center, University of Michigan Medical School, Ann Arbor, MI, 48106, USA
2. Department of Mechanical Engineering, College of Engineering, University of Michigan, Ann Arbor, MI, 48109, USA - ISSN：1741-0444
文摘
Quantitative sensory testing (QST) can provide useful information about the underlying mechanisms involved in chronic pain. However, currently available devices typically employed suffer from operator-dependent effects, or are too cumbersome for routine clinical care. This paper presents the design and initial validation of a novel automated pressure-pain type QST platform, termed the multi-modal automated sensory testing (MAST) system. The MAST configuration presented consists of wireless, hand-held thumbnail pressure stimulators (with circular 10?mm2 rubber tips) and graphical touch screen interface devices to manage the QST process and obtain patient feedback. Validation testing of the custom-designed force sensor showed a 1?% error for low forces increasing to 2?% error for larger loads up to 100?N (full-scale). Validation of the controller using three ramp rates (64, 248, and 496?kPa/s) and six pressures (32, 62, 124, 273, 620, and 1116?kPa) showed an overall mean error of 1.7?% for applied stimuli. Clinical evaluation revealed decreased pressure pain thresholds in chronic pain patients (98.07?±?SE 16.34?kPa) compared to pain free, healthy control subjects (259.88?±?SE 33.54?kPa, p?=?0.001). The MAST system is portable and produces accurate, repeatable stimulation profiles indicating potential for point-of-care applications.