Bedside Testing for Chronic Pelvic Pain : Discriminating Visceral from Somatic Pain

المؤلفون المشاركون

Giamberardino, Maria Adele
Robert, Magali
Nasr-Esfahani, Maryam
Jarrell, John

المصدر

Pain Research and Treatment

العدد

المجلد 2011، العدد 2011 (31 ديسمبر/كانون الأول 2011)، ص ص. 1-6، 6ص.

الناشر

Hindawi Publishing Corporation

تاريخ النشر

2011-11-03

دولة النشر

مصر

عدد الصفحات

6

التخصصات الرئيسية

الأمراض
الطب البشري

الملخص EN

Objectives.

This study was done to evaluate three bedside tests in discriminating visceral pain from somatic pain among women with chronic pelvic pain.

Study Design.

The study was an exploratory cross-sectional evaluation of 81 women with chronic pelvic pain of 6 or more months' duration.

Tests included abdominal cutaneous allodynia (aCA), perineal cutaneous allodynia (pCA), abdominal and perineal myofascial trigger points (aMFTP) and (pMFTP), and reduced pain thresholds (RPTs).

Results.

Eighty-one women were recruited, and all women provided informed consent.

There were 62 women with apparent visceral pain and 19 with apparent somatic sources of pain.

The positive predictive values for pelvic visceral disease were aCA-93%, pCA-91%, aMFTP-93%, pMFTP-81%, and RPT-79%.

The likelihood ratio (+) and 95% C.I.

for the detection of visceral sources of pain were aCA-4.19 (1.46, 12.0), pCA-2.91 (1.19, 7.11), aMTRP-4.19 (1.46, 12.0), pMFTP-1.35 (0.86, 2.13), and RPT-1.14 (0.85, 1.52), respectively.

Conclusions.

Tests of cutaneous allodynia, myofascial trigger points, and reduced pain thresholds are easily applied and well tolerated.

The tests for cutaneous allodynia appear to have the greatest likelihood of identifying a visceral source of pain compared to somatic sources of pain.

نمط استشهاد جمعية علماء النفس الأمريكية (APA)

Jarrell, John& Giamberardino, Maria Adele& Robert, Magali& Nasr-Esfahani, Maryam. 2011. Bedside Testing for Chronic Pelvic Pain : Discriminating Visceral from Somatic Pain. Pain Research and Treatment،Vol. 2011, no. 2011, pp.1-6.
https://search.emarefa.net/detail/BIM-490982

نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)

Jarrell, John…[et al.]. Bedside Testing for Chronic Pelvic Pain : Discriminating Visceral from Somatic Pain. Pain Research and Treatment No. 2011 (2011), pp.1-6.
https://search.emarefa.net/detail/BIM-490982

نمط استشهاد الجمعية الطبية الأمريكية (AMA)

Jarrell, John& Giamberardino, Maria Adele& Robert, Magali& Nasr-Esfahani, Maryam. Bedside Testing for Chronic Pelvic Pain : Discriminating Visceral from Somatic Pain. Pain Research and Treatment. 2011. Vol. 2011, no. 2011, pp.1-6.
https://search.emarefa.net/detail/BIM-490982

نوع البيانات

مقالات

لغة النص

الإنجليزية

الملاحظات

Includes bibliographical references

رقم السجل

BIM-490982