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A Journal on Anesthesiology, Resuscitation, Analgesia and Intensive Care

Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
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Minerva Anestesiologica 2002 March;68(3):95-10

language: Italian

Validation of Italian version of the “neuropathic pain scale” and its clinical implications

Negri E., Bettaglio R., Demartini L., Allegri M., Barbieri M., Miotti D., Paulin L., Buonocore M. *, Bonezzi C.

Fondazione Salvatore Maugeri - IRCCS Istituto Scientifico - Pavia Unità Operativa di Cure Palliative e Terapia del Dolore
*Servizio di Neurofisiopatologia


Back­ground. The Neu­ro­path­ic ­Pain ­Scale is the ­first spe­cif­ic ­tool to meas­ure and ana­lyse ­pain due to a ­lesion in the ner­vous ­system; ­this ­kind of ­pain is usu­al­ly dif­fi­cult to ­describe for the ­patient ­because it is char­ac­ter­ized by unusu­al qual­ities. Aim of ­this ­study is to eval­u­ate a pos­sible rela­tion ­between ­pain descrip­tions and under­ly­ing pathog­e­net­ic mech­a­nisms.
Meth­ods. The Ital­ian ver­sion of the Neu­ro­path­ic ­Pain ­Scale has ­been admin­is­tered to 145 ­patients ­with neu­ro­path­ic ­pain due to chron­ic radic­u­lop­a­thy, dia­bet­ic neu­rop­a­thy, post­-trau­mat­ic neu­rop­a­thy, Com­plex Regional ­Pain Syn­drome or post­her­pet­ic neu­ral­gia. As it has ­been ­done in ­Galer’s ­study, the pre­dic­tive valid­ity and the ­items’ cor­re­la­tion ­have ­been eval­u­at­ed; more­over, the struc­ture valid­ity of the ­scale has ­been stud­ied.
­Results. ­Pain val­ues ­were ­high in all ­pain syn­dromes ­with the prev­a­lence of cer­tain ­items in par­tic­u­lar pathol­o­gies. The cor­re­la­tion of ­some ­items ­with “­deep ­pain” and oth­ers ­with “super­fi­cial ­pain” was ­also ­observed.
Con­clu­sions. The ­results ­have con­firmed the sta­tis­ti­cal valid­ity of the Ital­ian ver­sion of the ­scale; ­they ­also point­ed out the use­ful­ness of the ­scale to dis­tin­guish ­between super­fi­cial ­pain, typ­i­cal of neu­ro­path­ic ­pain, and ­deep ­pain, typ­i­cal of somat­ic ­pain.

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