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Minerva Anestesiologica 2002 March;68(3):95-10

Copyright © 2009 EDIZIONI MINERVA MEDICA

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


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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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