Benaim Charles, Froger Jerome, Cazottes Claire, Gueben Delphine, Porte Melanie, Desnuelle Claude, Pelissier Jacques Yvon
Médecine Physique et Réadaptation, CHU l'Archet 1, Route de Saint-Antoine de Ginestière, BP 3079, 06202 Nice Cedex 3, France.
Pain. 2007 Mar;128(1-2):52-8. doi: 10.1016/j.pain.2006.08.029. Epub 2006 Oct 5.
No pain scale is available for stroke patients due to the presence of language or cognitive disorders. However, the Faces Pain Scale (FPS), which was initially developed for children, has been used with success in adults with cognitive impairments. The aim of this study is to test whether the FPS could be used in left or right hemispheric stroke patients (LHSP, RHSP). One hundred twenty-seven stoke patients and 21 controls were recruited in 2 rehabilitation units. Construct validity of FPS was assessed by rating and ranking facial expressions. FPS was correlated to a Visual Analog Scale (VAS) and to a Verbal Rating Scale (VRS) for the assessment of shoulder pain. Reliability was determined by test-retest procedures. Performances of RHSP in the ranking and rating procedures were very poor compared to LHSP and to controls. However, in the assessment of patients' shoulder pain, FPS scores were highly correlated with VAS and VRS in both stroke groups (r=0.65-0.82, p<10(-3)). FPS was more reliable in LHSP than in RHSP. It was preferred to VAS and VRS in LHSP, while in RHSP VAS was the preferred scale. The present study provides preliminary support for the validity and the reliability of FPS in LHSP. However, we do not recommend its sole use in stroke patients. Further studies are needed to determine whether FPS can be used in stroke patients for assessing changes in severity of pain over time.
由于存在语言或认知障碍，目前尚无适用于中风患者的疼痛量表。然而，最初为儿童开发的面部疼痛量表（FPS）已成功应用于有认知障碍的成年人。本研究的目的是测试FPS是否可用于左半球或右半球中风患者（LHSP，RHSP）。在2个康复单元招募了127名中风患者和21名对照。通过对面部表情进行评分和排序来评估FPS的结构效度。将FPS与视觉模拟量表（VAS）和用于评估肩部疼痛的语言评定量表（VRS）进行相关性分析。通过重测程序确定可靠性。与LHSP和对照组相比，RHSP在排序和评分程序中的表现非常差。然而，在评估患者的肩部疼痛时，两个中风组的FPS评分与VAS和VRS均高度相关（r = 0.65 - 0.82，p < 10（-3））。FPS在LHSP中比在RHSP中更可靠。在LHSP中，它比VAS和VRS更受青睐，而在RHSP中，VAS是首选量表。本研究为FPS在LHSP中的有效性和可靠性提供了初步支持。然而，我们不建议在中风患者中单独使用它。需要进一步研究以确定FPS是否可用于中风患者评估疼痛严重程度随时间的变化。
