Dogan Sebnem Koldas, Ay Saime, Oztuna Derya, Aytur Yesim Kurtais, Evcik Deniz
Department of Physical Medicine and Rehabilitation, Ufuk University, School of Medicine, Ankara, Turkey.
Int J Rehabil Res. 2010 Dec;33(4):363-7. doi: 10.1097/MRR.0b013e32833cdef3.
This study was planned to investigate the utility of the vertical Faces Pain Scale (FPS) in the assessment of pain in stroke patients using the shoulder pain model and to assess its utility in the Turkish patient population. The secondary aim was to analyze the association of FPS with the quality of life and depression in the study population.Thirty stroke patients (group I) and 30 controls (group II),all suffering from shoulder pain were included in the study.The patients with subacute shoulder pain and with no other known diseases and impairments were recruited as a control group. Shoulder pain was evaluated by the commonly used pain scales including the Visual Analogue Scale, Likert Pain Scale and 0–10 Numerical Rating Scale besides FPS. Depression was screened using Beck Depression Inventory (BDI) and quality of life was evaluated using Short Form-36 (SF-36). FPS showed good correlations with the other pain scales in both the groups(r= 0.950–0.972 and 0.674–0.926, respectively). In group I,there were significant correlations between FPS and physical functioning, pain and emotional role subscales of SF-36 (r= – 0.432, 0.707 and – 0.461, respectively).Although there was a low correlation between the FPS and BDI scores, it was not statistically significant. In group II,FPS showed significant correlations with the BDI scores and all subscales of SF-36 except social functioning and vitality (r= – 0.679 to 0.848). FPS had a high degree of convergent validity and can be used in the assessment of shoulder pain in stroke patients. It may be a good alternative for pain assessment especially in patients with speech disorders and illiterate patients.
本研究旨在通过肩部疼痛模型探讨垂直面部疼痛量表（FPS）在评估中风患者疼痛方面的效用，并评估其在土耳其患者群体中的效用。次要目的是分析研究人群中FPS与生活质量和抑郁之间的关联。本研究纳入了30例中风患者（第一组）和30例对照组（第二组），所有患者均患有肩部疼痛。招募患有亚急性肩部疼痛且无其他已知疾病和损伤的患者作为对照组。除FPS外，还使用包括视觉模拟量表、李克特疼痛量表和0-10数字评定量表等常用疼痛量表评估肩部疼痛。使用贝克抑郁量表（BDI）筛查抑郁情况，并使用简短健康调查问卷（SF-36）评估生活质量。两组中FPS与其他疼痛量表均显示出良好的相关性（分别为r = 0.950-0.972和0.674-0.926）。在第一组中，FPS与SF-36的身体功能、疼痛和情感角色子量表之间存在显著相关性（分别为r = -0.432、0.707和-0.461）。虽然FPS与BDI评分之间的相关性较低，但无统计学意义。在第二组中，FPS与BDI评分以及SF-36除社会功能和活力外的所有子量表均显示出显著相关性（r = -0.679至0.848）。FPS具有高度的收敛效度，可用于评估中风患者的肩部疼痛。对于疼痛评估，尤其是言语障碍患者和文盲患者，它可能是一个很好的选择。
