Department of Rehabilitation Medicine, Mount Sinai School of Medicine, New York, NY 10029, USA.
Spinal Cord. 2012 Jun;50(6):413-7. doi: 10.1038/sc.2011.156. Epub 2011 Dec 20.
Discussion of issues and development of consensus.
Present the background, purpose, development process, format and definitions of the International Spinal Cord Injury Pain (ISCIP) Classification.
An international group of spinal cord injury (SCI) and pain experts deliberated over 2 days, and then via e-mail communication developed a consensus classification of pain after SCI. The classification was reviewed by members of several professional organizations and their feedback was incorporated. The classification then underwent validation by an international group of clinicians with minimal exposure to the classification, using case study vignettes. Based upon the results of this study, further revisions were made to the ISCIP Classification.
An overall structure and terminology has been developed and partially validated as a merger of and improvement on previously published SCI pain classifications, combined with basic definitions proposed by the International Association for the Study of Pain and pain characteristics described in published empiric studies of pain. The classification is designed to be comprehensive and to include pains that are directly related to the SCI pathology as well as pains that are common after SCI but are not necessarily mechanistically related to the SCI itself.
The format and definitions presented should help experienced and non-experienced clinicians as well as clinical researchers classify pain after SCI.
问题讨论与共识发展。
介绍国际脊髓损伤疼痛（ISCIP）分类的背景、目的、制定过程、格式和定义。
一个由脊髓损伤（SCI）和疼痛专家组成的国际小组进行了为期两天的讨论，然后通过电子邮件交流制定了 SCI 后疼痛的共识分类。该分类由多个专业组织的成员进行了审查，并纳入了他们的反馈意见。然后，该分类由一组对分类知之甚少的国际临床医生进行了验证，使用案例研究示例。基于这项研究的结果，对 ISCIP 分类进行了进一步修订。
制定了一个总体结构和术语，并已部分验证，它是先前发表的 SCI 疼痛分类的合并和改进，结合了国际疼痛研究协会提出的基本定义以及发表的疼痛经验研究中描述的疼痛特征。该分类旨在全面，包括与 SCI 病理直接相关的疼痛以及 SCI 后常见但不一定与 SCI 本身有机制联系的疼痛。
提出的格式和定义应该有助于有经验和无经验的临床医生以及临床研究人员对 SCI 后的疼痛进行分类。
