Yalinay Dikmen Pınar, Ilgaz Aydinlar Elif, Karlikaya Geysu
Acıbadem University School of Medicine, Department of Neurology, Istanbul, Turkey.
Noro Psikiyatr Ars. 2013 Dec;50(4):364-367. doi: 10.4274/npa.y6699. Epub 2013 Dec 1.
The aim of the present study was to assess pain using a visual analogue scale (VAS) in patients awaiting an EMG procedure (i.e., expected VAS) and after an EMG procedure (i.e., experienced VAS).
Expected and experienced pain in response to nerve conduction studies (NCS) and needle EMG were assessed in 108 patients (61 females, 47 males; mean age 43.2±11.6) using a VAS.
No significant correlations were noted between the expected or the experienced VAS in response to EMG and demographic features of the patients. The expected VAS was significantly higher than the experienced VAS in response to needle EMG (p=0.005). The highest VAS level was noted in the expected VAS in response to needle EMG (4.7±2.2). The lowest VAS level was noted in the experienced VAS in response to NCS (3.6±2.5).
The present study demonstrated that neither the expected nor the experienced pain associated with EMG exceeded a moderate level. Interestingly, we found that expected pain levels in response to needle EMG were significantly higher than experienced pain levels. Therefore, it may be possible to increase compliance if patients are provided with this information before undergoing electrophysiological procedures.
本研究的目的是使用视觉模拟评分法(VAS)评估肌电图检查前患者的疼痛(即预期VAS)以及肌电图检查后的疼痛(即实际体验的VAS)。
采用VAS对108例患者(61例女性,47例男性;平均年龄43.2±11.6岁)进行神经传导研究(NCS)和针极肌电图检查时的预期疼痛和实际体验的疼痛进行评估。
肌电图检查的预期或实际体验的VAS与患者的人口统计学特征之间未发现显著相关性。针极肌电图检查时的预期VAS显著高于实际体验的VAS(p=0.005)。针极肌电图检查的预期VAS中VAS水平最高(4.7±2.2)。神经传导研究的实际体验的VAS中VAS水平最低(3.6±2.5)。
本研究表明,与肌电图检查相关的预期疼痛和实际体验的疼痛均未超过中度水平。有趣的是,我们发现针极肌电图检查的预期疼痛水平显著高于实际体验的疼痛水平。因此,如果在患者进行电生理检查前向其提供此信息,可能会提高其依从性。