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Patient perception of pain versus observed pain behavior during a standardized electrodiagnostic test
dc.contributor.authorVerson, Joshen_US
dc.contributor.authorHaig, Andrew J.en_US
dc.contributor.authorSandella, Danielleen_US
dc.contributor.authorYamakawa, Karen S.J.en_US
dc.contributor.authorLondon, Zacharyen_US
dc.contributor.authorTomkins‐lane, Christyen_US
dc.date.accessioned2015-02-19T15:40:15Z
dc.date.available2016-04-01T15:21:07Zen
dc.date.issued2015-02en_US
dc.identifier.citationVerson, Josh; Haig, Andrew J.; Sandella, Danielle; Yamakawa, Karen S.J.; London, Zachary; Tomkins‐lane, Christy (2015). "Patient perception of pain versus observed pain behavior during a standardized electrodiagnostic test." Muscle & Nerve 51(2): 185-191.en_US
dc.identifier.issn0148-639Xen_US
dc.identifier.issn1097-4598en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/110539
dc.description.abstractIntroduction: Clinicians often assume that observations of pain behavior are adequate for assessment of patient pain perception during procedures. This has not been tested during a standardized electrodiagnostic experience. Methods: During a prospective trial including extensive, standardized electrodiagnostic testing on persons with lumbar stenosis, vascular claudication, and asymptomatic volunteers, the subjects and an observer rated levels of pain. Results: In 60 subjects, observers significantly under‐rated pain (Visual Analog Scale 3.17 ± 2.23 vs. 4.38 ± 2.01, t = −4.577, df = 59, P < 0.001). Perceived pain during testing related to bodily pain as measured by the visual analog, McGill, Pain Disability, and Quebec scales, but not age, duration of symptoms, Tampa kinesiphobia, Center for Epidemiological Studies Depression scale, or SF‐36 health quality of life. Conclusions: Persons with worse pain syndromes may perceive more pain during testing than others. Clinicians and researchers should understand that patients may have more pain than they recognize. Muscle Nerve 51: 185–191, 2015en_US
dc.publisherAAEMen_US
dc.publisherWiley Periodicals, Inc.en_US
dc.subject.otherelectromyographyen_US
dc.subject.otherexperimental painen_US
dc.subject.otherpainen_US
dc.subject.otherelectrodiagnosisen_US
dc.subject.otherback painen_US
dc.titlePatient perception of pain versus observed pain behavior during a standardized electrodiagnostic testen_US
dc.typeArticleen_US
dc.rights.robotsIndexNoFollowen_US
dc.subject.hlbsecondlevelNeurosciencesen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/110539/1/mus24308.pdf
dc.identifier.doi10.1002/mus.24308en_US
dc.identifier.sourceMuscle & Nerveen_US
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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