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. 1990 Mar-Jun;37(2-3):88–92.

Measuring Pain in the Clinic

Richard H Gracely
PMCID: PMC2190317  PMID: 2085204

Abstract

This review identifies common methods used to assess subjective reports of chronic orofacial pain in adults. Several issues in pain assessment are identified which highlight the complexity of the apparently simple task of asking subjects how much they hurt. Recent applications of psychophysical methods to chronic orofacial pain assessment are emphasized since they provide interesting new methods which can be used for analysis of pain and analgesic processes and which can improve the reliability and validity of clinical pain reports.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Dubner R., Sharav Y., Gracely R. H., Price D. D. Idiopathic trigeminal neuralgia: sensory features and pain mechanisms. Pain. 1987 Oct;31(1):23–33. doi: 10.1016/0304-3959(87)90003-0. [DOI] [PubMed] [Google Scholar]
  2. Eich E., Reeves J. L., Jaeger B., Graff-Radford S. B. Memory for pain: relation between past and present pain intensity. Pain. 1985 Dec;23(4):375–380. doi: 10.1016/0304-3959(85)90007-7. [DOI] [PubMed] [Google Scholar]
  3. Fischer A. A. Pressure algometry over normal muscles. Standard values, validity and reproducibility of pressure threshold. Pain. 1987 Jul;30(1):115–126. doi: 10.1016/0304-3959(87)90089-3. [DOI] [PubMed] [Google Scholar]
  4. Gracely R. H., Dubner R., McGrath P. A. Narcotic analgesia: fentanyl reduces the intensity but not the unpleasantness of painful tooth pulp sensations. Science. 1979 Mar 23;203(4386):1261–1263. doi: 10.1126/science.424753. [DOI] [PubMed] [Google Scholar]
  5. Gracely R. H., Kwilosz D. M. The Descriptor Differential Scale: applying psychophysical principles to clinical pain assessment. Pain. 1988 Dec;35(3):279–288. doi: 10.1016/0304-3959(88)90138-8. [DOI] [PubMed] [Google Scholar]
  6. Gracely R. H., McGrath F., Dubner R. Ratio scales of sensory and affective verbal pain descriptors. Pain. 1978 Jun;5(1):5–18. doi: 10.1016/0304-3959(78)90020-9. [DOI] [PubMed] [Google Scholar]
  7. Grushka M., Sessle B. J. Applicability of the McGill Pain Questionnaire to the differentiation of 'toothache' pain. Pain. 1984 May;19(1):49–57. doi: 10.1016/0304-3959(84)90064-2. [DOI] [PubMed] [Google Scholar]
  8. Grushka M., Sessle B. J., Howley T. P. Psychophysical assessment of tactile, pain and thermal sensory functions in burning mouth syndrome. Pain. 1987 Feb;28(2):169–184. doi: 10.1016/0304-3959(87)90114-X. [DOI] [PubMed] [Google Scholar]
  9. Grushka M., Sessle B. J., Miller R. Pain and personality profiles in burning mouth syndrome. Pain. 1987 Feb;28(2):155–167. doi: 10.1016/0304-3959(87)90113-8. [DOI] [PubMed] [Google Scholar]
  10. Hargreaves K. M., Dionne R. A., Mueller G. P., Goldstein D. S., Dubner R. Naloxone, fentanyl, and diazepam modify plasma beta-endorphin levels during surgery. Clin Pharmacol Ther. 1986 Aug;40(2):165–171. doi: 10.1038/clpt.1986.159. [DOI] [PubMed] [Google Scholar]
  11. Harkins S. W., Price D. D., Braith J. Effects of extraversion and neuroticism on experimental pain, clinical pain, and illness behavior. Pain. 1989 Feb;36(2):209–218. doi: 10.1016/0304-3959(89)90025-0. [DOI] [PubMed] [Google Scholar]
  12. Harms-Ringdahl K., Carlsson A. M., Ekholm J., Raustorp A., Svensson T., Toresson H. G. Pain assessment with different intensity scales in response to loading of joint structures. Pain. 1986 Dec;27(3):401–411. doi: 10.1016/0304-3959(86)90163-6. [DOI] [PubMed] [Google Scholar]
  13. Heft M. W., Gracely R. H., Dubner R., McGrath P. A. A validation model for verbal description scaling of human clinical pain. Pain. 1980 Dec;9(3):363–373. doi: 10.1016/0304-3959(80)90050-0. [DOI] [PubMed] [Google Scholar]
  14. Hunter M. The Headache Scale: a new approach to the assessment of headache pain based on pain descriptions. Pain. 1983 Aug;16(4):361–373. doi: 10.1016/0304-3959(83)90150-1. [DOI] [PubMed] [Google Scholar]
  15. Jaeger B., Reeves J. L. Quantification of changes in myofascial trigger point sensitivity with the pressure algometer following passive stretch. Pain. 1986 Nov;27(2):203–210. doi: 10.1016/0304-3959(86)90211-3. [DOI] [PubMed] [Google Scholar]
  16. Jensen K., Andersen H. O., Olesen J., Lindblom U. Pressure-pain threshold in human temporal region. Evaluation of a new pressure algometer. Pain. 1986 Jun;25(3):313–323. doi: 10.1016/0304-3959(86)90235-6. [DOI] [PubMed] [Google Scholar]
  17. Jensen K., Tuxen C., Olesen J. Pericranial muscle tenderness and pressure-pain threshold in the temporal region during common migraine. Pain. 1988 Oct;35(1):65–70. doi: 10.1016/0304-3959(88)90277-1. [DOI] [PubMed] [Google Scholar]
  18. Jensen M. P., Karoly P., Braver S. The measurement of clinical pain intensity: a comparison of six methods. Pain. 1986 Oct;27(1):117–126. doi: 10.1016/0304-3959(86)90228-9. [DOI] [PubMed] [Google Scholar]
  19. Jerome A., Holroyd K. A., Theofanous A. G., Pingel J. D., Lake A. E., Saper J. R. Cluster headache pain vs. other vascular headache pain: differences revealed with two approaches to the McGill Pain Questionnaire. Pain. 1988 Jul;34(1):35–42. doi: 10.1016/0304-3959(88)90179-0. [DOI] [PubMed] [Google Scholar]
  20. Joyce C. R., Zutshi D. W., Hrubes V., Mason R. M. Comparison of fixed interval and visual analogue scales for rating chronic pain. Eur J Clin Pharmacol. 1975 Aug 14;8(6):415–420. doi: 10.1007/BF00562315. [DOI] [PubMed] [Google Scholar]
  21. LeResche L., Dworkin S. F. Facial expressions of pain and emotions in chronic TMD patients. Pain. 1988 Oct;35(1):71–78. doi: 10.1016/0304-3959(88)90278-3. [DOI] [PubMed] [Google Scholar]
  22. Lindström P., Lindblom U. The analgesic effect of tocainide in trigeminal neuralgia. Pain. 1987 Jan;28(1):45–50. doi: 10.1016/0304-3959(87)91058-X. [DOI] [PubMed] [Google Scholar]
  23. Malow F. M., Olson R. E. Changes in pain perception after treatment for chronic pain. Pain. 1981 Aug;11(1):65–72. doi: 10.1016/0304-3959(81)90139-1. [DOI] [PubMed] [Google Scholar]
  24. Max M. B., Schafer S. C., Culnane M., Smoller B., Dubner R., Gracely R. H. Amitriptyline, but not lorazepam, relieves postherpetic neuralgia. Neurology. 1988 Sep;38(9):1427–1432. doi: 10.1212/wnl.38.9.1427. [DOI] [PubMed] [Google Scholar]
  25. Melzack R., Terrence C., Fromm G., Amsel R. Trigeminal neuralgia and atypical facial pain: use of the McGill Pain Questionnaire for discrimination and diagnosis. Pain. 1986 Dec;27(3):297–302. doi: 10.1016/0304-3959(86)90157-0. [DOI] [PubMed] [Google Scholar]
  26. Melzack R. The McGill Pain Questionnaire: major properties and scoring methods. Pain. 1975 Sep;1(3):277–299. doi: 10.1016/0304-3959(75)90044-5. [DOI] [PubMed] [Google Scholar]
  27. Ohnhaus E. E., Adler R. Methodological problems in the measurement of pain: a comparison between the verbal rating scale and the visual analogue scale. Pain. 1975 Dec;1(4):379–384. doi: 10.1016/0304-3959(75)90075-5. [DOI] [PubMed] [Google Scholar]
  28. Philips H. C., Jahanshahi M. The effects of persistent pain: the chronic headache sufferer. Pain. 1985 Feb;21(2):163–176. doi: 10.1016/0304-3959(85)90286-6. [DOI] [PubMed] [Google Scholar]
  29. Price D. D., Harkins S. W., Baker C. Sensory-affective relationships among different types of clinical and experimental pain. Pain. 1987 Mar;28(3):297–307. doi: 10.1016/0304-3959(87)90065-0. [DOI] [PubMed] [Google Scholar]
  30. Reeves J. L., Jaeger B., Graff-Radford S. B. Reliability of the pressure algometer as a measure of myofascial trigger point sensitivity. Pain. 1986 Mar;24(3):313–321. doi: 10.1016/0304-3959(86)90117-X. [DOI] [PubMed] [Google Scholar]
  31. Scott J., Huskisson E. C. Graphic representation of pain. Pain. 1976 Jun;2(2):175–184. [PubMed] [Google Scholar]
  32. Seymour R. A., Simpson J. M., Charlton J. E., Phillips M. E. An evaluation of length and end-phrase of visual analogue scales in dental pain. Pain. 1985 Feb;21(2):177–185. doi: 10.1016/0304-3959(85)90287-8. [DOI] [PubMed] [Google Scholar]
  33. Sharav Y., Singer E., Schmidt E., Dionne R. A., Dubner R. The analgesic effect of amitriptyline on chronic facial pain. Pain. 1987 Nov;31(2):199–209. doi: 10.1016/0304-3959(87)90036-4. [DOI] [PubMed] [Google Scholar]
  34. Woodforde J. M., Merskey H. Some relationships between subjective measures of pain. J Psychosom Res. 1972 Jun;16(3):173–178. doi: 10.1016/0022-3999(72)90041-4. [DOI] [PubMed] [Google Scholar]

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