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Rehabilitation Practice and Science

Translated Title

肩痛患者疼痛之臨床評估

Abstract

The conscious perception of pain that is evoked by a noxious stimulus is a multidimensional process that involves both a subjective evaluation of the sensory aspects of the stimulus (intensity, duration, location) as well as an affective or emotional response to that stimulus.The purpose of this invesigation was to develop a simple, reproducible, systemic measurement to realize the relationship between subjective and objective evaluation. The protocal evaluation includes the following measurement of pain: (1) visual analogue pain scale (2) heat stimulation (3) TENS (4) pressure pain. Twenty-three subjects with shoulder pain due to rotator cuff tendonitis, rotator cuff partial tear or complete tear after operation were evaluated. Each patient received 3 times of treatment per week, and was followed up for at least 2 months. We investigated their sensitivity, pain threshold, and pain tolerance of sound sides and lesion sides before and after treatment at each time. The data revealed that pain threshold and pain tolerance were significantly higher on the sound side than on the lesion side. The pain tolerance of TENS and heat stimulation increased as patients felt much better after one month's treatment. There was no difference in sensitivity of therapeutic trial. The pressure pain was not predictive of change in objective pain score or subjective pain measurement in our study.

Language

Traditional Chinese

First Page

163

Last Page

167

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