Article (Scientific journals)
Assessment of nociception and pain in participants with unresponsive or minimally conscious state after acquired brain injury: the relationship between the Coma Recovery Scale-Revised and the Nociception Coma Scale-Revised
Chatelle, Camille; Hauger, Solveig Lægreid; Martial, Charlotte et al.
2018In Archives of Physical Medicine and Rehabilitation
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Keywords :
Consciousness disorders; Rehabilitation; Outcome assessment; Pain; Nociception; Brain injuries
Abstract :
[en] Objectives: To investigate the relation between consciousness and nociceptive responsiveness (ie, Nociception Coma Scale–Revised [NCS-R]), to examine the suitability of the NCS-R for assessing nociception in participants with disorders of consciousness (DOC), and to replicate previous findings on psychometric properties of the scale. Design: Specialized DOC program. Setting: Specialized DOC program and university hospitals. Participants: Participants (N=85) diagnosed with DOC. Interventions: Not applicable. Main Outcome Measures: We prospectively assessed consciousness with the Coma Recovery Scale–Revised (CRS-R). Responses during baseline, non-noxious, and noxious stimulations were scored with the NCS-R and CRS-R oromotor and motor subscales. Results: CRS-R total scores correlated with NCS-R total scores and subscores. CRS-R motor subscores correlated with NCS-R total scores and motor subscores, and CRS-R oromotor subscores correlated with NCS-R total scores as well as verbal and facial expression subscores. There was a difference between unresponsive wakefulness syndrome and minimally conscious state in the proportion of grimacing and/or crying participants during noxious conditions. We replicated previous findings on psychometric properties of the scale but found a different score as the best threshold for nociception. Conclusions: We report a strong relation between the responsiveness to nociception and the level of consciousness. The NCS-R seems to be a valuable tool for assessing nociception in an efficient manner, but additional studies are needed to allow recommendations for clinical assessment of subjective pain experience. © 2018 American Congress of Rehabilitation Medicine
Disciplines :
Neurosciences & behavior
Neurology
Author, co-author :
Chatelle, Camille ;  Université de Liège - ULiège > GIGA : Coma Group
Hauger, Solveig Lægreid;  Department of Research, Sunnaas Rehabilitation Hospital, Nesoddtangen, Norway
Martial, Charlotte  ;  Université de Liège - ULiège > GIGA : Coma Group
Becker, Frank;  Department of Research, Sunnaas Rehabilitation Hospital, Nesoddtangen, Norway, Institute of Clinical Medicine, University of Oslo, Oslo, Norway
Eifert, Bernd;  SRH Fachkrankenhaus Neresheim, Neresheim, Germany
Boering, Dana;  Sint Mauritius Therapy clinic, Meerbusch, Germany
Giacino, Joseph;  Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Charlestown, MA, United States
LAUREYS, Steven  ;  Centre Hospitalier Universitaire de Liège - CHU > Service de neurologie
Løvstad, Marianne;  Department of Research, Sunnaas Rehabilitation Hospital, Nesoddtangen, Norway, Department of Psychology, University of Oslo, Oslo, Norway
Maurer-Karattup, Petra;  SRH Fachkrankenhaus Neresheim, Neresheim, Germany
Language :
English
Title :
Assessment of nociception and pain in participants with unresponsive or minimally conscious state after acquired brain injury: the relationship between the Coma Recovery Scale-Revised and the Nociception Coma Scale-Revised
Publication date :
2018
Journal title :
Archives of Physical Medicine and Rehabilitation
ISSN :
0003-9993
eISSN :
1532-821X
Publisher :
W.B. Saunders
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 18 March 2018

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