The development of a battery of measures for assessing physical functioning of chronic pain patients.
The physical performance of chronic pain patients is of major concern both for their assessment and for treatment evaluation. However, there are few widely used physical tests, a shortage of reliability and validity data on published tests, and an over-reliance on self-report or on clinical measures of dubious generalisability. A set of tests was designed to cover speed and endurance in walking, stair climbing, standing up from a chair, sit-ups, arm endurance, grip strength, and peak flow. Standard instructions and testing conditions were used by a trained tester on a population of chronic pain patients before and after a cognitive-behavioural chronic pain management programme. Reliability, validity, and acceptability of each test was examined, and recommendations made for their relative utility.
INPUT Pain Management Unit, St. Thomas' Hospital, Lambeth Palace Road, London SE1 7EH UK UMDS Division of Psychiatry, St. Thomas' Hospital, Lambeth Palace Road, London SE1 7EH UK.
Vicki R
VR
Harding
Amanda C
AC
de C Williams
Phil H
PH
Richardson
Michael K
MK
Nicholas
Jo L
JL
Jackson
Irène H
IH
Richardson
Charles E
CE
Pither
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease; D005260:Female; D018737:Hand Strength / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D015588:Observer Variation; D010146:Pain / Q000503:physiopathology*; D010147:Pain Measurement; D010807:Physical Endurance / Q000502:physiology; D005082:Physical Exertion / Q000502:physiology*; D004856:Postural Balance / Q000502:physiology; D011187:Posture; D016138:Walking