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September 4, 2020Pain Research and ManagementOpen Access

Physiological Measures of Acute and Chronic Pain within Different Subject Groups: A Systematic Review

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Key result

Heart rate variability and electroencephalogram showed clear and consistent results for acute pain assessment, while magnetic resonance imaging was capable of measuring chronic pain.

Why the study?

Pain is most frequently assessed via self-reports and observation, but physiological methods could improve accuracy and reliability for individuals with communicative difficulties.

Do physiological methods accurately and reliably assess acute and chronic pain in humans?

Population

Humans with acute or chronic pain across different subject groups

Comparison

Physiological methods for assessing pain ranked by invasiveness, vulnerability, and technological maturity

Design

Systematic review of review papers

Authors

HKHelen KorvingLeiden UniversityPSP.S. SterkenburgBartiméusEBEmilia BarakovaEindhoven University of Technology

Discussion

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Implication

Supports objective pain assessment in clinical practice; confirms physiological methods' reliability while extending validation beyond self-report.

Study Design

Type

Systematic Review

Structured PICO

Do physiological methods accurately and reliably assess acute and chronic pain in humans?

P
Population
Humans with acute or chronic pain
E
Exposure
Physiological methods for assessing pain (e.g., heart rate variability, electroencephalogram, magnetic resonance imaging, skin conductance, automatic facial recognition)
O
Outcome
Accuracy, reliability, invasiveness, vulnerability, and technological maturity of physiological pain assessment methodssurrogate

Heart rate variability and EEG are consistent physiological measures for acute pain, and MRI for chronic pain, but their use in vulnerable populations remains uncommon.

Cite This Study

Korving et al. (2020) conducted a systematic review in Acute or chronic pain. Physiological methods for assessing pain was evaluated on Technological maturity, invasiveness, and vulnerability per subject group for physiological pain assessment methods. Heart rate variability and electroencephalogram showed clear and consistent results for acute pain assessment, while magnetic resonance imaging was capable of measuring chronic pain.

synapsesocial.com/papers/6a61dc5df5a6cede3a89ae9chttps://doi.org/10.1155/2020/9249465
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Autonomic Arousal And Experimentally Induced Pain: A Critical Review of the Literature2014 · 152 citations
  2. 2Can Biomarkers Differentiate Pain and No Pain Subgroups of Nonverbal Children with Cerebral Palsy? A Preliminary Investigation Based on Noninvasive Saliva Sampling2014 · 25 citations
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  4. 4Brain activity modifications following spinal cord stimulation for chronic neuropathic pain: A systematic review2015 · 77 citations
  5. 5Assessment of paediatric pain: a critical review2016 · 37 citations