Measuring musculoskeletal pain in infants, children, and adolescents

Zoe A. Michaleff*, Steven J. Kamper, Jennifer N. Stinson, Lise Hestbaek, Christopher M. Williams, Paul Campbell, Kate M. Dunn

*Corresponding author for this work

Research output: Contribution to journalArticleResearchpeer-review

4 Citations (Scopus)
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Abstract

SYNOPSIS: Accurate, reliable, and timely assessment of pain is critical for effective management of musculoskeletal pain conditions. The assessment of pain in infants, children, and adolescents with and without cognitive impairment can be particularly challenging to clinicians for a number of reasons, including factors related to the consultation (eg, heterogeneous patient population, time constraints), the clinician (eg, awareness/knowledge of available pain scales), standardized assessment scales (eg, availability, psychometric properties, and application of each scale), the patient (eg, developmental stage, ability to communicate), and the context in which the interaction took place (eg, familiarity with the setting and physiological and psychological state). As a result, pain is frequently not assessed or measured during the consultation and, in many instances, underestimated and undertreated in this population. The purpose of this article is to provide clinicians with an overview of scales that may be used to measure pain in infants, children, and adolescents. Specifically, the paper reviews the various approaches to measure pain intensity; identifies factors that can influence the pain experience, expression, and assessment in infants, children, and adolescents; provides age-appropriate suggestions for measuring pain intensity in patients with and without cognitive impairment; and identifies ways to assess the impact of pain using multidimensional pain scales.

Original languageEnglish
Pages (from-to)712-730
Number of pages19
JournalJournal of Orthopaedic and Sports Physical Therapy
Volume47
Issue number10
DOIs
Publication statusPublished - 1 Oct 2017
Externally publishedYes

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Michaleff, Z. A., Kamper, S. J., Stinson, J. N., Hestbaek, L., Williams, C. M., Campbell, P., & Dunn, K. M. (2017). Measuring musculoskeletal pain in infants, children, and adolescents. Journal of Orthopaedic and Sports Physical Therapy, 47(10), 712-730. https://doi.org/10.2519/jospt.2017.7469