En Pointe: Dancers Report Their Pain Less Variably Than Do Controls

JOURNAL OF PAIN

卷:22

Article

Canaipa, Rita¹  Mendonca, Diogo²  Agostinho, Mariana²  Nascimento, Vanda³  Honigman, Liat⁴  Treister, Roi⁴ 

[1] Univ Catolica Portuguesa, Ctr Interdisciplinary Res Hlth, Inst Hlth Sci, CIIS, Lisbon, Portugal

[2] Univ Catolica Portuguesa, Inst Hlth Sci, Lisbon, Portugal

[3] Lisbon Polytech, Higher Sch Dance, Campus ISEL, Lisbon, Portugal

[4] Univ Haifa, Fac Social Welf & Hlth Sci, Cheryl Spencer Dept Nursing, Clin Pain Innovat Lab, 199 Aba Khoushy Ave, Haifa, Israel

关键词: Pain intensity;    pain assessment;    pain variability;    interoception;    athletes;   

DOI  :  10.1016/j.jpain.2020.06.005

来源: Elsevier

【 摘 要 】

The subjective nature of pain and the lack of a gold standard for objective measurement hinders effective assessment, diagnosis, and treatment. Some individuals, such as professional dancers, are better in assessing and reporting bodily sensations. This observational study aimed to assess whether dancers report their pain less variably, than other people do. After consenting, subjects completed the focused analgesia selection test (FAST), which assesses subjects' variability of pain reports. FAST outcomes, ICC and R-2 reflect the magnitude of variability of pain reports observed. In addition, subjects underwent a taste task, which similarly assesses variability of tastes (salty and sweet) intensity reports and completed the Multidimensional Assessment of Interoceptive Awareness questionnaire. Thirty-three professional dancers and 33 healthy aged-matched controls were recruited. The dancers exhibited less variability of pain reports then controls (P = .013), but not in case of tastes-reports. Years of practice was positively correlated with pain reporting variability (r = .447, P = .009, and r = .380, P = .029; for FAST ICC and R-2, respectively). Multidimensional Assessment of Interoceptive Awareness subscores correlated with pain reporting variability: R-2 and ICC with emotional awareness (r = .260, P = .040, and r = .274, P = .030, respectively), and R-2 with trusting [r = .254, P = .044]). Perspective: The difference between dancers and controls in the magnitude of variability of pain reports is probably due to the dancers' extensive training, which focuses on attention to body signals. Our results suggest that training can improve subjective pain reports, which are essential for quality clinical care. (C) 2020 by United States Association for the Study of Pain, Inc.

【 授权许可】

Free