Hi Paul
Fascinating data you have collected. I agree that using linear pain scales are open to interpretation and misuse. Discussion with other colleagues the use pain descriptors rather than linear pain scales maybe an alternative approach. The use of the McGill pain scale has been around for the last 30 years has been used in many clinical trials.
Keith Rome
Reader Musculoskeletal Rehabilitation
Teesside Centre for Rehabilitation Sciences
University of Teesside
The James Cook University Hospital
This e-mail (and any attachment) is intended for the above named only and may contain private and confidential information. If this has come to you in error you must take no action based on it, nor must you copy or show it to anyone. Please notify the originator immediately.
-----Original Message-----
From: A group for the academic discussion of current issues in podiatry
[mailto:[log in to unmask]]On Behalf Of Paul Conneely
Sent: Tuesday, September 07, 2004 12:37 PM
To: [log in to unmask]
Subject: Re: BJP Paper and Orthotic Evaluation
Dear Joel
I tend to agree with the basics. I do not look at any published data that
is over 7 years old without suspicion. The chances that the 'police were
investigating the police' are far too strong, and thus the known outcome.
I will get back to you as far as data soon. ( I may be not able to publish
for awhile)
I have been collecting data using the AQOL and VAS scales using athletes
(across all values and both sexes)and between several different races with
and without workers' compensation and motor vehicle accident claims.
The variation between the groups is quite remarkable.
Some never have a 10 out of 10 pain while other always have a 10 out of
ten every time one is asked.
Only today I had a patient tell me that their pain was more than 10/10 for
trapezial pain. This is not uncommon.
When one looks at the published data available, the patients/clients tend
to have have a homogenous grouping or there is a captive audience such as
pre and post hospital pain. In one study there is a marked difference
between the pre and post treatment pain scores.
The other studies only quote the simple data ( suceesful outcomes etc.),
not drop outs, why they dropped out, no pre study allocation etc.,
averaging versus median, chi squared variable, power, etc.
I do not have much faith when a patient tells you and indicates that they
have a 10/10 pain and 15 minutes later you see them walking down the
street without their walking stick etc.
There is a significant difference between fact and reality!
Regards,
Paul Conneely.
-----------------------------------------------------------------
This message was distributed by the Podiatry JISCmail list server
All opinions and assertions contained in this message are those of
the original author. The listowner(s) and the JISCmail service take
no responsibility for the content.
to leave the Podiatry email list send a message containing the text
leave podiatry
to [log in to unmask]
Please visit http://www.jiscmail.ac.uk for any further information
-----------------------------------------------------------------
-----------------------------------------------------------------
This message was distributed by the Podiatry JISCmail list server
All opinions and assertions contained in this message are those of
the original author. The listowner(s) and the JISCmail service take
no responsibility for the content.
to leave the Podiatry email list send a message containing the text
leave podiatry
to [log in to unmask]
Please visit http://www.jiscmail.ac.uk for any further information
-----------------------------------------------------------------
|