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Validation of the Japanese version of the Bath CRPS Body Perception Disturbance Scale for CRPS

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Abstract

Purpose

Body perception disturbance is a common symptom and may be one of the key targets of treatment intervention in complex regional pain syndrome (CRPS). As a comprehensive assessment tool of body perception in patients with CRPS, the Bath Body Perception Disturbance Scale (BPDS) was developed, and its adequate reliability and validity have been reported. However, there is no available Japanese version. Therefore, this study aimed to develop a Japanese version of BPDS (BPDS-J) and to investigate the validity of this scale in Japanese patients with CRPS.

Methods

We developed BPDS-J using a forward–backward method. We then assessed 22 patients with CRPS type 1 of the upper limb using BPDS-J, Brief Pain Inventory (BPI), Tampa Scale for Kinesiophobia (TSK), and a two-point discrimination threshold (TPD) on the middle finger. We investigated the internal consistency of BPDS-J and the correlation between BPDS-J and clinical outcomes as a concurrent validity measure.

Results

BPDS-J had good internal consistency (Cronbach’s α = 0.73) and was significantly correlated with the TPD ratio (r = 0.65, adjusted p = 0.01) and TSK (r = 0.51, adjusted p = 0.04).

Conclusions

BPDS-J has good internal consistency and concurrent validity for assessing body perception disturbance in Japanese patients with CRPS. Disturbed body perception may be worth evaluating when managing patients with CRPS using BPDS.

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References

  1. Birklein F, Dimova V. Complex regional pain syndrome-up-to-date. Pain Rep. 2017. https://doi.org/10.1097/PR9.0000000000000624.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Kuttikat A, Noreika V, Shenker N, Chennu S, Bekinschtein T, Brown CA. Neurocognitive and neuroplastic mechanisms of novel clinical signs in CRPS. Front Hum Neurosci. 2016. https://doi.org/10.3389/fnhum.2016.00016.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Lewis JS, Schweinhardt P. Perception of the painful body: the relationship between body perception disturbance, pain, and tactile discrimination in complex regional pain syndrome. Eur J Pain. 2012;16:1320–30.

    Article  CAS  Google Scholar 

  4. Birklein F, Ajit SK, Goebel A, Perez RSGM, Sommer C. Complex regional pain syndrome–phenotypic characteristics and potential biomarkers. Nat Rev Neurol. 2018;14:272–84.

    Article  Google Scholar 

  5. Moseley GL. Distorted body image in complex regional pain syndrome. Neurology. 2005;65:773.

    Article  Google Scholar 

  6. Lewis JS, Kersten P, McCabe CS, McPherson KM, Blake DR. Body perception disturbance: a contribution to pain in complex regional pain syndrome (CRPS). Pain. 2007;133:111–9.

    Article  Google Scholar 

  7. Peltz E, Seifert F, Lanz S, Müller R, Maihöfner C. Impaired hand size estimation in CRPS. J Pain. 2011;12:1095–101.

    Article  Google Scholar 

  8. Lewis JS, McCabe CS. Body perception disturbance (BPD) in CRPS. Pract Pain Manage. 2010;10:60–6.

    Article  Google Scholar 

  9. Lewis JS, Kersten P, McPherson KM, Taylor GJ, Harris N, McCabe CS, Blake DR. Wherever is my arm? Impaired upper limb position accuracy in complex regional pain syndrome. Pain. 2010;149:463–9.

    Article  Google Scholar 

  10. Bank PJ, Peper CL, Marinus J, Beek PJ, van Hilten JJ. Motor dysfunction of complex regional pain syndrome is related to impaired central processing of proprioceptive information. J Pain. 2013;14:1460–74.

    Article  Google Scholar 

  11. Förderreuther S, Sailer U, Straube A. Impaired self-perception of the hand in complex regional pain syndrome (CRPS). Pain. 2004;110:756–61.

    Article  Google Scholar 

  12. Galer BS, Butler S, Jensen MP. Case reports and hypothesis: a neglect-like syndrome may be responsible for the motor disturbance in reflex sympathetic dystrophy (Complex Regional Pain Syndrome-1). J Pain Symptom Manage. 1995;10:385–91.

    Article  CAS  Google Scholar 

  13. Galer BS, Jensen M. Neglect-like symptoms in complex regional pain syndrome: results of a self-administered survey. J Pain Symptom Manage. 1999;18:213–7.

    Article  CAS  Google Scholar 

  14. Maihöfner C, Seifert F, Markovic K. Complex regional pain syndromes: new pathophysiological concepts and therapies. Eur J Neurol. 2010;17:649–60.

    Article  Google Scholar 

  15. Birklein F, Schlereth T. Complex regional pain syndrome-significant progress in understanding. Pain. 2015;156:S94–103.

    Article  Google Scholar 

  16. Kotiuk V, Burianov O, Kostrub O, Khimion L, Zasadnyuk I. The impact of mirror therapy on body schema perception in patients with complex regional pain syndrome after distal radius fractures. Br J Pain. 2019;13:35–42.

    Article  Google Scholar 

  17. Tschopp M, Swanenburg J, Wertli MW, Langenfeld A, McCabe CS, Lewis J, Baertschi E, Brunner F. The German version of the bath body perception disturbance scale (BBPDS-D): translation, cultural adaptation and linguistic validation on patients with complex regional pain syndrome (in German). Schmerz. 2018;32:195–200.

    Article  CAS  Google Scholar 

  18. Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976). 2000;25:3186–91.

    Article  CAS  Google Scholar 

  19. Nishigami T, Mibu A, Tanaka K, Yamashita Y, Shimizu ME, Wand BM, Catley MJ, Stanton TR, Moseley GL. Validation of the Japanese version of the fremantle back awareness questionnaire in patients with low back pain. Pain Pract. 2018;18:170–9.

    Article  Google Scholar 

  20. Harden RN, Bruehl S, Stanton-Hicks M, Wilson PR. Proposed new diagnostic criteria for complex regional pain syndrome. Pain Med. 2007;8:326–31.

    Article  Google Scholar 

  21. Cleeland CS, Ryan KM. Pain assessment: global use of the brief pain inventory. Ann Acad Med Singap. 1994;23:129–38.

    CAS  PubMed  Google Scholar 

  22. Uki J, Mendoza T, Cleeland CS, Nakamura Y, Takeda F. A brief cancer pain assessment tool in Japanese: the utility of the Japanese brief pain inventory—BPI-J. J Pain Symptom Manage. 1998;16:364–73.

    Article  CAS  Google Scholar 

  23. Vlaeyen JW, Kole-Snijders AM, Boeren RG, van Eek H. Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance. Pain. 1995;62:363–72.

    Article  Google Scholar 

  24. Kikuchi N, Matsudaira K, Sawada T, Oka H. Psychometric properties of the Japanese version of the tampa scale for kinesiophobia (TSK-J) in patients with whiplash neck injury pain and/or low back pain. J Orthop Sci. 2015;20:985–92.

    Article  Google Scholar 

  25. Moberg E. Two-point discrimination test. A valuable part of hand surgical rehabilitation, e.g. in tetraplegia. Scand J Rehabil Med. 1990;22:127–34.

    CAS  PubMed  Google Scholar 

  26. Luomajoki H, Moseley GL. Tactile acuity and lumbopelvic motor control in patients with back pain and healthy controls. Br J Sports Med. 2011;45:437–40.

    Article  CAS  Google Scholar 

  27. Glickman ME, Rao SR, Schultz MR. False discovery rate control is a recommended alternative to Bonferroni-type adjustments in health studies. J Clin Epidemiol. 2014;67:850–7.

    Article  Google Scholar 

  28. Pleger B, Ragert P, Schwenkreis P, Förster AF, Wilimzig C, Dinse H, Nicolas V, Maier C, Tegenthoff M. Patterns of cortical reorganization parallel impaired tactile discrimination and pain intensity in complex regional pain syndrome. Neuroimage. 2006;32:503–10.

    Article  Google Scholar 

  29. Moseley GL. I can’t find it! distorted body image and tactile dysfunction in patients with chronic back pain. Pain. 2008;140:239–43.

    Article  Google Scholar 

  30. Nishigami T, Mibu A, Osumi M, Son K, Yamamoto S, Kajiwara S, Tanaka K, Matsuya A, Tanabe A. Are tactile acuity and clinical symptoms related to differences in perceived body image in patients with chronic nonspecific lower back pain? Man Ther. 2015;20:63–7.

    Article  Google Scholar 

  31. Moseley GL, Vlaeyen JWS. Beyond the nociception: the imprecision hypothesis of chronic pain. Pain. 2015;156:35–8.

    Article  Google Scholar 

  32. Wand BM, Catley MJ, Rabey MI, O'Sullivan PB, O'Connell NE, Smith AJ. Disrupted self-perception in people with chronic low back pain. further evaluation of the fremantle back awareness questionnaire. J Pain. 2016;17:1001–122.

    Article  Google Scholar 

  33. Nishigami T, Mibu A, Tanaka K, Yamashita Y, Yamada E, Wand BM, Catley M, Stanton TR, Moseley GL. Development and psychometric properties of knee-specific body-perception questionnaire in people with knee osteoarthritis: the fremantle knee awareness questionnaire. PLoS ONE. 2017. https://doi.org/10.1371/journal.pone.0179225.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Bouhassira D, Attal N, Fermanian J, Alchaar H, Gautron M, Masquelier E, Rostaing S, Lanteri-Minet M, Collin E, Grisart J, Boureau F. Development and validation of the neuropathic pain symptom inventory. Pain. 2004;108:248–57.

    Article  Google Scholar 

  35. Packham T, Holly J. Mechanism-specific rehabilitation management of complex regional pain syndrome: proposed recommendations from evidence synthesis. J Hand Ther. 2018;31:238–49.

    Article  Google Scholar 

  36. Priganc VW, Stralka SW. Graded motor imagery. J Hand Ther. 2011;24:164–8.

    Article  Google Scholar 

  37. Smart KM, Wand BM, O'Connell NE. Physiotherapy for pain and disability in adults with complex regional pain syndrome (CRPS) types I and II. Cochrane Database Syst Rev. 2016. https://doi.org/10.1002/14651858.CD010853.pub2.

    Article  PubMed  Google Scholar 

  38. Méndez-Rebolledo G, Gatica-Rojas V, Torres-Cueco R, Albornoz-Verdugo M, Guzmán-Muñoz E. Update on the effects of graded motor imagery and mirror therapy on complex regional pain syndrome type 1: a systematic review. J Back Musculoskelet Rehabil. 2017;30:441–9.

    Article  Google Scholar 

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Funding

This study was not financially supported.

Author information

Authors and Affiliations

  1. Department of Physical Therapy, Faculty of Nursing and Rehabilitation, Konan Women’s University, 6-2-23, Morikita-Machi, Higashinada-ku, Kobe, Hyogo, Japan

    Akira Mibu

  2. Center for Pain Management, Osaka University Hospital, Suita, Japan

    Akira Mibu, Hironobu Uematsu & Yoichi Matsuda

  3. Department of Physical Therapy, Prefectural University of Hiroshima, Mihara, Japan

    Tomohiko Nishigami

  4. Department of Anesthesiology and Intensive Care, Osaka University Graduate School of Medicine, Suita, Japan

    Hironobu Uematsu, Yoichi Matsuda & Yuji Fujino

  5. Department of Rehabilitation, Tanabe Orthopaedics, Osaka, Japan

    Katsuyoshi Tanaka

  6. Department of Rehabilitation, Nara Gakuen University, Nara, Japan

    Masahiko Shibata

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  1. Akira Mibu
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  2. Tomohiko Nishigami
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  4. Katsuyoshi Tanaka
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Correspondence to Akira Mibu.

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Mibu, A., Nishigami, T., Uematsu, H. et al. Validation of the Japanese version of the Bath CRPS Body Perception Disturbance Scale for CRPS. J Anesth 35, 20–26 (2021). https://doi.org/10.1007/s00540-020-02853-0

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  • DOI: https://doi.org/10.1007/s00540-020-02853-0

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