The BR-SCI-PT classifies pain in SCI patients in terms of pain localization in one of three higher-order regions (above, at, or below level of injury). Regional pain categories are then defined as either nociceptive or neuropathic. Finally, categories are subdivided into 1 of 15 specific subtypes.
15
10-20 minutes
Adolescent
13 - 17
yearsAdult
18 - 64
yearsElderly Adult
65 +
yearsInitially reviewed by the Rehabilitation Measures Team in 2011; Updated by Rachel Tappan, PT, NCS, Eileen Tseng, PT, DPT, NCS, and the SCI EDGE task force of the Neurology Section of the APTA in 2012.
Recommendations for use of the instrument from the Neurology Section of the American Physical Therapy Association’s Multiple Sclerosis Taskforce (MSEDGE), Parkinson’s Taskforce (PD EDGE), Spinal Cord Injury Taskforce (PD EDGE), Stroke Taskforce (StrokEDGE), Traumatic Brain Injury Taskforce (TBI EDGE), and Vestibular Taskforce (Vestibular EDGE) are listed below. These recommendations were developed by a panel of research and clinical experts using a modified Delphi process.
For detailed information about how recommendations were made, please visit:
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Abbreviations: |
|
|
HR |
Highly Recommend |
|
R |
Recommend |
|
LS / UR |
Reasonable to use, but limited study in target group / Unable to Recommend |
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NR |
Not Recommended |
Recommendations for use based on acuity level of the patient:
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Acute (CVA < 2 months post) (SCI < 1 month post) (Vestibular < 6 weeks post) |
Subacute (CVA 2 to 6 months) (SCI 3 to 6 months) |
Chronic (> 6 months) |
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|
SCI EDGE |
LS |
LS |
LS |
Recommendations based on SCI AIS Classification:
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AIS A/B |
AIS C/D |
|
|
SCI EDGE |
LS |
LS |
Recommendations for entry-level physical therapy education and use in research:
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Students should learn to administer this tool? (Y/N) |
Students should be exposed to tool? (Y/N) |
Appropriate for use in intervention research studies? (Y/N) |
Is additional research warranted for this tool (Y/N) |
|
|
SCI EDGE |
No |
No |
Yes |
Not reported |
Bryce-Ragnarsson Pain Taxonomy translations:
French (p98): http://www.sofmer.com/download/sofmer/APRM_52_(2009)_83-102.pdf
Spanish (p52): http://revista.sedolor.es/pdf/2001_04_06.pdf
These translations, and links to them, are subject to theTerms and Conditions of Use of the Rehab Measures Database. RIC is not responsible for and does not endorse the content, products or services of any third-party website, and does not make any representations regarding its quality, content or accuracy. If you would like to contribute a language translation to the RMD, please contact us atrehabmeasures@ric.org.
Do you see an error or have a suggestion for this instrument summary? Please e-mail us!
Spinal Cord Injury: (Bryce et al, 2006; n = 39; 135 vignettes describing people with SCI were presented to 5 groups of physicians)
Literature Review: (Bryce et al, 2007; Expert occupations; Physicians, Psychologists, Physical therapists, Occupational therapist, Nurses & Others)
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Voting on Pain Classification Validity / Usefulness |
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Instrument and number of experts voting |
Valid and useful % (n) |
Useful but requires more validation % (n) |
Useful but requires changes/improvement then further validation % (n) |
Not useful or valid for research in SCI % (n) |
|
BR-SCI-PT(n = 59) |
14 (8) |
42 (25) |
36 (21) |
8 (5) |
|
Cardenas (n = 56) |
4 (2) |
20 (11) |
52 (29) |
25 (14) |
|
IASP (n = 59 |
19 (11) |
47 (28) |
31 (18) |
3 (2) |
Bryce, T. N., Budh, C. N., et al. (2007). "Pain after spinal cord injury: an evidence-based review for clinical practice and research. Report of the National Institute on Disability and Rehabilitation Research Spinal Cord Injury Measures meeting." Journal of Spinal Cord Medicine 30(5): 421-440.
Bryce, T. N., Dijkers, M. P., et al. (2006). "Reliability of the Bryce/Ragnarsson spinal cord injury pain taxonomy." J Spinal Cord Med 29(2): 118-132.
We have reviewed more than 500 instruments for use with a number of diagnoses including stroke, spinal cord injury and traumatic brain injury among several others.