The Swedish King’s Parkinson’s disease Pain Scale: Validation and pain prevalence in persons with mild-moderate severity Parkinson’s disease

Authors

  • Conran Joseph Department of Health and Rehabilitation Sciences, Physiotherapy Division, Stellenbosch University, Cape Town, South Africa; Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Huddinge
  • Hanna Johansson Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Huddinge; Medical Unit Occupational Therapy & Physiotherapy, Women’s Health and Allied Health Professionals Theme, Karolinska University Hospital, Stockholm
  • Breiffni Leavy Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Huddinge; The Stockholm Sjukhem Foundation, Stockholm, Sweden
  • Erika Franzen Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Huddinge; Medical Unit Occupational Therapy & Physiotherapy, Women’s Health and Allied Health Professionals Theme, Karolinska University Hospital, Stockholm; The Stockholm Sjukhem Foundation, Stockholm, Sweden

DOI:

https://doi.org/10.2340/jrm.v55.9427

Keywords:

King’s Parkinson’s disease Pain Scale, Pain assessment, Parkinson’s disease, pain prevalence

Abstract

Objectives: To examine convergent and divergent validity of the King’s Parkinson’s disease Pain Scale – Swedish translated version, and to determine the prevalence of pain according to scale domains in persons with Parkinson’s disease.
Design: Cross-sectional, validation study.
Patients: Ninety-seven persons with Parkinson’s disease.
Methods: The pain scale was translated into Swedish by an accredited company, and permission was granted to use the resultant version. Participants completed the rater-administered The King’s Parkinson’s disease Pain Scale – Swedish version, the visual analogue scale (pain), Parkinson’s Disease Questionnaire (bodily discomfort subscale), MiniBESTest and Walk-12G. Spearman’s rank correlation coefficient was used to assess the strength of associations.
Results: The mean (standard deviation) age of participants was 71 (6.1) years, 63% were male, and 76% presented with mild disease severity. The mean (standard deviation) The King’s Parkinson’s disease Pain Scale – Swedish version score was 7.84 (12.8). A strong (r = 0.65) and moderate (r = 0.45) association was found between the newly-translated version and visual analogue scale (pain) and Parkinson’s Disease Questionnaire – bodily discomfort subscale, respectively. Weak associations were found between the newly translated version and divergent measures. Overall pain prevalence was 57%, with musculoskeletal pain being the most common, followed by chronic and radicular pain.
Conclusion: This study affirms aspects of validity of the Swedish King’s Parkinson’s disease Pain Scale. Most participants presented with 1 or more types of pain, highlighting the need for targeted interventions.

LAY ABSTRACT
When translating a scale from one language to another, it is important to assess the validity of the newly translated version. The aims of this study were to determine the validity of the newly translated Swedish version of the King’s Parkinson’s disease Pain Scale, and to quantify the number of persons with Parkinson’s disease who have reported pain using the translated version. The Swedish version of the pain scale was found to be closely associated with other pain scales, indicating measurement of the same behaviour. It was further found that 57% of persons with Parkinson’s disease in the study reported at least 1 type of pain, with most subjects experiencing musculoskeletal pain. In conclusion, the newly translated version of the pain scale is a valid assessment tool for pain in this population, and pain is very common in persons with Parkinson’s disease.

Downloads

Download data is not yet available.

References

Lees AJ, Hardy J, Revesz T. Parkinson’s disease. Lancet 2009 13; 373: 2055–2066. doi: 10.1016/S0140-6736(09)60492-X. DOI: https://doi.org/10.1016/S0140-6736(09)60492-X

Baig F, Lawton M, Rolinski M, Ruffmann C, Nithi K, Evetts SG, et al. Delineating nonmotor symptoms in early Parkinson’s disease and first-degree relatives. Mov Disord 2015; 30: 1759–1766. doi: 10.1002/mds.26281. DOI: https://doi.org/10.1002/mds.26281

Broen MP, Braaksma MM, Patijn J, Weber WE. Prevalence of pain in Parkinson’s disease: a systematic review using the modified QUADAS tool. Mov Disord 2012; 27: 480–484. doi: 10.1002/mds.24054. DOI: https://doi.org/10.1002/mds.24054

Rana AQ, Kabir A, Jesudasan M, Siddiqui I, Khondker S. Pain in Parkinson’s disease: analysis and literature review. Clin Neurol Neurosurg 2013; 115: 2313–2317. doi: 10.1016/j.clineuro.2013.08.022. DOI: https://doi.org/10.1016/j.clineuro.2013.08.022

Antonini A, Tinazzi M, Abbruzzese G, Berardelli A, Chaudhuri K, Defazio G, et al. Pain in Parkinson’s disease: facts and uncertainties. Eur J Neurol 2018; 25: 917-e69. doi: 10.1111/ene.13624. DOI: https://doi.org/10.1111/ene.13624

Ford B. Pain in Parkinson’s disease. Mov Disord 2010; 25: S98–S103. doi: 10.1002/mds.22716. DOI: https://doi.org/10.1002/mds.22716

Chaudhuri KR, Rizos A, Trenkwalder C, Rascol O, Pal S, Martino D, et al. King’s Parkinson’s disease pain scale, the first scale for pain in PD: an international validation. Mov Disord 2015; 30: 1623–1631. doi: 10.1002/mds.26270. DOI: https://doi.org/10.1002/mds.26270

Prakash V, Shah S, Hariohm K. Cross-cultural adaptation of patient-reported outcome measures: a solution or a problem? Ann Phys Rehabil Med 2019; 62: 174–177. doi: 10.1016/j.rehab.2019.01.006. DOI: https://doi.org/10.1016/j.rehab.2019.01.006

Haertel E. Construct validity and criterion-referenced testing. Rev Educ Res 1985; 55: 23–46. DOI: https://doi.org/10.3102/00346543055001023

Joseph C, Jonsson-Lecapre J, Wicksell R, Svenningsson P, Franzén E. Pain in persons with mild-moderate Parkinson’s disease: a cross-sectional study of pain severity and associated factors. Int J Rehabil Res 2019; 42: 371–376. doi: 10.1097/MRR.0000000000000373. DOI: https://doi.org/10.1097/MRR.0000000000000373

Conradsson D, Leavy B, Hagströmer M, Nilsson MH, Franzén E. Physiotherapy for Parkinson’s disease in Sweden: provision, expertise, and multi-professional collaborations. Mov Disord Clin Pract 2017; 4: 843–851. doi: 10.1002%2Fmdc3.12525 DOI: https://doi.org/10.1002/mdc3.12525

Mokkink LB, Terwee CB, Knol DL, Stratford PW, Alonso J, Patrick DL, et al. The COSMIN checklist for evaluating the methodological quality of studies on measurement properties: a clarification of its content. BMC Med Res Methodol 2010; 10: 1–8. doi: 10.1186/1471-2288-10-22 DOI: https://doi.org/10.1186/1471-2288-10-22

Martinez-Martin P, Manuel Rojo-Abuin J, Rizos A, Rodriguez-Blazquez C, Trenkwalder C, Perkins L, et al. Distribution and impact on quality of life of the pain modalities assessed by the King’s Parkinson’s disease pain scale. Park Dis 2017; 3: 8. doi: 10.1038/s41531-017-0009-1. DOI: https://doi.org/10.1038/s41531-017-0009-1

Paul-Dauphin A, Guillemin F, Virion JM, Briançon S. Bias and precision in visual analogue scales: a randomized controlled trial. Am J Epidemiol 1999; 150: 1117–1127. doi: 10.1093/oxfordjournals.aje.a009937. DOI: https://doi.org/10.1093/oxfordjournals.aje.a009937

Peto V, Jenkinson C, Fitzpatrick R, Greenhall R. The development and validation of a short measure of functioning and well-being for individuals with Parkinson’s disease. Qual Life Res 1995; 4: 241–248. doi: 10.1007/BF02260863. DOI: https://doi.org/10.1007/BF02260863

Jenkinson C, Fitzpatrick R, Peto V, Greenhall R, Hyman N. The Parkinson’s Disease Questionnaire (PDQ-39): development and validation of a Parkinson’s disease summary index score. Age Ageing 1997; 26: 353–357. doi: 10.1093/ageing/26.5.353. DOI: https://doi.org/10.1093/ageing/26.5.353

Franchignoni F, Horak F, Godi M, Nardone A, Giordano A. Using psychometric techniques to improve the Balance Evaluation System’s Test: the mini-BESTest. J Rehabil Med 2010; 42: 323. doi: 10.2340/16501977-0537. DOI: https://doi.org/10.2340/16501977-0537

Hobart JC, Riazi A, Lamping DL, Fitzpatrick R, Thompson AJ. Measuring the impact of MS on walking ability. Neurology 2003; 60: 31. doi: 10.1212/wnl.60.1.31. DOI: https://doi.org/10.1212/WNL.60.1.31

Leavy B, Löfgren N, Nilsson M, Franzén E. Patient-reported and performance-based measures of walking in mild–moderate Parkinson’s disease. Brain Behav 2018; 8: e01081. doi: 10.1002/brb3.1081. DOI: https://doi.org/10.1002/brb3.1081

Riffenburgh RH. Statistics in medicine. San Diego: Academic Press; 2012.

Taghizadeh G, Joghataei MT, Goudarzi S, Bakhsheshi M, Habibi SAH, Mehdizadeh M. King’s Parkinson’s disease pain scale cut-off points for detection of pain severity levels: a reliability and validity study. Neurosci Lett 2021; 745: 135620. doi: 10.1016/j.neulet.2020.135620. DOI: https://doi.org/10.1016/j.neulet.2020.135620

Behari M, Srivastava A, Achtani R, Nandal N, Dutta RB. Pain assessment in Indian Parkinson’s disease patients using King’s Parkinson’s Disease Pain Scale. Ann Indian Acad Neurol 2020; 23: 774. doi: 10.4103/aian.AIAN_449_20. DOI: https://doi.org/10.4103/aian.AIAN_449_20

Rodríguez-Violante M, Alvarado-Bolaños A, Cervantes-Arriaga A, Martinez-Martin P, Rizos A, Chaudhuri KR. Clinical determinants of Parkinson’s disease-associated pain using the King’s Parkinson’s Disease Pain Scale. Mov Disord Clin Pract 2017; 4: 545–551. doi: 10.1002/mdc3.12469. DOI: https://doi.org/10.1002/mdc3.12469

Gao L, Huang W, Cai L, Peng Y. Pain assessment in Chinese Parkinson’s disease patients using King’s Parkinson’s Disease Pain Scale. J Pain Res 2022; 15: 715–722. doi: 10.2147%2FJPR.S353249 DOI: https://doi.org/10.2147/JPR.S353249

Tinazzi M. Pain and motor complications in Parkinson’s disease. J Neurol Neurosurg Psychiatry 2006; 77: 822–825. doi: 10.1136%2Fjnnp.2005.079053 DOI: https://doi.org/10.1136/jnnp.2005.079053

Stoyanova-Piroth G, Milanov I, Stambolieva K. Translation, adaptation and validation of the Bulgarian version of the King’s Parkinson’s Disease Pain Scale. BMC Neurol 2021; 21: 357. doi: 10.1186/s12883-021-02392-5 DOI: https://doi.org/10.1186/s12883-021-02392-5

Gao L, Yang Y, Cai L, Xiong Y. Gender differences in pain subtypes among Patients with Parkinson’s disease. J Integr Neurosci 2022; 21: 120. doi: 10.31083/j.jin2104120. DOI: https://doi.org/10.31083/j.jin2104120

Published

2023-06-12

How to Cite

Joseph, C., Johansson, H., Leavy, B., & Franzen, E. (2023). The Swedish King’s Parkinson’s disease Pain Scale: Validation and pain prevalence in persons with mild-moderate severity Parkinson’s disease. Journal of Rehabilitation Medicine, 55, jrm9427. https://doi.org/10.2340/jrm.v55.9427

Issue

Section

Original Report

Categories

Funding data