Studies were primarily related to the assessment of pain in relation to surgical procedures , and no clear distinction was made concerning the onset of acute and chronic pain .
The metrics used within the tools appeared to focus primarily on the sensory aspect of pain , with no study clearly discriminating between the sensory and affective components of pain .
Objectives The objectives were to review systematic ally the range of assessment tools used in cats to detect the behavioural expression of pain and the evidence of their quality ; and to examine behavioural metrics ( considering both the sensory and affective domains ) used to assess pain .
Feline musculoskeletal pain index: responsiveness and testing of criterion validity.
BACKGROUND Progress in establishing if therapies provide relief to cats with degenerative joint disease (DJD)-associated pain is hampered by a lack of vali date d owner-administered assessment methods . HYPOTHESIS That an appropriately developed subjective owner-completed instrument ( Feline Musculoskeletal Pain Index-FMPI ) to assess DJD-associated impairment would have responsiveness and criterion validity . ANIMALS Twenty-five client-owned cats with DJD-associated pain . METHODS FMPI responsiveness ( ability to detect the effect of an analgesic treatment ) and validity ( correlation with an objective measure ) were explored through a stratified , r and omized , double blinded , placebo-controlled , crossover 10-week clinical study . Meloxicam was administered to effect pain relief . A linear mixed model , backward stepwise regression , and Pearson correlations were used to assess responsiveness and criterion validity with the assumption that the NSAID would increase activity . RESULTS Positive responses of cats to placebo ( P = .0001 ) and meloxicam treatment ( P = .0004 ) were detected ; however , the instrument did not detect any difference between placebo and meloxicam ( linear mixed model ) , even for the high impairment cases . Percent meloxicam target dose administered , temperament , and total baseline FMPI score were covariates that most affected FMPI scores . Controlling for significant covariates , most positive effects were seen for placebo treatment . Positive treatment effects on activity were detected , but only for the cases design ated as most highly impaired . CONCLUSIONS AND CLINICAL IMPORTANCE Neither responsiveness nor criterion validity were detected by the inclusion criteria for cases in this study . The data suggest that further work is indicated to underst and factors affecting activity in cats to optimize inclusion criteria
Studies were primarily related to the assessment of pain in relation to surgical procedures , and no clear distinction was made concerning the onset of acute and chronic pain .
The metrics used within the tools appeared to focus primarily on the sensory aspect of pain , with no study clearly discriminating between the sensory and affective components of pain .
Objectives The objectives were to review systematic ally the range of assessment tools used in cats to detect the behavioural expression of pain and the evidence of their quality ; and to examine behavioural metrics ( considering both the sensory and affective domains ) used to assess pain .