Toward Understanding Movement-evoked Pain (MEP) and its Measurement: A Scoping Review

Dottington Fullwood; Sydney Means; Ericka N Merriwether; Ruth L Chimenti; Simar Ahluwalia; Staja Q Booker

doi:10.1097/AJP.0000000000000891

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Toward Understanding Movement-evoked Pain (MEP) and its Measurement: A Scoping Review

Journal article

Peer reviewed

Toward Understanding Movement-evoked Pain (MEP) and its Measurement: A Scoping Review

Dottington Fullwood, Sydney Means, Ericka N Merriwether, Ruth L Chimenti, Simar Ahluwalia and Staja Q Booker

The Clinical journal of pain, Vol.37(1), pp.61-78

01/2021

DOI: 10.1097/AJP.0000000000000891

PMCID: PMC7708514

PMID: 33093342

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Abstract

Individuals with chronic pain conditions often report movement as exacerbating pain. An increasing number of researchers and clinicians have recognized the importance of measuring and distinguishing between movement-evoked pain (MEP) and pain at rest as an outcome. This scoping review maps the literature and describes MEP measurement techniques. The scoping review utilized 6 databases to identify original studies that targeted pain or movement-related outcomes. Our search returned 7322 articles that were screened by title and abstract by 2 reviewers. The inclusion criteria focused on the measurement of MEP before, during, and after movement tasks in adults with chronic pain. Studies of children below 18 years of age or with nonhuman animals, case studies, qualitative studies, book chapters, cancer-related pain, non-English language, and abstracts with no full publish text were excluded from the study. Results from 38 studies revealed great variation in the measurement of MEP, while almost all of the studies did not provide an explicit conceptual or operational definition for MEP. In addition, studies collectively illuminated differences in MEP compared with rest pain, movement provocation methods, and pain intensity as the primary outcome. These results have clinically significant and research implications. To advance the study of MEP, we offer that consistent terminology, standardized measurement (appropriate for pain type/population), and clear methodological processes be provided in research publications. On the basis of the findings, we have put forth a preliminary definition of MEP that may benefit from the continued scholarly dialog.

Cancer Pain

Chronic Pain - diagnosis

Humans

Movement

Pain Measurement

Research Design

Details

Title: Subtitle: Toward Understanding Movement-evoked Pain (MEP) and its Measurement: A Scoping Review
Creators: Dottington Fullwood - Geriatric Research Education and Clinical Center
Sydney Means - Geriatric Research Education and Clinical Center
Ericka N Merriwether - New York University
Ruth L Chimenti - University of Iowa
Simar Ahluwalia - New York University
Staja Q Booker - University of Florida
Resource Type: Journal article
Publication Details: The Clinical journal of pain, Vol.37(1), pp.61-78
DOI: 10.1097/AJP.0000000000000891
PMID: 33093342
PMCID: PMC7708514
NLM abbreviation: Clin J Pain
ISSN: 0749-8047
eISSN: 1536-5409
Grant note: U01 AG061389 / NIA NIH HHS P30 AG022845 / NIA NIH HHS P30 AG059297 / NIA NIH HHS K23 AR076463 / NIAMS NIH HHS R00 AR071517 / NIAMS NIH HHS
Language: English
Date published: 01/2021
Academic Unit: Nursing; Physical Therapy and Rehabilitation Science
Record Identifier: 9984281634502771

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