Assessment of body perception disturbances in complex regional pain syndrome: A systematic review using the COSMIN guideline

Sessi Acapo (1, 2) , Thomas Osinski (3, 4, 5) , Thomas Rulleau (6) , Arnaud Dupeyron (7, 8) , Julien Nizard (9, 2)

1 Service de rééducation et de réadaptation de l'appareil locomoteur et des pathologies du rachis [CHU Cochin]
2 ENT - Excitabilité nerveuse et thérapeutique
3 LPPD - Physiopathologie et Pharmacologie Clinique de la Douleur
4 Hôpital Ambroise Paré [AP-HP]
5 ERPHAN - Equipe de Recherche Paramédicale sur le Handicap NeuroMoteur
6 CHD Vendée - Centre Hospitalier Départemental - Hôpital de La Roche-sur-Yon
7 CHU Nîmes - Centre Hospitalier Universitaire de Nîmes
8 Euromov DHM - EuroMov - Digital Health in Motion
9 CHU Nantes - Centre Hospitalier Universitaire de Nantes

Objective: To conduct a systematic review to identify which tools are being used to assess body perception disturbances in Complex Regional Pain Syndrome (CRPS) and to provide an evidence-based recommendation in the selection of an assessment tool, based on measurement properties. Databases and data treatment: Five electronic databases (EMBASE, Pubmed, PsycInfo, Science Direct and Web of Science) were searched for English or French written articles, with no time restrictions. All original articles using a body perception assessment tool with adult patients with CRPS were selected, regardless of their design (controlled trials, single case, qualitative study). Two investigators screened abstracts, selected full articles and extracted data independently. Results: Thirty-eight full-text papers were obtained and three main methods to evaluate body perception disturbances were identified: The Bath Body Perception Disturbance Scale, the Neglect-like Symptoms questionnaire adapted from Galer and the patient's body perception description. No full psychometric assessments were found. The Limb Laterality Recognition Task was also used in conjunction with another method. Conclusions: Three main assessment methods for CRPS body perception disturbances are currently used. Full psychometric evaluation has not been completed for any of the assessment methods. As a consequence, we could not fully apply the COSMIN guideline. To date, there is no agreement concerning the use of a specific questionnaire or scale. The results indicate a need for further research such as psychometric properties of these questionnaires. Significance: This systematic review identified body perception disturbances assessment methods and their the psychometric properties in order to provide help and guidance to researchers and clinicians to investigate those clinical features.

Mots clés: Complex Regional Pain Syndromes* / diagnosis; Psychometrics / methods; Qualitative Research; Surveys and Questionnaires

Domaines: Médecine humaine et pathologie; Neurosciences [q-bio.NC]

Sessi Acapo, Thomas Osinski, Thomas Rulleau, Arnaud Dupeyron, Julien Nizard. Assessment of body perception disturbances in complex regional pain syndrome: A systematic review using the COSMIN guideline. European Journal of Pain, 2022, 26 (10), pp.2060-2073. ⟨10.1002/ejp.2032⟩. ⟨hal-04025852⟩