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LiaBraaten B, Stolzman S, Simpson PM, Zhang L, Brockman T, Linneman N, Weisman SJ, Hainsworth KR. The Rating of Perceived Exertion-Pediatric (RPE-P) Scale: Preliminary Validation. CHILDREN (BASEL, SWITZERLAND) 2023; 10:1906. [PMID: 38136108 PMCID: PMC10742015 DOI: 10.3390/children10121906] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/31/2023] [Revised: 12/05/2023] [Accepted: 12/07/2023] [Indexed: 12/24/2023]
Abstract
Physical activity is critical to functional rehabilitation for youth with chronic pain, which may be especially true for those with co-occurring obesity. To facilitate the development of physical activity interventions for youth with chronic pain, the newly developed "Rating of Perceived Exertion-Pediatric" scale was modeled after the widely used pain numeric rating scale-11. This study is an initial evaluation of the scale in a sample of adolescents (n = 157, 13-17 years, 51% female) with four subgroups: (1) healthy controls (healthy weight/no pain); (2) chronic pain/healthy weight; (3) obese (no pain); (4) chronic pain/obese. Participants rated perceived exertion using the new scale and the Borg 6-20 Scale of Perceived Exertion while holding a three-minute yoga pose (Warrior II). In the whole sample, the Perceived Exertion-Pediatric scale showed good concurrent (p < 0.001), convergent (all ps < 0.05), discriminant (p = 0.431), and known-groups validity (all ps < 0.05). The chronic pain subgroup also showed good concurrent (p < 0.001), mixed convergent (ps < 0.001 to 0.315), and good discriminant validity (p = 0.607). Limitations include the restricted age range, lack of diversity, and lack of test-retest reliability. The RPE-P shows promise as an assessment tool for perceived exertion in adolescents with and without chronic pain.
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Affiliation(s)
- Brynn LiaBraaten
- Department of Anesthesiology, Medical College of Wisconsin, Milwaukee, WI 53226, USA; (B.L.); (S.J.W.)
- Jane B. Pettit Pain and Headache Center, Children’s Wisconsin, Milwaukee, WI 53226, USA
| | - Stacy Stolzman
- Department of Physical Therapy, Concordia University Wisconsin, Mequon, WI 53097, USA
| | - Pippa M. Simpson
- Division of Quantitative Health Sciences, Medical College of Wisconsin, Milwaukee, WI 53226, USA
| | - Liyun Zhang
- Division of Quantitative Health Sciences, Medical College of Wisconsin, Milwaukee, WI 53226, USA
| | - Taylor Brockman
- Department of Anesthesiology, Medical College of Wisconsin, Milwaukee, WI 53226, USA; (B.L.); (S.J.W.)
| | - Nina Linneman
- Department of Anesthesiology, Medical College of Wisconsin, Milwaukee, WI 53226, USA; (B.L.); (S.J.W.)
| | - Steven J. Weisman
- Department of Anesthesiology, Medical College of Wisconsin, Milwaukee, WI 53226, USA; (B.L.); (S.J.W.)
- Jane B. Pettit Pain and Headache Center, Children’s Wisconsin, Milwaukee, WI 53226, USA
| | - Keri R. Hainsworth
- Department of Anesthesiology, Medical College of Wisconsin, Milwaukee, WI 53226, USA; (B.L.); (S.J.W.)
- Jane B. Pettit Pain and Headache Center, Children’s Wisconsin, Milwaukee, WI 53226, USA
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