Report Viewer
NINDS CDE Notice of Copyright
Douleur Neuropathique 4 (DN4)
Douleur Neuropathique 4 (DN4)
| Availability |
Please visit this website for more information about the instrument: Douleur Neuropathique 4
|
| Classification |
Supplemental: Spinal Cord Injury (SCI)
|
| Short Description of Instrument |
The DN4 is a French tool developed to distinguish between neuropathic and non-neuropathic pain. Seven items are related to symptoms and three items are related to the clinical examination.
|
| Scoring |
A score of 1 is given to each 'yes' item. The total score is the sum of the 10 items, and the cutoff value for the diagnosis of neuropathic pain is a total score of greater than 4 out of 10. |
| Comments/Special Instructions |
The DN4 questionnaire can be used to screen and identify neuropathic pain (Calmels et al. 2009). DN4 has been found to have good sensitivity, specificity, and interrater reliability.
|
| References |
Bouhassira D, Attal N, Alchaar H, Boureau F, Brochet B, Bruxelle J, Cunin G, Fermanian J, Ginies P, Grun-Overdyking A, Jafari-Schluep H, LantÉri-Minet M, Laurent B, Mick G, Serrie A, Valade D, Vicaut E. Comparison of pain syndromes associated with nervous or somatic lesions and development of a new neuropathic pain diagnostic questionnaire (DN4). Pain. 2005;114(1-2):29-36.
Calmels P, Mick G, Perrouin-Verbe B, Ventura M, SOFMER (French Society for Physical Medicine and Rehabilitation). Neuropathic pain in spinal cord injury: identification, classification, evaluation.
Ann Phys Rehabil Med. 2009;52(2):83-102. HallstrÖm H, Norrbrink C. Screening tools for neuropathic pain: can they be of use in individuals with spinal cord injury? Pain. 2011;152(4):772-779.
Document last updated June 2020
|