1. Development and validation of a cynomolgus macaque grimace scale for acute pain assessment
- Author
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Paterson, Emilie A, O’Malley, Carly I, Moody, Carly, Vogel, Susan, Authier, Simon, and Turner, Patricia V
- Subjects
Biomedical and Clinical Sciences ,Clinical Sciences ,Chronic Pain ,Pain Research ,Animals ,Acute Pain ,Pain Measurement ,Facial Expression ,Reproducibility of Results ,Analgesics ,Macaca - Abstract
Cynomolgus macaques may undergo surgical procedures for scientific and veterinary purposes. Recognition and assessment of pain using validated tools is a necessary first step for adequately managing pain in these primates. Grimace scales are one means of assessing the occurance of acute pain using action units such as facial expressions and posture. The aim of this study was to create and validate a Cynomolgus Macaque Grimace Scale (CMGS). Cynomolgus macaques (n = 43) were video recorded before and after a surgical procedure. Images were extracted from videos at timepoints at which breakthrough pain might be expected based on analgesic pharmacokinetics. Using the CMGS images were scored by 12 observers blinded to animal identification, times, and conditions. To validate the tool, detailed behavioral analyses emphasizing changes to baseline activity ethograms were compared to grimace scores. Four action units were identified related to potential pain including orbital tightening, brow lowering, cheek tightening, and hunched posture. The CMGS tool was found to have moderate inter- (ICCaverage action unit mean ± SD: 0.67 ± 0.28) and good intra- (ICCsingle mean ± SD: 0.79 ± 0.14) observer reliability. Grimace scores increased significantly (p
- Published
- 2023