Grimace scale, burrowing, and nest building for the assessment of post-surgical pain in mice and rats—A systematic review

Several studies suggested an informative value of behavioral and grimace scale parameters for the detection of pain. However, the robustness and reliability of the parameters as well as the current extent of implementation are still largely unknown. In this study, we aimed to systematically analyze...

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Main Authors: Katharina Aulehner, Cathalijn Leenaars, Verena Buchecker, Helen Stirling, Katharina Schönhoff, Hannah King, Christine Häger, Ines Koska, Paulin Jirkof, André Bleich, Marion Bankstahl, Heidrun Potschka
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-10-01
Series:Frontiers in Veterinary Science
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fvets.2022.930005/full
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author Katharina Aulehner
Cathalijn Leenaars
Verena Buchecker
Helen Stirling
Katharina Schönhoff
Hannah King
Christine Häger
Ines Koska
Paulin Jirkof
André Bleich
Marion Bankstahl
Heidrun Potschka
author_facet Katharina Aulehner
Cathalijn Leenaars
Verena Buchecker
Helen Stirling
Katharina Schönhoff
Hannah King
Christine Häger
Ines Koska
Paulin Jirkof
André Bleich
Marion Bankstahl
Heidrun Potschka
author_sort Katharina Aulehner
collection DOAJ
description Several studies suggested an informative value of behavioral and grimace scale parameters for the detection of pain. However, the robustness and reliability of the parameters as well as the current extent of implementation are still largely unknown. In this study, we aimed to systematically analyze the current evidence-base of grimace scale, burrowing, and nest building for the assessment of post-surgical pain in mice and rats. The following platforms were searched for relevant articles: PubMed, Embase via Ovid, and Web of Science. Only full peer-reviewed studies that describe the grimace scale, burrowing, and/or nest building as pain parameters in the post-surgical phase in mice and/or rats were included. Information about the study design, animal characteristics, intervention characteristics, and outcome measures was extracted from identified publications. In total, 74 papers were included in this review. The majority of studies have been conducted in young adult C57BL/6J mice and Sprague Dawley and Wistar rats. While there is an apparent lack of information about young animals, some studies that analyzed the grimace scale in aged rats were identified. The majority of studies focused on laparotomy-associated pain. Only limited information is available about other types of surgical interventions. While an impact of surgery and an influence of analgesia were rather consistently reported in studies focusing on grimace scales, the number of studies that assessed respective effects was rather low for nest building and burrowing. Moreover, controversial findings were evident for the impact of analgesics on post-surgical nest building activity. Regarding analgesia, a monotherapeutic approach was identified in the vast majority of studies with non-steroidal anti-inflammatory (NSAID) drugs and opioids being most commonly used. In conclusion, most evidence exists for grimace scales, which were more frequently used to assess post-surgical pain in rodents than the other behavioral parameters. However, our findings also point to relevant knowledge gaps concerning the post-surgical application in different strains, age levels, and following different surgical procedures. Future efforts are also necessary to directly compare the sensitivity and robustness of different readout parameters applied for the assessment of nest building and burrowing activities.
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spelling doaj.art-23030b4e1e6c4f649c5557650a915b662022-12-22T04:07:40ZengFrontiers Media S.A.Frontiers in Veterinary Science2297-17692022-10-01910.3389/fvets.2022.930005930005Grimace scale, burrowing, and nest building for the assessment of post-surgical pain in mice and rats—A systematic reviewKatharina Aulehner0Cathalijn Leenaars1Verena Buchecker2Helen Stirling3Katharina Schönhoff4Hannah King5Christine Häger6Ines Koska7Paulin Jirkof8André Bleich9Marion Bankstahl10Heidrun Potschka11Institute of Pharmacology, Toxicology and Pharmacy, Ludwig-Maximilians-University, Munich, GermanyInstitute for Laboratory Animal Science, Hannover Medical School, Hanover, GermanyInstitute of Pharmacology, Toxicology and Pharmacy, Ludwig-Maximilians-University, Munich, GermanyInstitute of Pharmacology, Toxicology and Pharmacy, Ludwig-Maximilians-University, Munich, GermanyInstitute of Pharmacology, Toxicology and Pharmacy, Ludwig-Maximilians-University, Munich, GermanyInstitute of Pharmacology, Toxicology and Pharmacy, Ludwig-Maximilians-University, Munich, GermanyInstitute for Laboratory Animal Science, Hannover Medical School, Hanover, GermanyInstitute of Pharmacology, Toxicology and Pharmacy, Ludwig-Maximilians-University, Munich, GermanyOffice for Animal Welfare and 3Rs, University of Zurich, Zurich, SwitzerlandInstitute for Laboratory Animal Science, Hannover Medical School, Hanover, GermanyInstitute for Laboratory Animal Science, Hannover Medical School, Hanover, GermanyInstitute of Pharmacology, Toxicology and Pharmacy, Ludwig-Maximilians-University, Munich, GermanySeveral studies suggested an informative value of behavioral and grimace scale parameters for the detection of pain. However, the robustness and reliability of the parameters as well as the current extent of implementation are still largely unknown. In this study, we aimed to systematically analyze the current evidence-base of grimace scale, burrowing, and nest building for the assessment of post-surgical pain in mice and rats. The following platforms were searched for relevant articles: PubMed, Embase via Ovid, and Web of Science. Only full peer-reviewed studies that describe the grimace scale, burrowing, and/or nest building as pain parameters in the post-surgical phase in mice and/or rats were included. Information about the study design, animal characteristics, intervention characteristics, and outcome measures was extracted from identified publications. In total, 74 papers were included in this review. The majority of studies have been conducted in young adult C57BL/6J mice and Sprague Dawley and Wistar rats. While there is an apparent lack of information about young animals, some studies that analyzed the grimace scale in aged rats were identified. The majority of studies focused on laparotomy-associated pain. Only limited information is available about other types of surgical interventions. While an impact of surgery and an influence of analgesia were rather consistently reported in studies focusing on grimace scales, the number of studies that assessed respective effects was rather low for nest building and burrowing. Moreover, controversial findings were evident for the impact of analgesics on post-surgical nest building activity. Regarding analgesia, a monotherapeutic approach was identified in the vast majority of studies with non-steroidal anti-inflammatory (NSAID) drugs and opioids being most commonly used. In conclusion, most evidence exists for grimace scales, which were more frequently used to assess post-surgical pain in rodents than the other behavioral parameters. However, our findings also point to relevant knowledge gaps concerning the post-surgical application in different strains, age levels, and following different surgical procedures. Future efforts are also necessary to directly compare the sensitivity and robustness of different readout parameters applied for the assessment of nest building and burrowing activities.https://www.frontiersin.org/articles/10.3389/fvets.2022.930005/fullpain assessmentRGSMGSfacial expressionhome cage behaviorrodents
spellingShingle Katharina Aulehner
Cathalijn Leenaars
Verena Buchecker
Helen Stirling
Katharina Schönhoff
Hannah King
Christine Häger
Ines Koska
Paulin Jirkof
André Bleich
Marion Bankstahl
Heidrun Potschka
Grimace scale, burrowing, and nest building for the assessment of post-surgical pain in mice and rats—A systematic review
Frontiers in Veterinary Science
pain assessment
RGS
MGS
facial expression
home cage behavior
rodents
title Grimace scale, burrowing, and nest building for the assessment of post-surgical pain in mice and rats—A systematic review
title_full Grimace scale, burrowing, and nest building for the assessment of post-surgical pain in mice and rats—A systematic review
title_fullStr Grimace scale, burrowing, and nest building for the assessment of post-surgical pain in mice and rats—A systematic review
title_full_unstemmed Grimace scale, burrowing, and nest building for the assessment of post-surgical pain in mice and rats—A systematic review
title_short Grimace scale, burrowing, and nest building for the assessment of post-surgical pain in mice and rats—A systematic review
title_sort grimace scale burrowing and nest building for the assessment of post surgical pain in mice and rats a systematic review
topic pain assessment
RGS
MGS
facial expression
home cage behavior
rodents
url https://www.frontiersin.org/articles/10.3389/fvets.2022.930005/full
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