“…29,30,32,34,129,131 While it can be used to specifically assess pain, 3,12,46,52,59,61,69,95,111,[124][125][126]128,130,145,147 reductions in burrowing activity can also identify the influence of a range of factors, not all of which may be associated with pain, such as cognitive dysfunction, anxiety, systemic bacterial and viral infections, and inflammation. 24,27,29,[31][32][33][34]47,55,57,98,144 As such, burrowing may be viewed as a surrogate measure of pain in rodents, and also as a reflection of instrumental activities of daily living (IADL), an outcome used in humans to reflect the impact of disabilities such as pain on day-to-day activities (for example, general mobility, care of others, maintaining the living space). 88 Factors other than pain that result in a reduction in burrowing behavior have been better characterized in mice and these include neurodegenerative disease, anxiety, and systemic infection or inflammation, thus interpretation of changes in burrowing behavior needs to be case-specific.…”