报告青少年疼痛的位置和程度：一项测试-重测信度研究。

Reporting the Location and Extent of Pain in Adolescents: A Test-Retest Reliability Study.

机构信息

Centre of Precision Rehabilitation for Spinal Pain (CPR Spine), School of Sport, Exercise and Rehabilitation Sciences, College of Life and Environmental Sciences, University of Birmingham, Birmingham, United Kingdom; Rehabilitation Research Laboratory 2rLab, Department of Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland, Manno, Switzerland.

出版信息

Pain Physician. 2024 Jul;27(5):E637-E643.

PMID:39087977

Abstract

BACKGROUND

A pain drawing is a self-administered assessment that requires the patient to shade in on a body chart the areas in which he or she experiences pain, regardless of the intensity. Pain drawings have already been validated in several adult populations.

OBJECTIVES

The aim of this study is to establish adolescents' test-retest reliability in reporting the extent and location of their pain using a paper-based pain drawing.

STUDY DESIGN

A one-day test-retest reliability study was set up.

SETTING

The study took place in 2 separate locations-a pediatric hospital and a private physiotherapy practice in Ticino, in the southern part of Switzerland. This reliability study was approved by the local ethics committee of Ticino (2021-00492 CE 3832).

METHODS

Adolescents with musculoskeletal pain (aged 11-16 years) were included. All participants were asked to shade the areas in which they experienced pain over the previous week. After the administration of a questionnaire and the acquisition of further personal data, the pain drawing was administered again. The pain drawings were then scanned and analyzed using a digital platform, which allowed the extraction of pain extent and location values. The test-retest reliability was evaluated on these data. The intraclass correlation coefficient and Bland-Altman analysis were used to assess the reliability of the reporting of the pain extent, whereas the Jaccard similarity coefficient was used to calculate the reliability of the reporting of the pain location.

RESULTS

The reporting of the pain extent was observed to have excellent test-retest reliability: ICC2,1: 0.959 (95% CI: 0.925-0.978). The Bland-Altman analysis showed a mean difference close to 0: -0.010% (limits of agreements -0.962 to 0.942). The reliability of the reporting of pain location was also supported by the Jaccard index mean score of 0.82 (± 0.19).

LIMITATIONS

Reliability of reporting may vary depending on the nature of the pain, its duration, or the type of disorder and body areas involved.

CONCLUSIONS

Adolescents complaining musculoskeletal pain showed reliability in reporting pain extent and location using pain drawings.

摘要

背景

疼痛图是一种自我评估，要求患者在身体图表上对其疼痛区域进行阴影填充，无论疼痛强度如何。疼痛图已经在多个成年人群中得到了验证。

目的

本研究旨在通过基于纸张的疼痛图来确定青少年在报告疼痛程度和位置方面的重测信度。

研究设计

进行了为期一天的重测信度研究。

设置

该研究在瑞士南部提契诺州的一家儿童医院和一家私人物理治疗诊所的两个不同地点进行。该可靠性研究得到了提契诺州当地伦理委员会的批准（2021-00492 CE 3832）。

方法

纳入患有肌肉骨骼疼痛的青少年（年龄 11-16 岁）。所有参与者都被要求在过去一周内对其疼痛区域进行阴影填充。在完成问卷并获取更多个人数据后，再次进行疼痛图评估。然后使用数字平台扫描和分析疼痛图，提取疼痛程度和位置值。对这些数据进行了重测信度评估。使用组内相关系数和 Bland-Altman 分析评估疼痛程度报告的可靠性，而使用 Jaccard 相似系数计算疼痛位置报告的可靠性。