DOI QR코드

DOI QR Code

Adaptation and validation of body maps for musculoskeletal pain location in patients with severe obesity

  • 투고 : 2018.07.31
  • 심사 : 2018.09.15
  • 발행 : 2018.10.01

초록

Background: Although a variety of instruments implement body maps for the precise identification of pain symptoms, no instrument has been validated for use in people with obesity. This study reports the adaptation and validation of body maps for musculoskeletal pain location in people with obesity. Methods: Nine key anatomical regions were highlighted based on the original images of the Nordic Musculoskeletal Questionnaire body maps. Adult silhouettes were generated from photographs of men and women with obesity. The body dimensions were adjusted to take into account the different body fat distribution patterns of people with obesity. The validity of the images was assessed by 12 experts. Subsequently, a data collection stage was performed with 58 patients with severe obesity from both sexes. The reproducibility of the images was tested by comparison with the original images. Results: The results of the validation pilot study indicated that the adapted images facilitated the location of musculoskeletal pain in men and women with obesity. The reproducibility of the original and adapted versions of the body maps indicated good agreement for pain over the last 12 months and 7 days (80% vs. 79.7%). Pain scores in the last 12 months indicated good and high sensitivity and specificity for all body areas (60.9% vs. 89.1%). Considering pain in the last 7 days, high sensitivity and specificity for all areas of the body (85.1% vs. 70.1%). Conclusions: The body maps developed in this study are reliable and valid to identify the location of pain in people with obesity.

키워드

참고문헌

  1. Caberlon CF, Padoin AV, Mottin CC. Importance of musculoskeletal pain in work activities in obese individuals. Obes Surg 2013; 23: 2092-5. https://doi.org/10.1007/s11695-013-1031-y
  2. MacKichan F, Wylde V, Dieppe P. The assessment of musculoskeletal pain in the clinical setting. Rheum Dis Clin North Am 2008; 34: 311-30. https://doi.org/10.1016/j.rdc.2008.03.002
  3. Jensen MP, Karoly P. Self-report scales and procedures for assessing pain in adults. In: Handbook of pain assessment. 3rd ed. Edited by Turk DC, Melzack R. New York (NY), Guilford Press. 2011, pp 19-44.
  4. Brummett CM, Bakshi RR, Goesling J, Leung D, Moser SE, Zollars JW, et al. Preliminary validation of the Michigan body map. Pain 2016; 157: 1205-12. https://doi.org/10.1097/j.pain.0000000000000506
  5. Azevedo L, Costa Pereira A, Dias CC, Agualusa L, Lemos L, Romao J, et al. Traducao, adaptacao cultural e estudo multicentrico de validacao de instrumentos para rastreio e avaliacao do impacto da dor cronica. Pain (Portugal) 2007; 15: 6-56.
  6. Jaatun EA, Hjermstad MJ, Gundersen OE, Oldervoll L, Kaasa S, Haugen DF, et al. Development and testing of a computerized pain body map in patients with advanced cancer. J Pain Symptom Manage 2014; 47: 45-56. https://doi.org/10.1016/j.jpainsymman.2013.02.025
  7. NCD Risk Factor Collaboration (NCD-RisC). Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19.2 million participants. Lancet 2016; 387: 1377-96. https://doi.org/10.1016/S0140-6736(16)30054-X
  8. Melzack R. The McGill Pain Questionnaire: major properties and scoring methods. Pain 1975; 1: 277-99. https://doi.org/10.1016/0304-3959(75)90044-5
  9. Tan G, Jensen MP, Thornby JI, Shanti BF. Validation of the Brief Pain Inventory for chronic nonmalignant pain. J Pain 2004; 5: 133-7. https://doi.org/10.1016/j.jpain.2003.12.005
  10. Kuorinka I, Jonsson B, Kilbom A, Vinterberg H, Biering-Sorensen F, Andersson G, et al. Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon 1987; 18: 233-7. https://doi.org/10.1016/0003-6870(87)90010-X
  11. Pull CB, Aguayo GA. Assessment of body-image perception and attitudes in obesity. Curr Opin Psychiatry 2011; 24: 41-8. https://doi.org/10.1097/YCO.0b013e328341418c
  12. Zamariola G, Cardini F, Mian E, Serino A, Tsakiris M. Can you feel the body that you see? On the relationship between interoceptive accuracy and body image. Body Image 2017; 20: 130-6. https://doi.org/10.1016/j.bodyim.2017.01.005
  13. Luongo MA, Pazzaglia M. Commentary: body image distortion and exposure to extreme body types: contingent adaptation and cross adaptation for self and other. Front Hum Neurosci 2016; 10: 526.
  14. Pinheiro FA, Troccoli BT, Carvalho CV. Validity of the Nordic Musculoskeletal Questionnaire as morbidity measurement tool. Rev Saude Publica 2002; 36: 307-12. https://doi.org/10.1590/S0034-89102002000300008
  15. de Barros EN, Alexandre NM. Cross-cultural adaptation of the Nordic musculoskeletal questionnaire. Int Nurs Rev 2003; 50: 101-8. https://doi.org/10.1046/j.1466-7657.2003.00188.x
  16. Labbafinejad Y, Danesh H, Imanizade Z. Assessment of upper limb musculoskeletal pain and posture in workers of packaging units of pharmaceutical industries. Work 2017; 56: 337-44. https://doi.org/10.3233/WOR-172495
  17. Wong K, Grundfast KM, Levi JR. Assessing work-related musculoskeletal symptoms among otolaryngology residents. Am J Otolaryngol 2017; 38: 213-7. https://doi.org/10.1016/j.amjoto.2017.01.013
  18. Kaliniene G, Ustinaviciene R, Skemiene L, Vaiciulis V, Vasilavicius P. Associations between musculoskeletal pain and work-related factors among public service sector computer workers in Kaunas County, Lithuania. BMC Musculoskelet Disord 2016; 17: 420. https://doi.org/10.1186/s12891-016-1281-7
  19. Feng Q, Liu S, Yang L, Xie M, Zhang Q. The prevalence of and risk factors associated with musculoskeletal disorders among sonographers in Central China: a cross-sectional study. PLoS One 2016; 11: e0163903. https://doi.org/10.1371/journal.pone.0163903
  20. Legault EP, Cantin V, Descarreaux M. Assessment of musculoskeletal symptoms and their impacts in the adolescent population: adaptation and validation of a questionnaire. BMC Pediatr 2014; 14: 173. https://doi.org/10.1186/1471-2431-14-173
  21. Ribeiro T, Serranheira F, Loureiro H. Work related musculoskeletal disorders in primary health care nurses. Appl Nurs Res 2017; 33: 72-7. https://doi.org/10.1016/j.apnr.2016.09.003
  22. Antonopoulou M, Antonakis N, Hadjipavlou A, Lionis C. Patterns of pain and consulting behaviour in patients with musculoskeletal disorders in rural Crete, Greece. Fam Pract 2007; 24: 209-16. https://doi.org/10.1093/fampra/cmm012
  23. Chanchai W, Songkham W, Ketsomporn P, Sappakitchanchai P, Siriwong W, Robson MG. The impact of an ergonomics intervention on psychosocial factors and musculoskeletal symptoms among Thai hospital orderlies. Int J Environ Res Public Health 2016; 13: E464. https://doi.org/10.3390/ijerph13050464
  24. Tantawy SA, Abdul Rahman A, Abdul Ameer M. The relationship between the development of musculoskeletal disorders, body mass index, and academic stress in Bahraini University students. Korean J Pain 2017; 30: 126-33. https://doi.org/10.3344/kjp.2017.30.2.126
  25. Ministerio da Saude (BR). Conselho Nacional de Saude. Resolucao no 466, de 12 de dezembro de 2012. Brasilia, Diario Oficial da Uniao. 2013.
  26. Pi-Sunyer FX, Becker DM, Bouchard C, Carleton RA, Colditz GA, Dietz WA, et al. Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults: the evidence report. Am J Clin Nutr 1998; 68: 899-917. https://doi.org/10.1093/ajcn/68.4.899
  27. Kelsey JL, Bachrach LK, Procter-Gray E, Nieves J, Greendale GA, Sowers M, et al. Risk factors for stress fracture among young female cross-country runners. Med Sci Sports Exerc 2007; 39: 1457-63. https://doi.org/10.1249/mss.0b013e318074e54b
  28. Karastergiou K, Smith SR, Greenberg AS, Fried SK. Sex differences in human adipose tissues - the biology of pear shape. Biol Sex Differ 2012; 3: 13. https://doi.org/10.1186/2042-6410-3-13
  29. Swider K, Babel P. The effect of the type and colour of placebo stimuli on placebo effects induced by observational learning. PLoS One 2016; 11: e0158363. https://doi.org/10.1371/journal.pone.0158363
  30. Grant JS, Davis LL. Selection and use of content experts for instrument development. Res Nurs Health 1997; 20: 269-74. https://doi.org/10.1002/(SICI)1098-240X(199706)20:3<269::AID-NUR9>3.0.CO;2-G
  31. Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, et al. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol 2007; 60: 34-42. https://doi.org/10.1016/j.jclinepi.2006.03.012
  32. Jones GT, Kyabaggu R, Marais D, Macfarlane GJ. Reproducibility of pain manikins: a comparison of paper versus online questionnaires. Br J Pain 2013; 7: 130-7. https://doi.org/10.1177/2049463713487895
  33. Cohen J. A coefficient of agreement for nominal scales. Educ Psychol Meas 1960; 20: 37-46. https://doi.org/10.1177/001316446002000104
  34. Viera AJ, Garrett JM. Understanding interobserver agreement: the kappa statistic. Fam Med 2005; 37: 360-3.
  35. Gilpin HR, Moseley GL, Stanton TR, Newport R. Evidence for distorted mental representation of the hand in osteoarthritis. Rheumatology (Oxford) 2015; 54: 678-82. https://doi.org/10.1093/rheumatology/keu367
  36. Hamill JK, Cole AM, Liley A, Hill AG. Validity and reliability of a pain location tool for pediatric abdominal surgery. Pain Manag Nurs 2015; 16: 380-7. https://doi.org/10.1016/j.pmn.2014.09.003
  37. Sim J, Wright CC. The kappa statistic in reliability studies: use, interpretation, and sample size requirements. Phys Ther 2005; 85: 257-68.
  38. Hunt K, Adamson J, Hewitt C, Nazareth I. Do women consult more than men? A review of gender and consultation for back pain and headache. J Health Serv Res Policy 2011; 16: 108-17. https://doi.org/10.1258/jhsrp.2010.009131

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  1. Association of Pain, Severe Pain, and Multisite Pain with the Level of Physical Activity and Sedentary Behavior in Severely Obese Adults: Baseline Data from the DieTBra Trial vol.17, pp.12, 2018, https://doi.org/10.3390/ijerph17124478
  2. High prevalence of musculoskeletal pain in individuals with severe obesity: sites, intensity, and associated factors vol.33, pp.3, 2018, https://doi.org/10.3344/kjp.2020.33.3.245
  3. Reduction in Pain and Pain Intensity with Nonpharmacological Treatment in Severely Obese Patients: A Randomized Clinical Trial vol.18, pp.21, 2021, https://doi.org/10.3390/ijerph182111112