Comparing what the clinician draws on a digital pain map to that of persons who have greater trochanteric pain syndrome

Melanie L Plinsinga; Shellie A Boudreau; Brooke K Coombes; Rebecca Mellor; Sandi Hayes; Bill Vicenzino

doi:10.1515/sjpain-2021-0135

Comparing what the clinician draws on a digital pain map to that of persons who have greater trochanteric pain syndrome

Melanie L Plinsinga, Shellie A Boudreau, Brooke K Coombes, Rebecca Mellor, Sandi Hayes, Bill Vicenzino

Research output: Contribution to journal › Journal article › Research › peer-review

2 Citations (Scopus)

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Abstract

OBJECTIVES: To assess the agreements and differences in pain drawings (pain area, shape and location) between individuals who have greater trochanteric pain syndrome (GTPS) and their clinician.

METHODS: In this study, 23 patients with GTPS (21 female, pain duration range 8-24 months) underwent clinical evaluation by a registered physiotherapist. Digital 2d full body pain drawings were independently performed by the clinician during the subjective examination and by the patient following the physical examination. Levels of agreement [LoA] in the pain area were assessed with Bland-Altman plots. Differences in pain drawings were assessed visually by overlaying images, and by quantifying the differences in shape and location with the bounding box, and Jaccard index, respectively.

RESULTS: Pain areas (/total pixels of the charts) did not differ in size (LoA mean difference less than -0.5%; range -2.35-1.56%) or shape (bounding box p>0.17). However, there was minimal overlap in location (Jaccard index range 0.09-0.18/1 for perfect overlap).

CONCLUSIONS: Patients and the clinician displayed differences in location of pain areas, but not size or shape, when they independently performed digital pain drawings. The reasons that underlie and the clinical impact of these differences remains unclear.

Original language	English
Journal	Scandinavian Journal of Pain
Volume	22
Issue number	3
Pages (from-to)	506-514
Number of pages	9
ISSN	1877-8860
DOIs	https://doi.org/10.1515/sjpain-2021-0135
Publication status	Published - 1 Jul 2022

Bibliographical note

© 2022 Walter de Gruyter GmbH, Berlin/Boston.

Research funding: This study was supported by the National Health and Medical Research Council (NHMRC) Program Grant (#631717) (BV) and the Talent Management Grant, Aalborg University (SAB). MLP was supported by the International Postgraduate Research Scholarship (IPRS)/University of Queensland Centennial Scholarship (UQcent).

Keywords

digital pain drawings
eHealth
health communication
lateral hip pain
pain assessment
Femur
Bursitis/diagnosis
Humans
Pain Measurement/methods
Syndrome
Hip Joint
Pain
Female

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title = "Comparing what the clinician draws on a digital pain map to that of persons who have greater trochanteric pain syndrome",

abstract = "OBJECTIVES: To assess the agreements and differences in pain drawings (pain area, shape and location) between individuals who have greater trochanteric pain syndrome (GTPS) and their clinician.METHODS: In this study, 23 patients with GTPS (21 female, pain duration range 8-24 months) underwent clinical evaluation by a registered physiotherapist. Digital 2d full body pain drawings were independently performed by the clinician during the subjective examination and by the patient following the physical examination. Levels of agreement [LoA] in the pain area were assessed with Bland-Altman plots. Differences in pain drawings were assessed visually by overlaying images, and by quantifying the differences in shape and location with the bounding box, and Jaccard index, respectively.RESULTS: Pain areas (/total pixels of the charts) did not differ in size (LoA mean difference less than -0.5%; range -2.35-1.56%) or shape (bounding box p>0.17). However, there was minimal overlap in location (Jaccard index range 0.09-0.18/1 for perfect overlap).CONCLUSIONS: Patients and the clinician displayed differences in location of pain areas, but not size or shape, when they independently performed digital pain drawings. The reasons that underlie and the clinical impact of these differences remains unclear.",

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AU - Mellor, Rebecca

AU - Hayes, Sandi

AU - Vicenzino, Bill

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AB - OBJECTIVES: To assess the agreements and differences in pain drawings (pain area, shape and location) between individuals who have greater trochanteric pain syndrome (GTPS) and their clinician.METHODS: In this study, 23 patients with GTPS (21 female, pain duration range 8-24 months) underwent clinical evaluation by a registered physiotherapist. Digital 2d full body pain drawings were independently performed by the clinician during the subjective examination and by the patient following the physical examination. Levels of agreement [LoA] in the pain area were assessed with Bland-Altman plots. Differences in pain drawings were assessed visually by overlaying images, and by quantifying the differences in shape and location with the bounding box, and Jaccard index, respectively.RESULTS: Pain areas (/total pixels of the charts) did not differ in size (LoA mean difference less than -0.5%; range -2.35-1.56%) or shape (bounding box p>0.17). However, there was minimal overlap in location (Jaccard index range 0.09-0.18/1 for perfect overlap).CONCLUSIONS: Patients and the clinician displayed differences in location of pain areas, but not size or shape, when they independently performed digital pain drawings. The reasons that underlie and the clinical impact of these differences remains unclear.

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JO - Scandinavian Journal of Pain

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Comparing what the clinician draws on a digital pain map to that of persons who have greater trochanteric pain syndrome

Abstract

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