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Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 22959
  Title The reliability of body pain diagrams in the quantitative measurement of pain distribution and location in patients with musculoskeletal pain: A systematic review [review]
URL http://www.ncbi.nlm.nih.gov/pubmed/23845196
Journal J Manipulative Physiol Ther. 2013 Sep;36(7):450-459
Author(s)
Subject(s)
Peer Review Yes
Publication Type Review
Abstract/Notes

OBJECTIVE: The purpose of this study was to perform a systematic review of test-retest, intraexaminer, and interexaminer reliability of measuring pain location and distribution using the body pain diagram.

RESULTS: We reviewed 10 studies. Of those, 6 were included in the best evidence synthesis. We found varying levels of evidence that pain location and pain distribution can be measured reliably using the body pain diagram in patients with acute and chronic low back pain with or without radiculopathy. The test-retest reliability for measuring pain distribution ranged from intraclass correlation coefficient of 0.58 to 0.94. Similarly, the test-retest reliability for measuring pain location ranged from kappa (?) of 0.13 to 0.85. The intraexaminer and interexaminer reliability for measuring pain distribution were intraclass correlation coefficient of 0.99 and 0.99, respectively. The intraexaminer and interexaminer reliability for measuring pain location ranged from ? of 0.77 to 0.88 and 0.61 to 1.00, respectively.

CONCLUSIONS: We found important variations in the test-retest reliability of pain location and distribution across different test-retest scenarios and across body regions. The intraexaminer and interexaminer reliability for the measurement of pain distribution and pain location using the body pain diagram in patients with acute and chronic low back pain with or without radiculopathy are adequate.

This abstract is reproduced with the permission of the publisher; full text is available by subscription.

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