Korean J Pain.  2018 Oct;31(4):268-276. 10.3344/kjp.2018.31.4.268.

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

• Mendonça
• Noll M
• Silveira E

• KMID: 2421518
• DOI: http://doi.org/10.3344/kjp.2018.31.4.268

Abstract

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.

Keyword

Acute pain; Body image; Musculoskeletal pain; Obesity; Pain, Validation studies

MeSH Terms

Acute Pain
Adult
Body Fat Distribution
Body Image
Data Collection
Female
Humans
Male
Musculoskeletal Pain*
Obesity
Obesity, Morbid*
Pilot Projects
Sensitivity and Specificity

Figure

• 

  Fig. 1 Body maps of male and female silhouettes and nine regions indicative of musculoskeletal pain. (A) female silhouettes, (B) male silhouettes.

• 

  Fig. 2 Shows the anatomical areas and the layout of the original Nordic Questionnaire.

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