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Related Experiment Video

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Author Spotlight: Quantifying Pain Experience – An Illustrative Approach Using the Pain Body Diagram
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Testing Shoulder Pain Mapping.

Levent Bayam1, Rajendra Arumilli1, Ian Horsley2

  • 1Orthopaedic department, Central Manchester University Hospitals, Manchester, UK.

Pain Medicine (Malden, Mass.)
|March 25, 2017
PubMed
Summary
This summary is machine-generated.

Shoulder pain mapping accuracy was tested and found to be a useful clinical assessment tool. This study validated pain mapping for common shoulder disorders, showing good reliability for primary and secondary care settings.

Keywords:
Pain MappingPatternsShoulder pain

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Area of Science:

  • Orthopedics
  • Musculoskeletal Medicine
  • Diagnostic Tools

Background:

  • Previous research identified specific pain patterns for common shoulder disorders.
  • Shoulder pain mapping has potential utility in clinical practice.

Purpose of the Study:

  • To test the accuracy of established shoulder pain mapping patterns.
  • To modify pain mapping as needed and assess its reliability and validity.
  • To evaluate the utility of shoulder pain mapping in daily practice.

Main Methods:

  • Prospective study involving 194 new shoulder pain patients.
  • Patients marked pain location, character, and severity on a custom form.
  • Researcher blinded to diagnoses estimated pain patterns, correlated with final diagnoses; intertester reliability assessed.

Main Results:

  • Overall estimation accuracy ranged from 45.4% to 49.5%.
  • High sensitivity observed for instability, calcific tendinitis, acromio-clavicular joint pathology, and impingement.
  • Clinically significant intertester agreement for disease groups (κ=0.70) and individual disorders (κ=0.52).

Conclusions:

  • Shoulder pain mapping is a unique and extensive assessment method.
  • Pain mapping serves as a valuable adjunct to clinical assessment for shoulder pain.
  • Applicable in primary care, secondary care, and research settings.