Pain location and widespread pain in youth with orthopaedic conditions: Exploration of the reliability and validity of a body map

Foxen‐Craft, Emily; Scott, Eric L.; Kullgren, Kristin A.; Philliben, Reilly; Hyman, Caroline; Dorta, Marianna; Murphy, Anne; Voepel‐Lewis, Terri

doi:10.1002/ejp.1282

Cited by 9 publications

(10 citation statements)

References 24 publications

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“…26,27 Children aged 10-17 years with an orthopaedic condition of the lower leg had a high level of agreement between the identified pain location on a pain map and the physician-determined location of the pain. 28 This level of agreement was similar compared to the current study (76% respectively vs. 82%). The diagnostic site was confirmed by an orthopaedic surgeon, but because this study only focused on the pain location and diagnostic site and not on the exact diagnosis, a valid comparison between the two studies cannot be made.…”

Section: Discussionsupporting

confidence: 87%

Standardized pain mapping for diagnosing Achilles tendinopathy

Visser

Es²,

Meuffels³

et al. 2022

Journal of Science and Medicine in Sport

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Section: Discussionsupporting

confidence: 87%

Standardized pain mapping for diagnosing Achilles tendinopathy

Visser

Es²,

Meuffels³

et al. 2022

Journal of Science and Medicine in Sport

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“…On the other hand, our sample showed several similarities to chronic non-cancer pain populations, such as the relationship to pscychosocial outcomes, suggesting that models tested in chronic non-cancer pain populations may also have relevance to LTSCCs. In terms of capturing pain location, future research should inquire about all pain locations using a body map (Foxen-Craft et al, 2019) as well as consider including measures of widespread pain (Dudeney, Law, Meyyappan, Palermo, & Rabbitts, 2019). The distinction between pain phenotypes, such as those due to central sensitization, is imperative in the selection of appropriate interventions (Woolf, 2011).…”

Section: Future Directionsmentioning

confidence: 99%

Characterizing pain in long-term survivors of childhood cancer

Patton

Forster

Forbes

et al. 2021

Support Care Cancer

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Many long-term survivors of childhood cancer (LTSCCs) experience late-and long-term effects from their treatments, including pain. Yet, pain is poorly understood among LTSCCs. The current study aims to 1a) identify rates and patterns of chronic pain 1b) describe multiple dimensions of pain, and 2) test predictors of chronic pain in LTSCCs. Survivors [n=140; 48.6% male, Mage=17.3 years (SD=4.9)] were recruited from across Canada. Participants completed the

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“…A score based on body regions identified in the body map was created, based on the 1990 American College of Rheumatology criteria and consistent with previous pediatric pain research using body maps. 34,37 Regions included the left side, right side, above the waist, below the waist, and axial. A region was considered present if a box was checked in that region, then the total regions for each participant were summed.…”

Section: Michigan Body Mapmentioning

confidence: 99%

“…Scores ranged from 0 to 4, with the 1 to 2 regions groups collapsed, consistent with previous research. 34,37…”

Section: Michigan Body Mapmentioning

confidence: 99%

Pain Widespreadedness, and Not Primary Pain Location, is Associated With Comorbid Symptoms in Children With Chronic Pain

Foxen‐Craft

Bourchtein

Kaplan

et al. 2022

The Clinical Journal of Pain

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Objectives: Pediatric chronic pain represents heterogeneous diagnoses; often, primary pain location informs research classifications and treatment. In contrast, recent research has highlighted the role of widespread pain and this perspective has been adopted in assessments in specialty pediatric pain clinics. The lack of direct comparison between these 2 methods of categorizing pediatric chronic pain may hinder the adoption of evidence-based practices across the spectrum of care. Therefore, this study aimed to compare whether primary pain location or pain widespreadedness is more informative for pain-related symptoms in pediatric chronic pain. Methods: Youth (n=223) between the ages of 8 to 23 years (M=15.93, SD=2.11, 83% female) completed surveys upon intake at the pediatric chronic pain clinic. Free-text entries of primary pain location were coded into categories: headache, abdominal pain, and musculoskeletal pain. Additional domains assessed included widespread pain, pain interference, kinesiophobia, catastrophizing, anxiety, depression, sleep, and fatigue. Results: Differences based on primary pain location only emerged for kinesiophobia, F(2150)=8.20, P<0.001, with the highest scores among those with musculoskeletal pain. In contrast, controlling for sex, age, and pain intensity, pain widespreadedness was associated with pain interference, pain catastrophizing, fatigue, anxiety, and depression (P<0.05). Discussion: Pain widespreadedness was more consistently associated with pain-related outcomes among pediatric chronic pain patients than primary pain location, and body maps may be useful in determining a nociplastic pain mechanism to inform treatment. Improved assessment of pediatric pain mechanisms may help advance more precise treatment delivery.

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Pain location and widespread pain in youth with orthopaedic conditions: Exploration of the reliability and validity of a body map

Abstract: These results contribute to the limited information regarding psychometric properties of paediatric pain body maps, provide novel information about widespread pain among youth undergoing orthopaedic surgeries, and pave the way for improved assessment and treatment of paediatric pain.

Cited by 9 publications

References 24 publications

Standardized pain mapping for diagnosing Achilles tendinopathy

Standardized pain mapping for diagnosing Achilles tendinopathy

Characterizing pain in long-term survivors of childhood cancer

Pain Widespreadedness, and Not Primary Pain Location, is Associated With Comorbid Symptoms in Children With Chronic Pain

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