Measuring the Pain Area: An Intra- and Inter-Rater Reliability Study Using Image Analysis Software.

Pain drawings have frequently been used for clinical information and research. The aim of this study was to investigate intra- and inter-rater reliability of area measurements performed on pain drawings. Our secondary objective was to verify the reliability when using computers with different screen...

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Publicado en:Pain Practice Vol. 16; no. 1; pp. 24 - 31
Autores principales: Reis, Felipe Jose Jandre, Barros e Silva, Veronica, Lucena, Raphaela Nunes, Mendes Cardoso, Bruno Alexandre, Nogueira, Leandro Calazans
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Jan2016
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Measuring the Pain Area: An Intra- and Inter-Rater Reliability Study Using Image Analysis Software.
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        au:
          Reis, Felipe Jose Jandre
          Barros e Silva, Veronica
          Lucena, Raphaela Nunes
          Mendes Cardoso, Bruno Alexandre
          Nogueira, Leandro Calazans
        affil: Instituto Federal do Rio de Janeiro (IFRJ), Rio de Janeiro Brazil
      sug:
        subj:
          Drawing
          Neck Pain
          Shoulder Pain
          Chronic Pain
          Pain Measurement
          Human
          Intrarater Reliability
          Intraclass Correlation Coefficient
          Descriptive Statistics
          Interrater Reliability
          Confidence Intervals
          Test-Retest Reliability
          Surveys
          Psychological Tests
          Paired T-Tests
          Scales
          Quantitative Studies
          Validity
          Questionnaires
          Equivalence
          Sensitivity and Specificity
      ab: Pain drawings have frequently been used for clinical information and research. The aim of this study was to investigate intra- and inter-rater reliability of area measurements performed on pain drawings. Our secondary objective was to verify the reliability when using computers with different screen sizes, both with and without mouse hardware. Pain drawings were completed by patients with chronic neck pain or neck-shoulder-arm pain. Four independent examiners participated in the study. Examiners A and B used the same computer with a 16-inch screen and wired mouse hardware. Examiner C used a notebook with a 16-inch screen and no mouse hardware, and Examiner D used a computer with an 11.6-inch screen and a wireless mouse. Image measurements were obtained using GIMP and NIH Image J computer programs. The length of all the images was measured using GIMP software to a set scale in Image J. Thus, each marked area was encircled and the total surface area (cm2) was calculated for each pain drawing measurement. A total of 117 areas were identified and 52 pain drawings were analyzed. The intrarater reliability between all examiners was high ( ICC = 0.989). The inter-rater reliability was also high. No significant differences were observed when using different screen sizes or when using or not using the mouse hardware. This suggests that the precision of these measurements is acceptable for the use of this method as a measurement tool in clinical practice and research.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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