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research article

Quantifying dimensions of physical behavior in chronic pain conditions

Paraschiv-Ionescu, Anisoara  
•
Perruchoud, Christophe
•
Rutschmann, Blaise
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2016
Journal of Neuroengineering and Rehabilitation

Background: Chronic pain, defined as persistent or recurrent pain lasting longer than 3 months, is a frequent condition affecting an important percent of population worldwide. Pain chronicity can be caused by many different factors and is a frequent component of many neurological disorders. An important aspect for clinical assessment and design of effective treatment and/or rehabilitation strategies is to better understand the impact of pain on domains of functioning in everyday life. The aim of this study was to identify the objectively quantifiable features of physical functioning in daily life and to evaluate their effectiveness to differentiate behavior among subjects with different pain conditions. Method: Body worn sensors were used to record movement data during five consecutive days in 92 subjects. Sensor data were processed to characterize the physical behavior in terms of type, intensity, duration and temporal pattern of activities, postures and movements performed by subjects in daily life. Metrics quantifying these features were subsequently used to devise composite scores using a factor analysis approach. The severity of clinical condition was assessed using a rating of usual pain intensity on a 10-cm visual analog scale. The relationship between pain intensity and the estimated metrics/composite scores was assessed using multiple regression and discriminant analysis. Results: According to the factor analysis solution, two composite scores were identified, one integrating the metrics quantifying the amount and duration of activity periods, and the other the metrics quantifying complexity of temporal patterns, i.e., the diversity of body movements and activities, and the manner in which they are organized throughout time. All estimated metrics and composite scores were significantly different between groups of subjects with clinically different pain levels. Moreover, analysis revealed that pain intensity seemed to have a more significant impact on the overall physical behavior, as it was quantified by a global composite score, whereas the type of chronic pain appeared to influence mostly the complexity of the temporal pattern. Conclusion: The methodology described could be informative for the design of objective outcome measures in chronic pain management/rehabilitation programs.

  • Details
  • Metrics
Type
research article
DOI
10.1186/s12984-016-0194-x
Web of Science ID

WOS:000384763100002

Author(s)
Paraschiv-Ionescu, Anisoara  
Perruchoud, Christophe
Rutschmann, Blaise
Buchser, Eric
Aminian, Kamiar  
Date Issued

2016

Publisher

BioMed Central

Published in
Journal of Neuroengineering and Rehabilitation
Volume

13

Start page

85

Subjects

Chronic pain assessment

•

Physical behavior

•

Pattern complexity

•

Factor analysis

•

Composite scores

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
LMAM  
Available on Infoscience
November 21, 2016
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/131469
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