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Widespread Pain Index
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The Fibromyalgia '''Widespread Pain Index''' or '''WPI''' is a patient rating that assesses how much of the body regularly causes pain. It was introduced by the American College of Rheumatology in the 2010 [[Fibromyalgia#Diagnosis|diagnostic criteria for fibromyalgia]].<ref name="ACR2010">{{Cite journal|url=https://www.rheumatology.org/Portals/0/Files/2010_Preliminary_Diagnostic_Criteria.pdf | title = American College of Rheumatology (ACR) Preliminary Diagnostic Criteria for Fibromyalgia | last =Wolfe | first = Frederick| date = May 2010|volume =62 | issue = 5 | pages = 600β610| doi = 10.1002/acr.20140|type=PDF|archive-url=|archive-date=|access-date= | author-link = | last2 = Clauw | first2 = Daniel | authorlink2 = |journal=Arthritis Care & Research | last3 = Fitzcharles | first3=Mary-Ann | first4=Don | last5 = Katz | last4 = Goldenberg | first5 = Robert | last6 = Mease | first6 = Philip | last7 = Russel | first7 = Anthony | last8 = Russel | first8 = I. Jon | first9 = John | last9 = Winfield | first10 = Muhammad | last10 = Yunus | authorlink10 = Muhammad Yunus}}</ref> ==WPI and Tender points== The Widespread Pain Index replaces the older tender point scoring and does not rely on a trained clinician pressing on painful areas. ==WPI scoring== The WPI score is between 0 and 19. Each of the 19 ''tender point areas'' in the soring diagram is given a score of 1 (pain present at least weekly), or 0 (no pain or pain present less often).<ref name="ACR2010" /><ref name="excerpt">{{Cite web|url=https://www.rheumatology.org/Portals/0/Files/2010%20Fibromyalgia%20Diagnostic%20Criteria_Excerpt.pdf | title = 2010 Fibromyalgia Diagnostic Criteria - Excerpt | last = | first = | author-link = | last2 = | first2 = |website=rheumatology.org | page = |archive-url=|archive-date=|access-date=}}</ref> [[File:Fibro_Widespread_Pain.png|400px|thumb|right|<span id="ACR1990-image"> '''Widespread Pain Index (WPI)''', 19 Tender Point Areas, 2010 ACR Diagnostic Criteria:</span><ref name="ACR2010" /><ref name="excerpt" />]] <div style="column-count:2;"> * Left shoulder girdle * Right shoulder girdle * Left hip (buttock, trochanter) * Right hip (buttock, trochanter) * Left jaw * Right jaw * Left upper arm * Right upper arm * Left upper leg * Right upper leg * Left lower arm * Right lower arm * Left lower leg * Right lower leg * Upper back * Lower back * Chest * Neck * Abdomen </div> The WPI is the total number of areas that are painful, giving a maximum value of 19. Pain severity is not scored in the WPI.<ref name="ACR2010" /> After WPI value is calculated, the [[Fibromyalgia#SS|Fibromyalgia Symptom Severity]] (SS) is worked out, and the two scores together area used to determine if someone has fibromyalgia. {{See also|Fibromyalgia#SS|Fibromyalgia Symptom Severity}} ==References== {{reflist}} [[Category:Symptom scales]]
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