Why the study?
Existing pain estimation techniques rely on verbal or nonverbal communication unsuitable for noncooperative subjects, while facial video-based methods have limited performance, complex computation, and high costs.
Does pain assessment using EMG and GSR signals improve detection accuracy compared to facial expression-based methods in noncooperative subjects?
Does pain assessment using EMG and GSR signals improve detection accuracy compared to facial expression-based methods in noncooperative subjects?
EMG and GSR signal analysis provides a viable alternative for pain assessment in noncooperative subjects, achieving up to 80% accuracy for high pain intensities.
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EMG/GSR signals may enable objective pain assessment in non-communicative patients; leaves open validation in larger clinical cohorts.
Most of the existing pain estimation techniques depend on the response of the subject through verbal or nonverbal communication which does not suit infants, senseless and injured persons, and subjects with cognitive impairment. To bridge this gap, researchers have explored the potential of facial video- and image-based pain recognition methods. However, it provides limited classification performance with complex computation and costly frameworks including a large storage capacity. The dependence of autonomic nervous system (ANS) activities on stimulus like pain provides an alternative pathway to assess pain subjected to external stimuli through ANS-related biosignals. In this article, processing and analysis technique of electromyogram and galvanic skin response signals for assessment of pain for noncooperative subjects are presented and validated against BioVid heat pain database. Different intensities of pain are considered and characterized with the statistical features extracted from the said biosignals. It is noticed that the accuracy level of pain estimation increases with the rise in pain intensity. For highest pain level, 80% detection accuracy is achieved which outperforms the performances of facial expression-based pain assessment techniques.
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Sen et al. (2021) studied this question.
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