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The pain drawing as an instrument for identifying cervical spine nerve involvement in chronic whiplash-associated disorders
Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Medicine and Health Sciences.
Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in West Östergötland, Department of Rehabilitation in Motala. Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy.ORCID iD: 0000-0002-3259-3133
Linköping University, Faculty of Medicine and Health Sciences. Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Uppsala University, Sweden.ORCID iD: 0000-0003-2492-0306
Karolinska Institute, Sweden; Stockholm County Council, Sweden.
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2016 (English)In: Journal of Pain Research, ISSN 1178-7090, E-ISSN 1178-7090, Vol. 9, p. 397-404Article in journal (Refereed) Published
Abstract [en]

Objective: The aim of the study was to investigate the psychometric properties of a standardized assessment of pain drawing with regard to clinical signs of cervical spine nerve root involvement. Design: This cross-sectional study included data collected in a randomized controlled study. Patients: Two hundred and sixteen patients with chronic (amp;gt;= 6 months) whiplash-associated disorders, grade 2 or 3, were included in this study. Methods: The validity, sensitivity, and specificity of a standardized pain drawing assessment for determining nerve root involvement were analyzed, compared to the clinical assessment. In addition, we analyzed the interrater reliability with 50 pain drawings. Results: Agreement was poor between the standardized pain drawing assessment and the clinical assessment (kappa = 0.11, 95% CI: -0.03 to 0.20). Sensitivity was high (93%), but specificity was low (19%). Interrater reliability was good (kappa = 0.64, 95% CI: 0.53 to 0.76). Conclusion: The standardized pain drawing assessment of nerve root involvement in chronic whiplash-associated disorders was not in agreement with the clinical assessment. Further research is warranted to optimize the utilization of a pain/discomfort drawing as a supportive instrument for identifying nerve involvement in cervical spinal injuries.

Place, publisher, year, edition, pages
DOVE MEDICAL PRESS LTD , 2016. Vol. 9, p. 397-404
Keyword [en]
pain drawing; cervical vertebrae; diagnostic self-evaluation; radiculopathy; reproducibility of results; whiplash injuries
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:liu:diva-133777DOI: 10.2147/JPR.S104747ISI: 000389774700001PubMedID: 27358576OAI: oai:DiVA.org:liu-133777DiVA, id: diva2:1063052
Note

Funding Agencies|Swedish government; Swedish Social Insurance Agency, through the REHSAM foundation; Swedish Research Council; Centre for Clinical Research Sormland at Uppsala University Sweden; Uppsala-Orebro Regional Research Council Sweden; Regional Centre for Clinical Research of Ostergotland County Council; Medical Research Council of Southeast Sweden

Available from: 2017-01-09 Created: 2017-01-09 Last updated: 2018-03-26

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Landén Ludvigsson, MariaPeterson, GunnelPeolsson, Anneli
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