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The pain drawing as...
The pain drawing as an instrument for identifying cervical spine nerve involvement in chronic whiplash-associated disorders
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Bernhoff, Gabriella, 1973- (författare)
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Landén Ludvigsson, Maria, 1967- (författare)
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Peterson, Gunnel, 1959- (författare)
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Bertilson, Bo C., 1953- (författare)
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Elf, Madeleine (författare)
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Peolsson, Anneli (författare)
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(utgivare)
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- DOVE MEDICAL PRESS LTD, 2016
- 2016
- Engelska.
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Ingår i: Journal of Pain Research. - 1178-7090. ; 9, 397-404
- Relaterad länk:
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http://www.liu.se (web site)
Abstract
Ämnesord
Stäng
- 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.
Ämnesord
- Medical and Health Sciences (ssif)
- Health Sciences (ssif)
- Physiotherapy (ssif)
- Medicin och hälsovetenskap (ssif)
- Hälsovetenskap (ssif)
- Sjukgymnastik (ssif)
Genre
- government publication (marcgt)
Nyckelord
- pain drawing; cervical vertebrae; diagnostic self-evaluation; radiculopathy; reproducibility of results; whiplash injuries
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