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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 (author)
- Linköpings universitet,Avdelningen för fysioterapi,Medicinska fakulteten
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- Landén Ludvigsson, Maria (author)
- Linköpings universitet,Medicinska fakulteten,Avdelningen för fysioterapi,Region Östergötland, Rehab Väst
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- Peterson, Gunnel (author)
- Uppsala universitet,Linköpings universitet,Medicinska fakulteten,Avdelningen för fysioterapi,Uppsala University, Sweden,Centrum för klinisk forskning i Sörmland (CKFD)
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- Bertilson, Bo Christer (author)
- Karolinska Institutet,Karolinska Institute, Sweden; Stockholm County Council, Sweden
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- Elf, Madeleine (author)
- Kista Rygg and Idrottsklin, Sweden
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- Peolsson, Anneli (author)
- Linköpings universitet,Avdelningen för fysioterapi,Medicinska fakulteten
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(creator_code:org_t)
- DOVE MEDICAL PRESS LTD, 2016
- 2016
- English.
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In: Journal of Pain Research. - : DOVE MEDICAL PRESS LTD. - 1178-7090. ; 9, s. 397-404
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Abstract
Subject headings
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- 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.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Sjukgymnastik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Physiotherapy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)
Keyword
- pain drawing; cervical vertebrae; diagnostic self-evaluation; radiculopathy; reproducibility of results; whiplash injuries
Publication and Content Type
- ref (subject category)
- art (subject category)
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