The pain drawing as an instrument for identifying cervical spine nerve involvement in chronic whiplash-associated disorders

被引：10
作者：
Bernhoff, Gabriella [1 ]
Ludvigsson, Maria Landen [1 ,2 ]
Peterson, Gunnel [1 ,3 ]
Bertilson, Bo Christer [4 ,5 ]
Elf, Madeleine [6 ]
Peolsson, Anneli [1 ]
机构：
[1] Linkoping Univ, Dept Med & Hlth Sci, Div Physiotherapy, Lasarettsgatan 46,Hus 511,Plan 15,Campus US, SE-58183 Linkoping, Sweden
[2] Cty Council Ostergotland, Rehab Vast, Ostergotland, Sweden
[3] Uppsala Univ, Ctr Clin Res Sormland, Eskilstuna, Sweden
[4] Karolinska Inst, NVS, Div Family Med, Musculoskeletal Funct & Pain, S-10401 Stockholm, Sweden
[5] Stockholm Cty Council, Acad Primary Hlth Care Ctr, Stockholm, Sweden
[6] Kista Rygg & Idrottsklin, Kista, Sweden
来源：
JOURNAL OF PAIN RESEARCH | 2016年 / 9卷
基金：
瑞典研究理事会; 英国医学研究理事会;
关键词：
pain drawing; cervical vertebrae; diagnostic self-evaluation; radiculopathy; reproducibility of results; whiplash injuries; LOW-BACK-PAIN; NECK-SPECIFIC EXERCISE; NEUROPATHIC PAIN; INTERRATER RELIABILITY; BEHAVIORAL-APPROACH; DISABILITY; AGREEMENT; SYMPTOMS; SURGERY; ORIGIN;
D O I：
10.2147/JPR.S104747
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
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 (>= 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.
引用
收藏
页码：397 / 404
页数：8
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