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

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: T...

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Autores principales: Bernhoff, Gabriella, Landén Ludvigsson, Maria, Peterson, Gunnel, Bertilson, Bo Christer, Elf, Madeleine, Peolsson, Anneli
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4912326/
https://www.ncbi.nlm.nih.gov/pubmed/27358576
http://dx.doi.org/10.2147/JPR.S104747
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author Bernhoff, Gabriella
Landén Ludvigsson, Maria
Peterson, Gunnel
Bertilson, Bo Christer
Elf, Madeleine
Peolsson, Anneli
author_facet Bernhoff, Gabriella
Landén Ludvigsson, Maria
Peterson, Gunnel
Bertilson, Bo Christer
Elf, Madeleine
Peolsson, Anneli
author_sort Bernhoff, Gabriella
collection PubMed
description 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.
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spelling pubmed-49123262016-06-29 The pain drawing as an instrument for identifying cervical spine nerve involvement in chronic whiplash-associated disorders Bernhoff, Gabriella Landén Ludvigsson, Maria Peterson, Gunnel Bertilson, Bo Christer Elf, Madeleine Peolsson, Anneli J Pain Res Original Research 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. Dove Medical Press 2016-06-13 /pmc/articles/PMC4912326/ /pubmed/27358576 http://dx.doi.org/10.2147/JPR.S104747 Text en © 2016 Bernhoff et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Bernhoff, Gabriella
Landén Ludvigsson, Maria
Peterson, Gunnel
Bertilson, Bo Christer
Elf, Madeleine
Peolsson, Anneli
The pain drawing as an instrument for identifying cervical spine nerve involvement in chronic whiplash-associated disorders
title The pain drawing as an instrument for identifying cervical spine nerve involvement in chronic whiplash-associated disorders
title_full The pain drawing as an instrument for identifying cervical spine nerve involvement in chronic whiplash-associated disorders
title_fullStr The pain drawing as an instrument for identifying cervical spine nerve involvement in chronic whiplash-associated disorders
title_full_unstemmed The pain drawing as an instrument for identifying cervical spine nerve involvement in chronic whiplash-associated disorders
title_short The pain drawing as an instrument for identifying cervical spine nerve involvement in chronic whiplash-associated disorders
title_sort pain drawing as an instrument for identifying cervical spine nerve involvement in chronic whiplash-associated disorders
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4912326/
https://www.ncbi.nlm.nih.gov/pubmed/27358576
http://dx.doi.org/10.2147/JPR.S104747
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