Initial-Impression Diagnosis Using Low-Back Pain Patient Pain Drawings

Mann, N. Horace; Brown, Mark D.; Hertz, D.; Enger, Isadore; Tompkins, Janet

doi:10.1097/00007632-199301000-00008

Cited by 71 publications

(30 citation statements)

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“…Self-report measures included a body diagram to assess the distribution of symptoms. 23 An 11-point pain rating scale ranging from 0 (no pain) to 10 (worst imaginable pain) was used to assess current pain intensity and the best and worst level of pain during the last 24 hours. 24 The average of the three ratings was used.…”

Section: Methodsmentioning

confidence: 99%

The Audible Pop From High-Velocity Thrust Manipulation and Outcome in Individuals With Low Back Pain

Flynn

Childs

Fritz

2006

Journal of Manipulative and Physiological Therapeutics

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Section: Methodsmentioning

confidence: 99%

The Audible Pop From High-Velocity Thrust Manipulation and Outcome in Individuals With Low Back Pain

Flynn

Childs

Fritz

2006

Journal of Manipulative and Physiological Therapeutics

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“…The diagnostic value of the pain drawing is most often based on whether the pain markings correspond with relevant anatomical structures or not [3, 29,30,33,39]. Also, for evaluation and quantification of pain, several surface-based methods have been applied [20,22,27,30].…”

Section: Pain 5 Years After Instrumented and Non-instrumented Posteromentioning

confidence: 99%

Pain 5 years after instrumented and non-instrumented posterolateral lumbar spinal fusion

Andersen

Christensen

Hansen

et al. 2003

European Spine Journal

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IntroductionPosterolateral spinal fusion has become an evidence-based treatment of chronic low back pain caused by spondylolisthesis or spinal instability [12,26]. Although widely used, the beneficial effect on the clinical outcome of adding pedicle-screw fixation to the posterolateral spinal fusion has not yet been demonstrated [11,13,25,38]. All studies have shown reduction in pain and disability, but few have investigated the severity and localisation of residual pain several years after the procedure.Abstract Pain drawings have been used in spine surgery for diagnostic use and psychological evaluation of fusion candidates; they have rarely been used to evaluate pain status after spinal fusion. This study is a 5-year follow-up on a randomised clinical trial assigning patients to posterolateral spinal fusion with or without pedicle screw instrumentation. Patients were mailed a pain drawing and questionnaires including questions regarding work, social status, smoking status, the Dallas Pain Questionnaire (DPQ), and the Low Back Pain Rating Scale (LBPRS). Pain drawings were scored using a visual inspection method and a surfacebased point scoring and evaluated for the presence of donor site pain. Pain drawings from 109 patients (87% of the initially included patients), 56 men and 53 women, mean age at followup 51 years, were analysed. Fiftythree patients had undergone an instrumented fusion and 56 a non-instrumented fusion. Some presence of low back pain was marked by 79% and leg pain by 69%. Sixty-two percent of the pain drawings were classified as "organic" and 38% as "nonorganic". There was no difference between the instrumented and the uninstrumented group. DPQ and LBPRS scores were higher in the non-organic group (P=0.007). Using the point scoring, no difference between the instrumented and the uninstrumented group was seen. The results of the point scoring were found to correlate with the DPQ and LBPRS scores (P=0.001). Working patients (39%) had significantly better scores than the rest. Ten percent of the patients had donor site pain. Twenty percent of spinal fusion patients are totally pain free at 5-year follow-up. Ten percent still experience donor site pain. In general, instrumentation does not affect the amount and localisation of pain 5 years after lumbar spinal fusion surgery. The pain drawing seems to be a valuable tool when following spinal fusion patients, but its use as prognostic marker in connection with fusion surgery needs further investigation.

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“…Based on either a penalty point system [41,49] or on a general impression [48,55], the pain drawing is characterized as "organic" or "non-organic". Attempts have also been made to differentiate diagnostic sub-groups by expert evaluation [25,26] and by automated scoring with artificial neural networks [46]. 2.…”

Section: Introductionmentioning

confidence: 99%

Pain-drawing does not predict the outcome of fusion surgery for chronic low-back pain: a report from the Swedish Lumbar Spine Study

et al. 2003

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Initial-Impression Diagnosis Using Low-Back Pain Patient Pain Drawings

Cited by 71 publications

References 0 publications

The Audible Pop From High-Velocity Thrust Manipulation and Outcome in Individuals With Low Back Pain

The Audible Pop From High-Velocity Thrust Manipulation and Outcome in Individuals With Low Back Pain

Pain 5 years after instrumented and non-instrumented posterolateral lumbar spinal fusion

Pain-drawing does not predict the outcome of fusion surgery for chronic low-back pain: a report from the Swedish Lumbar Spine Study

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