Nonorganic Physical Signs in Low-Back Pain

Waddell, Gordon; McCulloch, John A.; Kummel, Ed; Rm, Venner

doi:10.1097/00007632-198003000-00005

Cited by 773 publications

(311 citation statements)

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“…We tested deviation of the spine in forward bending, difficulties in walking, pain scoliosis and tenderness of the spinal area. Non-organic signs according to Wadell et al [26] were also included in the clinical examination.…”

Section: Physical Examinationmentioning

confidence: 99%

Conservative treatment in patients sick-listed for acute low-back pain: a prospective randomised study with 12 months' follow-up

Seferlis

Németh

Carlsson

et al. 1998

European Spine Journal

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We evaluated three different conservative treatment methods for acute low-back pain patients in groups following a manual therapy programme, an intensive training programme, or a general practitioner programme, the latter serving as the control group. Patients aged 19-64 years on sick leave for low-back pain with or without sciatica were included in a prospective randomised study evaluating outcomes such as impairment, pain, functional disability, socio-economic disability and satisfaction with the treatment or explanations. Evaluation by unbiased observers was performed at 1, 3 and 12 months. The three treatment groups were comparable at baseline. With regard to satisfaction, the patients in the manual therapy programme and those in the intensive training programme were more satisfied with the treatment than those in the general practitioner programme at all follow-ups. With regard to the explanations of current low-back pain episodes, the patients in the manual therapy programme were more satisfied than those in the general practitioner programme at all follow-ups. The manual therapy programme group were also more satisfied with the explanations than those in the intensive training programme

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Section: Physical Examinationmentioning

confidence: 99%

Conservative treatment in patients sick-listed for acute low-back pain: a prospective randomised study with 12 months' follow-up

Seferlis

Németh

Carlsson

et al. 1998

European Spine Journal

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“…There have now been a few studies addressing the effect of these factors on functional testing [4,7,16]. Hirsch et al found that isoinertial performance was significantly worse among patients exhibiting excessive illness behavior as determined by Waddell scores [7,21]. In a study by Estlander et al it was found that a simple self-efficacy questionnaire could account for a significant portion of patients' isokinetic performance, particularly at higher test speeds [4].…”

Section: Introductionmentioning

confidence: 99%

The relationship of disability (Oswestry) and pain drawings to functional testing

Ohnmeiss

Vanharanta

Estlander³

et al. 2000

European Spine Journal

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“…The situation is even more di cult if functional disability is the issue. The assessment depends to a great extent upon the physician's experience, supported by ®ndings on imaging, sometimes on questionnaires, 21 and on tests such as those proposed by Waddell et al 22 The exact diagnoses of LBP patients is often of a limited value. Patients with herniated discs or other severe radiological changes are often not aware of their pathology and they are functionally healthy, 6,7 while patients with no radiological or EMG ®ndings whatsoever are highly disabled.…”

Section: Discussionmentioning

confidence: 99%

Characteristic dynamic differences between healthy and low back pain subjects

et al. 2000

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Study design: Open retrospective study. Objectives: To assess the functional capacity impairment of chronic low back pain (LBP) patients using characteristic dynamic changes. Setting: Orthopaedics and Physiotherapy departments at Tel-Aviv, Israel. Methods: Thirty-eight normal healthy volunteers and 607 chronic LBP patients were tested on a computerized 3-D lumbar dynamometer. The four major parameters measured were the maximal isometric torque (MIT), maximal velocity against 25% MIT and 50% MIT (MV 25 , MV 50 , respectively) and maximal torques in secondary axes (MST). All patients parameters were compared to the normal, healthy ®ndings. Results: All four parameters were found to be signi®cantly di erent between healthy (or nonsymptomatic) and symptomatic LBP subjects. Conclusions: The ®ndings support the use of 3-D dynamometry and the four parameters mentioned to objectively classify patients with functional disability. Spinal Cord (2000) 38, 414 ± 419

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Nonorganic Physical Signs in Low-Back Pain

Cited by 773 publications

References 0 publications

Conservative treatment in patients sick-listed for acute low-back pain: a prospective randomised study with 12 months' follow-up

Conservative treatment in patients sick-listed for acute low-back pain: a prospective randomised study with 12 months' follow-up

The relationship of disability (Oswestry) and pain drawings to functional testing

Characteristic dynamic differences between healthy and low back pain subjects

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