Waddell signs: Distributional properties and correlates

Novy, Diane M.; Collins, Heidi Seifert; Nelson, David V.; Thomas, Alan; Wiggins, Michelle; Martinez, Angelita; Irving, Gordon

doi:10.1016/s0003-9993(98)90363-x

Cited by 26 publications

(30 citation statements)

References 7 publications

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“…We expected positive associations of small to fair magnitude between mPDS scores and NPAD and NPRS scores. 9,19,41,58 We expected positive associations of fair magnitude between mcNOS scores and NPAD 34,48,52 and NPRS scores. 2,34,48,52 We expected the association between the mcNOS and NPAD to be stronger than the association between the mPDS and NPAD.…”

Section: T T Conclusionmentioning

confidence: 89%

“…9,19,41,58 We expected positive associations of fair magnitude between mcNOS scores and NPAD 34,48,52 and NPRS scores. 2,34,48,52 We expected the association between the mcNOS and NPAD to be stronger than the association between the mPDS and NPAD. 9,19,34,41,48,52,58 …”

Section: T T Conclusionmentioning

confidence: 89%

“…2,34,48,52 We expected the association between the mcNOS and NPAD to be stronger than the association between the mPDS and NPAD. 9,19,34,41,48,52,58 …”

Section: T T Conclusionmentioning

confidence: 97%

“…On average, little to fair associations have been reported between physical impairment, behavioral signs, and self-reported disability and pain. 2,9,19,34,41,48,52,58 However, at the level of the individual patient, clinical practice mostly targets the problem areas identified during a clinical status assessment. Therefore, it is critical to establish the reliability and validity of this assessment.…”

mentioning

confidence: 99%

See 3 more Smart Citations

Physical Dysfunction and Nonorganic Signs in Patients With Chronic Neck Pain: Exploratory Study Into Interobserver Reliability and Construct Validity

Jorritsma¹,

Dijkstra²,

Vries³

et al. 2014

J Orthop Sports Phys Ther

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Section: T T Conclusionmentioning

confidence: 89%

Section: T T Conclusionmentioning

confidence: 89%

“…2,34,48,52 We expected the association between the mcNOS and NPAD to be stronger than the association between the mPDS and NPAD. 9,19,34,41,48,52,58 …”

Section: T T Conclusionmentioning

confidence: 97%

mentioning

confidence: 99%

See 2 more Smart Citations

Physical Dysfunction and Nonorganic Signs in Patients With Chronic Neck Pain: Exploratory Study Into Interobserver Reliability and Construct Validity

Jorritsma¹,

Dijkstra²,

Vries³

et al. 2014

J Orthop Sports Phys Ther

View full text Add to dashboard Cite

“…Several methods to try to help the clinician in detecting patients who feign something have been developed, although they are not particularly reliable. 8,12,42,67,104 The presence of this behavior in chronic pain patients is highly variable, ranging from 1.2% and 36% 3,85 ; however, other authors believe it is very low. 76 Waddell 129 considers that the incidence of malingering in low back pain is low, and is frequently mistaken with behaviors associated with pain.…”

Section: Malingeringmentioning

confidence: 99%

Influence of Psychological Factors on Pain and Disability in Anterior Knee Pain Patients

Doménech

Sanchis-Alfonso²,

Espejo³

2011

Anterior Knee Pain and Patellar Instability

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Clinical Update: Evaluation of Low Back Pain

Martin¹,

Brigham²,

Brooks³

2001

AMA Guides® Newsletter

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This article provides an overview of the neurological examination and diagnostic studies commonly used in the evaluation of low back pain, information that is essential for both clinical assessment and impairment rating in the AMA Guides to the Evaluation of Permanent Impairment. Clinical evaluation begins with a careful review of medical records. After taking a thorough history, the physician performs the physical examination, including neurological testing, on the patient. The clinical evaluation also determines data needed for impairment evaluation. Neurological examination helps distinguish among the various types of pathology suggested by the history, but to some extent the neurological examination lacks sensitivity and specificity and only about two-thirds (69%) of patients with documented L4-L5 or L5-S1 disc herniations demonstrated weakness or deep tendon reflex changes. To maximize information from the evaluation, physicians routinely test for nonorganic physical signs. Isolated positive signs have no clinical or predictive value, and only a score of three or more positive signs is considered clinically significant. Further, these tests were not designed to detect malingering. Used in isolation, the history, neurological examination, and various diagnostic studies do not have the necessary sensitivity and specificity to diagnose and identify the structural pathology responsible for lumbar radiculopathy. Integrating these components into a logical, unbiased evaluation, physicians usually can perform an accurate assessment.

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Waddell signs: Distributional properties and correlates

Cited by 26 publications

References 7 publications

Physical Dysfunction and Nonorganic Signs in Patients With Chronic Neck Pain: Exploratory Study Into Interobserver Reliability and Construct Validity

Physical Dysfunction and Nonorganic Signs in Patients With Chronic Neck Pain: Exploratory Study Into Interobserver Reliability and Construct Validity

Influence of Psychological Factors on Pain and Disability in Anterior Knee Pain Patients

Clinical Update: Evaluation of Low Back Pain

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