The pain drawing and waddell's nonorganic physical signs in chronic low-back pain

Carl W. Chan, Sherwin Goldman, Duane M. Ilstrup, Allen R. Kunselman, Phyllis I. O'neill

Research output: Contribution to journalArticle

84 Scopus citations

Abstract

Pain drawings we-a obtained from a group of 65T patients who had chronic low-back pairi. Pain drawings were ratsd in four grades according to the degroo of organic and nonorganic pain. Experienced and Inexperienced evaluators ware used. The reliability wes excellent with an interevsluator reliabiisty between 73% and 7BD/c. A correlation between pain drawings and Waddall's nonorganic physical signs demonstrated that a large proportion uf patients with highWeddell scores had nonorganic pain drawings. No significant differences were noted in the distribution of Waddell scores; ind pain drawings based on patient gender or payment us (i.e., medico lag^l or workers' compensation). Pain drawings afford an important adjunct In the physician's assessment of chronic low-back pain.

Original languageEnglish (US)
Pages (from-to)1717-1722
Number of pages6
JournalSpine
Volume18
Issue number13
DOIs
StatePublished - Oct 1993

All Science Journal Classification (ASJC) codes

  • Orthopedics and Sports Medicine
  • Clinical Neurology

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