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

Hägg, Olle; Fritzell, Peter; Hedlund, Rune; Möller, Hans; Ekselius, Lisa; Nordwall, Anders

doi:10.1007/s00586-002-0427-5

Cited by 35 publications

(19 citation statements)

References 47 publications

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“…Then, according to the procedure of Dos Reis et al, we used an electronically scanned version of the body diagram and open-source software to calculate the total body area in each pain diagram (Dos Reis et al, 2016). Based on the literature, we decided to calculate the percentage pain surface area (PPSA) and count the number of pain sites in order to evaluate widespread pain (WP) (Dragioti et al, 2017;Hägg et al, 2003;Persson, Garametsos & Pedersen, 2011;Visser et al, 2014). A previous study of patients with chronic pain (Muñoz García et al, 2016) had shown that both PPSA and WP measures were helpful when assessing pain behavior.…”

Section: Methodsmentioning

confidence: 99%

Relationship between healthcare seeking and pain expansion in patients with nonspecific chronic low back pain

Grande-Alonso

Muñoz-García

Cuenca‐Martínez

et al. 2020

PeerJ

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Objectives Low back pain (LBP) is the most prevalent musculoskeletal problem, which implies a high rate of chronicity. The chronicity of symptoms can lead to pain expansion. The main objective of this study was to assess whether there were differences between patients with nonspecific chronic LBP (CLBP) who sought healthcare compared to those who did not in terms of pain expansion. Methods Ninety individuals participated in the study and were divided into three groups: 30 patients who sought care; 30 patients who did not seek care; and 30 asymptomatic individuals. The primary variable analyzed was pain expansion. Secondary physical and psychological variables were assessed later, and a regression analysis was performed. Results Patients who sought help showed significant differences in pain expansion and pain intensity compared with the group who did not seek help, with a medium effect size (0.50–0.79). The regression model for the care-seeking group showed that dynamic balance with the left leg and depression were predictors of percentage pain surface area (34.6%). The combination of dynamic balance, range of movement in flexoextension and depression were predictors of widespread pain (48.5%). Conclusion Patients who soughtcare presented greater pain expansion than patients whodidnot. A combination of functional and psychological variables can significantly predict pain expansion in patients with nonspecific CLBP who seek help.

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Section: Methodsmentioning

confidence: 99%

Relationship between healthcare seeking and pain expansion in patients with nonspecific chronic low back pain

Grande-Alonso

Muñoz-García

Cuenca‐Martínez

et al. 2020

PeerJ

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show abstract

“…Although these correlations were significant, they were relatively modest (0.34 and 0.037, respectively) suggesting that the information obtained from the pain drawing is not a substitute for the evaluations of classical outcome measures, but that it contributes a unique component of pain assessment. Although the relationship between quantified pain drawings and other measures of pain severity at one time point [22] has previously been shown, to our knowledge this is the first report to document that changes in these measures due to treatment intervention are also significantly related.…”

Section: Discussionmentioning

confidence: 67%

Utility of Quantitative Computerized Pain Drawings in a Sample of Spinal Stenosis Patients

Felix¹,

Galoian

Aarons³

et al. 2010

Pain Med

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“…Then, according to the procedure of Dos Reis et al, we used an electronically scanned version of the body diagram and open-source software to calculate the total body area in each pain diagram (F. J. Dos Reis, de Barros E Silva, de Lucena, Mendes Cardoso, & Nogueira, 2016). Based on the literature, we decided to calculate the percentage pain surface area (PPSA) and count the number of pain sites in order to evaluate widespread pain (WP) (Dragioti, Larsson, Bernfort, Levin, & Gerdle, 2017;Hägg et al, 2003;Persson, Garametsos, & Pedersen, 2011;Visser, Ramachenderan, Davies, & Parsons, 2014). A previous study of patients with chronic pain (Muñoz-García et al, 2016) had shown that both PPSA and WP measures were helpful when assessing pain behavior.…”

Section: Methodsmentioning

confidence: 99%

Peer Review #2 of "Relationship between healthcare seeking and pain expansion in patients with nonspecific chronic low back pain (v0.2)"

Hoegh¹

2020

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Low back pain (LBP) is the most prevalent musculoskeletal problem, which implies a high rate of chronicity. The chronicity of symptoms can lead to pain expansion. The main objective of this study was to assess whether there were differences between patients with nonspecific chronic LBP (CLBP) who sought healthcare compared to those who did not in terms of pain expansion. Methods: Ninety individuals participated in the study and were divided into 3 groups: 30 patients who sought care; 30 patients who did not seek care; and 30 asymptomatic individuals. The primary variable analyzed was pain expansion. Secondary physical and psychological variables were assessed later, and a regression analysis was performed. Results: Patients who sought help showed significant differences in pain expansion and pain intensity compared with the group who did not seek help, with a medium effect size (0.50-0.79). The regression model for the care-seeking group showed that dynamic balance with the left leg and depression were predictors of percentage pain surface area (34.6%). The combination of dynamic balance, range of movement in flexoextension and depression were predictors of widespread pain (48.5%). Conclusion: Patients whosoughtcare presented greater pain expansion than patients whodidnot. A combination of functional and psychological variables can significantly predict pain expansion in patients with nonspecific CLBP who seek help.

show abstract

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

Cited by 35 publications

References 47 publications

Relationship between healthcare seeking and pain expansion in patients with nonspecific chronic low back pain

Relationship between healthcare seeking and pain expansion in patients with nonspecific chronic low back pain

Utility of Quantitative Computerized Pain Drawings in a Sample of Spinal Stenosis Patients

Peer Review #2 of "Relationship between healthcare seeking and pain expansion in patients with nonspecific chronic low back pain (v0.2)"

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