Evidence map›Paper›PMID 27358576›Full record

ArticleJournal of pain research2016

The pain drawing as an instrument for identifying cervical spine nerve involvement in chronic whiplash-associated disorders.

Gabriella Bernhoff, Maria Landén Ludvigsson, Gunnel Peterson, Bo Christer Bertilson, Madeleine Elf, Anneli Peolsson

Open access · goldAbstract read
In one paragraph

Article in Journal of pain research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.5field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Gabriella BernhoffDivision of Physiotherapy, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
Maria Landén LudvigssonDivision of Physiotherapy, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden; Rehab Väst, County Council of Östergötland, Östergötland, Sweden.
Gunnel PetersonDivision of Physiotherapy, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden; Centre for Clinical Research Sörmland, Uppsala University, Eskilstuna, Sweden.
Bo Christer BertilsonMusculoskeletal Functions and Pain, Division of Family Medicine, NVS, Karolinska Institutet, Kista, Sweden; Academic Primary Health Care Center, Stockholm County Council, Kista, Sweden.
Madeleine ElfKista Rygg and Idrottsklinik, Kista, Sweden.
Anneli PeolssonDivision of Physiotherapy, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
Linköping University · SEPhysiotherapy New Zealand · NZKarolinska Institutet · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of the study was to investigate the psychometric properties of a standardized assessment of pain drawing with regard to clinical signs of cervical spine nerve root involvement.

designThis cross-sectional study included data collected in a randomized controlled study. PATIENTS: Two hundred and sixteen patients with chronic (≥6 months) whiplash-associated disorders, grade 2 or 3, were included in this study.

methodsThe validity, sensitivity, and specificity of a standardized pain drawing assessment for determining nerve root involvement were analyzed, compared to the clinical assessment. In addition, we analyzed the interrater reliability with 50 pain drawings.

resultsAgreement was poor between the standardized pain drawing assessment and the clinical assessment (kappa =0.11, 95% CI: -0.03 to 0.20). Sensitivity was high (93%), but specificity was low (19%). Interrater reliability was good (kappa =0.64, 95% CI: 0.53 to 0.76).

conclusionThe standardized pain drawing assessment of nerve root involvement in chronic whiplash-associated disorders was not in agreement with the clinical assessment. Further research is warranted to optimize the utilization of a pain/discomfort drawing as a supportive instrument for identifying nerve involvement in cervical spinal injuries.

Indexed as

cervical vertebraediagnostic self-evaluationpain drawingradiculopathyreproducibility of resultswhiplash injuries

Identifiers

PMID27358576
PMCPMC4912326
OpenAlexW2434146991

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.