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Colored pain drawings: preliminary observations in a neurosurgical practice

Masferrer, R; Prendergast, Virginia LU and Hagell, Peter LU (2003) In European Journal of Pain 7(3). p.213-217
Abstract
Background: Black and white pain drawings were introduced as a proposed means to identify patients, presenting with low back pain, who demonstrated functional overlay upon neurological testing. The use of color may enhance the usefulness of such pain drawings, but has not been described for adult patients. Aims: To retrospectively explore the use of colored pain drawings in patients with neck, low back, or radicular pain. Methods: Patients with neck, low back, or radicular pain referred to a community-based neurosurgical practice for evaluation during 1 year (n = 359) depicted their pain on anatomical drawings using colored pencils representing different pain characteristics. Patients with abnormal (n = 55) and normal (n = 54) pain... (More)
Background: Black and white pain drawings were introduced as a proposed means to identify patients, presenting with low back pain, who demonstrated functional overlay upon neurological testing. The use of color may enhance the usefulness of such pain drawings, but has not been described for adult patients. Aims: To retrospectively explore the use of colored pain drawings in patients with neck, low back, or radicular pain. Methods: Patients with neck, low back, or radicular pain referred to a community-based neurosurgical practice for evaluation during 1 year (n = 359) depicted their pain on anatomical drawings using colored pencils representing different pain characteristics. Patients with abnormal (n = 55) and normal (n = 54) pain drawings were selected for this study. Use of medications, findings on physical examination, radiographic findings, activity levels, Waddell signs, and pending litigation were recorded and compared between patients with normal and abnormal pain drawings, as assessed according to the Ransford penalty point system. Results: Patients whose colored pain drawings were abnormal, demonstrated a greater use of medications, more non-focal clinical findings, Waddell signs, impaired activity levels, involvement in pending litigation, and significantly fewer pathological radiographic findings than patients with normal pain drawings. Conclusions: Our findings agree with previous observations using black and white pain drawings, indicating that colored pain drawings are no less useful than the black and white approach. Further research is necessary to examine the psychometric properties and clinical usefulness of colored pain drawings to predict outcomes and/or determine treatment. (C) 2002 European Federation of Chapters of the International Association for the Study of Pain. Published by Elsevier Science Ltd. All rights reserved. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Waddell signs, pain drawings, pain assessment, colors, low back pain
in
European Journal of Pain
volume
7
issue
3
pages
213 - 217
publisher
Elsevier
external identifiers
  • pmid:12725843
  • wos:000182965600002
  • scopus:0038707349
ISSN
1090-3801
DOI
10.1016/S1090-3801(02)00113-1
language
English
LU publication?
yes
id
ba4fe04a-e27d-4078-8e99-322d5e099e0e (old id 310620)
date added to LUP
2007-09-18 08:04:00
date last changed
2017-01-01 04:27:45
@article{ba4fe04a-e27d-4078-8e99-322d5e099e0e,
  abstract     = {Background: Black and white pain drawings were introduced as a proposed means to identify patients, presenting with low back pain, who demonstrated functional overlay upon neurological testing. The use of color may enhance the usefulness of such pain drawings, but has not been described for adult patients. Aims: To retrospectively explore the use of colored pain drawings in patients with neck, low back, or radicular pain. Methods: Patients with neck, low back, or radicular pain referred to a community-based neurosurgical practice for evaluation during 1 year (n = 359) depicted their pain on anatomical drawings using colored pencils representing different pain characteristics. Patients with abnormal (n = 55) and normal (n = 54) pain drawings were selected for this study. Use of medications, findings on physical examination, radiographic findings, activity levels, Waddell signs, and pending litigation were recorded and compared between patients with normal and abnormal pain drawings, as assessed according to the Ransford penalty point system. Results: Patients whose colored pain drawings were abnormal, demonstrated a greater use of medications, more non-focal clinical findings, Waddell signs, impaired activity levels, involvement in pending litigation, and significantly fewer pathological radiographic findings than patients with normal pain drawings. Conclusions: Our findings agree with previous observations using black and white pain drawings, indicating that colored pain drawings are no less useful than the black and white approach. Further research is necessary to examine the psychometric properties and clinical usefulness of colored pain drawings to predict outcomes and/or determine treatment. (C) 2002 European Federation of Chapters of the International Association for the Study of Pain. Published by Elsevier Science Ltd. All rights reserved.},
  author       = {Masferrer, R and Prendergast, Virginia and Hagell, Peter},
  issn         = {1090-3801},
  keyword      = {Waddell signs,pain drawings,pain assessment,colors,low back pain},
  language     = {eng},
  number       = {3},
  pages        = {213--217},
  publisher    = {Elsevier},
  series       = {European Journal of Pain},
  title        = {Colored pain drawings: preliminary observations in a neurosurgical practice},
  url          = {http://dx.doi.org/10.1016/S1090-3801(02)00113-1},
  volume       = {7},
  year         = {2003},
}