The course of pain drawings during a 10-week treatment period in patients with acute and sub-acute low back pain
2006 (English)In: BMC Musculoskeletal Disorders, ISSN 1471-2474, Vol. 7, 65- p.Article in journal (Refereed) Published
Background: Pain drawings are widely used as an assessment of patients' subjective pain in lowback pain patients being considered for surgery. Less work has been done on primary health carepatients. Moreover, the possible correlation between pain drawing modalities and other painassessment methods, such as pain score and functional variables needs to be described. Thus, theobjectives were to describe the course of pain drawings during treatment in primary health carefor low back pain patients.Methods: 160 primary health care outpatients with acute or sub-acute low back pain were studiedduring 10 weeks of a stay active concept versus manual therapy in addition to the stay activeconcept. The patients filled out 3 pain drawings each, at baseline and after 5 and 10 weeks oftreatment. In addition the patients also reported pain and functional variables during the 3measurement periods.Results: The proportion of areas marked, the mean number of areas marked (pain drawing score),mean number of modalities used (area score), and the proportion of patients with pain radiationall decreased during the 10-week treatment period. Most of the improvement occurred during thefirst half of the period. The seven different pain modalities in the pain drawing were correlated topain and functional variables. In case of no radiation some modalities were associated with morepain and disability than others, a finding that grew stronger over time. For patients with painradiation, the modality differences were smaller and inconsistent.Conclusion: Pain modalities are significantly correlated with pain and functional variables. Thereis a shift from painful modalities to less painful ones over time.
Place, publisher, year, edition, pages
2006. Vol. 7, 65- p.
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:uu:diva-83627DOI: 10.1186/1471-2474-7-65ISI: 000240737600001PubMedID: 16901354OAI: oai:DiVA.org:uu-83627DiVA: diva2:111535