• Login
    View Item 
    •   Home
    • Hospital Research
    • Leinster
    • St. Vincent's University Hospital
    • View Item
    •   Home
    • Hospital Research
    • Leinster
    • St. Vincent's University Hospital
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Map of Submissions

    Home Page
    UlsterN
    4378
    UlsterS
    4378
    Connacht
    1408
    Munster
    62
    Leinster
    426

    Browse

    All of Lenus, The Irish Health RepositoryCommunitiesTitleAuthorsDate publishedSubjectsThis CollectionTitleAuthorsDate publishedSubjects

    My Account

    LoginRegister

    About

    About LenusDirectory of Open Access JournalsOpen Access Publishing GuideHSE Library Guide to Publishers' PoliciesFAQsTerms and ConditionsVision StatementORCID Unique identifiers for ResearchersHSE position statement on Open AccessNational Open Research Forum (NORF)Zenodo (European Open Research repository)

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Mechanisms-based classifications of musculoskeletal pain: part 3 of 3: symptoms and signs of nociceptive pain in patients with low back (± leg) pain.

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Thumbnail
    Name:
    Publisher version
    View Source
    Access full-text PDFOpen Access
    View Source
    Check access options
    Check access options
    Thumbnail
    Name:
    Tables.pdf
    Size:
    45.49Kb
    Format:
    PDF
    Download
    Thumbnail
    Name:
    MechanismsBasedClassofMusculos ...
    Size:
    136.6Kb
    Format:
    PDF
    Download
    View more filesView fewer files
    Authors
    Smart, Keith M
    Blake, Catherine
    Staines, Anthony
    Thacker, Mick
    Doody, Catherine
    Affiliation
    Physiotherapy Department, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland. k.smart@svuh.ie
    Issue Date
    2012-08
    MeSH
    Adult
    Aged
    Analysis of Variance
    Bayes Theorem
    Cluster Analysis
    Cross-Sectional Studies
    Female
    Humans
    Ireland
    Low Back Pain
    Male
    Middle Aged
    Musculoskeletal Pain
    Nociceptive Pain
    Pain Measurement
    Pain Threshold
    Peripheral Nervous System Diseases
    Physical Examination
    Sensitivity and Specificity
    Severity of Illness Index
    Show allShow less
    
    Metadata
    Show full item record
    Citation
    Mechanisms-based classifications of musculoskeletal pain: part 3 of 3: symptoms and signs of nociceptive pain in patients with low back (± leg) pain. 2012, 17 (4):352-7 Man Ther
    Journal
    Manual therapy
    URI
    http://hdl.handle.net/10147/251314
    DOI
    10.1016/j.math.2012.03.002
    PubMed ID
    22464885
    Abstract
    As a mechanisms-based classification of pain 'nociceptive pain' (NP) refers to pain attributable to the activation of the peripheral receptive terminals of primary afferent neurones in response to noxious chemical, mechanical or thermal stimuli. The symptoms and signs associated with clinical classifications of NP have not been extensively studied. The purpose of this study was to identify symptoms and signs associated with a clinical classification of NP in patients with low back (± leg) pain. Using a cross-sectional, between-subjects design; four hundred and sixty-four patients with low back (± leg) pain were assessed using a standardised assessment protocol after which their pain was assigned a mechanisms-based classification based on experienced clinical judgement. Clinicians then completed a clinical criteria checklist indicating the presence/absence of various symptoms and signs. A regression analysis identified a cluster of seven clinical criteria predictive of NP, including: 'Pain localised to the area of injury/dysfunction', 'Clear, proportionate mechanical/anatomical nature to aggravating and easing factors', 'Usually intermittent and sharp with movement/mechanical provocation; may be a more constant dull ache or throb at rest', and the absence of 'Pain in association with other dysesthesias', 'Night pain/disturbed sleep', 'Antalgic postures/movement patterns' and 'Pain variously described as burning, shooting, sharp or electric-shock-like'. This cluster was found to have high levels of classification accuracy (sensitivity 90.9%, 95% CI: 86.6-94.1; specificity 91.0%, 95% CI: 86.1-94.6). Pattern recognition of this empirically-derived cluster of symptoms and signs may help clinicians identify an assumed dominance of NP mechanisms in patients with low back pain disorders.
    Item Type
    Article
    Language
    en
    ISSN
    1532-2769
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.math.2012.03.002
    Scopus Count
    Collections
    St. Vincent's University Hospital

    entitlement

    Related articles

    • Mechanisms-based classifications of musculoskeletal pain: part 2 of 3: symptoms and signs of peripheral neuropathic pain in patients with low back (± leg) pain.
    • Authors: Smart KM, Blake C, Staines A, Thacker M, Doody C
    • Issue date: 2012 Aug
    • Mechanisms-based classifications of musculoskeletal pain: part 1 of 3: symptoms and signs of central sensitisation in patients with low back (± leg) pain.
    • Authors: Smart KM, Blake C, Staines A, Thacker M, Doody C
    • Issue date: 2012 Aug
    • The Discriminative validity of "nociceptive," "peripheral neuropathic," and "central sensitization" as mechanisms-based classifications of musculoskeletal pain.
    • Authors: Smart KM, Blake C, Staines A, Doody C
    • Issue date: 2011 Oct
    • Self-reported pain severity, quality of life, disability, anxiety and depression in patients classified with 'nociceptive', 'peripheral neuropathic' and 'central sensitisation' pain. The discriminant validity of mechanisms-based classifications of low back (±leg) pain.
    • Authors: Smart KM, Blake C, Staines A, Doody C
    • Issue date: 2012 Apr
    • Classification of low back-related leg pain--a proposed patho-mechanism-based approach.
    • Authors: Schäfer A, Hall T, Briffa K
    • Issue date: 2009 Apr
    HSE Library | Health Service Executive | Dr Steevens’ Hospital, Dublin 8 | Republic of Ireland | Eircode: D08 W2A8
    lenus@hse.ie
    DSpace software copyright © 2002-2017  DuraSpace
    Contact Us | Disclaimer
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.