Waddell
Posted By: MT50 on 2008-01-04
In Reply to: sl/l positive bordel sign (from flexing neck and causes back pain) - sam
Subject: Waddell
Complete Discussion Below:  marks the location of current message within thread
The messages you are viewing
are archived/old.
To view latest messages and participate in discussions, select
the boards given in left menu
Other related messages found in our database
Waddell’s
Subject: Waddell’s
Waddell
Subject: Waddell
Use of Waddell's Signs
One or two Waddell's signs can often be found even when there is not a strong non-organic component to pain. Three or more are positively correlated with high scores for depression, hysteria and hypochondriasis on the Minnesota Multiphasic Personality Inventory.
Waddell's signs are:
Superficial tenderness – skin discomfort on light palpation.
Nonanatomic tenderness – tenderness crossing multiple anatomic boundaries.
Axial loading – eliciting pain when pressing down on the top of the patient’s head.
Pain on simulated rotation - rotating the shoulders and pelvis together should not be painful as it does not stretch the structures of the back.
Distracted straight leg raise - if a patient complains of pain on straight leg raise, but not if the examiner extends the knee with the patient seated (e.g. when checking the Babinski reflex).
Regional sensory change - Stocking sensory loss, or sensory loss in an entire extremity or side of the body.
Regional weakness - Weakness that is jerky, with intermittent resistance (such as cogwheeling, or catching). Organic weakness can be overpowered smoothly.
Overreaction - Exaggerated painful response to a stimulus, that is not reproduced when the same stimulus is given later.
Glandular manifestations – patients with Sjögren’s syndrome may complain of dry, gritty eyes, a sensation of burning or of a foreign body in their eyes, or a dry mouth. Patients may be unable to eat a cracker without drinking fluids (the ‘dry cracker sign’).
Waddell defined
Subject: Waddell defined
WADDELL TEST: |
The patient is tested for appropriateness of response to tenderness. axial loading, rotation, straight leg raising in the seated position, regional disturbances and overreaction. Inappropriate responses in three of the five areas is very suggestive of functional overlay in patients with back problems. |
Waddell sign - nm
Subject: Waddell sign - nm
nm
Could it be Waddell sign? See message.
Subject: Could it be Waddell sign? See message.
Not sure if this is it, but closest I could find. Waddell sign: Waddell's signs are a group of physical signs, first described by Waddell et al in 1980,[1] that may indicate non-organic or psychological component to chronic low back pain. Historically they have been used to detect "malingering" patients with back pain.
Waddell's criteria. See this great link. sm
Subject: Waddell's criteria. See this great link. sm
====http://www.cagworld.com/Resources/Medical.asp?Letter=W===
|
