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Non-Organic Symptoms and Signs

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Encyclopedia of Pain
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Synonyms

Behavioral Responses to Examination; Behavioral Descriptions of Symptoms; Inappropriate Symptoms and Signs; Inconsistent Symptoms and Signs; Medically Incongruent Symptoms and Signs; Non-Anatomic Symptoms and Signs; Nomogenic Symptoms and Signs; Waddell Signs

Definition

Descriptions of symptoms and responses to clinical examination in patients with low back pain, which relate more to cognitive-behavioral processes than to physical pathology.

Characteristics

Clinical assessment and diagnosis are based on the recognition of patterns of symptoms and signs, which in most patients fit to a greater or lesser degree with anatomy, mechanics and pathology. Occasional patients, however, present symptoms and signs that are not only vague and ill-localized, lack the normal relationship with time and activity, and appear out of proportion to the physical injury or pathology, but positively contradict normal anatomic boundaries and biomechanics.

Non-organic signs in low back pain have been...

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References

  1. Fishbain DA, Cole B, Cutler RB, Lewis J, Rosmoff HL, Rosomoff RS (2003) A Structured, Evidence-Based Review of the Meaning of Non-organic Physical Signs: Waddell Signs. Pain Med 4:141-181

    Google Scholar 

  2. Fishbain DA, Cutler R, Rosomoff HL, Rosomoff RS (1999) Chronic Pain Disability Exaggeration/Malingering and Submaximal Effort Research. Clin J Pain 15:244–274

    Google Scholar 

  3. Keefe FJ, Block AR (1982) Development of an Observation Method for Assessing Pain Behavior in Chronic Low Back Pain Patients. Behav Ther 13:363–375

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  4. Main CJ, Waddell G (1998) Behavioral Responses to Examination. A Reappraisal of the Interpretation of “Non-organic Signs” Spine 23:2367–2371

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  5. Margoles MS (1990) Clinical Assessment and Interpretation of Abnormal Illness Behaviour in Low Back Pain. Letter to the Editor. Pain 42:258–259

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  6. Merskey H (1988) Regional Pain is Rarely Hysterical. Arch Neurol 45:915–918

    Google Scholar 

  7. Waddell G (2004) The Back Pain Revolution, 2nd edn. Churchill Livingstone, Edinburgh

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  8. Waddell G, Main CJ, Morris EW, Di Paola MP, Gray ICM (1984) Chronic Low Back Pain, Psychological Distress, and Illness Behavior. Spine 9:209–213

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  9. Waddell G, McCulloch JA, Kummel E, Venner RM (1980) Non-Organic Physical Signs in Low Back Pain. Spine 5:117–125

    Google Scholar 

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© 2007 Springer-Verlag Berlin Heidelberg

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Waddell, G. (2007). Non-Organic Symptoms and Signs. In: Schmidt, R., Willis, W. (eds) Encyclopedia of Pain. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-29805-2_2817

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  • DOI: https://doi.org/10.1007/978-3-540-29805-2_2817

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-43957-8

  • Online ISBN: 978-3-540-29805-2

  • eBook Packages: MedicineReference Module Medicine

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