Behavioral assessment of low back pain: identification of pain behavior subgroups
Abstract
A hierarchical cluster analysis procedure was used to identify homogeneous subgroups of low back pain patients who show similar pain behavior patterns during a videotaped behavior sample. Subjects, 106 chronic low back pain patients, were divided into 2 samples. The cluster analysis procedure identified 4 very similar subgroups in sample 1 and sample 2. The first subgroup showed a low or moderate level of guarding and a low level of other pain behaviors. The second subgroup showed a high level of guarding and a moderate level of rubbing of the painful area. The third subgroup showed high levels of guarding and moderate levels of bracing and rubbing. The fourth subgroup exhibited a very high level of rubbing and moderate levels of bracing. The subgroups identified may require somewhat different approaches to pain assessment and treatment. The results of this study suggest that the variability in pain behavior evident in low back pain populations may be due to the fact that within these populations there are homogeneous subgroups of patients who differ in the motor pain behaviors they display.
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Research studies have shown that homogeneous and replicable subgroups of patients can be identified within heterogeneous populations of persons with persistent pain.
“research studies have shown that homogeneous and replicable subgroups of patients can be identified within heterogeneous populations of persons with persistent pain.”
From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [45]
Researchers have identified patient subgroups based on personality factors and pain behaviors.
“Researchers have identified patient subgroups based on personality factors”
From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [45]
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References 27 · Cited by 70
- Authors
- Keefe, F. J., Bradley, L. A., & Crisson, J. E.
- Affiliations
- Atrium Health Wake Forest Baptist (US)
- Corresponding author
- Keefe, Francis J.
- Venue
- Pain
- Published
- 1990-02
- Volume
- 40
- Issue
- 2
- Pages
- 153-160
- ISSN
- 0304-3959 (ISSN-L)
- OpenAlex
- W2049739676
- Cited by
- 70
- References
- 27
- Citations by year
- 2023: 4 · 2021: 2 · 2020: 1 · 2019: 2 · 2017: 1 · 2016: 2 · 2015: 2 · 2014: 1 · 2013: 2 · 2012: 3
- FWCI
- 3.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
- Keywords
- chronic low back pain, pain behavior, guarding, bracing, rubbing, pain assessment, patient heterogeneity
- MeSH terms
- Adult, Back Pain, Chronic Disease, Female, Humans, Male, Middle Aged, Pain Measurement
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