Waddell Sign Flashcards
What is Organic Pain?
When we know origin of pain:
- Tissue Damage
- Illness or Injury
What is Non-Organic Pain?
- No tissue trauma present
- Unexplained pain
Patients prone to non-organic pain?
- Depression
- Emotional Disturbances
- Anxiety
- Chronic Pain
Presence of what minimum of the Waddell Sign would be indicative of Non-Organic Pain?
3 of 5
Waddell Test: Tenderness
Superficial, non-anatomical light touch
Waddell Test: 3 Stimulation tests?
- Axial Loading
- Rotation
- Distraction
How will placing axial pressure through patients spine be received for a patient with non-organic pain?
Produces Low Back Pain (while patient is in standing)
Rotation of what components is abnormal causing pain in non-organic pain patients?
Rotation of shoulder and pelvis producing low back pain (log-roll)
- normally this motion should not reproduce symptoms
Distraction findings in non-organic patients?
Discrepancies in pain felt while in supine and seated during SLR
Regional Disturbances: Weakness
Giving way (cogwheel) weakness
Regional Disturbances: Sensory
Non-Dermatomal Sensory Loss
Regional Disturbances: Overreaction
Disproportionate facial expressions, verbalizations
Why would the Hoover’s Test be implemented?
When patient is suspected to be malingering
How to Perform the Hoovers Test
Patient in Supine Performing SLR
- Therapist places hand under contralateral foot.
- True LBP: pressure felt in therapists hand as a compensation to pain
- Malingering: no pressure felt under therapist hand
