The presence of Waddell signs depends on age and gender, not diagnosis

Jung Yoo, T. C. McIver, Jayme Hiratzka, Hans Carlson, Nels Carlson, S. S. Radoslovich, T. Gernhart, E. Boshears, M. S. Kane

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Abstract

Aims The aim of this study was to determine if positive Waddell signs were related to patients' demographics or to perception of their quality of life. Patients and Methods This prospective cross-sectional study included 479 adult patients with back pain from a university spine centre. Each completed SF-12 and Oswestry Disability Index (ODI) questionnaires and underwent standard spinal examinations to elicit Waddell signs. The relationship between Waddell signs and age, gender, ODI, Mental Component Score (MCS), and Physical Component Score (PCS) scores was determined. Results Of the 479 patients, 128 (27%) had at least one positive Waddell sign. There were significantly more women with two or more Waddell signs than men. The proportion of patients with at least one positive Waddell sign increased with age until 55 years, and then declined rapidly; none had a positive sign over the age of 75 years. Functional outcome scores were significantly worse in those with a single Waddell sign (p < 0.01). With one or more Waddell signs, patients' PCS and ODI scores indicated a perception of severe disability; with three or more Waddell signs, patients' MCS scores indicated severe disability. With five Waddell signs, ODI scores indicated that patients perceived themselves as crippled. Conclusion Positive Waddell signs, a potential indicator of central sensitization, indicated a likelihood of having functional limitations and an impaired quality of life, particularly in young women.

Original languageEnglish (US)
Pages (from-to)219-225
Number of pages7
JournalBone and Joint Journal
Volume100B
Issue number2
DOIs
StatePublished - Feb 1 2018

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Quality of Life
Central Nervous System Sensitization
Mentally Ill Persons
Back Pain
Spine
Cross-Sectional Studies
Demography
Surveys and Questionnaires

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

The presence of Waddell signs depends on age and gender, not diagnosis. / Yoo, Jung; McIver, T. C.; Hiratzka, Jayme; Carlson, Hans; Carlson, Nels; Radoslovich, S. S.; Gernhart, T.; Boshears, E.; Kane, M. S.

In: Bone and Joint Journal, Vol. 100B, No. 2, 01.02.2018, p. 219-225.

Research output: Contribution to journalArticle

Yoo, Jung ; McIver, T. C. ; Hiratzka, Jayme ; Carlson, Hans ; Carlson, Nels ; Radoslovich, S. S. ; Gernhart, T. ; Boshears, E. ; Kane, M. S. / The presence of Waddell signs depends on age and gender, not diagnosis. In: Bone and Joint Journal. 2018 ; Vol. 100B, No. 2. pp. 219-225.
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