{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T02:09:47Z","timestamp":1789265387977,"version":"build-2803163510"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,6,23]],"date-time":"2016-06-23T00:00:00Z","timestamp":1466640000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100004319","name":"Pfizer","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004319","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pain Practice"],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Subgrouping of low back pain (<jats:styled-content style=\"fixed-case\">LBP<\/jats:styled-content>) patients may be improved when pain drawings are combined with the pain<jats:styled-content style=\"fixed-case\">DETECT<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>\u2010Q) questionnaire. We hypothesized that (1) different <jats:styled-content style=\"fixed-case\">LBP<\/jats:styled-content> subgroups determined by their pain radiation show different clinical patterns and (2) the occurrence of neuropathic symptoms depends on pain radiation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 19,263 acute (&lt; 6 weeks\u2019 duration), subacute (6 to 12 weeks), and chronic (&gt; 3 months) <jats:styled-content style=\"fixed-case\">LBP<\/jats:styled-content> patients were allocated prospectively into 4 groups based on the location of pain drawings on a manikin and compared regarding neuropathic pain components, functionality, depression, pain intensity, and surgical interventions. All items were investigated at baseline and follow\u2010up visits. Group I was composed of patients with axial <jats:styled-content style=\"fixed-case\">LBP<\/jats:styled-content> without radiating pain; group <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> LBP<\/jats:styled-content> with radiation into the thigh; group <jats:styled-content style=\"fixed-case\">III<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> LBP<\/jats:styled-content> with radiation into the shank; and group <jats:styled-content style=\"fixed-case\">IV<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> LBP<\/jats:styled-content> with radiation into the feet. Side\u2010dependent pain radiation was assessed additionally.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Depression, functionality, and pain intensity showed no clinically relevant differences, whereas <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>\u2010Q scores and the probability to rate positive for neuropathic pain increased with more distally radiating pain. Surgery and medication intake were most frequent in group <jats:styled-content style=\"fixed-case\">IV<\/jats:styled-content>. Follow\u2010up analyses showed that only axial <jats:styled-content style=\"fixed-case\">LBP<\/jats:styled-content> became more neuropathic, whereas pain intensity decreased over time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Radicular patterns of pain drawings in <jats:styled-content style=\"fixed-case\">LBP<\/jats:styled-content> patients indicate severe pain conditions with the most neuropathic components, while axial <jats:styled-content style=\"fixed-case\">LBP<\/jats:styled-content> has the fewest. For the categorization of <jats:styled-content style=\"fixed-case\">LBP<\/jats:styled-content>, pain drawings help explain the underlying mechanism of pain, which might further improve mechanism\u2010based treatment when used in clinical routines and research.<\/jats:p><\/jats:sec>","DOI":"10.1111\/papr.12470","type":"journal-article","created":{"date-parts":[[2016,6,24]],"date-time":"2016-06-24T09:13:43Z","timestamp":1466759623000},"page":"293-304","source":"Crossref","is-referenced-by-count":31,"title":["Pain Drawings Improve Subgrouping of Low Back Pain Patients"],"prefix":"10.1111","volume":"17","author":[{"given":"Philipp","family":"H\u00fcllemann","sequence":"first","affiliation":[{"name":"Sektion Neurologische Schmerzforschung und \u2010therapie Universit\u00e4tsklinikum Schleswig\u2010Holstein Kiel Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Keller","sequence":"additional","affiliation":[{"name":"StatConsult GmbH Magdeburg 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