Round 1 criteria for consensus: | |||
---|---|---|---|
✓ Median value of participants Likert scale data ≥ 3 | |||
✓ Percentage of agreement 50% (Wiangkham et al., 2016 [25]) | |||
Clinical indicator | Median | Percentage of agreement | Consensus achieved |
Pain variously described as burning, shooting, sharp, aching or electric-shock-like | 4 | 85.7% | Y |
History of nerve injury, pathology or mechanical compromise | 4 | 77.2% | Y |
Pain in association with other neurological symptoms (e.g. pins and needles, numbness, weakness) | 4 | 77.2% | Y |
Pain referred in a dermatomal or cutaneous distribution | 3 | 48% | N |
Less responsive to simple analgesia/NSAIDS and/or more responsive to anti-epileptic (e.g. Neurontin, Lyrica)/anti-depression (e.g. Amitriptyline) medication | 3 | 39% | N |
Pain of high severity and irritability (i.e. easily provoked, taking longer to settle) | 4 | 54.3% | Y |
Mechanical pattern to aggravating and easing factors involving activities/postures associated with movements, loading or compression of neural tissue | 3 | 42.9% | N |
Pain in association with other dysesthesias (e.g. crawling, electrical, heaviness) | 4 | 68.6% | Y |
Reports of spontaneous pain (i.e. stimulus independent) and/or paroxysmal pain (i.e. sudden recurrences and intensification of pain) | 4 | 51.4% | Y |
Pain/symptom provocation with mechanical/movement tests (e.g. Active/Passive, Neurodynamic, i.e. SLR, Brachial plexus tension test) that move/load/compress neural tissue | 4 | 65.7% | Y |
Pain/symptom provocation on palpation of relevant neural tissues | 4 | 51.4% | Y |
Positive neurological signs (including altered reflexes, sensation and muscle power in dermatomal/myotomal or cutaneous nerve distribution) | 4 | 63.8% | Y |
Antalgic posturing of the affected limb/body part | 2 | 37.1% | N |
Positive findings of hyperalgesia (primary or secondary) and/or allodynia and/or hyperpathia within the distribution of pain | 4 | 57.2% | Y |