Round 3 criteria for consensus include: | ||||||
---|---|---|---|---|---|---|
✓ Median value of participants Likert scale data ≥ 4 | ||||||
✓ IQR value of participants Likert scale data ≤ 1 | ||||||
✓ Percentage of agreement 70% (Wiangkham et al., 2016 [25]) | ||||||
Clinical indicator | Median | IQR | Percentage of agreement (%) | Consensus achieved | Ranking patient history indicators | Ranking clinical examination indicators |
Pain variously described as burning, electric shock like and/or shooting into leg | 5 | 1 | 100 | Yes | 2 | |
Pain described as crawling or another unpleasant abnormal sensation (as a common example of dysesthesia) | 4 | 1 | 90.3 | Yes | 4 | |
History of nerve injury, pathology or mechanical compromise at the region of the nerve root/or other nervous tissue around the lumbar spine that can refer into the leg | 5 | 1 | 96.7% | Yes | 3 | |
In a patient with low back related leg pain does the pre-existing knowledge of metabolic (e.g. diabetes, vitamin deficiencies), hormonal (e.g. thyroid), genetic (e.g. channelopathies), pharmacological (antimetabolities), chemical (e.g. chemotherapy) conditions | 3 | 1 | 48.5% | No | 7 | |
Pain in association with other neurological symptoms (e.g. pins and needles, numbness, weakness) | 5 | 1 | 100% | Yes | 1 | |
Pain of high severity and irritability (i.e. easily provoked, taking longer to settle) | 4 | 2 | 64.5% | No | 6 | |
Reports of spontaneous pain (i.e. stimulus independent) and/or paroxysmal pain (i.e. sudden recurrences and intensification of pain) | 4 | 1 | 71.1% | Yes | 5 | |
Pain/symptom provocation with mechanical/movement tests (e.g. Active/Passive, Neurodynamic, i.e. SLR, Brachial plexus tension test) | 4 | 1 | 67.8% | No | 3 | |
Positive neurological signs (including altered reflexes, sensation and muscle power in dermatomal/myotomal or cutaneous nerve distribution) | 5 | 1 | 90.4% | Yes | 1 | |
Allodynia and/or hyperpathia within the distribution of pain | 4 | 1 | 74.2% | Yes | 4 | |
A loss of function of small fibre testing | 4 | 1 | 77.4% | Yes | 2 |