Matthew J Willett1, Mathias Siebertz2, Frank Petzke2, Joachim Erlenwein2, Alison Rushton1, Emiliano Soldini3, Marco Barbero4, Deborah Falla1. 1. School of Sport, Exercise and Rehabilitation Sciences, Centre of Precision Rehabilitation for Spinal Pain (CPR Spine), University of Birmingham, Birmingham, U.K. 2. Center for Anesthesiology, Emergency and Intensive Care Medicine, University Hospital Göttingen, Göttingen, Germany. 3. Department of Business, Health and Social Care, Research Methodology Competence Centre, University of Applied Sciences and Arts of Southern Switzerland (SUPSI), Manno, Switzerland. 4. Department of Business, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland (SUPSI), Manno, Switzerland.
Abstract
BACKGROUND: Central sensitization may be present in some patients with hip osteoarthritis (OA), often reflected as widespread pain. We examine the association between pain extent with signs of central sensitization and other clinical and psychological features in patients with hip OA. METHODS: Thirty patients with hip OA were recruited for this cross-sectional observational study. Participants completed pain drawings on a digital tablet, which displayed frontal and dorsal views of the body. The pain extent (%) for each participant was determined by combining the frontal and dorsal pixels shaded and dividing by the total pixels of the body chart area. Participants completed patient-reported outcome measures to assess for signs and symptoms of central sensitization and psychosocial factors. Quantitative sensory testing including pain pressure thresholds (PPTs) and thermal pressure thresholds was performed at points anatomically local and distant from the hip. RESULTS: Women had significantly greater pain extent (6.71%) than men (2.65%) (z = -2.76, P < 0.01). Across all participants, increased pain extent was significantly associated with higher scores on the Widespread Pain Index (r2 = 0.426, P < 0.05), painDETECT questionnaire (r2 = 0.394, P < 0.05), and Pain Catastrophizing Scale (r2 = 0.413, P < 0.05), and with lower PPTs at the thenar eminence (r2 = -0.410, P < 0.05), vastus lateralis (r2 = -0.530, P < 0.01), vastus medialis (r2 = 0.363, P < 0.05), and greater trochanter (r2 = -0.373, P < 0.05). CONCLUSIONS: Greater pain extent was associated with several measures of signs and symptoms of central sensitization in patients with hip OA. These results support the utility of the pain drawing for identifying signs of central sensitization in patients with hip OA.
BACKGROUND: Central sensitization may be present in some patients with hip osteoarthritis (OA), often reflected as widespread pain. We examine the association between pain extent with signs of central sensitization and other clinical and psychological features in patients with hip OA. METHODS: Thirty patients with hip OA were recruited for this cross-sectional observational study. Participants completed pain drawings on a digital tablet, which displayed frontal and dorsal views of the body. The pain extent (%) for each participant was determined by combining the frontal and dorsal pixels shaded and dividing by the total pixels of the body chart area. Participants completed patient-reported outcome measures to assess for signs and symptoms of central sensitization and psychosocial factors. Quantitative sensory testing including pain pressure thresholds (PPTs) and thermal pressure thresholds was performed at points anatomically local and distant from the hip. RESULTS:Women had significantly greater pain extent (6.71%) than men (2.65%) (z = -2.76, P < 0.01). Across all participants, increased pain extent was significantly associated with higher scores on the Widespread Pain Index (r2 = 0.426, P < 0.05), painDETECT questionnaire (r2 = 0.394, P < 0.05), and Pain Catastrophizing Scale (r2 = 0.413, P < 0.05), and with lower PPTs at the thenar eminence (r2 = -0.410, P < 0.05), vastus lateralis (r2 = -0.530, P < 0.01), vastus medialis (r2 = 0.363, P < 0.05), and greater trochanter (r2 = -0.373, P < 0.05). CONCLUSIONS: Greater pain extent was associated with several measures of signs and symptoms of central sensitization in patients with hip OA. These results support the utility of the pain drawing for identifying signs of central sensitization in patients with hip OA.
Authors: Jan Rosner; Robin Lütolf; Pascal Hostettler; Michael Villiger; Ron Clijsen; Erich Hohenauer; Marco Barbero; Armin Curt; Michèle Hubli Journal: Spinal Cord Date: 2021-02-16 Impact factor: 2.772
Authors: Maria M Johansson; Marco Barbero; Anneli Peolsson; Deborah Falla; Corrado Cescon; Anna Folli; Huan-Ji Dong Journal: Int J Environ Res Public Health Date: 2021-01-22 Impact factor: 3.390
Authors: Marcel Simis; Marta Imamura; Kevin Pacheco-Barrios; Anna Marduy; Paulo S de Melo; Augusto J Mendes; Paulo E P Teixeira; Linamara Battistella; Felipe Fregni Journal: Sci Rep Date: 2022-01-27 Impact factor: 4.379
Authors: Marcel Simis; Marta Imamura; Paulo S de Melo; Anna Marduy; Kevin Pacheco-Barrios; Paulo E P Teixeira; Linamara Battistella; Felipe Fregni Journal: Sci Rep Date: 2021-12-14 Impact factor: 4.379
Authors: Maria Galve Villa; Thorvaldur S Palsson; Albert Cid Royo; Carsten R Bjarkam; Shellie A Boudreau Journal: J Med Internet Res Date: 2020-10-26 Impact factor: 5.428