Comparing the association of widespread pain, multi-joint pain and low back pain with measures of pain sensitization and function in people with knee osteoarthritis.
Identifieur interne : 000265 ( Main/Exploration ); précédent : 000264; suivant : 000266Comparing the association of widespread pain, multi-joint pain and low back pain with measures of pain sensitization and function in people with knee osteoarthritis.
Auteurs : Olivier Guérard [Canada] ; Samuel Dufort [Canada] ; Laurence Forget Besnard [Canada] ; Alexis Gougeon [Canada] ; Lisa Carlesso [Canada]Source :
- Clinical rheumatology [ 1434-9949 ] ; 2020.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen (MeSH), Arthralgie (diagnostic), Arthralgie (physiopathologie), Autorapport (MeSH), Femelle (MeSH), Gonarthrose (physiopathologie), Gonarthrose (psychologie), Humains (MeSH), Indice de gravité de la maladie (MeSH), Lombalgie (diagnostic), Lombalgie (physiopathologie), Mesure de la douleur (MeSH), Modèles linéaires (MeSH), Mâle (MeSH), Sensibilisation du système nerveux central (MeSH), Seuil nociceptif (MeSH), Sujet âgé (MeSH), Études prospectives (MeSH), Études transversales (MeSH).
- MESH :
- diagnostic : Arthralgie, Lombalgie.
- physiopathologie : Arthralgie, Gonarthrose, Lombalgie.
- psychologie : Gonarthrose.
- Adulte d'âge moyen, Autorapport, Femelle, Humains, Indice de gravité de la maladie, Mesure de la douleur, Modèles linéaires, Mâle, Sensibilisation du système nerveux central, Seuil nociceptif, Sujet âgé, Études prospectives, Études transversales.
English descriptors
- KwdEn :
- Aged (MeSH), Arthralgia (diagnosis), Arthralgia (physiopathology), Central Nervous System Sensitization (MeSH), Cross-Sectional Studies (MeSH), Female (MeSH), Humans (MeSH), Linear Models (MeSH), Low Back Pain (diagnosis), Low Back Pain (physiopathology), Male (MeSH), Middle Aged (MeSH), Osteoarthritis, Knee (physiopathology), Osteoarthritis, Knee (psychology), Pain Measurement (MeSH), Pain Threshold (MeSH), Prospective Studies (MeSH), Self Report (MeSH), Severity of Illness Index (MeSH).
- MESH :
- diagnosis : Arthralgia, Low Back Pain.
- physiopathology : Arthralgia, Low Back Pain, Osteoarthritis, Knee.
- psychology : Osteoarthritis, Knee.
- Aged, Central Nervous System Sensitization, Cross-Sectional Studies, Female, Humans, Linear Models, Male, Middle Aged, Pain Measurement, Pain Threshold, Prospective Studies, Self Report, Severity of Illness Index.
Abstract
INTRODUCTION/OBJECTIVES
To compare 1. measures of pain sensitization (PS) in people with widespread pain (WSP), multi-joint pain, low back pain (LBP) and knee osteoarthritis (KOA) only, in people with knee OA and 2. results of self-reported function and physical performance tests amongst these sub groups.
METHODOLOGY
Patients with knee OA consulting an orthopaedic surgeon were recruited from three Montreal area hospitals. A body homunculus was used to identify the presence of WSP (Y/N), multi-joint pain using a joint count (≥ 2 joints) and LBP (Y/N). Tests included pressure pain thresholds (PPT), temporal summation (TS), conditioned pain modulation and three physical performance tests. The Knee Injury and Osteoarthritis Outcome Score (KOOS) assessed self-reported function. Means were compared with Welch's ANOVA, post hoc tests and multiple regression analysis were performed.
RESULTS
Two hundred twenty-one participants were evaluated (mean age: 63.4 ± 9.9 years, females n = 135 (61.1%)). Those with WSP significantly differed from those with LBP on PPT mean - 1.4, 95%CI (- 2.4, - 0.4), TS 10.3 (2.1, 18.5) and the stair climb test (SCT) 5.6 (1.3, 9.9). Those with WSP significantly differed from those with KOA only on TS 9.5 (1.0, 18.1), SCT 6.3 (2.0, 10.6) and KOOS - 14.2 (- 26.5, - 2.0).
CONCLUSION
In patients with knee OA, those with WSP demonstrated greater degrees of PS compared with those with knee OA only, LBP and multi-joint pain. They also demonstrated a slower SCT compared with those with KOA only and LBP and decreased self-reported function compared with those with KOA only. These results should be confirmed in a longitudinal study.Key Points• In people with knee OA and widespread pain, measures of sensitization, self-reported function and physical performance were poorer compared with those with knee OA and LBP, knee OA and multi-joint pain or knee OA only.• Clinicians can consider these outcomes when planning management for these subgroups planning a comprehensive treatment program for this subgroup.
DOI: 10.1007/s10067-019-04828-3
PubMed: 31713734
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term>
<term>Arthralgia (diagnosis)</term>
<term>Arthralgia (physiopathology)</term>
<term>Central Nervous System Sensitization (MeSH)</term>
<term>Cross-Sectional Studies (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Linear Models (MeSH)</term>
<term>Low Back Pain (diagnosis)</term>
<term>Low Back Pain (physiopathology)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Osteoarthritis, Knee (physiopathology)</term>
<term>Osteoarthritis, Knee (psychology)</term>
<term>Pain Measurement (MeSH)</term>
<term>Pain Threshold (MeSH)</term>
<term>Prospective Studies (MeSH)</term>
<term>Self Report (MeSH)</term>
<term>Severity of Illness Index (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term>
<term>Arthralgie (diagnostic)</term>
<term>Arthralgie (physiopathologie)</term>
<term>Autorapport (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Gonarthrose (physiopathologie)</term>
<term>Gonarthrose (psychologie)</term>
<term>Humains (MeSH)</term>
<term>Indice de gravité de la maladie (MeSH)</term>
<term>Lombalgie (diagnostic)</term>
<term>Lombalgie (physiopathologie)</term>
<term>Mesure de la douleur (MeSH)</term>
<term>Modèles linéaires (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Sensibilisation du système nerveux central (MeSH)</term>
<term>Seuil nociceptif (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Études prospectives (MeSH)</term>
<term>Études transversales (MeSH)</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Arthralgia</term>
<term>Low Back Pain</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Arthralgie</term>
<term>Lombalgie</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Arthralgie</term>
<term>Gonarthrose</term>
<term>Lombalgie</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Arthralgia</term>
<term>Low Back Pain</term>
<term>Osteoarthritis, Knee</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Gonarthrose</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Osteoarthritis, Knee</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Central Nervous System Sensitization</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Linear Models</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Pain Measurement</term>
<term>Pain Threshold</term>
<term>Prospective Studies</term>
<term>Self Report</term>
<term>Severity of Illness Index</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Autorapport</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de gravité de la maladie</term>
<term>Mesure de la douleur</term>
<term>Modèles linéaires</term>
<term>Mâle</term>
<term>Sensibilisation du système nerveux central</term>
<term>Seuil nociceptif</term>
<term>Sujet âgé</term>
<term>Études prospectives</term>
<term>Études transversales</term>
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<front><div type="abstract" xml:lang="en"><p><b>INTRODUCTION/OBJECTIVES</b>
</p>
<p>To compare 1. measures of pain sensitization (PS) in people with widespread pain (WSP), multi-joint pain, low back pain (LBP) and knee osteoarthritis (KOA) only, in people with knee OA and 2. results of self-reported function and physical performance tests amongst these sub groups.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODOLOGY</b>
</p>
<p>Patients with knee OA consulting an orthopaedic surgeon were recruited from three Montreal area hospitals. A body homunculus was used to identify the presence of WSP (Y/N), multi-joint pain using a joint count (≥ 2 joints) and LBP (Y/N). Tests included pressure pain thresholds (PPT), temporal summation (TS), conditioned pain modulation and three physical performance tests. The Knee Injury and Osteoarthritis Outcome Score (KOOS) assessed self-reported function. Means were compared with Welch's ANOVA, post hoc tests and multiple regression analysis were performed.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Two hundred twenty-one participants were evaluated (mean age: 63.4 ± 9.9 years, females n = 135 (61.1%)). Those with WSP significantly differed from those with LBP on PPT mean - 1.4, 95%CI (- 2.4, - 0.4), TS 10.3 (2.1, 18.5) and the stair climb test (SCT) 5.6 (1.3, 9.9). Those with WSP significantly differed from those with KOA only on TS 9.5 (1.0, 18.1), SCT 6.3 (2.0, 10.6) and KOOS - 14.2 (- 26.5, - 2.0).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>In patients with knee OA, those with WSP demonstrated greater degrees of PS compared with those with knee OA only, LBP and multi-joint pain. They also demonstrated a slower SCT compared with those with KOA only and LBP and decreased self-reported function compared with those with KOA only. These results should be confirmed in a longitudinal study.Key Points• In people with knee OA and widespread pain, measures of sensitization, self-reported function and physical performance were poorer compared with those with knee OA and LBP, knee OA and multi-joint pain or knee OA only.• Clinicians can consider these outcomes when planning management for these subgroups planning a comprehensive treatment program for this subgroup.</p>
</div>
</front>
</TEI>
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<Month>01</Month>
<Day>05</Day>
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<Month>01</Month>
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</DateRevised>
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<JournalIssue CitedMedium="Internet"><Volume>39</Volume>
<Issue>3</Issue>
<PubDate><Year>2020</Year>
<Month>Mar</Month>
</PubDate>
</JournalIssue>
<Title>Clinical rheumatology</Title>
<ISOAbbreviation>Clin Rheumatol</ISOAbbreviation>
</Journal>
<ArticleTitle>Comparing the association of widespread pain, multi-joint pain and low back pain with measures of pain sensitization and function in people with knee osteoarthritis.</ArticleTitle>
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<ELocationID EIdType="doi" ValidYN="Y">10.1007/s10067-019-04828-3</ELocationID>
<Abstract><AbstractText Label="INTRODUCTION/OBJECTIVES" NlmCategory="OBJECTIVE">To compare 1. measures of pain sensitization (PS) in people with widespread pain (WSP), multi-joint pain, low back pain (LBP) and knee osteoarthritis (KOA) only, in people with knee OA and 2. results of self-reported function and physical performance tests amongst these sub groups.</AbstractText>
<AbstractText Label="METHODOLOGY" NlmCategory="METHODS">Patients with knee OA consulting an orthopaedic surgeon were recruited from three Montreal area hospitals. A body homunculus was used to identify the presence of WSP (Y/N), multi-joint pain using a joint count (≥ 2 joints) and LBP (Y/N). Tests included pressure pain thresholds (PPT), temporal summation (TS), conditioned pain modulation and three physical performance tests. The Knee Injury and Osteoarthritis Outcome Score (KOOS) assessed self-reported function. Means were compared with Welch's ANOVA, post hoc tests and multiple regression analysis were performed.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Two hundred twenty-one participants were evaluated (mean age: 63.4 ± 9.9 years, females n = 135 (61.1%)). Those with WSP significantly differed from those with LBP on PPT mean - 1.4, 95%CI (- 2.4, - 0.4), TS 10.3 (2.1, 18.5) and the stair climb test (SCT) 5.6 (1.3, 9.9). Those with WSP significantly differed from those with KOA only on TS 9.5 (1.0, 18.1), SCT 6.3 (2.0, 10.6) and KOOS - 14.2 (- 26.5, - 2.0).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">In patients with knee OA, those with WSP demonstrated greater degrees of PS compared with those with knee OA only, LBP and multi-joint pain. They also demonstrated a slower SCT compared with those with KOA only and LBP and decreased self-reported function compared with those with KOA only. These results should be confirmed in a longitudinal study.Key Points• In people with knee OA and widespread pain, measures of sensitization, self-reported function and physical performance were poorer compared with those with knee OA and LBP, knee OA and multi-joint pain or knee OA only.• Clinicians can consider these outcomes when planning management for these subgroups planning a comprehensive treatment program for this subgroup.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Guérard</LastName>
<ForeName>Olivier</ForeName>
<Initials>O</Initials>
<AffiliationInfo><Affiliation>École de réadaptation, Faculté de Médecine, Université de Montréal, Montreal, Canada.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Apex Physio, 16-1191 av Cartier, Québec, QC, G1R 2S9, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Dufort</LastName>
<ForeName>Samuel</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>École de réadaptation, Faculté de Médecine, Université de Montréal, Montreal, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Forget Besnard</LastName>
<ForeName>Laurence</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>École de réadaptation, Faculté de Médecine, Université de Montréal, Montreal, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Gougeon</LastName>
<ForeName>Alexis</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>École de réadaptation, Faculté de Médecine, Université de Montréal, Montreal, Canada.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Physioactif, 180 25e av. Bureau 201, Saint-Eustache, QC, J7P 2 V2, Canada.</Affiliation>
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</Author>
<Author ValidYN="Y"><LastName>Carlesso</LastName>
<ForeName>Lisa</ForeName>
<Initials>L</Initials>
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<AffiliationInfo><Affiliation>École de réadaptation, Faculté de Médecine, Université de Montréal, Montreal, Canada. carlesl@mcmaster.ca.</Affiliation>
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<AffiliationInfo><Affiliation>School of Rehabilitation Science, Faculty of Health Sciences, McMaster University, IAHS 415, 1400 Main St. W., Hamilton, L8S 1C7, Canada. carlesl@mcmaster.ca.</Affiliation>
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<Language>eng</Language>
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<Agency>International Association for the Study of Pain</Agency>
<Country></Country>
</Grant>
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<Agency>Quebec Rehabilitation Research Network</Agency>
<Country></Country>
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<Month>11</Month>
<Day>12</Day>
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<MedlineTA>Clin Rheumatol</MedlineTA>
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<Keyword MajorTopicYN="N">Low back pain</Keyword>
<Keyword MajorTopicYN="N">Multi joint pain</Keyword>
<Keyword MajorTopicYN="N">Pain sensitization</Keyword>
<Keyword MajorTopicYN="N">Widespread pain</Keyword>
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<Day>03</Day>
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<Month>10</Month>
<Day>17</Day>
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<affiliations><list><country><li>Canada</li>
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<li>Québec</li>
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<tree><country name="Canada"><region name="Québec"><name sortKey="Guerard, Olivier" sort="Guerard, Olivier" uniqKey="Guerard O" first="Olivier" last="Guérard">Olivier Guérard</name>
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<name sortKey="Carlesso, Lisa" sort="Carlesso, Lisa" uniqKey="Carlesso L" first="Lisa" last="Carlesso">Lisa Carlesso</name>
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<name sortKey="Dufort, Samuel" sort="Dufort, Samuel" uniqKey="Dufort S" first="Samuel" last="Dufort">Samuel Dufort</name>
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