Pain in Osteoarthritis

Enohumah, Kingsley; Imarengiaye, Charles

doi:10.4314/ajbr.v11i2.50713

Cited by 9 publications

(16 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The main problem due to damage to the joint cartilage in osteoarthritis is pain and disruption of related joint function. 8 Activities such as climbing stairs, getting up from the chair, and running cause pain in people with knee osteoarthritis. 9 Pain is a decisive reason why patients are seeking treatment.…”

Section: Discussionmentioning

confidence: 99%

Correlation Between Radiographic Grading of Osteoarthritis, Pain Severity and Functional Status in Knee Osteoarthritis Patients

Khairina

Moeliono

Rahmadi

2018

amj

View full text Add to dashboard Cite

Background: Osteoarthritis is a joint degenerative disease characterized with structural changes of joint. The structural changes can be assessed with radiological assessment. Major clinical manifestations may include pain, inflammation, and stiffness, resulting in limitations for performing daily activities. The purpose of this study was to determine the correlation between radiographic grading of osteoarthritis, pain severity, and lower extremities functional status in patients with knee osteoarthritis. Methods: The study involved 29 patients with knee osteoarthritis in Dr. Hasan Sadikin General Hospital, Bandung and Bandung District General Hospital during the period of August to October 2014 using the cross sectional method. This study used NRS (Numeric Rating Scale) for pain severity assessment, Kellgren-Lawrence criteria for radiographic grading of osteoarthritis, and Modified Lower Extremity Funcional Scale for functional status assessment. The data were analyzed using statistical analysis tools. If the data were normally distributed, the correlation test will be carried out by using the Pearson correlation test and if the data were not normally distributed then the Spearman's Correlation test will be used. Results: Correlation coefficient between severity of pain and functional status is r=-0,439 with p value= 0.17 (p<0.05). There was no significant correlation between radiographic grading of osteoarthritis and functional status (p > 0.05). Conclusions: The severity of pain correlates with the functional status of patients with osteoarthritis of the knee, while radiographic grading of osteoarthritis does not correlate with functional status.

show abstract

Section: Discussionmentioning

confidence: 99%

Correlation Between Radiographic Grading of Osteoarthritis, Pain Severity and Functional Status in Knee Osteoarthritis Patients

Khairina

Moeliono

Rahmadi

2018

amj

View full text Add to dashboard Cite

show abstract

“…При исследовании 401 больного с рентгенологически подтвержденным ОА коленных суставов они обнаружили значительное повреждение костного мозга у лиц с болями в коленном суставе (77,5%) и лишь в 30% случаев -при отсутствии боли (цит. по: [8]). В двух исследованиях (J.H.…”

Section: ноцицептивные механизмы хронической боли при остеоартрозеunclassified

“…В свою очередь хрящ оказался не чувствительным (цит. по: [8]). Считается, что раздражение надкостницы, связанное с ремоделированием кости, обнаженная кость, компрессия мягких тканей остеофитами, микропереломы субхондральной кости, выпот в полость сустава и спазм прилежащих мышц вносят вклад в развитие боли у больных ОА [6].…”

Section: ноцицептивные механизмы хронической боли при остеоартрозеunclassified

“…Перцепция боли при ОА представляет собой комплексный механизм, в реализации которого участвуют как О б з о р ы местные (суставные) факторы, так и ЦНС [8]. Недавно функциональная нейровизуализация показала участие нейрональной сети головного мозга в перцепции боли при ОА [1].…”

Section: ноцицептивные механизмы хронической боли при остеоартрозеunclassified

“…Афферентные ноцицептивные импульсы передаются по Аδ-и С-волокнам. По сравнению с болью, акцептируемой Аδ-волокнами, боль, воспринимаемая немиелинизированными С-волокнами, имеет склонность к диффузному распространению [8].…”

Section: ноцицептивные механизмы хронической боли при остеоартрозеunclassified

See 2 more Smart Citations

Current Ideas About the Pathogenetic Mechanisms of Pain in Osteoarthrosis

Туровская¹,

Алексеева²,

Filatova³

2014

rsp

View full text Add to dashboard Cite

В обзоре литературы отражены современные представления о механизмах хронической боли. Детально рассмотрены экспериментальные и клинические исследования, посвященные механизмам хронической боли при остеоартрозе (ОА), в которых показано, что наряду с ноцицептивными механизмами, обусловленными хроническим воспалением и дегенеративными изменениями в области сустава, важную роль в хронизации болевого синдрома может играть и дисфункция самих болевых систем (так называемая дисфункциональная боль). Выделение дисфункциональных механизмов хронической боли при ОА позволяет понять имеющиеся диссоциации между интенсивностью боли и степенью структурных изменений в суставе. Также в статье осуществляются попытки выявить коморбидные заболевания, которые могут дополнительно участвовать в развитии боли. Намечаются эффективные пути лечения ОА. Ключевые слова: остеоартроз; хроническая боль; дисфункциональная боль; коморбидные заболевания.

show abstract

The effects of a six-week physiotherapist-led exercise and education intervention in patients with osteoarthritis, awaiting an arthroplasty in South Africa

2015

View full text Add to dashboard Cite

The effects of a six-week physiotherapist-led exercise and education intervention in patients with osteoarthritis, awaiting an arthroplasty, in South Africa: a randomised controlled trial.Author: Melissa Michelle Saw Background: Osteoarthritis (OA) is one of the leading causes of disability worldwide. A major challenge facing those with severe OA is long waiting lists delaying access to joint replacements. Patients are known to wait more than five years for a joint replacement in the Western Cape of South Africa (SA). The main complaint in this population is pain and its consequences including activity limitations, participation restrictions and reduced quality of life. Hip or knee OA is not merely joint degeneration but a condition requiring holistic management, even while waiting for surgery. Most of the literature in this field is available from high income countries exploring the effects of interventions during short waiting periods. Thus research is warranted in a low income country such as SA, in those waiting for long periods to explore the effects of a six-week physiotherapist-led exercise and education intervention. Methods: A single blinded randomised controlled trial, aligned with CONSORT guidelines, was performed at Tygerberg Hospital in the Western Cape, SA. The experimental group attended a six-week group-based physiotherapist-led intervention including education, exercise and relaxation. The control group continued to receive usual care. The primary outcome measure was pain with secondary measures of disability, function, quality of life and self-efficacy. Measures were obtained at six weeks, 12 weeks and six months by a blinded physiotherapist. An open ended questionnaire was completed by the participants in the experimental group at month six. Analysis was by intention to treat. Two-way analysis of variance and post-hoc Tukey comparisons were used for parametric data, Pearson Chi squared calculations for categorical data. Effect sizes were established for significant differences between groups. Results:The study recruited 42 participants from the waiting list for a hip or knee arthroplasty. Mean waiting time was 3.6 ± 2.5 years.vi Compared to the control group, the experimental group had significant improvements with large effect sizes at month six for pain interference (3.49 ± 2.63 vs. 6.09 ± 2.43; p=0.02, ES=1.15) and function (15m fastest speed walk) (15.09 ± 6.04s vs 20.10 ± 8.79s; p=0.03, ES=0.88). Furthermore, the experimental group displayed significant (p < 0.01) and sustained improvements at month six in pain severity, disability and function (15m normal speed walk, sit-stand, 6-minute walk). Subgroup analysis showed participants with knee OA responded better to the intervention than those with OA of the hip or combined hip and knee OA. Participants enjoyed the intervention reporting improved knowledge, function and activity, pain relief and improvement in psychosocial aspects. Conclusions:A six-week physiotherapist-led exercise and education intervention brought about significant long t...

show abstract

Pain in Osteoarthritis

Cited by 9 publications

References 36 publications

Correlation Between Radiographic Grading of Osteoarthritis, Pain Severity and Functional Status in Knee Osteoarthritis Patients

Correlation Between Radiographic Grading of Osteoarthritis, Pain Severity and Functional Status in Knee Osteoarthritis Patients

Current Ideas About the Pathogenetic Mechanisms of Pain in Osteoarthrosis

The effects of a six-week physiotherapist-led exercise and education intervention in patients with osteoarthritis, awaiting an arthroplasty in South Africa

Contact Info

Product

Resources

About