The prevalence of chronic low back pain and lumbar deformities in patients with Parkinson’s disease: implications on spinal surgery

Galazky, Imke; Caspari, Christina; Heinze, Hans‐Jochen; Franke, Jöerg

doi:10.1007/s00586-018-5748-0

Cited by 16 publications

(19 citation statements)

References 30 publications

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“…9 Galazky et al observed that low back pain and lumbar degeneration were more frequently seen in PD compared to healthy controls. 6 Pain intensity and disability scores were associated with advanced PD. The hypokinetic subtype was more associated with pain intensity; the prevelance of lumbar arthrosis was 79.6%, scoliosis 38.8% and spondylolisthesis 24.1% in their study.…”

Section: Discussionmentioning

confidence: 98%

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Lumbar Spinal Stenosis in Parkinson’s Disease

Koca¹,

Nacitarhan²,

İnanç³

2019

J PMR Sci

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Section: Discussionmentioning

confidence: 98%

“…Spinal deformities and motor movement disorders are responsible for this situation. 5,6 In addition, the treatment of spinal pathologies in these patients requires a special approach due to the accompanying deformities and motor disorders. Spinal stenosis and PD share common clinical neuromotor symptoms.…”

Section: Lumbar Spinal Stenosis In Parkinson's Diseasementioning

confidence: 99%

Lumbar Spinal Stenosis in Parkinson’s Disease

Koca¹,

Nacitarhan²,

İnanç³

2019

J PMR Sci

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“…The patients usually present pain symptoms in different segments of the body, like pain in the shoulder resul-ting from adhesive capsulitis and joint pain in lower extremities (LE) 5,6 . The lumbar region is one of the segments of the body that are more affected and individuals with PD present higher rates of constant low back pain (LBP) of musculoskeletal origin when compared to individuals of the control group [6][7][8] . Patients commonly report pain, muscular tension or stiffness located below the costal margin and above gluteal fold, associated or not with pain in the LE 9 .…”

Section: Introductionmentioning

confidence: 99%

“…In PD, the progression of the disease results in axial skeletal abnormalities such as scoliosis 10 , excessive neck flexion (dropped head) 11 , trunk flexion (camptocormia) 12 and Pisa's syndrome 13 , which may increase the risk of LBP. The intensity of LBP is associated with the severity of the PD motor signs and the more advanced stage of the disease 8 . LBP presents multifactorial impact and, besides the pain itself, it has wider consequences, like limitations in activity, participation restrictions, overload of caregivers, use of medical assistance resources and financial charges 14 .…”

Section: Introductionmentioning

confidence: 99%

“…LBP presents multifactorial impact and, besides the pain itself, it has wider consequences, like limitations in activity, participation restrictions, overload of caregivers, use of medical assistance resources and financial charges 14 . Despite its prevalence in patients with PD, the studies that address this phenomenon are sparse [6][7][8]15 . The objective of this study was to verify the prevalence of PD and its characteristics in patients with LBP that attend a specialized center in Belo Horizonte.…”

Section: Introductionmentioning

confidence: 99%

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Should we retire statistical significance?

Correia¹,

Bagano²,

Melo³

2020

Brazilian Journal of Pain

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BACKGROUND AND OBJECTIVES: Low back pain is a non-motor symptom commonly reported by individuals with Parkinson's disease. The aim of this study was to identify the prevalence of low back pain and its characteristics in individuals with Parkinson disease from a specialized treatment center. METHODS: Individuals with idiopathic Parkinson's disease answered a questionnaire for the assessment of clinical parameters and associated pain symptoms. Pain intensity was assessed using the visual analog scale. RESULTS: One hundred and twenty-three patients with mean age 68.1±11.8 years, and disease duration of 7.0±4.9 years, answered the questionnaire. Pain was reported by 102 (82.9%) patients: 71 (57.7%) had low back pain and 31 (25.2%) had pain in other body segments. There was no difference in age, education, time of Parkinson's disease symptoms and diagnosis when comparing individuals with and without pain, as well as individuals with pain in other segments and low back pain. The group with low back pain had pain in a greater number of body segments in addition to the lumbar region, with longer duration of this symptom and more frequent use of analgesic drugs. In the low back pain group, women had greater pain intensity.

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Trajectories of pain over 6 years in early Parkinson’s disease: ICICLE-PD

et al. 2021

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Introduction Pain is a common non-motor symptom in Parkinson’s disease (PD), affecting up to 85% of patients. The frequency and stability of pain over time has not been extensively studied. There is a paucity of high-quality studies investigating pain management in PD. To develop interventions, an understanding of how pain changes over the disease course is required. Methods One hundred and fifty-four participants with early PD and 99 age-and-sex-matched controls were recruited as part of a longitudinal study (Incidence of Cognitive Impairment in Cohorts with Longitudinal Evaluation in PD, ICICLE-PD). Pain data were collected at 18-month intervals over 72 months in both groups using the Nonmotor Symptom Questionnaire (NMSQ), consisting of a binary yes/no response. Two questions from the Parkinson’s Disease Questionnaire (PDQ-39) were analysed for the PD group only. Results Unexplained pain was common in the PD group and occurred more frequently than in age-matched controls. ‘Aches and pains’ occurred more frequently than ‘cramps and muscle spasms’ at each time point (p < 0.001) except 54 months. Conclusions This study shows that pain is prevalent even in the early stages of PD, yet the frequency and type of pain fluctuates as symptoms progress. People with PD should be asked about their pain at clinical consultations and given support with describing pain given the different ways this can present.

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The prevalence of chronic low back pain and lumbar deformities in patients with Parkinson’s disease: implications on spinal surgery

Cited by 16 publications

References 30 publications

Lumbar Spinal Stenosis in Parkinson’s Disease

Lumbar Spinal Stenosis in Parkinson’s Disease

Should we retire statistical significance?

Trajectories of pain over 6 years in early Parkinson’s disease: ICICLE-PD

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