The effects of pain types on pain intensity and quality of life according to the mechanism in chronic neck pain.

IF 1.5 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Halil E Akkurt, Savaş Karpuz, Ramazan Yılmaz, Fatih Güreş, Seda Ç Güreş, Kemal Erol, Halim Yılmaz
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Abstract

Objectives: To determine the prevalence of different pain mechanisms, including nociplastic pain, and the effects of these pain mechanisms on disability, pain intensity and quality of life in patients with chronic neck pain.

Methods: Between November 2022 and January 2023, 200 patients (mean age: 56.54±12.08 years) with chronic neck pain were included in the study. Neuropathic pain was identified by the painDETECT scale. Clinical criteria and a grading system were used to identify nociplastic pain affecting the musculoskeletal system. Pain intensity was as assessed using the visual analog scale, the pain catastrophizing by the pain catastrophizing scale, the disability status by the neck disability index (NDI), and the quality of life by the 36-item short form survey.

Results: A total of 53 (26.5%) participants had nociceptive pain, 29 (14.5%) had possible neuropathic pain, 22 (11%) had neuropathic pain, 35 (17.5%) had possible nociplastic pain, and 61 (30.5%) had probable nociplastic pain. Visual analog scale and NDI scores were higher in patients with neuropathic pain or nociplastic pain than in those with nociceptive pain (p<0.00).

Conclusion: This study demonstrates that nociplastic pain is present in individuals with chronic neck pain and may be linked to meaningful differences in pain severity, functional impairment, and overall quality of life.ClinicalTrials.gov Reg. No.: NCT05581446.

Abstract Image

慢性颈部疼痛的疼痛类型对疼痛强度和生活质量的影响。
目的:了解慢性颈部疼痛患者不同疼痛机制(包括致伤性疼痛)的患病率,以及这些疼痛机制对残疾、疼痛强度和生活质量的影响。方法:选取2022年11月至2023年1月期间200例慢性颈部疼痛患者(平均年龄56.54±12.08岁)作为研究对象。采用painDETECT量表诊断神经性疼痛。临床标准和分级系统用于确定影响肌肉骨骼系统的伤害性疼痛。采用视觉模拟量表评估疼痛强度,采用疼痛严重程度量表评估疼痛严重程度,采用颈部残疾指数(NDI)评估残疾状况,采用36项短表调查评估生活质量。结果:53人(26.5%)有伤害性疼痛,29人(14.5%)有可能是神经性疼痛,22人(11%)有神经性疼痛,35人(17.5%)有可能是伤害性疼痛,61人(30.5%)有可能是伤害性疼痛。神经性疼痛或伤害性疼痛患者的视觉模拟量表和NDI评分高于伤害性疼痛患者(结论:本研究表明,慢性颈部疼痛患者存在伤害性疼痛,并且可能与疼痛严重程度、功能损害和整体生活质量有意义的差异有关。否。: NCT05581446。
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来源期刊
Saudi Medical Journal
Saudi Medical Journal 医学-医学:内科
CiteScore
2.30
自引率
6.20%
发文量
203
审稿时长
12 months
期刊介绍: The Saudi Medical Journal is a monthly peer-reviewed medical journal. It is an open access journal, with content released under a Creative Commons attribution-noncommercial license. The journal publishes original research articles, review articles, Systematic Reviews, Case Reports, Brief Communication, Brief Report, Clinical Note, Clinical Image, Editorials, Book Reviews, Correspondence, and Student Corner.
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