Neuropathic pain in knee osteoarthritis

Abstract Background This study aimed to investigate the relationship between the neuropathic pain in knee osteoarthritis with the body composition, anthropometric and postural features, physical function, and quality of life. Methods Patients with primary knee osteoarthritis, 50–70 years of age, wer...

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Main Authors: Uğur Güngör Demir, Ali Nail Demir, Naciye Füsun Toraman
Format: Article
Language:English
Published: BMC 2021-11-01
Series:Advances in Rheumatology
Subjects:
Online Access:https://doi.org/10.1186/s42358-021-00225-0
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author Uğur Güngör Demir
Ali Nail Demir
Naciye Füsun Toraman
author_facet Uğur Güngör Demir
Ali Nail Demir
Naciye Füsun Toraman
author_sort Uğur Güngör Demir
collection DOAJ
description Abstract Background This study aimed to investigate the relationship between the neuropathic pain in knee osteoarthritis with the body composition, anthropometric and postural features, physical function, and quality of life. Methods Patients with primary knee osteoarthritis, 50–70 years of age, were included in the study and divided into Group 1 with neuropathic pain and Group 2 with no neuropathic pain according to Douleur Neuropathique-4. The groups were compared in terms of demographic, clinical, radiological, laboratory findings and anthropometric measurements, body composition, physical function tests, osteoarthritis severity, quality of life, and posturography. Results 200 patients were included in the study. 98 (82.6% female) were in Group 1 and 102 (74.5% female) in Group 2. Age was higher in Group 1 compared to Group 2 [61 (50–70) and 57.5 (50–70), respectively, p = 0.03]. Symptom duration was also longer in Group 1 (5.21 ± 4.76 and 3.38 ± 3.58, p = 0.002). Body mass indices were 31.9 ± 5.6 and 30.1 ± 4.8 (p = 0.015). Kellgren–Lawrence class, Western Ontario and McMaster Osteoarthritis Index and Short Form-36 scores were more unfavorable in Group 1. Although fall risk was similar, stability and Fourier harmony indices were impaired in Group 1 compared to Group 2 especially when the visual and proprioceptive input was blocked. Conclusions Almost half of the patients with knee osteoarthritis had neuropathic pain which was associated with longer symptom duration and higher age, lower education, higher body mass index, more severe radilogical findings, worse pain perception, lower physical function and quality of life, and lower stability.
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spelling doaj.art-6b5c530d9cb84a338b903fa68e3c80cf2022-12-21T22:07:33ZengBMCAdvances in Rheumatology2523-31062021-11-016111910.1186/s42358-021-00225-0Neuropathic pain in knee osteoarthritisUğur Güngör Demir0Ali Nail Demir1Naciye Füsun Toraman2Department of Physical Therapy and Rehabilitation, University of Health Sciences, Antalya Training and Research HospitalDepartment of Physical Medicine and Rehabilitation Rheumatology Clinic, Faculty of Medicine, Akdeniz UniversityDepartment of Physical Therapy and Rehabilitation, University of Health Sciences, Antalya Training and Research HospitalAbstract Background This study aimed to investigate the relationship between the neuropathic pain in knee osteoarthritis with the body composition, anthropometric and postural features, physical function, and quality of life. Methods Patients with primary knee osteoarthritis, 50–70 years of age, were included in the study and divided into Group 1 with neuropathic pain and Group 2 with no neuropathic pain according to Douleur Neuropathique-4. The groups were compared in terms of demographic, clinical, radiological, laboratory findings and anthropometric measurements, body composition, physical function tests, osteoarthritis severity, quality of life, and posturography. Results 200 patients were included in the study. 98 (82.6% female) were in Group 1 and 102 (74.5% female) in Group 2. Age was higher in Group 1 compared to Group 2 [61 (50–70) and 57.5 (50–70), respectively, p = 0.03]. Symptom duration was also longer in Group 1 (5.21 ± 4.76 and 3.38 ± 3.58, p = 0.002). Body mass indices were 31.9 ± 5.6 and 30.1 ± 4.8 (p = 0.015). Kellgren–Lawrence class, Western Ontario and McMaster Osteoarthritis Index and Short Form-36 scores were more unfavorable in Group 1. Although fall risk was similar, stability and Fourier harmony indices were impaired in Group 1 compared to Group 2 especially when the visual and proprioceptive input was blocked. Conclusions Almost half of the patients with knee osteoarthritis had neuropathic pain which was associated with longer symptom duration and higher age, lower education, higher body mass index, more severe radilogical findings, worse pain perception, lower physical function and quality of life, and lower stability.https://doi.org/10.1186/s42358-021-00225-0Knee osteoarthritisNeuropathic painPosturography
spellingShingle Uğur Güngör Demir
Ali Nail Demir
Naciye Füsun Toraman
Neuropathic pain in knee osteoarthritis
Advances in Rheumatology
Knee osteoarthritis
Neuropathic pain
Posturography
title Neuropathic pain in knee osteoarthritis
title_full Neuropathic pain in knee osteoarthritis
title_fullStr Neuropathic pain in knee osteoarthritis
title_full_unstemmed Neuropathic pain in knee osteoarthritis
title_short Neuropathic pain in knee osteoarthritis
title_sort neuropathic pain in knee osteoarthritis
topic Knee osteoarthritis
Neuropathic pain
Posturography
url https://doi.org/10.1186/s42358-021-00225-0
work_keys_str_mv AT ugurgungordemir neuropathicpaininkneeosteoarthritis
AT alinaildemir neuropathicpaininkneeosteoarthritis
AT naciyefusuntoraman neuropathicpaininkneeosteoarthritis