Pain detect questionnaire and pain catastrophizing scale affect gait pattern in patients with knee osteoarthritis
Abstract Purpose Although pain phenotype affects clinical score in patients with knee osteoarthritis (OA), little information has been available on the relationship between pain phenotype and gait analysis. The purpose was to investigate the relationship between pain phenotype and gait parameters. M...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Journal of Experimental Orthopaedics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40634-022-00492-w |
| _version_ | 1797321457734254592 |
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| author | Kengo Harato Yu Iwama Kazuya Kaneda Shu Kobayashi Yasuo Niki Takeo Nagura |
| author_facet | Kengo Harato Yu Iwama Kazuya Kaneda Shu Kobayashi Yasuo Niki Takeo Nagura |
| author_sort | Kengo Harato |
| collection | DOAJ |
| description | Abstract Purpose Although pain phenotype affects clinical score in patients with knee osteoarthritis (OA), little information has been available on the relationship between pain phenotype and gait analysis. The purpose was to investigate the relationship between pain phenotype and gait parameters. Methods A total of 34 patients (24 females and 10 males) with end‐stage medial compartmental knee OA participated. All the patients were evaluated based on pain detect questionnaire (PD‐Q) and pain catastrophizing scale (PCS). They were divided into two categories: Group Low (PD‐Q score ≤ 12) and Group High (PD‐Q score > 12), PCS + (PCS ≥ 23) and PCS‐ (PCS < 23). Gait analysis was performed using three‐dimensional motion analysis system. Statistical analysis was done to compare gait parameters between groups for each allocation of PD‐Q or PCS, separately. Results Peak vertical ground reaction forces in Group Low and High were 0.99 ± 0.054 and 0.82 ± 0.17, respectively (P = 0.015). Peak knee adduction moments in Group Low and High were 0.70 ± 0.19 and 0.39 ± 0.14, respectively (P = 0.0022). For PCS allocation, knee extension limitation during mid‐stance during gait were significantly larger in PCS‐ (P = 0.038). Conclusions Patients with high PD‐Q score had atypical gait pattern with smaller peak vertical ground reaction force and knee adduction moment, compared to patients with low PD‐Q score. Moreover, patient with low PCS had different gait pattern in extension limitation, compared to those with high PCS. PD‐Q and PCS would affect gait pattern in patients with knee OA. Level of evidence: III. |
| first_indexed | 2024-03-08T04:58:50Z |
| format | Article |
| id | doaj.art-cd650e738a724f9cb1689502b2bb67d9 |
| institution | Directory Open Access Journal |
| issn | 2197-1153 |
| language | English |
| last_indexed | 2024-03-08T04:58:50Z |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Experimental Orthopaedics |
| spelling | doaj.art-cd650e738a724f9cb1689502b2bb67d92024-02-07T14:50:37ZengWileyJournal of Experimental Orthopaedics2197-11532022-01-0191n/an/a10.1186/s40634-022-00492-wPain detect questionnaire and pain catastrophizing scale affect gait pattern in patients with knee osteoarthritisKengo Harato0Yu Iwama1Kazuya Kaneda2Shu Kobayashi3Yasuo Niki4Takeo Nagura5Department of Orthopaedic SurgeryKeio University School of Medicine35 Shinanomachi, Shinjuku‐ku160‐8582TokyoJapanDepartment of Orthopaedic SurgeryKeio University School of Medicine35 Shinanomachi, Shinjuku‐ku160‐8582TokyoJapanDepartment of Orthopaedic SurgeryKeio University School of Medicine35 Shinanomachi, Shinjuku‐ku160‐8582TokyoJapanDepartment of Orthopaedic SurgeryKeio University School of Medicine35 Shinanomachi, Shinjuku‐ku160‐8582TokyoJapanDepartment of Orthopaedic SurgeryKeio University School of Medicine35 Shinanomachi, Shinjuku‐ku160‐8582TokyoJapanDepartment of Orthopaedic SurgeryKeio University School of Medicine35 Shinanomachi, Shinjuku‐ku160‐8582TokyoJapanAbstract Purpose Although pain phenotype affects clinical score in patients with knee osteoarthritis (OA), little information has been available on the relationship between pain phenotype and gait analysis. The purpose was to investigate the relationship between pain phenotype and gait parameters. Methods A total of 34 patients (24 females and 10 males) with end‐stage medial compartmental knee OA participated. All the patients were evaluated based on pain detect questionnaire (PD‐Q) and pain catastrophizing scale (PCS). They were divided into two categories: Group Low (PD‐Q score ≤ 12) and Group High (PD‐Q score > 12), PCS + (PCS ≥ 23) and PCS‐ (PCS < 23). Gait analysis was performed using three‐dimensional motion analysis system. Statistical analysis was done to compare gait parameters between groups for each allocation of PD‐Q or PCS, separately. Results Peak vertical ground reaction forces in Group Low and High were 0.99 ± 0.054 and 0.82 ± 0.17, respectively (P = 0.015). Peak knee adduction moments in Group Low and High were 0.70 ± 0.19 and 0.39 ± 0.14, respectively (P = 0.0022). For PCS allocation, knee extension limitation during mid‐stance during gait were significantly larger in PCS‐ (P = 0.038). Conclusions Patients with high PD‐Q score had atypical gait pattern with smaller peak vertical ground reaction force and knee adduction moment, compared to patients with low PD‐Q score. Moreover, patient with low PCS had different gait pattern in extension limitation, compared to those with high PCS. PD‐Q and PCS would affect gait pattern in patients with knee OA. Level of evidence: III.https://doi.org/10.1186/s40634-022-00492-wKnee osteoarthritisGait analysisPain detectPain catastrophizing scale |
| spellingShingle | Kengo Harato Yu Iwama Kazuya Kaneda Shu Kobayashi Yasuo Niki Takeo Nagura Pain detect questionnaire and pain catastrophizing scale affect gait pattern in patients with knee osteoarthritis Journal of Experimental Orthopaedics Knee osteoarthritis Gait analysis Pain detect Pain catastrophizing scale |
| title | Pain detect questionnaire and pain catastrophizing scale affect gait pattern in patients with knee osteoarthritis |
| title_full | Pain detect questionnaire and pain catastrophizing scale affect gait pattern in patients with knee osteoarthritis |
| title_fullStr | Pain detect questionnaire and pain catastrophizing scale affect gait pattern in patients with knee osteoarthritis |
| title_full_unstemmed | Pain detect questionnaire and pain catastrophizing scale affect gait pattern in patients with knee osteoarthritis |
| title_short | Pain detect questionnaire and pain catastrophizing scale affect gait pattern in patients with knee osteoarthritis |
| title_sort | pain detect questionnaire and pain catastrophizing scale affect gait pattern in patients with knee osteoarthritis |
| topic | Knee osteoarthritis Gait analysis Pain detect Pain catastrophizing scale |
| url | https://doi.org/10.1186/s40634-022-00492-w |
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