Quality of life and functional capacity are adversely affected in osteoarthritis patients with neuropathic pain

The aim of this study was to examine the neuropathic pain component of knee osteoarthritis (OA) patients and to investigate the relationship between neuropathic pain, disease stage, functional state, depression, anxiety, and quality of life. This study included 60 patients with knee OA. All demograp...

Full description

Bibliographic Details
Main Authors: Ayhan Aşkın, Ayten Özkan, Aliye Tosun, Ümit Seçil Demirdal, Fethi İsnaç
Format: Article
Language:English
Published: Wiley 2017-03-01
Series:Kaohsiung Journal of Medical Sciences
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1607551X16302704
_version_ 1819030041877544960
author Ayhan Aşkın
Ayten Özkan
Aliye Tosun
Ümit Seçil Demirdal
Fethi İsnaç
author_facet Ayhan Aşkın
Ayten Özkan
Aliye Tosun
Ümit Seçil Demirdal
Fethi İsnaç
author_sort Ayhan Aşkın
collection DOAJ
description The aim of this study was to examine the neuropathic pain component of knee osteoarthritis (OA) patients and to investigate the relationship between neuropathic pain, disease stage, functional state, depression, anxiety, and quality of life. This study included 60 patients with knee OA. All demographic data and radiological results were recorded. Visual Analog Scale (VAS), Timed Up and Go Test, Chair Stand Test, Western Ontario and McMasters Universities Osteoarthritis Index (WOMAC), PainDETECT questionnaire, DN4 questionnaire, Short form-36 questionnaire, and Hospital Anxiety Depression Scale were performed for each patient. Neuropathic pain was detected in 66.7% of patients based on the PainDETECT scale and in 46.7% of patients based on DN4 scale. VAS-resting, OA grade, WOMAC scores, and SF-scores showed a significant difference in patients that detected neuropathic pain with PainDETECT (p < 0.05). Based on the DN4 scale, patients with neuropathic pain had significantly higher WOMAC scores and significantly lower SF-36 scores (p < 0.05). The PainDETECT questionnaire scores showed positive correlations with Timed Up-and-go Test, VAS-resting, WOMAC scores, Hospital Anxiety Depression Scale scores, and a negative correlation with all SF-36 scores (p < 0.05). DN4 questionnaire scores showed a negative correlation with SF-36 scores and positive correlation with WOMAC scores (p < 0.05). To conclude, it should be kept in mind that patients with knee OA who describe intense pain may have a neuropathic component involved in the clinical condition. Quality of life and functional capacity are adversely affected in patients with knee OA who have neuropathic pain. This should be taken into account while planning the treatment of these patients.
first_indexed 2024-12-21T06:23:51Z
format Article
id doaj.art-ddc1e56dbff44578aae093231bcc59ef
institution Directory Open Access Journal
issn 1607-551X
language English
last_indexed 2024-12-21T06:23:51Z
publishDate 2017-03-01
publisher Wiley
record_format Article
series Kaohsiung Journal of Medical Sciences
spelling doaj.art-ddc1e56dbff44578aae093231bcc59ef2022-12-21T19:13:11ZengWileyKaohsiung Journal of Medical Sciences1607-551X2017-03-0133315215810.1016/j.kjms.2016.12.007Quality of life and functional capacity are adversely affected in osteoarthritis patients with neuropathic painAyhan AşkınAyten ÖzkanAliye TosunÜmit Seçil DemirdalFethi İsnaçThe aim of this study was to examine the neuropathic pain component of knee osteoarthritis (OA) patients and to investigate the relationship between neuropathic pain, disease stage, functional state, depression, anxiety, and quality of life. This study included 60 patients with knee OA. All demographic data and radiological results were recorded. Visual Analog Scale (VAS), Timed Up and Go Test, Chair Stand Test, Western Ontario and McMasters Universities Osteoarthritis Index (WOMAC), PainDETECT questionnaire, DN4 questionnaire, Short form-36 questionnaire, and Hospital Anxiety Depression Scale were performed for each patient. Neuropathic pain was detected in 66.7% of patients based on the PainDETECT scale and in 46.7% of patients based on DN4 scale. VAS-resting, OA grade, WOMAC scores, and SF-scores showed a significant difference in patients that detected neuropathic pain with PainDETECT (p < 0.05). Based on the DN4 scale, patients with neuropathic pain had significantly higher WOMAC scores and significantly lower SF-36 scores (p < 0.05). The PainDETECT questionnaire scores showed positive correlations with Timed Up-and-go Test, VAS-resting, WOMAC scores, Hospital Anxiety Depression Scale scores, and a negative correlation with all SF-36 scores (p < 0.05). DN4 questionnaire scores showed a negative correlation with SF-36 scores and positive correlation with WOMAC scores (p < 0.05). To conclude, it should be kept in mind that patients with knee OA who describe intense pain may have a neuropathic component involved in the clinical condition. Quality of life and functional capacity are adversely affected in patients with knee OA who have neuropathic pain. This should be taken into account while planning the treatment of these patients.http://www.sciencedirect.com/science/article/pii/S1607551X16302704Neuropathic painOsteoarthritisQuality of life
spellingShingle Ayhan Aşkın
Ayten Özkan
Aliye Tosun
Ümit Seçil Demirdal
Fethi İsnaç
Quality of life and functional capacity are adversely affected in osteoarthritis patients with neuropathic pain
Kaohsiung Journal of Medical Sciences
Neuropathic pain
Osteoarthritis
Quality of life
title Quality of life and functional capacity are adversely affected in osteoarthritis patients with neuropathic pain
title_full Quality of life and functional capacity are adversely affected in osteoarthritis patients with neuropathic pain
title_fullStr Quality of life and functional capacity are adversely affected in osteoarthritis patients with neuropathic pain
title_full_unstemmed Quality of life and functional capacity are adversely affected in osteoarthritis patients with neuropathic pain
title_short Quality of life and functional capacity are adversely affected in osteoarthritis patients with neuropathic pain
title_sort quality of life and functional capacity are adversely affected in osteoarthritis patients with neuropathic pain
topic Neuropathic pain
Osteoarthritis
Quality of life
url http://www.sciencedirect.com/science/article/pii/S1607551X16302704
work_keys_str_mv AT ayhanaskın qualityoflifeandfunctionalcapacityareadverselyaffectedinosteoarthritispatientswithneuropathicpain
AT aytenozkan qualityoflifeandfunctionalcapacityareadverselyaffectedinosteoarthritispatientswithneuropathicpain
AT aliyetosun qualityoflifeandfunctionalcapacityareadverselyaffectedinosteoarthritispatientswithneuropathicpain
AT umitsecildemirdal qualityoflifeandfunctionalcapacityareadverselyaffectedinosteoarthritispatientswithneuropathicpain
AT fethiisnac qualityoflifeandfunctionalcapacityareadverselyaffectedinosteoarthritispatientswithneuropathicpain