دورية أكاديمية
أعرض في EDS

Widespread sensitization in patients with chronic pain after revision total knee arthroplasty.

التفاصيل البيبلوغرافية
العنوان: Widespread sensitization in patients with chronic pain after revision total knee arthroplasty.
المؤلفون: Skou ST; Orthopaedic Surgery Research Unit, Aalborg University Hospital, Aalborg, Denmark Center for Sensory-Motor Interaction (SMI), Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark., Graven-Nielsen T, Rasmussen S, Simonsen OH, Laursen MB, Arendt-Nielsen L
المصدر: Pain [Pain] 2013 Sep; Vol. 154 (9), pp. 1588-1594. Date of Electronic Publication: 2013 Apr 20.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 7508686 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1872-6623 (Electronic) Linking ISSN: 03043959 NLM ISO Abbreviation: Pain Subsets: MEDLINE
أسماء مطبوعة: Publication: 2015- : Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: Amsterdam, Elsevier/North-Holland.
مواضيع طبية MeSH: Arthroplasty, Replacement, Knee/*methods , Chronic Pain/*psychology , Chronic Pain/*surgery , Pain Threshold/*physiology, Aged ; Analysis of Variance ; Arm/innervation ; Chronic Pain/etiology ; Female ; Humans ; Male ; Middle Aged ; Osteoarthritis/complications ; Pain Measurement ; Pressure ; Statistics as Topic ; Surveys and Questionnaires
مستخلص: Pain and sensitization are major issues in patients with osteoarthritis both before and after total knee arthroplasty (TKA) and revision TKA (re-TKA). The aim of this study was to assess sensitization in patients with and without chronic pain after re-TKAs. Twenty patients with chronic knee pain and 20 patients without pain after re-TKA participated. Spreading of pain was evaluated as the number of pain sites using a region-divided body chart. The pressure pain threshold (PPT) and pressure pain tolerance (PTT) were assessed by cuff algometry at the lower leg. Temporal summation of pain was assessed by recordings of the pain intensity on a visual analog scale (VAS) during repeated cuff pressure stimulations. Conditioning pain modulation (CPM) was recorded by experimental tonic arm pain by cuff pressure stimulation and assessment of PPTs on the knee, leg, and forearm using handheld pressure algometry. Participants with pain after re-TKA compared to participants without pain demonstrated: (1) significantly more pain sites (P=.004), (2) decreased cuff PPTs and PTTs at the lower leg (P<.001), (3) facilitated temporal summation (P<.001), and (4) impaired CPM (P<.001). Additionally, significant correlations between knee pain intensity and cuff PPTs, temporal summation, and CPM and between total duration of knee pain and temporal summation were found (P<.05). This study demonstrated widespread sensitization in patients with pain after re-TKA and highlighted the importance of ongoing nociceptive input for the chronification process. This has important implications for future revisions, and precautions should be taken if patients have widespread sensitization.
(Copyright © 2013 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.)
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فهرسة مساهمة: Keywords: Cuff algometry; Experimental pain; Knee osteoarthritis; Pain mechanisms; Pressure algometry; Reoperation; Spreading of pain; Spreading sensitization
تواريخ الأحداث: Date Created: 20130528 Date Completed: 20140321 Latest Revision: 20220311
رمز التحديث: 20231215
DOI: 10.1016/j.pain.2013.04.033
PMID: 23707268
قاعدة البيانات: MEDLINE
الوصف
تدمد:1872-6623
DOI:10.1016/j.pain.2013.04.033