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The Extent of Pain Is Associated With Signs of Central Sensitization in Patients With Hip Osteoarthritis.

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Title: The Extent of Pain Is Associated With Signs of Central Sensitization in Patients With Hip Osteoarthritis.
Authors: Willett, Matthew J., Siebertz, Mathias, Petzke, Frank, Erlenwein, Joachim, Rushton, Alison, Soldini, Emiliano, Barbero, Marco, Falla, Deborah
Source: Pain Practice. Mar2020, Vol. 20 Issue 3, p277-288. 12p. 1 Diagram, 2 Charts, 1 Graph.
Subjects: Bursitis, Central nervous system, Hip joint diseases, Scientific observation, Osteoarthritis, Health outcome assessment, Portable computers, Questionnaires, Sex distribution, Quadriceps muscle, Pain measurement, Human research subjects, Cross-sectional method, Patient selection, Patients' attitudes
Abstract: Background: Central sensitization may be present in some patients with hip osteoarthritis (OA), often reflected as widespread pain. We examine the association between pain extent with signs of central sensitization and other clinical and psychological features in patients with hip OA. Methods: Thirty patients with hip OA were recruited for this cross‐sectional observational study. Participants completed pain drawings on a digital tablet, which displayed frontal and dorsal views of the body. The pain extent (%) for each participant was determined by combining the frontal and dorsal pixels shaded and dividing by the total pixels of the body chart area. Participants completed patient‐reported outcome measures to assess for signs and symptoms of central sensitization and psychosocial factors. Quantitative sensory testing including pain pressure thresholds (PPTs) and thermal pressure thresholds was performed at points anatomically local and distant from the hip. Results: Women had significantly greater pain extent (6.71%) than men (2.65%) (z = −2.76, P < 0.01). Across all participants, increased pain extent was significantly associated with higher scores on the Widespread Pain Index (r2 = 0.426, P < 0.05), painDETECT questionnaire (r2 = 0.394, P < 0.05), and Pain Catastrophizing Scale (r2 = 0.413, P < 0.05), and with lower PPTs at the thenar eminence (r2 = −0.410, P < 0.05), vastus lateralis (r2 = −0.530, P < 0.01), vastus medialis (r2 = 0.363, P < 0.05), and greater trochanter (r2 = −0.373, P < 0.05). Conclusions: Greater pain extent was associated with several measures of signs and symptoms of central sensitization in patients with hip OA. These results support the utility of the pain drawing for identifying signs of central sensitization in patients with hip OA. [ABSTRACT FROM AUTHOR]
Copyright of Pain Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: The Extent of Pain Is Associated With Signs of Central Sensitization in Patients With Hip Osteoarthritis.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Willett%2C+Matthew+J%2E%22&quot;&gt;Willett, Matthew J.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Siebertz%2C+Mathias%22&quot;&gt;Siebertz, Mathias&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Petzke%2C+Frank%22&quot;&gt;Petzke, Frank&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Erlenwein%2C+Joachim%22&quot;&gt;Erlenwein, Joachim&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Rushton%2C+Alison%22&quot;&gt;Rushton, Alison&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Soldini%2C+Emiliano%22&quot;&gt;Soldini, Emiliano&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Barbero%2C+Marco%22&quot;&gt;Barbero, Marco&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Falla%2C+Deborah%22&quot;&gt;Falla, Deborah&lt;/searchLink&gt;
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Pain+Practice%22&quot;&gt;Pain Practice&lt;/searchLink&gt;. Mar2020, Vol. 20 Issue 3, p277-288. 12p. 1 Diagram, 2 Charts, 1 Graph.
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– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Central sensitization may be present in some patients with hip osteoarthritis (OA), often reflected as widespread pain. We examine the association between pain extent with signs of central sensitization and other clinical and psychological features in patients with hip OA. Methods: Thirty patients with hip OA were recruited for this cross‐sectional observational study. Participants completed pain drawings on a digital tablet, which displayed frontal and dorsal views of the body. The pain extent (%) for each participant was determined by combining the frontal and dorsal pixels shaded and dividing by the total pixels of the body chart area. Participants completed patient‐reported outcome measures to assess for signs and symptoms of central sensitization and psychosocial factors. Quantitative sensory testing including pain pressure thresholds (PPTs) and thermal pressure thresholds was performed at points anatomically local and distant from the hip. Results: Women had significantly greater pain extent (6.71%) than men (2.65%) (z = −2.76, P &lt; 0.01). Across all participants, increased pain extent was significantly associated with higher scores on the Widespread Pain Index (r2 = 0.426, P &lt; 0.05), painDETECT questionnaire (r2 = 0.394, P &lt; 0.05), and Pain Catastrophizing Scale (r2 = 0.413, P &lt; 0.05), and with lower PPTs at the thenar eminence (r2 = −0.410, P &lt; 0.05), vastus lateralis (r2 = −0.530, P &lt; 0.01), vastus medialis (r2 = 0.363, P &lt; 0.05), and greater trochanter (r2 = −0.373, P &lt; 0.05). Conclusions: Greater pain extent was associated with several measures of signs and symptoms of central sensitization in patients with hip OA. These results support the utility of the pain drawing for identifying signs of central sensitization in patients with hip OA. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Pain Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1111/papr.12851
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 12
        StartPage: 277
    Subjects:
      – SubjectFull: Bursitis
        Type: general
      – SubjectFull: Central nervous system
        Type: general
      – SubjectFull: Hip joint diseases
        Type: general
      – SubjectFull: Scientific observation
        Type: general
      – SubjectFull: Osteoarthritis
        Type: general
      – SubjectFull: Health outcome assessment
        Type: general
      – SubjectFull: Portable computers
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Sex distribution
        Type: general
      – SubjectFull: Quadriceps muscle
        Type: general
      – SubjectFull: Pain measurement
        Type: general
      – SubjectFull: Human research subjects
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Patient selection
        Type: general
      – SubjectFull: Patients' attitudes
        Type: general
    Titles:
      – TitleFull: The Extent of Pain Is Associated With Signs of Central Sensitization in Patients With Hip Osteoarthritis.
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            – D: 01
              M: 03
              Text: Mar2020
              Type: published
              Y: 2020
          Identifiers:
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            – TitleFull: Pain Practice
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