Comparison of pain features and the factors that affects quality of life of central and peripheric neuropathic pain
Türk Fizyoterapi ve Rehabilitasyon Dergisi/Turkish Journal of Physiotherapy and Rehabilitation - Tập 24 - Trang 1-8 - 2014
Tóm tắt
The aim of this study, was to analyse the features of pain, QoL and the effects of age, gender and pain duration in patients with central neuropathic pain (CNP) and peripheral neuropathic pain (PNP). Fourty patients were included in the study. The charactheristics and detailed pain history of patients were recorded. Visual analog scale (VAS) was used to evaluate pain intensity and nottingham health profile (NHP) was used to evaluate QoL of patients. The mean age of patients with PNP were 51.75±18.23, and CNP were 48.5±18.74 years. There were no significance differences between the two group according to NSP and VAS results. The increase of age has negative effects on the physical activity in PNP group and energy level, emotional reactions, social isolation, physical activity and total quality of life level in CNP group (p<0.05). The increase of pain duration has negative effects on sleep, physical activity and total NHP results on PNP group however the duration of pain has no effects on CNP group. Furthermore gender has no effect on QoL of patients in the two groups. For the treatment of neuropathic pain, the improvement of QoL is the main expectation of clinicans and patients. It is considered that, the results of our study, which included the detailed analysis of QoL in patients with PNP and CNP, will be useful for clinicians.
Tài liệu tham khảo
Gustorff B, Dorner T, Likar R, et al. Prevelance of self reported neuropathic pain and impact on quality of life: A prospective representative survey. Acta Anaesthesiol Scand. 2008;52(1):132–136.
Rasmussen PV, Sindrup SH, Jensen TH, et al. Symptoms and signs in patients with suspected neuropathic pain. Pain. 2004;110(1-2):461–469.
Nicholson B. Gabapentin use in neuropathic pain syndromes. Acta Neurol Scand. 2000;5(4):245–252.
Hansson P, Lacerenza M, Marchettini P. Neuropathic pain: Pathophysiology and treatment. Seattle: IASP pres;2001:1–18.
Yücel A, Çimen A. Nöropatik ağrı: Mekanizmalar, tanı ve tedavi. Ağrı. 2005;17:5–13.
Baron R. Peripheral neuropathic pain: from mechanism to symptoms. Clin J Pain. 2000;16(2):12–20.
Berker E. Nöropatik ağrı etyopatogenezi. J Int Med Sci. 2005;1(10):37–40.
Khedr EM, Kamel NF, Ahmed MA, et al. Longlasting antalgic effects of daily sessions of repetitive transcranial magnetic stimulation in central and peripheral neuropathic pain. J Neurol Neurosurg Psychiatry. 2005;76(6):833–838.
Tan E. Nöropatik ağrı ve tedavisi. TJN. 2004;10:390–399.
Karlı N. Nöropatik ağrı semptomları. In: Tan E, eds. Nöropatik ağrı. Ankara: Nobel yayıncılık;2009:87–90.
Schmader KE. Epidemiology and impact on quality of life of postherpetic neuralgia and painful diabetic neuropathy. Clin J Pain. 2002;18(6):350–354.
Breivik H, Borchgrevink PC, Allen SM, et al. Assessment of pain. Br J Anaesth. 2008;101(1):17–24.
Selçuki D. Nöropatik Ağrı skalaları ile klinik değerlendirme. In: Tan E, eds. Nöropatik ağrı. Ankara: Nobel Yayıncılık;2009:99–108.
Kücükdeveci AA, McKenna SP, Kutlay S, et al. The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. Int J Rehabil Res. 2000;23(8):31–38.
Rosberg KM, Burckhardt CM, Huizar K, et al. A comparison of the SF-36 and Nottingham Health Profile in patients with chronic neuropathic pain. Eur J Pain. 2001;5(4):391–403.
Hurley RW, Adams MC, Benzon HT. Neuropathic pain: treatment guidelines and updates. Curr Opin Anaesthesiol. 2013; DOI: 10.1097/ACO.0b013e328363b4bf.
Ciaramitaro P, Mondelli M, Logullo F, et al. Traumatic peripheral nevre injuries: epidemiological findings, neuropathic pain and quality of life in 158 patients. J Peripher Nerv Syst. 2010;15(2):120–127.
Rosberg KM, Kvarnström A, Kinnman E, et al. Peripheral neuropathic pain: a multidimensional burden for patients. Eur J Pain. 2001;5(4):379–389.
McCarberg R, Billington R. Consequences of neuropathic pain: quality of life issues and associated costs. Am J Manag Care. 2006;12:263–268.
Rowbotham MC, Twilling L, Davies PS, et al. Oral opioid therapy for chronic peripheral and central neuropathic pain. N Engl J Med. 2003;348(13):1223–1232.
Valdes AM, Suokas AK, Doherty SA, et al. History of knee surgery is associated with higher prevalence of neuropathic pain-like symptoms in patients with severe osteoarthritis of the knee. Semin Arthritis Rheum. 2013;DOI: 10.1016/j.semarthrit.2013.10.001.
Başaran S, Güzel R, Sarpel T. Yaşam kalitesi ve sağlık sonuçlarını değerlendirme ölçütleri. Romatizma. 2005;20(1):55–63.