Patients With Knee Osteoarthritis Who Score Highly on the PainDETECT Questionnaire Present With Multi-modality Hyperalgesia, Increased Pain and Impaired Physical Function

Penny Moss, Heather A E Benson, Rob Will, Anthony Wright

    Research output: Contribution to journalArticle

    10 Citations (Scopus)

    Abstract

    OBJECTIVES:: PainDETECT is a self-report questionnaire that can be used to identify features of neuropathic pain. A proportion of patients with knee osteoarthritis score highly on the PainDETECT questionnaire. This study aimed to determine whether those with a higher “positive neuropathic” score on the PainDETECT questionnaire also had greater pain, hypersensitivity and reduced function compared to individuals with knee OA with lower PainDETECT scores. METHODS:: 130 participants with knee OA completed the PainDETECT, Western Ontario and McMaster Universities Arthritis Index (WOMAC) and Pain Quality Assessment Scale (PQAS) questionnaires. Quantitative sensory testing was carried out at three sites (both knees and elbow) using standard methods. Cold and heat pain thresholds were tested using a Peltier thermode and pressure pain thresholds using a digital algometer. Physical function was assessed using three timed locomotor function tests. RESULTS:: 22.3% of participants scored in the “positive neuropathic” category with a further 35.4% in the unclear category. Participants in the “positive neuropathic” category reported higher levels of pain and more impaired function based on the WOMAC questionnaire (P

    Original languageEnglish
    Pages (from-to)15-21
    Number of pages7
    JournalClinical Journal of Pain
    Volume34
    Issue number1
    DOIs
    Publication statusPublished - Jan 2018

    Fingerprint

    Knee Osteoarthritis
    Hyperalgesia
    Pain
    Knee
    Pain Threshold
    Neuralgia
    Ontario
    Pain Measurement
    Elbow
    Self Report
    Arthritis
    Hypersensitivity
    Hot Temperature
    Surveys and Questionnaires
    Pressure

    Cite this

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    abstract = "OBJECTIVES:: PainDETECT is a self-report questionnaire that can be used to identify features of neuropathic pain. A proportion of patients with knee osteoarthritis score highly on the PainDETECT questionnaire. This study aimed to determine whether those with a higher “positive neuropathic” score on the PainDETECT questionnaire also had greater pain, hypersensitivity and reduced function compared to individuals with knee OA with lower PainDETECT scores. METHODS:: 130 participants with knee OA completed the PainDETECT, Western Ontario and McMaster Universities Arthritis Index (WOMAC) and Pain Quality Assessment Scale (PQAS) questionnaires. Quantitative sensory testing was carried out at three sites (both knees and elbow) using standard methods. Cold and heat pain thresholds were tested using a Peltier thermode and pressure pain thresholds using a digital algometer. Physical function was assessed using three timed locomotor function tests. RESULTS:: 22.3{\%} of participants scored in the “positive neuropathic” category with a further 35.4{\%} in the unclear category. Participants in the “positive neuropathic” category reported higher levels of pain and more impaired function based on the WOMAC questionnaire (P",
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    Patients With Knee Osteoarthritis Who Score Highly on the PainDETECT Questionnaire Present With Multi-modality Hyperalgesia, Increased Pain and Impaired Physical Function. / Moss, Penny; Benson, Heather A E; Will, Rob; Wright, Anthony.

    In: Clinical Journal of Pain, Vol. 34, No. 1, 01.2018, p. 15-21.

    Research output: Contribution to journalArticle

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