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ORIJINAL ARAŞTIRMA

Lateral Epikondilitli Hastalarda Nöropatik Ağrının Sıklığı ve Özürlülüğe Etkisi
Frequency of Neuropathic Pain and its Effect on Disability in Patients with Lateral Epicondylitis
Received Date : 22 Feb 2022
Accepted Date : 13 Sep 2022
Available Online : 15 Sep 2022
Doi: 10.31609/jpmrs.2022-89046 - Makale Dili: EN
J PMR Sci. 2023;26(1):43-7
ÖZET
Amaç: Bu çalışmada amaç, lateral epikondilitli (LE) hastalarda nöropatik ağrı sıklığının ve nöropatik ağrının özürlülüğe etkisinin değerlendirilmesidir. Gereç ve Yöntemler: Çalışmaya 18 yaş üstü LE’li 88 hasta davet edildi. Hastalar PainDETECT Ölçeği [PainDETECT Questionnaire (PDQ)] ile nöropatik ağrının varlığına göre gruplandırıldı: Nöropatik ağrı [neuropathic pain (NEP)] grubuna PDQ skoru ≥19 olan 26 hasta ve nosiseptif ağrı [nociceptive pain (NOP)] grubuna PDQ skoru ≤12 olan 50 hasta dâhil edildi. Ağrı düzeyi, görsel analog skalası [visual analogue scale (VAS)] (ilk vizitteki VAS, son 4 haftadaki en kötü ve ortalama VAS skoru) ile özürlülük Hızlı-Kol, Omuz ve El Sorunları [Quick-Disability of Arm, Shoulder and Hand (Quick-DASH)] Ölçeği ile değerlendirildi. Bulgular: LE’li hastaların 26’sında (%29,5) NEP, 50’sinde (%56,8) NOP saptandı. İlk vizitteki VAS, son 4 haftadaki en kötü VAS ve ortalama VAS skorları NEP grubunda anlamlı olarak daha yüksekti (sırasıyla p=0,003, p=0,006, p=0,004). Quick-DASH skoru NEP’de 64,62 (55,06-75), NOP gruplarında 45,12 (28,93-52,81) idi (p<0,001). NEP grubunda, ilk vizitteki VAS skoru, son 4 haftadaki en kötü VAS ve ortalama VAS skorları ile PDQ skorları arasında pozitif korelasyon bulundu (sırasıyla r=0,652 p<0,001, r=0,436 p=0,026, r=0,661 p<0,001). Quick-DASH skoru NEP için bağımsız prognostik faktörler olarak bulundu (p=0,001). Sonuç: NEP, LE hastalarda artmış özürlülüğe neden olabilir, bu nedenle bu hasta grubunda NEP’in değerlendirilmesi gereklidir.
ABSTRACT
Objective: To evaluate the frequency of neuropathic pain and its effect on disability in patients with lateral epicondylitis (LE). Material and Methods: Eighty eight patients with LE over the age of 18 were invited to the study. Patients were grouped according to the presence of neuropathic pain using the PainDETECT Questionnaire (PDQ): 26 patients with score of ≥19 in neuropathic pain (NEP) group and 50 patients with score of ≤12 in nociceptive pain (NOP) group. Pain level was assessed by visual analogue scale (VAS) (VAS at first visit, worst and average VAS scores in last 4 weeks) and disability by Quick-Disability of Arm, Shoulder and Hand (Quick-DASH) Scale. Results: NEP was detected in 26 (29.5%) and NOP was detected in 50 (56.8%) patients with LE. VAS at the initial visit, worst VAS and average VAS scores during past 4 weeks were significant higher in NEP group (p=0.003, p=0.006, p=0.004 respectively). Quick-DASH score was 64.62 (55.06-75) in NEP and 45.12 (28.93-52.81) in NOP groups (p<0.001). Positive correlations were found between VAS score at the initial visit, worst VAS and average VAS scores during the past 4 weeks and PDQ scores in NEP group (r=0.652 p<0.001, r=0.436 p=0.026, r=0.661 p<0.001 respectively). Quick-DASH score was found to be independent prognostic factors for NEP (p=0.001). Conclusion: NEP may cause an increased disability in patients with LE, therefore it is necessary to evaluate NEP in these patients group.
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