Associations Between Neck and Shoulder Pain and Neuropathic Pain in a Middle-aged Community-living Population
Associations Between Neck and Shoulder Pain and Neuropathic Pain in a Middle-aged Community-living Population
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DOI：
10.1097/brs.0000000000004207
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发表时间：
2022-04-15
期刊：
影响因子：
3
通讯作者：
Imagama，Shiro
中科院分区：
文献类型：
--
作者：
Machino，Masaaki;Ando，Kei;Imagama，Shiro
研究设计.横断面研究.目的.本研究旨在调查患有NSP的受试者中NeP的患病率，以揭示NeP对健康检查中患有NSP的中老年人的健康相关生活质量（HRQOL）的影响。背景数据摘要。以前的研究尚未确定NSP和NeP之间的关系作为导致一般人群生活质量下降的潜在危险因素。方法。本研究涉及203名参与者（男性： 84，女性：119；平均年龄：63.3岁）。对每位受试者进行人体测量、身体功能检查和血液检测。简短脊柱疼痛检测问卷的截止分数 > 0 定义为 NeP 的存在。随后，NSP (+) 受试者被分为 2 个亚组：NeP (+) 和 NeP (-) 组。为了评估 QOL，使用了简式 36 健康调查和 EuroQol 5 维度 5 级别版本 (EQ-5D-5L) 工具。结果。该研究包括 100 名 NSP (+) 和 103 名 NSP (−) 受试者。在 NSP (+) 受试者中，分别有 46 名和 54 名受试者被发现为 NeP (+) 和 NeP (-)。对于简短的 36 健康调查，多元回归分析显示 NeP 的患病率与较低的身体生活质量 (OR 3.56) 和较低的心理生活质量 (OR 4.04) 相关。同样，NeP 患病率被发现是 EQ-5D-5L 低 QOL 评分的预测因子（EQ-5D-5L 指数值 < 0.875；OR 3.61）。结论。据报道，在患有 NSP 的健康中老年人群中，NeP 患病率为 46.0%，与较差的 HRQOL 相关。因此，旨在缓解 NeP 的策略可能对改善中老年 NSP 患者的生活质量有显着贡献。 证据级别：2 中老年颈肩痛 (NSP) 受试者中神经病理性疼痛 (NeP) 的患病率为 46.0%（100 人中的 46 人）。在多变量回归分析中，NeP 的患病率与较低的身体 QOL（优势比 (OR)，3.56）和较低的心理 QOL（OR，4.04）相关。
Study Design.A cross-sectional study.Objective.The present study aimed to investigate the prevalence of NeP in subjects suffering from NSP to reveal the impact of NeP on the health-related QOL (HRQOL) in middle-aged and elderly people with NSP in a health checkup.Summary of Background Data.No previous studies have established the relationship between NSP and NeP as potential risk factors contributing to a decreased QOL in the general population.Methods.The present study involved 203 participants (men: 84, women: 119; mean age: 63.3 yr). For each subject, anthro-pometric measurements, physical function examinations, and blood testing were performed. A cut-off score of> 0 on the short-form spine painDETECT questionnaire defined the presence of NeP. Subsequently, the NSP (+) subjects were divided into 2 sub-groups: the NeP (+) and NeP (−) groups. For the assessment of QOL, the short form 36 health survey and the EuroQol 5 dimension 5 level version (EQ-5D-5L) tool were used.Results.The study included 100 NSP (+) and 103 NSP (−) subjects. Among the NSP (+) subjects, 46 and 54 subjects were found to be NeP (+) and NeP (−), respectively. For the short form 36 health survey, the multivariate regression analysis revealed that the prevalence of NeP was associated with a lower physical QOL (OR 3.56) and lower mental QOL (OR 4.04). Similarly, the NeP prevalence was found to be the predictor for low QOL scores in EQ-5D-5L (EQ-5D-5L index value< 0.875; OR 3.61).Conclusion.The prevalence of NeP was reported to be 46.0% in healthy middle-aged and elderly population suffering from NSP, where it was associated with poor HRQOL. Therefore, strategies aimed at alleviating NeP may contribute significantly to the improvement of QOL in middle-aged and elderly people with NSP.Level of Evidence: 2The prevalence of neuropathic pain (NeP) was 46.0%(46 of 100) in middle-aged and elderly subjects with neck and shoulder pain (NSP). In the multivariate regression analysis, the prevalence of NeP was associated with lower physical QOL (odds ratio (OR), 3.56) and lower mental QOL (OR, 4.04).