IS DISTRIBUTION OF PAIN RELATED WITH CENTRAL SENSITIZATION IN PATIENTS WITH LOWER LIMB OSTEOARTHRITIS?

2021 ◽  
pp. 2150019
Author(s):  
Andriana Koufogianni ◽  
Asimakis K. Kanellopoulos ◽  
Konstantinos Vassis ◽  
Ioannis A. Poulis
Keyword(s):  
Lower Limb ◽  
Central Sensitization ◽  
Rating Scale ◽  
Cross Sectional Study ◽  
The Body ◽  
Cross Sectional ◽  
Numeric Pain Rating Scale ◽  
The Relationship ◽  
Pain Distribution

Design: Cross-sectional study. Background: Osteoarthritis is one of the most common conditions in our society. A growing number of studies suggest the existence of central sensitization (CS) in a subgroup of osteoarthritic patients. One of the criteria included for the classification of CS pain is the expanded distribution of pain. As this criterion is a well-recognized sign of CS, a digital pain drawing (DPD) analysis would be useful to easily identify possible extended areas of pain distribution (PD) in patients with OA. Objective: To study the relationship between the percentage of distribution of pain in the lower limb for both knee and hip, in patients before hip or knee arthroplasty, and the Central Sensitization Inventory Questionnaire. Methods: Twenty women (mean [Formula: see text] years) with diagnosed chronic (over 3 months) knee ([Formula: see text]) and hip ([Formula: see text]) OA participated in the study, with intensity of pain from mild to severe, meaning pain [Formula: see text]/10 using the Numeric Pain Rating Scale (NPRS). The PD was analyzed via software created for this research, called “Pain Distribution Application”. Results: A statistically significant positive correlation between CSI and PD to the lower extremity OA (hip and knee) ([Formula: see text], [Formula: see text]) was found. The distribution of pain has a linear correlation with the results in CSI, of patients who tested positive for CS, i.e. with a score of [Formula: see text]. Conclusions: As the distribution of pain on the surface of the body (diffusion) increases, so does the score of people who test positive for CSI. Our results showed that calculating the distribution of pain with our application may have a utility as a CS screening tool. The PD threshold of 10% of the body area is an index for CS for chronic pain lower limb OA patients.

scholarly journals Perceptions of the Body and Body Dissatisfaction in Primary Education Children According to Gender and Age. A Cross-Sectional Study

2021 ◽  
Vol 18 (23) ◽  
pp. 12460
Author(s):  
Rubén Navarro-Patón ◽  
Marcos Mecías-Calvo ◽  
Silvia Pueyo Villa ◽  
Vanessa Anaya ◽  
Mariacarla Martí-González ◽  
...  
Keyword(s):  
Primary Education ◽  
Body Satisfaction ◽  
Rating Scale ◽  
Cross Sectional Study ◽  
The Body ◽  
Education Students ◽  
Body Perception ◽  
Cross Sectional ◽  
Figure Rating Scale ◽  
Gender And Age

Body image (BI) is a trending topic of study since health problems derived from a negative perception of the body are increasing and affecting people of all ages, with an increasing incidence among children from the age of eight. The objective of this study was to evaluate the current perception of the body against the desired body and the degree of body satisfaction of Galician primary education students. A total of 355 students (167 boys (47%)) between 9 and 12 years old participated (mean = 10.53; SD = 0.84). Sociodemographic data (sex, age, height, and weight) were collected, and the Figure Rating Scale was used. There are statistically significant differences between boys and girls in the current perceived figure (p = 0.003) and in the desired figure (p < 0.001). Depending on age, the differences were in current (p = 0.010) and desired (p = 0.021) body perception. In conclusion, boys perceive themselves as having a larger figure than girls do, but this perception is far from reality according to the body mass index. For the desired figure, both boys and girls want to be slimmer, but girls want a slimmer figure. Regarding age, the current perceived figure size increases with age as it increases in those students dissatisfied with their body.

Relationship Quality and Distress in Caregivers of Persons With Dementia: A Cross-Sectional Study

2017 ◽  
Vol 32 (3) ◽  
pp. 157-165 ◽  
Author(s):  
Heidi Bjørge ◽  
Kari Kvaal ◽  
Milada Cvancarova Småstuen ◽  
Ingun Ulstein
Keyword(s):  
Leisure Time ◽  
Expressed Emotion ◽  
Rating Scale ◽  
Cross Sectional Study ◽  
Regression Analyses ◽  
Sectional Study ◽  
Factor Analyses ◽  
Cross Sectional ◽  
The Family ◽  
The Relationship

This cross-sectional study aimed to investigate the relationship between caregivers and care receivers, defined as home-dwelling family members with dementia. We used a self-rating questionnaire, the Felt Expressed Emotion Rating Scale (FEERS; 6 simple questions), to measure caregiver perceptions of the care receiver’s criticisms (CCs) and emotional overinvolvement (EOI) toward the caregiver. We performed factor analyses to rank single items on the FEERS pertaining to CC and EOI. We included 208 caregiver/care receiver pairs. Logistic regression analyses tested associations between FEERS items and caregiver and care receiver variables. The main contributors to caregiver perceptions of CC were the caregiver’s own distress and the amount of time spent with the care receiver. Socially distressed caregivers perceived the care receiver as emotionally overinvolved. When offering a psychosocial intervention, a tailored program should target the caregiver’s perceived relationship with the family member and the caregiver’s distress. The program should also endeavor to give the caretaker more opportunities for leisure time.

Frequency of low back pain in young adults and its relationship with different mattresses

2021 ◽  
Vol 71 (9) ◽  
Author(s):  
Mudassar Rooh Ul Muazzam ◽  
Salma Abbas ◽  
Sidra Abbas ◽  
Muhammad Ashar Rafi
Keyword(s):  
Young Adults ◽  
Low Back Pain ◽  
Back Pain ◽  
Rating Scale ◽  
Cross Sectional Study ◽  
Study Data ◽  
Twin Cities ◽  
Low Back ◽  
Cross Sectional ◽  
Numeric Pain Rating Scale

AbstractObjective: The purpose of this study was to find out the frequency of low back pain in young adults and its relationship with the mattresses they use.Methodology: This cross sectional study was carried out in 6 months in twin cities (Rawalpindi and Islamabad). The sample size for this study was 366. For data collection, self-structured questionnaire was used along with Modified Oswestry Scale and Numeric Pain Rating Scale (NPRS). The inclusion criteria for this study was young adults with age limit 18-35 years and the participants who used the same kind of mattress for more than 3 months. Post-surgical patients and the patients diagnosed with lumbar pathology were excluded from this study. Data was then analyzed through SPSS statistics 24.Results: Mean age of the participants was 22.06±3.74 years. Majority 208(56.38%) participants were feeling low back pain and out of these 208 participants, Pain was most prevalent 30(68.18%) in firm mattress users followed by 128(59.25%) in foam mattress users. Low back pain was more associated with those participants who were not changing their mattresses for more than three years.Conclusion: Low back pain is frequently present in young adults and more prevalent in those participants who were using same firm or foam mattresses for more than three years.Keywords: Back pain, Mattresses, Posture, and Young Adults. Continuous...

scholarly journals Correlation of Glycemic and Lipid Control Parameters with Cognitive Dysfunction Scores, in Type 2 Diabetic Persons Results from a cross- sectional study

2019 ◽  
Vol 69 (12) ◽  
pp. 3486-3489
Author(s):  
Gina Botnariu ◽  
Alina Popa ◽  
Geta Mitrea ◽  
Marius Manole ◽  
Mariana Pacurar ◽  
...  
Keyword(s):  
Cognitive Dysfunction ◽  
Cross Sectional Study ◽  
The Body ◽  
Sectional Study ◽  
Cross Sectional ◽  
Type 2 Diabetics ◽  
Lipid Control ◽  
High Density Cholesterol ◽  
The Relationship

Diabetes-related cognitive dysfunction is considered a long-term complication of diabetes. In this cross-sectional study was studied the relationship between cognitive dysfunction (assessed by using two standardized questionnaires), lipid profile parameters and fatty free acids intake, in outpatients, hospitalized for their periodical control. The Mini-Mental State Exam (MMSE) and The Montreal Cognitive Assessment (MoCA) score were related to the body mass index (BMI), high density cholesterol (HDLc), glycated hemoglobin (Hb A1c) and intake of choline and eicosapentaenoic acid (all Ps [ .05, excepting the relationship between MMSE and HDLc). The implications of FFA intake in dementia development, in type 2 diabetics, is important for disease management and prevention.

scholarly journals TL 18165 - Relationship between lower limb dysmetria and plantar fasciitis

2019 ◽  
Vol 13 (Supl 1) ◽  
pp. 96S
Author(s):  
Henrique Mansur ◽  
Guilherme Gonçalves Feijó Carvalho ◽  
Isnar Moreira de Castro Júnior
Keyword(s):  
Lower Limb ◽  
Plantar Fasciitis ◽  
Plantar Fascia ◽  
Cross Sectional Study ◽  
Lower Limbs ◽  
Sectional Study ◽  
Cross Sectional ◽  
Calcaneal Spur ◽  
The Mean ◽  
The Relationship

Introduction: Plantar fasciitis is an inflammatory process of multifactorial etiology that affects the origin of the plantar fascia and surrounding structures. A difference in length between lower limbs is relatively common within the population and can sometimes cause changes in biomechanics and symptoms. The objective of this study is to evaluate the relationship between lower limb dysmetria and plantar fasciitis. Methods: A cross-sectional study was performed to measure the length of the lower limbs by scanometry in patients diagnosed with plantar fasciitis. Other risk factors, such as body mass index, foot shape and the presence of plantar calcaneal spur, were also assessed in foot radiographs. Results: Of the 54 patients included in the study, 44.4% were men, and the mean age was 50.38 (23-73 years); 81.5% had pain in one foot, and 53.7% had feet that were considered plantigrade. We observed dysmetria in 88.9% of the sample, with a mean of 0.749 cm (SD ±0.63). In addition, 46.3% feet with pain showed calcaneal spurs on the radiographs. Conclusion: Approximately 90% of patients showed lower-limb dysmetria and, in most cases, the side with the shorter limb was affected by plantar fasciitis

scholarly journals Acromegaly Disease Activity According to ACRODAT®, in Spain: ACROVAL Study

2021 ◽  
Author(s):  
Monica Marazuela ◽  
Concepción Blanco ◽  
Ignacio Bernabeu ◽  
Edelmiro Menendez ◽  
Rocío Villar ◽  
...  
Keyword(s):  
Disease Activity ◽  
Clinical Evaluation ◽  
Cross Sectional Study ◽  
Patient Centered ◽  
Cross Sectional ◽  
Mild Disease ◽  
Clinical Action ◽  
The Relationship

Abstract Objectives: To evaluate disease activity status using the Acromegaly Disease Activity Tool (ACRODAT®) in a cohort of Spanish acromegaly patients, to assess the relationship between the level of disease activity according to both ACRODAT® and the physicians’ clinical evaluation, and to study the potential discrepancies in the perception of symptoms between physicians and patients.Design: Multicenter, observational, descriptive and cross-sectional study. Methods: Disease activity was assessed in adult patients with acromegaly under pharmacological treatment during at least 6 months using ACRODAT®.Results: According to ACRODAT®, 48.2%, 31.8% and 20.0% of a total of 111 patients were classified as having a stable disease (S), mild disease activity (M-DA) and significant disease activity (S-DA) respectively. ACRODAT® classification of disease activity significantly correlated with physicians’ opinion, with a moderate inter-rater agreement and a specificity of 92.45% (PPV=86.21%). No correlation was found between IGF-1 levels and severity of symptoms or quality of life (QoL). A decision to take clinical action was significantly more frequent in S-DA and M-DA patients than S patients but no action was taken on 5 (22.7%) and 27 (77.1%) S-DA and M-DA patients, respectivelyConclusions: ACRODAT® detected disease activity in 51.8% of patients. Interestingly, although M-DA and S-DA patients were likely to be in the process of being controlled, action was not always taken on these patients. ACRODAT® is a validated and highly specific tool that may be useful to routinely monitor acromegaly and to identify patients with non-obvious disease activity by incorporating “patient-centered” parameters like symptoms and QoL to the clinical evaluation of acromegaly.

scholarly journals The relationship between income and nutritional status with the incidence of hypertension in elderly

2020 ◽  
Vol 5 (1) ◽  
pp. 81
Author(s):  
Emi Nur Sariyanti ◽  
Diffah Hanim ◽  
Sapja Anantanyu
Keyword(s):  
Nutritional Status ◽  
Community Health Center ◽  
The Elderly ◽  
Cross Sectional Study ◽  
The Body ◽  
P Value ◽  
Cross Sectional ◽  
Blood Pressure Data ◽  
Spearman Test ◽  
The Relationship

Background:Blood pressure is a disease that is often found in the elderly. Many studies show that socioeconomic status is closely related to the incidence of hypertension especially in the elderly. In addition, since hypertension is generally associated with being overweight and obese, nutritional status can also be a factor for experiencing hypertension in the elderly.Objective:To analyze the relationship between income and nutritional status with the incidence of hypertension in the elderly.Method: This study used a cross-sectional study design involving 133 elderly respondents in the area of the Klaten Community Health Center. Income data were obtained using the respondents’ basic characteristic questionnaire. Nutritional status was obtained based on anthropometric measurements of body weight and height which were calculated using the Body Mass Index (BMI). While blood pressure data were obtained from Sphygmomanometer measurements. The data obtained were analyzed using the Spearman test with a p-value <0.05. This study was approved by Ethics Commission UniversitasSebelasMaret.Results: The results of this study indicate there is a relationship between income and the incidence of hypertension in the elderly (p=0.046) while the nutritional status has no relationship with the incidence of hypertension (p=0.640).Conclusion: High income has a low risk of the elderly experiencing hypertension, while nutritional status good or not they do not have a risk of hypertension.International Journal of Human and Health Sciences Vol. 05 No. 01 January’21 Page: 81-84

scholarly journals The patterns and burden of multimorbidity in geriatric patients with prolonged use of addictive medications

2021 ◽  
Author(s):  
Socheat Cheng ◽  
Tahreem Ghazal Siddiqui ◽  
Michael Gossop ◽  
Torgeir Bruun Wyller ◽  
Espen Saxhaug Kristoffersen ◽  
...  
Keyword(s):  
Older Patients ◽  
Geriatric Patients ◽  
Adverse Drug Events ◽  
Rating Scale ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Cross Sectional ◽  
Multiple Substance ◽  
The Relationship ◽  
Addictive Drug

Abstract Background Multimorbidity and prolonged use of addictive medications are prevalent among older patients, and known to increase the risk of adverse drug events. Yet, the relationship between these two entities has remained understudied. Aims This study explored the association between multimorbidity burden and prolonged use of addictive medications in geriatric patients, adjusted for clinically important covariates. Furthermore, we identified comorbidity patterns in prolonged users. Methods We conducted a cross-sectional study on a consecutive sample of 246 patients, aged 65–90 years, admitted to a large public university hospital in Norway. We defined prolonged use of addictive medications as using benzodiazepines, opioids and/or z-hypnotics beyond the duration recommended by clinical guidelines (≥ 4 weeks). Multimorbidity was assessed with the Cumulative Illness Rating Scale for Geriatrics (CIRS-G), based on diagnoses made by independent physicians. Results Compared to non-prolonged use, prolonged use was significantly more common among patients who had psychiatric (19/27, 70%), liver (19/22, 86%), upper gastrointestinal tract (21/32, 66%), musculoskeletal (52/96, 54%), or nervous system disorders (46/92, 50%). Patients with prolonged use had a higher multimorbidity burden than those without such use (CIRS-G score, mean = 7.7, SD = 2.7 versus mean = 4.6, SD = 2.2, p < 0.001). Multivariable logistic regression indicated a significant association between multimorbidity burden and prolonged addictive medication use (OR = 1.72, 95% CI 1.42–2.08). Predictive margins postestimation showed a systematic increase in the predicted CIRS-G scores when the number of addictive drug used increases. Conclusions Multimorbidity is strongly associated with prolonged use of addictive medications. Multiple substance use may aggravate disease burden of older patients.

scholarly journals Sadness and Other Health Complaints among Swedish Adolescents: A Cross-Sectional Study

2021 ◽  
Vol 18 (8) ◽  
pp. 3999
Author(s):  
Tide Garnow ◽  
Eva-Lena Einberg ◽  
Anna-Karin Edberg ◽  
Pernilla Garmy
Keyword(s):  
Well Being ◽  
Cross Sectional Study ◽  
The Body ◽  
Public Health Issue ◽  
Future Research ◽  
Health Complaints ◽  
Global Public Health ◽  
Cross Sectional ◽  
Cross Sectional Design ◽  
The Relationship

Health complaints are increasing among adolescents and are recognized as a global public health issue. Health complaints are an indicator for subjective ill-being, but little is known about the relationship between sadness and other health complaints. The aim of this study was to investigate sadness and other health complaints among Swedish adolescents. A survey with a cross-sectional design was completed by adolescents (n = 1489, 15–17 years old) in the south of Sweden. A logistic regression analysis was used to analyze the relationship between sadness and other health complaints. The result show that sadness and other health complaints were common among adolescents, and sadness was related to health complaints (headache (OR: 1.58), sleeping difficulties (OR: 2.00), reduced appetite (OR: 1.43), tension (OR: 2.44), and concentration difficulties (OR: 2.75)). When adolescents express sadness or other health complaints it is important to reflect on what these complaints are an expression of, and take into account the body as physical and psychological intertwined. This might entail person-centered support that hopefully leads to an improvement in adolescents’ well-being. Future research that profoundly highlights adolescents’ existential health is needed.

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