Longitudinal Postoperative Course of Pain and Dysfunction Following Total Knee Arthroplasty
| Autor: | Barbara A. Rakel, Charles R. Clark, Nicolas O. Noiseux, Keela Herr, Roohina Wajid, John J. Callaghan, M. Bridget Zimmerman, Kathleen A. Sluka, Katherine Hadlandsmyth |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Pain Threshold medicine.medical_specialty Longitudinal study medicine.medical_treatment Analgesic Osteoarthritis Anxiety Article 03 medical and health sciences 0302 clinical medicine Threshold of pain medicine Humans Longitudinal Studies Range of Motion Articular Arthroplasty Replacement Knee Depression (differential diagnoses) Aged Pain Measurement 030203 arthritis & rheumatology 030222 orthopedics Analgesics Pain Postoperative business.industry Depression Catastrophization Middle Aged Osteoarthritis Knee medicine.disease Arthroplasty Anesthesiology and Pain Medicine Physical therapy Pain catastrophizing Female Neurology (clinical) medicine.symptom business |
| Zdroj: | The Clinical journal of pain. 34(4) |
| ISSN: | 1536-5409 |
| Popis: | Objectives Although the majority of patients undergoing total knee arthroplasty (TKA) report substantial improvement in pain and function, a significant subset experience persistent postsurgical pain and dysfunction. Better understanding of the longitudinal postoperative course is needed, including the association between patient status following physical rehabilitation at 6-weeks post-TKA, to 6-months outcomes. This study aims to described the postoperative course of TKA and examine variables associated with change in pain and functioning between 6-weeks and 6-months post-TKA. Methods In this longitudinal study of 223 participants, assessments of analgesic intake, depression, anxiety, pain catastrophizing, dysfunction, resting and range of motion pain, and pain sensitivity were completed at 6-weeks post-TKA. Analgesic intake, pain ratings, and dysfunction data were also collected at 6-months post-TKA. Pain and dysfunction ratings were divided into none-mild and moderate-severe categories. Results Between 6-weeks and 6-months post-TKA, 75% of the sample stayed in the same pain category, 20% improved, and 5% worsened. In terms of functional changes between 6 weeks and 6 months, 65% of the sample stayed in the same functional category, whereas 31% improved and 5% worsened. Discussion These findings demonstrate that the majority of patients' pain and functioning remains stable between 6 weeks and 6 months post-TKA. However, a notable subset continues to improve or worsen in pain and functioning and the current study identifies variables associated with these changes. |
| Databáze: | OpenAIRE |
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