The extent of pain is associated with signs of central sensitization in patients with hip osteoarthritis

Matthew J Willett; Mathias Siebertz; Frank Petzke; Joachim Erlenwein; Alison Rushton; Emiliano Soldini; Marco Barbero; Deborah Falla

doi:10.1111/papr.12851

The extent of pain is associated with signs of central sensitization in patients with hip osteoarthritis

Matthew J Willett, Mathias Siebertz, Frank Petzke, Joachim Erlenwein, Alison Rushton, Emiliano Soldini, Marco Barbero, Deborah Falla

Research output: Contribution to journal › Article › peer-review

8 Citations (Scopus)

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Abstract

Background

Central sensitization may be present in some patients with hip osteoarthritis (OA), often reflected as widespread pain. We examine the association between pain extent with signs of central sensitization and other clinical and psychological features in patients with hip OA.

Methods

Thirty patients with hip OA were recruited for this cross-sectional observational study. Participants completed pain drawings on a digital tablet, which displayed frontal and dorsal views of the body. The pain extent (%) for each participant was determined by combining the frontal and dorsal pixels shaded and dividing by the total pixels of the body chart area. Participants completed patient-reported outcome measures to assess for signs and symptoms of central sensitization and psychosocial factors. Quantitative sensory testing including pain pressure thresholds (PPTs) and thermal pressure thresholds was performed at points anatomically local and distant from the hip.

Results

Women had significantly greater pain extent (6.71%) than men (2.65%) (z = -2.76, P < 0.01). Across all participants, increased pain extent was significantly associated with higher scores on the Widespread Pain Index (r₂ = 0.426, P < 0.05), painDETECT questionnaire (r2 = 0.394, P < 0.05), and Pain Catastrophizing Scale (r₂ = 0.413, P < 0.05), and with lower PPTs at the thenar eminence (r₂ = -0.410, P < 0.05), vastus lateralis (r₂ = -0.530, P < 0.01), vastus medialis (r₂ = 0.363, P < 0.05), and greater trochanter (r₂ = -0.373, P < 0.05).

Conclusions

Greater pain extent was associated with several measures of signs and symptoms of central sensitization in patients with hip OA. These results support the utility of the pain drawing for identifying signs of central sensitization in patients with hip OA.

Original language	English
Pages (from-to)	1-12
Number of pages	12
Journal	Pain Practice
Early online date	30 Oct 2019
DOIs	https://doi.org/10.1111/papr.12851
Publication status	Published - 30 Oct 2019

Bibliographical note

Keywords

pain drawings
pain extent
central sensitization
hip osteoarthritis

Access to Document

10.1111/papr.12851Licence: None: All rights reserved

Willett_et_al_The_extent_of_pain_is_associated_with_signs_of_central_sensitization_Pain_Practice_2019
This is the peer reviewed version of the following article: Willett, M.J., Siebertz, M., Petzke, F., Erlenwein, J., Rushton, A., Soldini, E., Barbero, M. and Falla, D. (2019), The Extent of Pain Is Associated With Signs of Central Sensitization in Patients With Hip Osteoarthritis. Pain Pract., which has been published in final form at https://doi.org/10.1111/papr.12851. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.
Accepted author manuscript, 586 KBLicence: Other (please specify with Rights Statement)

https://onlinelibrary.wiley.com/doi/full/10.1111/papr.12851Licence: None: All rights reserved

Cite this

@article{5737b1c893d84304abb1562b61ed74e0,

title = "The extent of pain is associated with signs of central sensitization in patients with hip osteoarthritis",

abstract = "BackgroundCentral sensitization may be present in some patients with hip osteoarthritis (OA), often reflected as widespread pain. We examine the association between pain extent with signs of central sensitization and other clinical and psychological features in patients with hip OA.MethodsThirty patients with hip OA were recruited for this cross-sectional observational study. Participants completed pain drawings on a digital tablet, which displayed frontal and dorsal views of the body. The pain extent (%) for each participant was determined by combining the frontal and dorsal pixels shaded and dividing by the total pixels of the body chart area. Participants completed patient-reported outcome measures to assess for signs and symptoms of central sensitization and psychosocial factors. Quantitative sensory testing including pain pressure thresholds (PPTs) and thermal pressure thresholds was performed at points anatomically local and distant from the hip.ResultsWomen had significantly greater pain extent (6.71%) than men (2.65%) (z = -2.76, P < 0.01). Across all participants, increased pain extent was significantly associated with higher scores on the Widespread Pain Index (r2 = 0.426, P < 0.05), painDETECT questionnaire (r2 = 0.394, P < 0.05), and Pain Catastrophizing Scale (r2 = 0.413, P < 0.05), and with lower PPTs at the thenar eminence (r2 = -0.410, P < 0.05), vastus lateralis (r2 = -0.530, P < 0.01), vastus medialis (r2 = 0.363, P < 0.05), and greater trochanter (r2 = -0.373, P < 0.05).ConclusionsGreater pain extent was associated with several measures of signs and symptoms of central sensitization in patients with hip OA. These results support the utility of the pain drawing for identifying signs of central sensitization in patients with hip OA.",

keywords = "pain drawings, pain extent, central sensitization, hip osteoarthritis",

author = "Willett, {Matthew J} and Mathias Siebertz and Frank Petzke and Joachim Erlenwein and Alison Rushton and Emiliano Soldini and Marco Barbero and Deborah Falla",

note = "{\textcopyright} 2019 World Institute of Pain.",

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T1 - The extent of pain is associated with signs of central sensitization in patients with hip osteoarthritis

AU - Willett, Matthew J

AU - Siebertz, Mathias

AU - Petzke, Frank

AU - Erlenwein, Joachim

AU - Rushton, Alison

AU - Soldini, Emiliano

AU - Barbero, Marco

AU - Falla, Deborah

PY - 2019/10/30

Y1 - 2019/10/30

N2 - BackgroundCentral sensitization may be present in some patients with hip osteoarthritis (OA), often reflected as widespread pain. We examine the association between pain extent with signs of central sensitization and other clinical and psychological features in patients with hip OA.MethodsThirty patients with hip OA were recruited for this cross-sectional observational study. Participants completed pain drawings on a digital tablet, which displayed frontal and dorsal views of the body. The pain extent (%) for each participant was determined by combining the frontal and dorsal pixels shaded and dividing by the total pixels of the body chart area. Participants completed patient-reported outcome measures to assess for signs and symptoms of central sensitization and psychosocial factors. Quantitative sensory testing including pain pressure thresholds (PPTs) and thermal pressure thresholds was performed at points anatomically local and distant from the hip.ResultsWomen had significantly greater pain extent (6.71%) than men (2.65%) (z = -2.76, P < 0.01). Across all participants, increased pain extent was significantly associated with higher scores on the Widespread Pain Index (r2 = 0.426, P < 0.05), painDETECT questionnaire (r2 = 0.394, P < 0.05), and Pain Catastrophizing Scale (r2 = 0.413, P < 0.05), and with lower PPTs at the thenar eminence (r2 = -0.410, P < 0.05), vastus lateralis (r2 = -0.530, P < 0.01), vastus medialis (r2 = 0.363, P < 0.05), and greater trochanter (r2 = -0.373, P < 0.05).ConclusionsGreater pain extent was associated with several measures of signs and symptoms of central sensitization in patients with hip OA. These results support the utility of the pain drawing for identifying signs of central sensitization in patients with hip OA.

AB - BackgroundCentral sensitization may be present in some patients with hip osteoarthritis (OA), often reflected as widespread pain. We examine the association between pain extent with signs of central sensitization and other clinical and psychological features in patients with hip OA.MethodsThirty patients with hip OA were recruited for this cross-sectional observational study. Participants completed pain drawings on a digital tablet, which displayed frontal and dorsal views of the body. The pain extent (%) for each participant was determined by combining the frontal and dorsal pixels shaded and dividing by the total pixels of the body chart area. Participants completed patient-reported outcome measures to assess for signs and symptoms of central sensitization and psychosocial factors. Quantitative sensory testing including pain pressure thresholds (PPTs) and thermal pressure thresholds was performed at points anatomically local and distant from the hip.ResultsWomen had significantly greater pain extent (6.71%) than men (2.65%) (z = -2.76, P < 0.01). Across all participants, increased pain extent was significantly associated with higher scores on the Widespread Pain Index (r2 = 0.426, P < 0.05), painDETECT questionnaire (r2 = 0.394, P < 0.05), and Pain Catastrophizing Scale (r2 = 0.413, P < 0.05), and with lower PPTs at the thenar eminence (r2 = -0.410, P < 0.05), vastus lateralis (r2 = -0.530, P < 0.01), vastus medialis (r2 = 0.363, P < 0.05), and greater trochanter (r2 = -0.373, P < 0.05).ConclusionsGreater pain extent was associated with several measures of signs and symptoms of central sensitization in patients with hip OA. These results support the utility of the pain drawing for identifying signs of central sensitization in patients with hip OA.

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DO - 10.1111/papr.12851

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SN - 1530-7085

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JO - Pain Practice

JF - Pain Practice

ER -

The extent of pain is associated with signs of central sensitization in patients with hip osteoarthritis

Abstract

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Keywords

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