Abstract:
:There are no standardized bedside assessments for subtyping patients with osteoarthritis (OA) based on pain mechanisms. Thus, we developed a bedside sensory testing kit (BSTK) to classify OA patients based on sensory profiles potentially indicative of pain mechanism. After usability and informal reliability testing (n = 22), the kit was tested in a formal reliability study (n = 20). Patients completed questionnaires and sensory testing: pressure algometry to detect hyperalgesia; repeat algometry after heterotopic noxious conditioning stimulation to measure diffuse noxious inhibitory control (DNIC); light touch using Von Frey filaments; and cold allodynia using a brass rod. The procedure was brief and well tolerated. Algometry and filament testing were highly reliable [intra-class correlation coefficients (ICCs) 0.71-0.91]; DNIC was acceptably reliable (ICCs 0.53-0.91); brass rod reliability was inconclusive. Patients were classified empirically into four groups: "All abnormal findings" (primary and secondary hyperalgesia and dysfunctional DNIC); "all normal findings"; and two intermediate groups. The "all abnormal findings" group had more neuropathic pain symptoms, and lower WOMAC total, stiffness, and activity scores than the "all normal findings" group. Simple BSTK procedures, consolidated in a kit, reliably classified OA patients into subgroups based on sensory profile, suggesting that OA patients differ in underlying pain mechanisms. Further research is needed to confirm these subgroups and determine their validity in predicting response to treatment.
journal_name
Rheumatol Intjournal_title
Rheumatology internationalauthors
Osgood E,Trudeau JJ,Eaton TA,Jensen MP,Gammaitoni A,Simon LS,Katz Ndoi
10.1007/s00296-014-3191-zsubject
Has Abstractpub_date
2015-06-01 00:00:00pages
1005-13issue
6eissn
0172-8172issn
1437-160Xjournal_volume
35pub_type
杂志文章abstract::This study evaluates prospectively whether baseline scores [Health Assessment Questionnaire (HAQ) and SF-36] can predict clinical and radiographic evolution in a cohort of early rheumatoid arthritis (RA) during a 3-year follow-up. Forty consecutive early RA patients were followed for 3 years, while receiving standardi...
journal_title:Rheumatology international
pub_type: 杂志文章
doi:10.1007/s00296-011-2261-8
更新日期:2012-12-01 00:00:00
abstract::Fibromyalgia (FM), pre-dominantly found in women, may accompany other pre-existing rheumatic diseases. The association between FM and ankylosing spondylitis (AS) is uncertain. We evaluated FM in women with AS. Eighteen women with AS were compared with 18 men with AS (controls) for age, duration of symptoms, time to di...
journal_title:Rheumatology international
pub_type: 杂志文章
doi:10.1007/s00296-007-0344-3
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journal_title:Rheumatology international
pub_type: 杂志文章
doi:10.1007/s00296-010-1502-6
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journal_title:Rheumatology international
pub_type: 杂志文章,评审
doi:10.1007/s00296-020-04767-2
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abstract::The purpose of this study was to compare quality of life health identifiers in patients with and without osteoarthritis (OA) while controlling for the potentially confounding variables of gender, age, race, education, and income. Data were obtained for comparison from the Behavioral Risk Factor Surveillance System (BR...
journal_title:Rheumatology international
pub_type: 杂志文章
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更新日期:2007-02-01 00:00:00
abstract::Activated T lymphocytes (Ia+ T-cells) in peripheral blood are associated with immune stimulation. We found the percentages of these cells significantly increased in 95% of rheumatoid arthritis (RA) patients. Our studies showed no relation between the percentages of these cells in peripheral blood and concurrent erythr...
journal_title:Rheumatology international
pub_type: 杂志文章
doi:10.1007/BF00272435
更新日期:1988-01-01 00:00:00
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journal_title:Rheumatology international
pub_type: 杂志文章
doi:10.1007/s00296-009-1196-9
更新日期:2010-02-01 00:00:00
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journal_title:Rheumatology international
pub_type: 杂志文章
doi:10.1007/s00296-003-0378-0
更新日期:2004-05-01 00:00:00
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journal_title:Rheumatology international
pub_type: 杂志文章
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更新日期:2005-06-01 00:00:00
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journal_title:Rheumatology international
pub_type: 杂志文章
doi:10.1007/s00296-010-1634-8
更新日期:2011-07-01 00:00:00
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journal_title:Rheumatology international
pub_type: 杂志文章
doi:10.1007/s00296-010-1510-6
更新日期:2011-11-01 00:00:00
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journal_title:Rheumatology international
pub_type: 杂志文章
doi:10.1007/s00296-014-2962-x
更新日期:2014-09-01 00:00:00
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journal_title:Rheumatology international
pub_type: 杂志文章
doi:10.1007/BF00270466
更新日期:1987-01-01 00:00:00
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journal_title:Rheumatology international
pub_type: 杂志文章
doi:10.1007/s002960100108
更新日期:2001-07-01 00:00:00
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journal_title:Rheumatology international
pub_type: 杂志文章
doi:10.1007/s00296-010-1426-1
更新日期:2012-05-01 00:00:00
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journal_title:Rheumatology international
pub_type: 杂志文章,评审
doi:10.1007/s00296-014-2994-2
更新日期:2014-11-01 00:00:00
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journal_title:Rheumatology international
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s00296-016-3480-9
更新日期:2016-08-01 00:00:00
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journal_title:Rheumatology international
pub_type: 杂志文章
doi:10.1007/s00296-016-3598-9
更新日期:2017-02-01 00:00:00
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journal_title:Rheumatology international
pub_type: 杂志文章
doi:10.1007/s00296-019-04265-0
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journal_title:Rheumatology international
pub_type: 杂志文章
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pub_type: 杂志文章,多中心研究
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journal_title:Rheumatology international
pub_type: 杂志文章
doi:10.1007/s00296-019-04411-8
更新日期:2019-10-01 00:00:00
abstract::An imbalance in pro- and anti-inflammatory cytokines is suggested to contribute to tissue damage in rheumatoid arthritis (RA). This study was aimed at investigating profiles of cytokines in circulation and cytokines produced by mitogen-stimulated peripheral blood mononuclear cells (PBMC) in RA patients and healthy con...
journal_title:Rheumatology international
pub_type: 杂志文章
doi:10.1007/s00296-017-3774-6
更新日期:2017-10-01 00:00:00
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journal_title:Rheumatology international
pub_type: 杂志文章,评审
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journal_title:Rheumatology international
pub_type: 杂志文章
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更新日期:2021-02-01 00:00:00
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journal_title:Rheumatology international
pub_type: 杂志文章
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更新日期:2014-11-01 00:00:00
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journal_title:Rheumatology international
pub_type: 杂志文章
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更新日期:2017-08-01 00:00:00
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journal_title:Rheumatology international
pub_type: 杂志文章
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更新日期:2007-05-01 00:00:00
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journal_title:Rheumatology international
pub_type: 杂志文章
doi:10.1007/BF00541183
更新日期:1984-01-01 00:00:00
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journal_title:Rheumatology international
pub_type: 杂志文章
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更新日期:1991-01-01 00:00:00