• Spine · Apr 2022

    Associations between Neck and Shoulder Pain and Neuropathic Pain in a middle-aged Community-Living Population.

    • Masaaki Machino, Kei Ando, Kazuyoshi Kobayashi, Hiroaki Nakashima, Sadayuki Ito, Masayoshi Morozumi, Shunsuke Kanbara, Naoki Segi, Hiroyuki Tomita, Hiroyuki Koshimizu, Taisuke Seki, Shinya Ishizuka, Yasuhiko Takegami, Yukiharu Hasegawa, and Shiro Imagama.
    • Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine, Japan.
    • Spine. 2022 Apr 15; 47 (8): 632-639.

    Study DesignA cross-sectional study.ObjectiveThe 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 DataNo previous studies have established the relationship between NSP and NeP as potential risk factors contributing to a decreased QOL in the general population.MethodsThe 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.ResultsThe 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).ConclusionThe 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: 2.Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

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