Arthritis care & research
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Arthritis care & research · Oct 2015
Randomized Controlled Trial Comparative StudySleep, Pain Catastrophizing, and Central Sensitization in Knee Osteoarthritis Patients With and Without Insomnia.
Osteoarthritis (OA), a chronic degenerative joint disorder, is characterized by joint pain. Emerging research demonstrates that a significant number of patients evidence central sensitization (CS), a hyperexcitability in nociceptive pathways, which is known to amplify and maintain clinical pain. The clinical correlates of CS in OA, however, are poorly understood. Insomnia is prevalent in older adults with OA, and recent experiments suggest associations between poor sleep and measures of CS. Catastrophizing, a potent predictor of pain outcomes, has also been associated with CS, but few studies have investigated possible interactions between catastrophizing, sleep, and CS. ⋯ These findings highlight the importance of assessing sleep efficiency, CS, and catastrophizing in chronic pain patients and have important clinical implications for treatment planning.
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Arthritis care & research · Oct 2015
Comparative StudyGreater Lateral Femorotibial Cartilage Loss in Osteoarthritis Initiative Participants With Incident Total Knee Arthroplasty: A Prospective Cohort Study.
To explore whether baseline to 12-month followup change in femorotibial cartilage thickness differs between subjects who received a total knee arthroplasty (TKA) between 24 and 60 months from those without TKA (non-TKA). ⋯ Knees with incident TKA displayed smaller baseline cartilage thickness and greater lateral as well as location-independent ordered value femorotibial cartilage loss than non-TKAs. Discrimination of cartilage loss was greater for TKAs occurring within 2 years after the measurement than for those occurring later.
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Arthritis care & research · Sep 2015
Physical therapist-delivered pain coping skills training and exercise for knee osteoarthritis: Randomized controlled trial.
Objective To investigate whether a 12-week physical therapist-delivered combined pain coping skills training and exercise (PCST+EX) is more efficacious and cost-effective than either treatment alone for knee OA. Methods This was an assessor-blinded, 3-arm randomized controlled trial in 222 (73 PCST+EX, 75 EX, 74 PCST) people aged ≥50 years with knee OA. All participants received 10 treatments over 12 weeks plus a home program. ⋯ Conclusion This model-of-care could improve access to psychological treatment and augment patient outcomes from exercise in knee OA although it did not appear to be cost effective. This article is protected by copyright. All rights reserved.
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Arthritis care & research · Sep 2015
Moderate alcohol consumption is associated with lower risk (and severity) of chronic widespread pain: Results from a UK population-based study.
To determine whether the reported level of alcohol consumption is associated with the likelihood of reporting chronic widespread pain (CWP) and, among persons with CWP, the associated disability. ⋯ This study has demonstrated strong associations between level of alcohol consumption and both CWP and related disabilities. However, the available evidence does not allow us to conclude that the association is causal. The strength of the associations means that specific studies to examine this potential relationship are warranted.