Abstract
Assessment of joint pain in teenagers with juvenile arthritisObjective. To assess mean total pain score in teenagers with juvenile arthritis (JA) and its values in groups differing on sex, variant of course, activity measures, degree of functional disturbances. To assess advisability of application of these parameters in real clinical practice. Material and methods. 73 pts with JA (mean age 14,7±1,7 years, mean disease duration7,2±4,4 years) were included. 18 from them had systemic, 42 – polyarticular and 13 – olygoarticular variant. 16 pts were examined repeatedly with interval exceeding one year. Total quantity of examinations was 94. 17 pts were examined at admission and at discharge. Pain was measured on visual analog scale (VAS) and on McGill Pain Questionnaire (83 examinations) including 3 scale: sensor (description of pain), affective (their influence on emotional state) and evaluative (verbal assessment of pain intensity). General health assessment on VAS was performed in 59 pts (in 8 from them at admission and at discharge). Summary mean measures and their values in groups differing in sex, course variant, activity measure, functional class at pts admission to and at discharge from the Institute of Rheumatology of RAMS. Statistical treatment was performed with Biomed program(descriptive statistic, χ2, Student’s pared test). Results. Mean pain score on VAS in all teenagers with JA was 31,3±17,3. It was significantlyhigher in boys with systemic variant (in comparison with polyarticular), in pts with ESR elevation above 30, in pts with functional class 3 and higher at admission to the department. Pain score was significantly lower in pts with olygoarticular variant in comparison with mean value and with value in polyarthritis. Pain above 70 mm on VAS was found in pts with polyarticular damage in systemic and polyarticular variants in active phase of the disease and in severe functional disability. Summated (on sensor and affective scales) mean pain score value was 2,4±1,4. Summated mean range of pain (4,4±3,2) was significantly higher than pain score (2,4±1,4). Conclusion. Teenagers with JA had moderate (on their assessment) pain, more intensive in active phase of the disease and in disabled pts. Pain had emotional tint. Pain measurement should be performed repeatedly (at admission to and at discharge from hospital) to assess results of treatment.
Highlights
its values in groups differing on sex
17 pts were examined at admission
Pain was measured on visual analog scale
Summary
При использовании Мак-Гилловского опроснибольных с системным вариантом ЮА по сравнению ка регистрировался индекс и ранг боли по сенсорс обшей группой и больными с олигополиартритом, ной и аффективной шкалам (табл. 2а). И у инвалидизированных больных при поступлении Индекс и ранг боли были достоверно выше при в отделение средний показатель боли был выше. Умеренная боль (ВАШ боли от 40-70мм) но ниже, чем при поступлении. Индекс боли по была зафиксирована у 16 больных (17 наблюдений), афферентной шкале при поступлении был выше, из них у 12 была активная фаза заболевании, в том чем при выписке, но разница статистически недосчисле у 5- в сочетании с тяжелыми функциональ- товерна. В этой работе средний показатель боли ностью заболевания среди пациентов 8-15 лет, но не по шкале ВАШ равнялся 36,6±24,5мм, при мини- старше. Ранг боли по аффективной шкале был выше, ной и аффективной шкалам опросника Мак-Гилла чем индекс боли, суммарный показатель боли был при выписке был ниже, чем при поступлении. – Боль в суставах оценивалась подростками полтора-два года, при изменении клинической кар- с ЮА как слабая и умеренная, ослабевающая на тины и ослаблении боли (шкала ВАШ), ранг боли фоне противовоспалительной терапии.
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
