Outcomes following the conservative management of patients with non-radicular peripheral neuropathic pain
Abstract Study design Prospective cohort. Introduction There is limited evidence for conservative management of patients with non-radicular peripheral neuropathic pain (PNP). Purpose To investigate the effectiveness of a comprehensive treatment approach on pain and disability in patients with non–ra...
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| Veröffentlicht in: | Journal of hand therapy 2014-07, Vol.27 (3), p.192-200 |
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| creator | Day, Joseph M., MSPT, PhD, OCS, CIMT Willoughby, Jason, MHS, OTR/L, CHT Pitts, Donald Greg, MS, OTR/L, CHT McCallum, Michelle, MS, DPT, OCS Foister, Ryan, OTR/L, CHT Uhl, Tim L., PT, ATC, PhD, FNATA |
| description | Abstract Study design Prospective cohort. Introduction There is limited evidence for conservative management of patients with non-radicular peripheral neuropathic pain (PNP). Purpose To investigate the effectiveness of a comprehensive treatment approach on pain and disability in patients with non–radicular PNP and to determine if improvements are maintained following the discontinuation of therapy. Methods Patients received a multi-modal therapeutic intervention. Outcome measures were the shortened version of the Disabilities of the Arm, Shoulder and Hand questionnaire (QDASH), Numeric Pain Rating Scale (NPRS), and grip strength. Follow-up data were collected 5 ± 2 months post-discharge. Results There was a significant improvement in the QDASH and mean pain ( p .13). Follow-up data suggest that pain and disability scores are maintained ( p |
| doi_str_mv | 10.1016/j.jht.2014.02.003 |
| format | Article |
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Introduction There is limited evidence for conservative management of patients with non-radicular peripheral neuropathic pain (PNP). Purpose To investigate the effectiveness of a comprehensive treatment approach on pain and disability in patients with non–radicular PNP and to determine if improvements are maintained following the discontinuation of therapy. Methods Patients received a multi-modal therapeutic intervention. Outcome measures were the shortened version of the Disabilities of the Arm, Shoulder and Hand questionnaire (QDASH), Numeric Pain Rating Scale (NPRS), and grip strength. Follow-up data were collected 5 ± 2 months post-discharge. Results There was a significant improvement in the QDASH and mean pain ( p < .001). There was no significant change in grip strength ( p > .13). Follow-up data suggest that pain and disability scores are maintained ( p < .001). Conclusion A comprehensive, conservative treatment program has a positive and lasting effect on pain and disability scores in patients with non-radicular PNP. Level of evidence IIIa</description><identifier>ISSN: 0894-1130</identifier><identifier>EISSN: 1545-004X</identifier><identifier>DOI: 10.1016/j.jht.2014.02.003</identifier><identifier>PMID: 24685569</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Carpal tunnel syndrome ; Cohort Studies ; Confidence intervals ; Cubital tunnel syndrome ; Disability Evaluation ; Distal ; Female ; Hand Strength ; Humans ; Intervention ; Male ; Middle Aged ; Multiple nerve compression ; Neuralgia - therapy ; Outcome Assessment (Health Care) ; Pain Management ; Pain Measurement ; Patient Education as Topic ; Physical Medicine and Rehabilitation ; Physical Therapy Modalities ; Proximal ; Studies ; Ultrasonic imaging ; Young Adult</subject><ispartof>Journal of hand therapy, 2014-07, Vol.27 (3), p.192-200</ispartof><rights>Hanley & Belfus</rights><rights>2014 Hanley & Belfus</rights><rights>Copyright © 2014 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Jul/Sep 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c539t-1ab49fc9e9c4493f6a20275eba4ba50c6bfbf0fd87c3c3b90f7878dcffb7c20b3</citedby><cites>FETCH-LOGICAL-c539t-1ab49fc9e9c4493f6a20275eba4ba50c6bfbf0fd87c3c3b90f7878dcffb7c20b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0894113014000180$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24685569$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Day, Joseph M., MSPT, PhD, OCS, CIMT</creatorcontrib><creatorcontrib>Willoughby, Jason, MHS, OTR/L, CHT</creatorcontrib><creatorcontrib>Pitts, Donald Greg, MS, OTR/L, CHT</creatorcontrib><creatorcontrib>McCallum, Michelle, MS, DPT, OCS</creatorcontrib><creatorcontrib>Foister, Ryan, OTR/L, CHT</creatorcontrib><creatorcontrib>Uhl, Tim L., PT, ATC, PhD, FNATA</creatorcontrib><title>Outcomes following the conservative management of patients with non-radicular peripheral neuropathic pain</title><title>Journal of hand therapy</title><addtitle>J Hand Ther</addtitle><description>Abstract Study design Prospective cohort. Introduction There is limited evidence for conservative management of patients with non-radicular peripheral neuropathic pain (PNP). Purpose To investigate the effectiveness of a comprehensive treatment approach on pain and disability in patients with non–radicular PNP and to determine if improvements are maintained following the discontinuation of therapy. Methods Patients received a multi-modal therapeutic intervention. Outcome measures were the shortened version of the Disabilities of the Arm, Shoulder and Hand questionnaire (QDASH), Numeric Pain Rating Scale (NPRS), and grip strength. Follow-up data were collected 5 ± 2 months post-discharge. Results There was a significant improvement in the QDASH and mean pain ( p < .001). There was no significant change in grip strength ( p > .13). Follow-up data suggest that pain and disability scores are maintained ( p < .001). Conclusion A comprehensive, conservative treatment program has a positive and lasting effect on pain and disability scores in patients with non-radicular PNP. Level of evidence IIIa</description><subject>Adult</subject><subject>Aged</subject><subject>Carpal tunnel syndrome</subject><subject>Cohort Studies</subject><subject>Confidence intervals</subject><subject>Cubital tunnel syndrome</subject><subject>Disability Evaluation</subject><subject>Distal</subject><subject>Female</subject><subject>Hand Strength</subject><subject>Humans</subject><subject>Intervention</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multiple nerve compression</subject><subject>Neuralgia - therapy</subject><subject>Outcome Assessment (Health Care)</subject><subject>Pain Management</subject><subject>Pain Measurement</subject><subject>Patient Education as Topic</subject><subject>Physical Medicine and Rehabilitation</subject><subject>Physical Therapy Modalities</subject><subject>Proximal</subject><subject>Studies</subject><subject>Ultrasonic imaging</subject><subject>Young Adult</subject><issn>0894-1130</issn><issn>1545-004X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkk-L1TAUxYMoznP0A7iRghs3rTdt2qQIggz-g4FZqOAupOnNNLVNatK-Yb69KW9UmIWucgm_c-Decwh5TqGgQJvXYzEOa1ECZQWUBUD1gBxozeocgH1_SA4gWpZTWsEZeRLjCEDrEvhjclayRtR10x6IvdpW7WeMmfHT5G-su87WATPtXcRwVKs9YjYrp65xRrdm3mRL-kxjzG7sOmTOuzyo3uptUiFbMNhlwKCmzOEWfGIHq5PEuqfkkVFTxGd37zn59uH914tP-eXVx88X7y5zXVftmlPVsdboFlvNWFuZRpVQ8ho7xTpVg2460xkwveC60lXXguGCi14b03FdQledk1cn3yX4nxvGVc42apwm5dBvUdJG8EYIytn_0ZqJpuI1LxP68h46-i24tMhO8YqJdP5E0ROlg48xoJFLsLMKt5KC3COTo0yRyT0yCaU8aV7cOW_djP0fxe-MEvDmBGC62tFikFGnADT2NqBeZe_tP-3f3lPryTqr1fQDbzH-3ULGJJBf9s7slaEMUl8EVL8A-G69sw</recordid><startdate>20140701</startdate><enddate>20140701</enddate><creator>Day, Joseph M., MSPT, PhD, OCS, CIMT</creator><creator>Willoughby, Jason, MHS, OTR/L, CHT</creator><creator>Pitts, Donald Greg, MS, OTR/L, CHT</creator><creator>McCallum, Michelle, MS, DPT, OCS</creator><creator>Foister, Ryan, OTR/L, CHT</creator><creator>Uhl, Tim L., PT, ATC, PhD, FNATA</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7QP</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>20140701</creationdate><title>Outcomes following the conservative management of patients with non-radicular peripheral neuropathic pain</title><author>Day, Joseph M., MSPT, PhD, OCS, CIMT ; Willoughby, Jason, MHS, OTR/L, CHT ; Pitts, Donald Greg, MS, OTR/L, CHT ; McCallum, Michelle, MS, DPT, OCS ; Foister, Ryan, OTR/L, CHT ; Uhl, Tim L., PT, ATC, PhD, FNATA</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c539t-1ab49fc9e9c4493f6a20275eba4ba50c6bfbf0fd87c3c3b90f7878dcffb7c20b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Carpal tunnel syndrome</topic><topic>Cohort Studies</topic><topic>Confidence intervals</topic><topic>Cubital tunnel syndrome</topic><topic>Disability Evaluation</topic><topic>Distal</topic><topic>Female</topic><topic>Hand Strength</topic><topic>Humans</topic><topic>Intervention</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multiple nerve compression</topic><topic>Neuralgia - therapy</topic><topic>Outcome Assessment (Health Care)</topic><topic>Pain Management</topic><topic>Pain Measurement</topic><topic>Patient Education as Topic</topic><topic>Physical Medicine and Rehabilitation</topic><topic>Physical Therapy Modalities</topic><topic>Proximal</topic><topic>Studies</topic><topic>Ultrasonic imaging</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Day, Joseph M., MSPT, PhD, OCS, CIMT</creatorcontrib><creatorcontrib>Willoughby, Jason, MHS, OTR/L, CHT</creatorcontrib><creatorcontrib>Pitts, Donald Greg, MS, OTR/L, CHT</creatorcontrib><creatorcontrib>McCallum, Michelle, MS, DPT, OCS</creatorcontrib><creatorcontrib>Foister, Ryan, OTR/L, CHT</creatorcontrib><creatorcontrib>Uhl, Tim L., PT, ATC, PhD, FNATA</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of hand therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Day, Joseph M., MSPT, PhD, OCS, CIMT</au><au>Willoughby, Jason, MHS, OTR/L, CHT</au><au>Pitts, Donald Greg, MS, OTR/L, CHT</au><au>McCallum, Michelle, MS, DPT, OCS</au><au>Foister, Ryan, OTR/L, CHT</au><au>Uhl, Tim L., PT, ATC, PhD, FNATA</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outcomes following the conservative management of patients with non-radicular peripheral neuropathic pain</atitle><jtitle>Journal of hand therapy</jtitle><addtitle>J Hand Ther</addtitle><date>2014-07-01</date><risdate>2014</risdate><volume>27</volume><issue>3</issue><spage>192</spage><epage>200</epage><pages>192-200</pages><issn>0894-1130</issn><eissn>1545-004X</eissn><abstract>Abstract Study design Prospective cohort. Introduction There is limited evidence for conservative management of patients with non-radicular peripheral neuropathic pain (PNP). Purpose To investigate the effectiveness of a comprehensive treatment approach on pain and disability in patients with non–radicular PNP and to determine if improvements are maintained following the discontinuation of therapy. Methods Patients received a multi-modal therapeutic intervention. Outcome measures were the shortened version of the Disabilities of the Arm, Shoulder and Hand questionnaire (QDASH), Numeric Pain Rating Scale (NPRS), and grip strength. Follow-up data were collected 5 ± 2 months post-discharge. Results There was a significant improvement in the QDASH and mean pain ( p < .001). There was no significant change in grip strength ( p > .13). Follow-up data suggest that pain and disability scores are maintained ( p < .001). Conclusion A comprehensive, conservative treatment program has a positive and lasting effect on pain and disability scores in patients with non-radicular PNP. Level of evidence IIIa</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>24685569</pmid><doi>10.1016/j.jht.2014.02.003</doi><tpages>9</tpages></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adult Aged Carpal tunnel syndrome Cohort Studies Confidence intervals Cubital tunnel syndrome Disability Evaluation Distal Female Hand Strength Humans Intervention Male Middle Aged Multiple nerve compression Neuralgia - therapy Outcome Assessment (Health Care) Pain Management Pain Measurement Patient Education as Topic Physical Medicine and Rehabilitation Physical Therapy Modalities Proximal Studies Ultrasonic imaging Young Adult |
| title | Outcomes following the conservative management of patients with non-radicular peripheral neuropathic pain |
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