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Publikationstyp: Beitrag in wissenschaftlicher Zeitschrift
Art der Begutachtung: Peer review (Publikation)
Titel: Somatosensory and psychological phenotypes associated with neuropathic pain in entrapment neuropathy
Autor/-in: Matesanz, Luis
Hausheer, Andrea C.
Baskozos, Georgios
Bennett, David L. H.
Schmid, Annina B.
et. al: No
DOI: 10.1097/j.pain.0000000000002102
10.21256/zhaw-28382
Erschienen in: Pain
Band(Heft): 162
Heft: 4
Seite(n): 1211
Seiten bis: 1220
Erscheinungsdatum: Apr-2021
Verlag / Hrsg. Institution: Lippincott Williams & Wilkins
ISSN: 0304-3959
1872-6623
Sprache: Englisch
Schlagwörter: Cross-sectional studies; Phenotype; Nerve compression syndrome; Neuralgia; Neuropathic pain; Quantitative sensory testing; Entrapment neuropathy; Carpal tunnel syndrome
Fachgebiet (DDC): 616.8: Neurologie und Krankheiten des Nervensystems
Zusammenfassung: It currently remains unclear why some patients with entrapment neuropathies develop neuropathic pain (neuP), whereas others have non-neuP, presumably of nociceptive character. Studying patients with carpal tunnel syndrome (CTS), this cross-sectional cohort study investigated changes in somatosensory structure and function as well as emotional well-being specific to the presence and severity of neuP. Patients with CTS (n = 108) were subgrouped by the DN4 questionnaire into those without and with neuP. The latter group was further subdivided into mild and moderate/severe neuP using a pain visual analogue scale. N = 32 participants served as healthy controls. All participants underwent a clinical examination, quantitative sensory testing, electrodiagnostic testing (EDT), and skin biopsy to determine the structural integrity of dermal and intraepidermal nerve fibres. Patients also completed questionnaires evaluating symptom severity and functional deficits, pain distribution, sleep quality, and emotional well-being. The overall prevalence of neuP in patients with CTS was 80%, of which 63% had mild neuP. Symptom severity and functional deficits as well as somatosensory dysfunction was more pronounced with the presence and increasing severity of neuP. No difference was identified among patient groups for EDT and nerve fibre integrity on biopsies. The severity of neuP was accompanied by more pronounced deficits in emotional well-being and sleep quality. Intriguingly, extraterritorial spread of symptoms was more prevalent in patients with moderate/severe neuP, indicating the presence of central mechanisms. NeuP is common in patients with CTS, and its severity is related to the extent of somatosensory dysfunction and a compromise of emotional well-being.
URI: https://digitalcollection.zhaw.ch/handle/11475/28382
Volltext Version: Publizierte Version
Lizenz (gemäss Verlagsvertrag): CC BY 4.0: Namensnennung 4.0 International
Departement: Gesundheit
Organisationseinheit: Institut für Physiotherapie (IPT)
Enthalten in den Sammlungen:Publikationen Gesundheit

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Matesanz, L., Hausheer, A. C., Baskozos, G., Bennett, D. L. H., & Schmid, A. B. (2021). Somatosensory and psychological phenotypes associated with neuropathic pain in entrapment neuropathy. Pain, 162(4), 1211–1220. https://doi.org/10.1097/j.pain.0000000000002102
Matesanz, L. et al. (2021) ‘Somatosensory and psychological phenotypes associated with neuropathic pain in entrapment neuropathy’, Pain, 162(4), pp. 1211–1220. Available at: https://doi.org/10.1097/j.pain.0000000000002102.
L. Matesanz, A. C. Hausheer, G. Baskozos, D. L. H. Bennett, and A. B. Schmid, “Somatosensory and psychological phenotypes associated with neuropathic pain in entrapment neuropathy,” Pain, vol. 162, no. 4, pp. 1211–1220, Apr. 2021, doi: 10.1097/j.pain.0000000000002102.
MATESANZ, Luis, Andrea C. HAUSHEER, Georgios BASKOZOS, David L. H. BENNETT und Annina B. SCHMID, 2021. Somatosensory and psychological phenotypes associated with neuropathic pain in entrapment neuropathy. Pain. April 2021. Bd. 162, Nr. 4, S. 1211–1220. DOI 10.1097/j.pain.0000000000002102
Matesanz, Luis, Andrea C. Hausheer, Georgios Baskozos, David L. H. Bennett, and Annina B. Schmid. 2021. “Somatosensory and Psychological Phenotypes Associated with Neuropathic Pain in Entrapment Neuropathy.” Pain 162 (4): 1211–20. https://doi.org/10.1097/j.pain.0000000000002102.
Matesanz, Luis, et al. “Somatosensory and Psychological Phenotypes Associated with Neuropathic Pain in Entrapment Neuropathy.” Pain, vol. 162, no. 4, Apr. 2021, pp. 1211–20, https://doi.org/10.1097/j.pain.0000000000002102.


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