Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20200192
Brazilian Journal of Pain
Original Article

Low back pain prevalence in Parkinson's disease

Prevalência da dor lombar na doença de Parkinson

Bernardo Machado Gonçalves; André Luis Silveira Barezani; Aline Michele Batista de Figueiredo Feital; Mariana Soares de Souza; Paulo Pereira Christo; Paula Luciana Scalzo

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Abstract

BACKGROUND AND OBJECTIVES: Low back pain is a non-motor symptom commonly reported by individuals with Parkinson's disease. The aim of this study was to identify the prevalence of low back pain and its characteristics in individuals with Parkinson disease from a specialized treatment center.

METHODS: Individuals with idiopathic Parkinson's disease answered a questionnaire for the assessment of clinical parameters and associated pain symptoms. Pain intensity was assessed using the visual analog scale.

RESULTS: One hundred and twenty-three patients with mean age 68.1±11.8 years, and disease duration of 7.0±4.9 years, answered the questionnaire. Pain was reported by 102 (82.9%) patients: 71 (57.7%) had low back pain and 31 (25.2%) had pain in other body segments. There was no difference in age, education, time of Parkinson's disease symptoms and diagnosis when comparing individuals with and without pain, as well as individuals with pain in other segments and low back pain. The group with low back pain had pain in a greater number of body segments in addition to the lumbar region, with longer duration of this symptom and more frequent use of analgesic drugs. In the low back pain group, women had greater pain intensity.

CONCLUSION: The results show the high prevalence of pain in individuals with Parkinson's disease, specifically low back pain.

Keywords

Low back pain, Pain, Parkinson's disease, Prevalence

Resumo

JUSTIFICATIVA E OBJETIVOS: A dor lombar é um sintoma não motor comumente relatado por indivíduos com doença de Parkinson. O objetivo deste estudo foi identificar a prevalência de dor lombar e suas características em indivíduos com doença de Parkinson em um centro de tratamento especializado.

MÉTODOS: Indivíduos com doença de Parkinson idiopática responderam a um questionário para a avaliação de parâmetros clínicos e sintomas de dor associados. A intensidade da dor foi avaliada utilizando a escala analógica visual.

RESULTADOS: Cento e vinte e três pacientes com idade média de 68,1±11,8 anos e duração média da doença de 7,0±4,9 anos responderam o questionário. A dor foi relatada por 102 (82,9%) pacientes: 71 (57,7%) com dor lombar e 31 (25,2%) com dor em outros segmentos corporais. Não houve diferença quanto à idade, escolaridade, tempo de sintomas e de diagnóstico da doença de Parkinson ao comparar os indivíduos com e sem dor, assim como indivíduos com dor em outras regiões e dor lombar. O grupo com dor lombar queixava-se de dor em maior número de segmentos corporais além da região lombar, com maior tempo de duração desse sintoma e uso mais frequente de analgésicos. Dentre os indivíduos do grupo com dor lombar, as mulheres apresentavam maior intensidade da dor.

CONCLUSÃO: Os resultados mostraram alta prevalência da dor em indivíduos com doença de Parkinson, especificamente da dor lombar.

Palavras-chave

Doença de Parkinson, Dor, Dor lombar, Prevalência

References

Broen MPG, Braaksma MM, Patijn J, Weber WEJ. Prevalence of pain in Parkinson's disease: a systematic review using the modified QUADAS tool. Mov Disord. 2012;27(4):480-4.

Buhmann C, Wrobel N, Grashorn W, Fruendt O, Wesemann K, Diedrich S. Pain in Parkinson disease: a cross-sectional survey of its prevalence, specifics, and therapy. J Neurol. 2017;264(4):758-69.

Rana AQ, Kabir A, Jesudasan M, Siddiqui I, Khondker S. Pain in Parkinson's disease: analysis and literature review. Clin Neurol Neurosurg. 2013;115(11):2313-7.

Beiske AG, Loge JH, Rønningen A, Svensson E. Pain in Parkinson's disease: prevalence and characteristics. Pain. 2009;141(1-2):173-7.

Ford B. Pain in Parkinson's disease. Mov Disord. 2010;25(^sSuppl1):S98-S103.

Kim YE, Lee W, Yun JY, Yang HJ, Kim H, Jeon BS. Musculoskeletal problems in Parkinson's disease: Neglected issues. Parkinsonism Relat Disord. 2013;19(7):666-9.

Ozturk EA, Kocer BG. Predictive risk factors for chronic low back pain in Parkinson's disease. Clin Neurol Neurosurg. 2018;164:190-5.

Galazky I, Caspari C, Heinze H, Franke J. The prevalence of chronic low back pain and lumbar deformities in patients with Parkinson's disease: implications on spinal surgery. Eur Spine J. 2018;27(11):2847-53.

Van Tulder M, Koes B, Bombardier C. Low back pain. Best Pract Res Clin Rheumatol. 2002;16(5):761-75.

Pandey S, Kumar H. Assessment of striatal & postural deformities in patients with Parkinson's disease. Indian J Med Res. 2016;144(5):682-8.

Alwardat M, Schirinzi T, Di Lazzaro G, Franco D, Imbriani P, Sinibaldi Salimei P. The influence of postural deformities on neck function and pain in patients with Parkinson's disease. NeuroRehabilitation. 2019;44(1):79-84.

Srivanitchapoom P, Hallett M. Camptocormia in Parkinson's disease: Definition, epidemiology, pathogenesis, and treatment modalities. J Neurol Neurosurg Psychiatry. 2016;87(1):75-85.

Barone P, Santangelo G, Amboni M, Pellecchia MT, Vitale C. Pisa syndrome in Parkinson's disease and parkinsonism: clinical features, pathophysiology, and treatment. Lancet Neurol. 2016;15(10):1063-74.

Hoy D, March L, Brooks P, Woolf A, Blyth F, Vos T. Measuring the global burden of low back pain. Best Pract Res Clin Rheumatol. 2010;24(2):155-65.

Etchepare F, Rozenberg S, Mirault T, Bonnet A, Lecorre C, Agid Y. Back problems in Parkinson's disease: an underestimated problem. J Bone Spine. 2006;73(3):298-302.

Hughes AJ, Daniel SE, Kilford L, Lees AJ. Accuracy of clinical diagnosis of idiopathic Parkinson's disease: a clinico-pathological study of 100 cases. J Neurol Neurosurg Psychiatry. 1992;55(3):181-4.

Martinez JE, Grassi DC, Marques LG. Análise da aplicabilidade de três instrumentos de avaliação de dor em distintas unidades de atendimento: ambulatório, enfermaria e urgência. Rev Bras Reumatol. 2011;51(4):299-308.

Pringsheim T, Jette N, Frolkis A, Steeves TDL. The prevalence of Parkinson's disease: a systematic review and meta-analysis. Mov Disord. 2014;29(13):1583-90.

Hirsch L, Jette N, Frolkis A, Steeves T, Pringsheim T. The incidence of Parkinson's disease: a systematic review and meta-analysis. Neuroepidemiology. 2016;46(4):292-300.

Broetz D, Eichner M, Gasser T, Weller M, Steinbach JP. Radicular and nonradicular back pain in Parkinson's disease: a controlled study. Mov Disord. 2007;22(6):853-6.

Ozturk EA, Gundogdu I, Kocer B, Comoglu S, Cakci A. Chronic pain in Parkinson's disease: Frequency, characteristics, independent factors, and relationship with health-related quality of life. J Back Musculoskelet Rehabil. 2017;30(1):101-8.

Kim YE, Jeon BS. Musculoskeletal problems in Parkinson's disease. J Neural Transm. 2013;120(4):537-42.

Watanabe K, Hirano T, Katsumi K, Ohashi M, Ishikawa A, Koike R. Characteristics and exacerbating factors of chronic low back pain in Parkinson's disease. Int Orthop. 2015;39(12):2433-8.

Martinez-Martin P, Falup Pecurariu C, Odin P, van Hilten JJ, Antonini A, Rojo-Abuin JM. Gender-related differences in the burden of non-motor symptoms in Parkinson's disease. J Neurol. 2012;259(8):1639-47.

Thompson T, Gallop K, Correll CU, Carvalho AF, Veronese N, Wright E. Pain perception in Parkinson's disease: a systematic review and meta-analysis of experimental studies. Ageing Res Rev. 2017;35:74-86.

Gandolfi M, Geroin C, Antonini A, Smania N, Tinazzi M. Understanding and Treating Pain Syndromes in Parkinson's Disease. Int Rev Neurobiol. 2017;134:827-58.

Langston JW. The Parkinson's complex parkinsonism is just the tip of the iceberg. Ann Neurol. 2006;59(4):591-6.

Coriolano MG, Balbino JM, Silva BR, Cabral ED, Asano AG, Lins OG. Pain characterization in patients with Parkinson's disease. Rev Dor. 2014;15(2):78-82.

Scalzo PL, Silva RMS, Carvalho DV, Magalhães HC, Christo PP, Souza MS. Pain characterization of Parkinson's disease patients. Rev Bras Neurol. 2018;54(4):19-25.

Maher C, Underwood M, Buchbinder R. Non-specific low back pain. Lancet. 2017;389(10070):736-47.

Searle A, Spink M, Ho A, Chuter V. Exercise interventions for the treatment of chronic low back pain: a systematic review and meta-analysis of randomised controlled trials. Clin Rehabil. 2015;29(12):1155-67.


Submitted date:
01/26/2020

Accepted date:
08/10/2020

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