TY - JOUR
T1 - Outcomes following the conservative management of patients with non-radicular peripheral neuropathic pain
AU - Day, Joseph M.
AU - Willoughby, Jason
AU - Pitts, Donald Greg
AU - McCallum, Michelle
AU - Foister, Ryan
AU - Uhl, Tim L.
PY - 2014
Y1 - 2014
N2 - 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
AB - 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
KW - Carpal tunnel syndrome
KW - Cubital tunnel syndrome
KW - Distal
KW - Multiple nerve compression
KW - Proximal
UR - http://www.scopus.com/inward/record.url?scp=84905101971&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84905101971&partnerID=8YFLogxK
U2 - 10.1016/j.jht.2014.02.003
DO - 10.1016/j.jht.2014.02.003
M3 - Article
C2 - 24685569
AN - SCOPUS:84905101971
SN - 0894-1130
VL - 27
SP - 192
EP - 200
JO - Journal of Hand Therapy
JF - Journal of Hand Therapy
IS - 3
ER -