Pain in rheumatoid arthritis

Abstract

Cilj rada je ispitati jačinu, učestalost i vrstu bolnih doživljaja kod bolesnika oboljelih od reumatoidnog artritisa na početku i nakon provedene trotjedne fizikalne terapije. Ispitanici su ocjenjivali jačinu boli prema vizualnoj analognoj skali boli (VAS), a vrstu doživljene boli na modificiranoj verziji McGill upitnika na početku i na kraju trotjedne fizikalne terapije. Rezultati ispitivanja ukazuju da je 96,79% ispitanika navodilo bolne doživljaje, a procjena boli na VAS skali iznosila je prosječno 6,67 ± 2,54. Nakon provedene fizikalne terapije tijekom 21 dana, procijenjena bol iznosila je prosječno 4,87 ± 68,32 na VAS skali od 1 do 10 cm. Razlika u jačini doživljene boli pri prvom pregledu i nakon završetka trotjedne fizikalne terapije bila je statistički značajna (p = 0,021) u smjeru smanjenja boli nakon provedene terapije. Nije utvrđena statistički značajna razlika u doživljaju jačine boli s obzirom na spol. Najčešće lokacije boli su bile: zglobovi šaka i ručni zglobovi (86% ispitanika); koljena (60%); zglobovi na stopalima i nožni zglobovi (52%); ramena (39%); vratna kralježnica (33%); laktovi (20%); kukovi (7%). Na modificiranoj verziji McGill upitnika za procjenu vrste boli najčešće dani odgovori su: iscrpljujuća (86%); zamarajuća (95%); prodorna (65%); nervirajuća (83%); mukotrpna (76%).The aim of this study was to examine the intensity, frequency and type of painful experiences in patients with rheumatoid arthritis at the start and after completion of 21 days of physiotherapy. Respondents were asked to evaluate the pain intensity according to the visual analogue scale of pain (VAS) and the type of experienced pain assessed on a modified version of the McGill questionnaire at the beginning and at the end of 21 days of physiotherapy. The test results show that 96.79% of respondents stated painful experiences and the pain assessment on the VAS scale was on average 6.67 ± 2.54. After physical therapy for a period of 21 days, the estimated pain averaged 4.87 ± 68.32 on the VAS scale from 1 to 10 cm. The difference in the intensity of pain experienced at the first examination after the completion of 21 days of physical therapy was statistically significant (p = 0.021) in terms of pain relief after treatment. There was no statistically significant difference in the perception of pain intensity with regard to sex. The most common sites of pain were: hand and wrist joints (86% of respondents), knee (60%), feet and ankle joints (52%), shoulders (39%), cervical spine (33%), elbows (20%) and hips (7%). On the modified version of the McGill questionnaire for the assessment of the types of pain, the most frequent replies given were: exhausting (86%), tiring (95%), pervasive (65%), annoying (83%) and laborious (76%)

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