Journal article
Predictors of Postoperative Movement and Resting Pain following Total Knee Replacement
Pain (Amsterdam), Vol.153(11), pp.2192-2203
11/2012
DOI: 10.1016/j.pain.2012.06.021
PMCID: PMC3472094
PMID: 22840570
Abstract
This study determined preoperative predictors of movement and resting pain following total knee replacement (TKR). We hypothesized that younger patients with higher preoperative pain intensity, pain sensitivity, trait anxiety, pain catastrophizing, and depression would be more likely to experience higher postoperative movement pain than older patients with lower scores on these variables prior to surgery and that predictors would be similar for resting pain. Demographics, analgesic intake, anxiety, depression, pain catastrophizing, resting pain, movement pain (i.e., during active knee range of motion), and quantitative sensory tests, were performed pre-operatively on 215 participants scheduled for a unilateral TKR. On postoperative day 2 (POD2), analgesic intake, resting pain, and movement pain were again assessed. Significant predictors of moderate or severe
movement pain
were higher preoperative movement pain, von Frey pain intensity (VFPI) and heat pain threshold (HPT). People with severe movement pain preoperatively were 20 times more likely to have severe movement pain postoperatively. When the influence of preoperative movement pain was removed, depression became a predictor. Significant predictors of moderate to severe
resting pain
were higher preoperative resting pain, depression, and younger age. These results suggest that patients with higher preoperative pain and depression are more likely to have higher pain following TKR and younger patients may have higher resting pain. Cutaneous pain sensitivity predicted movement pain but not resting pain, suggesting that mechanisms underlying movement pain are different from resting pain. Aggressive management of preoperative pain, pain sensitivity, and depression prior to surgery may facilitate postoperative recovery.
Details
- Title: Subtitle
- Predictors of Postoperative Movement and Resting Pain following Total Knee Replacement
- Creators
- Barbara A Rakel - The University of Iowa College of Medicine, Department of Physical Therapy and Rehabilitation Science, Iowa City, IA 52242Nicole Petsas Blodgett - The University of Iowa College of Medicine, Department of Physical Therapy and Rehabilitation Science, Iowa City, IA 52242M. Bridget Zimmerman - The University of Iowa College of Medicine, Department of Physical Therapy and Rehabilitation Science, Iowa City, IA 52242Nyla Logsden-Sackett - The University of Iowa College of Medicine, Department of Physical Therapy and Rehabilitation Science, Iowa City, IA 52242Charles Clark - The University of Iowa College of Medicine, Department of Physical Therapy and Rehabilitation Science, Iowa City, IA 52242Nicolas Noiseux - The University of Iowa College of Medicine, Department of Physical Therapy and Rehabilitation Science, Iowa City, IA 52242John Callaghan - The University of Iowa College of Medicine, Department of Physical Therapy and Rehabilitation Science, Iowa City, IA 52242Keela Herr - The University of Iowa College of Medicine, Department of Physical Therapy and Rehabilitation Science, Iowa City, IA 52242Katharine Geasland - The University of Iowa College of Medicine, Department of Physical Therapy and Rehabilitation Science, Iowa City, IA 52242Xiaoyan Yang - The University of Iowa College of Medicine, Department of Physical Therapy and Rehabilitation Science, Iowa City, IA 52242Kathleen A Sluka - The University of Iowa College of Medicine, Department of Physical Therapy and Rehabilitation Science, Iowa City, IA 52242
- Resource Type
- Journal article
- Publication Details
- Pain (Amsterdam), Vol.153(11), pp.2192-2203
- DOI
- 10.1016/j.pain.2012.06.021
- PMID
- 22840570
- PMCID
- PMC3472094
- NLM abbreviation
- Pain
- ISSN
- 0304-3959
- eISSN
- 1872-6623
- Grant note
- R01 NR009844 || NR / National Institute of Nursing Research : NINR
- Language
- English
- Date published
- 11/2012
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Clinical Research Unit; Nursing Administration and Gen; Iowa Neuroscience Institute; Biostatistics; Orthopedics and Rehabilitation; Nursing; Physical Therapy and Rehabilitation Science; Neuroscience and Pharmacology
- Record Identifier
- 9983997453802771
Metrics
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