Outcomes following the conservative management of patients with non-radicular peripheral neuropathic pain.
| Title | Outcomes following the conservative management of patients with non-radicular peripheral neuropathic pain. |
| Publication Type | Journal Article |
| Year of Publication | 2014 |
| Authors | Day JM, Willoughby J, Pitts DGreg, McCallum M, Foister R, Uhl TL |
| Journal | J Hand Ther |
| Volume | 27 |
| Issue | 3 |
| Pagination | 192-9; quiz 200 |
| Date Published | 2014 Jul-Sep |
| ISSN | 1545-004X |
| Keywords | Adult, Aged, Cohort Studies, Disability Evaluation, Female, Hand Strength, Humans, Male, Middle Aged, Neuralgia, Outcome Assessment, Health Care, Pain Management, Pain Measurement, Patient Education as Topic, Physical Therapy Modalities, Young Adult |
| Abstract | 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. |
| DOI | 10.1016/j.jht.2014.02.003 |
| Alternate Journal | J Hand Ther |
| PubMed ID | 24685569 |
