The Experts below are selected from a list of 132 Experts worldwide ranked by ideXlab platform

Natarajan Muthukumar - One of the best experts on this subject based on the ideXlab platform.

Najia Hajjaj-hassouni - One of the best experts on this subject based on the ideXlab platform.

  • Chronic neck pain and anxiety-depression: prevalence and associated risk factors.
    The Pan African medical journal, 2016
    Co-Authors: Imane Elbinoune, Bouchra Amine, S. Shyen, S. Gueddari, Redouane Abouqal, Najia Hajjaj-hassouni
    Abstract:

    INTRODUCTION: chronic pain in rheumatology often has a psychic impact, which may aggravate the daily life of patients. Chronic neck pain, as an example, is a frequent reason for consultation. The aim of this study is to assess the prevalence of anxiety and depression in patients with neck pain, and identify risk factors associated with their occurrence. METHODS: it was a cross-sectional study that concerned 80 patients with neck pain lasting for more than 3 months, seen in rheumatology consultations. All patients with symptomatic neck pain or psychological history or receiving psychotropic medication were excluded from the study. For each patient, we determined the sociodemographic characteristics and clinical ones. The anxious and depressed mood was assessed by the Hospital Anxiety and Depression Scale (HAD). RESULTS: of the 80 patients, 67 (83.8%) were women. Average age of our population was 51.8± 11.8 years. Median duration of symptoms was 24 months [12, 48]. Mean VAS pain was 63.9% ± 12.5, mean VAS functional discomfort was 60.9% ± 14.2 and mean VAS disability was 59.8% ± 14.7. 32 patients (40%) were illiterate and 18 (22.5%) had university level. Anxiety was found in 54 (68.4%) and 44 (55.7%) patients were depressed. In univariate analysis, VAS disability was statistically linked to anxiety (OR:1.05; 95%CI: 1.01-1.08; p = 0.02). The Cervicobrachial Neuralgia (CBN) was significantly associated with depression (OR: 3.33; 95%CI: 1.20-9.23; p=0.02). Primary education level had a statistically significant relationship with anxiety (OR: 6.00; 95%CI: 1.03-34.84; p=0.04) and depression (OR: 5.00; 95%CI: 1.09-22.82; p=0.03). In multivariate analysis, VAS disability and CBN were independently associated with anxiety and depression respectively. CONCLUSION: this study underlines the fact that anxiety and depression are prevalent in chronic neck pain (CNP) patients. Furthermore, disability and CBN which are linked to CNP can predict which patient is at higher risk of psychological distress.

  • THU0355 The Prevalence of Sleep Disorders and their Determinants in Patients with Chronic Neck Pain
    Annals of the Rheumatic Diseases, 2014
    Co-Authors: S. Shyen, Bouchra Amine, S. Gueddari, Imane El Binoune, Najia Hajjaj-hassouni
    Abstract:

    Objectives Assessing the quality of sleep and the prevalence of sleep disorders in patients with chronic neck pain and identify its determinants. Methods Cross-sectional study is conducted among patients, older than 18 years and followed for common chronic neck pain over 3 months, recruited at the consultation of Rheumatology. The Exclusion criteria were symptomatic neck pain and all chronic diseases or medication which can affect sleep. Sleep quality was assessed by the Pittsburgh Sleep Quality Index (PSQI) (0 = no disorder, 21 = major disorders) grouped into 7 items: subjective sleep quality, sleep latency, sleep duration,habituel sleep efficiency, sleep disturbances, use of sleeping medications and daytime dysfunction The characteristics of the neck pain were: the duration of the current episode, the presence of vertebral contractures or Cervicobrachial Neuralgia (NCB), the pain assessed by the visual analogue scale (VAS), functional disability assessed by the Neck disability index (NDI) French version validated, anxiety and depression assessed by Hospital Anxiety and Depression scale (HAD) Arabic version validated. A descriptive statistical analysis anda linear regression were performed Results 80 chronic neck pain patients were included, the average age of the patients was 51.7±11 years, with a female predominance (83.8%). The median evolution of neck pain was 24 months (12-48 months). The PSQI global score was elevated in 90% of our patients with a mean of 12±3.3. 85% of patients were poor sleepers,Participantsreported an average of 60 min needed tofall asleep each night (sleep latency).The mean hours of actualsleep per night was Conclusions This study suggests that sleep disorders are common in patients with neck pain. This poor sleep is influenced by the intensity of the pain, which can alter their functional ability Disclosure of Interest : None declared DOI 10.1136/annrheumdis-2014-eular.5326

  • AB0872 Chronic Neck Pain and Anxiety-Depression: Prevalence and Associated Risk Factors
    Annals of the Rheumatic Diseases, 2014
    Co-Authors: Imane El Binoune, Bouchra Amine, S. Shiyen, S. Guedarri, Najia Hajjaj-hassouni
    Abstract:

    Background Chronic pain in rheumatology often has a psychic impact, which may aggravate the daily life of patients. Chronic neck pain, as an example, is a frequent reason for consultation. Objectives To assess the prevalence of anxiety and depression in patients with neck pain, and identify risk factors associated with their occurrence. Methods It was a cross-sectional study that concerned 80 patients with neck pain lasting for more than 3 months, and seen during the consultations of rheumatology. All patients with symptomatic neck pain or having psychological history or receiving psychotropic medication were excluded from the study. For each patient, we determined the sociodemographic characteristics: age, gender, educational level, marital status, profession, working hours per day, exercise practice, and clinical characteristics: pain, functional discomfort and disability on a visual analogue scale (VAS). The anxious and depressed mood was assessed by the Hospital Anxiety and Depression Scale (HAD), which can detect anxiety and depressive disorders. It contains 14 items rated from 0 to 3: Seven refer to anxiety (Subscale A) and seven refer to depression (Subscale D). Each subscale score ranges from 0 to 21. If the score HAD (A) is >10, the patient was considered anxious, and if the score HAD (D) >8, the patient was considered depressed. The physicopsychic support was assessed by a single question. Statistical analysis was done to assess the descriptive characteristics and the association between HAD and different items. Results Of the 80 patients, 67 (83.80%) were women. The average age of our population was 51.76±11.78 years [25, 74]. The median duration of progression of symptoms was 24 months [12, 48]. The mean VAS pain was 63.87% ±12.47, the mean VAS functional discomfort was 60.87% ±14.24 and the mean VAS disability was 59.75% ±14.66. The number of active patients was 65 (81.30%) with an average working hours per day of 7.52 hours ±1.96. Among the 80 patients enrolled, 32 (40%) were illiterate and 18 (22.50%) had university level. Celibacy was noted in 6 (7.50%) neck pain patients. A state of anxiety was found in 54 (68.4%) and 44 (55.7%) patients were depressed. A low level of education had a statistically significant relationship with anxiety (p=0.04; Expβ =6; CI95%: 1.03 to 34.84) and depression (p=0.03; Expβ =5; CI95%: 1.09 to 22.82). VAS disability was statistically linked to anxiety (p=0.01; Expβ =1.04, CI95%: 1.009 to 1.085). The Cervicobrachial Neuralgia was significantly associated with depression (p=0.02; Expβ =0.3, CI95%: 0.10 to 0.83). Anxiety and depression were two psychological factors which were significantly associated with p=0,01. Conclusions This study suggests that the disability caused by chronic neck pain can have a significant psychological impact which is more pronounced with a low level of education. Further larger studies are needed to assess other risk factors probably related to anxiety and depression in neck pain patients. Disclosure of Interest None declared DOI 10.1136/annrheumdis-2014-eular.4367

Anamaria Kese - One of the best experts on this subject based on the ideXlab platform.

  • value of physical therapy in Cervicobrachial Neuralgia management
    37th Annual National Congress of Rehabilitation Medicine, 2014
    Co-Authors: Eugenia Rosulescu, Ilona Ilinca, Mihaela Zavaleanu, M Dragomir, Anamaria Kese
    Abstract:

    Introduction : Cervicobrachial Neuralgia (CBN) can be described as neck pain radiating to the arm because of compression to the nerve roots in the cervical spinal cord. Common CBN is less frequent than sciatica and its etiological profile is more varied. Objectives : the aim of this study was to examine the effectiveness of physical therapeutic (PT) modalities in the management of patients with persistent Cervicobrachial pain. Methods: twenty-one patients (45-65 years) suffering from Cervicobrachial Neuralgia resistant to medical treatment were divided into two groups. In the PTG group (11), each patient received a complex rehabilitation therapy consisting in laser, iontophoresis, short-wave and/or microwave diathermy, stretching and therapeutic exercises (ROM, active and passive). The control group (10, CG) received oral medication, stretching and therapeutic exercises. Patients were assessed before, at the end, and 3 weeks after rehabilitation treatment using the pain visual analogue scale VAS, the Copenhagen Neck Functional Disability Scale (CNFD), and the Disabilities of the Arm Shoulder and Hand - DASH Symptom Scale. Results: the study showed a significant decrease in pain intensity of the PTG group (mean 1.3), when comparing with CG (mean 2.25) at the end of the assessment period. At the both follow-up, the PTG group showed a lower CNFD and DASH mean scores, significantly decreased after PT (31.4) compared with CG(42.8, p<0.05). Conclusions: there are different modalities of treatment for CBN, but physical therapies must necessarily complete the medical treatment of common Cervicobrachial Neuralgia. Rest and postures that suppresses or attenuates the disc-nerve root conflict is mandatory, and the use of physical agents showed a better effectiveness on pain and upper limb dysfunctionality.

  • Value of physical therapy in Cervicobrachial Neuralgia management
    2014
    Co-Authors: Eugenia Rosulescu, Ilona Ilinca, Mihaela Zavaleanu, M Dragomir, Anamaria Kese
    Abstract:

    Introduction : Cervicobrachial Neuralgia (CBN) can be described as neck pain radiating to the arm because of compression to the nerve roots in the cervical spinal cord. Common CBN is less frequent than sciatica and its etiological profile is more varied. Objectives : the aim of this study was to examine the effectiveness of physical therapeutic (PT) modalities in the management of patients with persistent Cervicobrachial pain. Methods: twenty-one patients (45-65 years) suffering from Cervicobrachial Neuralgia resistant to medical treatment were divided into two groups. In the PTG group (11), each patient received a complex rehabilitation therapy consisting in laser, iontophoresis, short-wave and/or microwave diathermy, stretching and therapeutic exercises (ROM, active and passive). The control group (10, CG) received oral medication, stretching and therapeutic exercises. Patients were assessed before, at the end, and 3 weeks after rehabilitation treatment using the pain visual analogue scale VAS, the Copenhagen Neck Functional Disability Scale (CNFD), and the Disabilities of the Arm Shoulder and Hand - DASH Symptom Scale. Results: the study showed a significant decrease in pain intensity of the PTG group (mean 1.3), when comparing with CG (mean 2.25) at the end of the assessment period. At the both follow-up, the PTG group showed a lower CNFD and DASH mean scores, significantly decreased after PT (31.4) compared with CG(42.8, p

Eugenia Rosulescu - One of the best experts on this subject based on the ideXlab platform.

  • value of physical therapy in Cervicobrachial Neuralgia management
    37th Annual National Congress of Rehabilitation Medicine, 2014
    Co-Authors: Eugenia Rosulescu, Ilona Ilinca, Mihaela Zavaleanu, M Dragomir, Anamaria Kese
    Abstract:

    Introduction : Cervicobrachial Neuralgia (CBN) can be described as neck pain radiating to the arm because of compression to the nerve roots in the cervical spinal cord. Common CBN is less frequent than sciatica and its etiological profile is more varied. Objectives : the aim of this study was to examine the effectiveness of physical therapeutic (PT) modalities in the management of patients with persistent Cervicobrachial pain. Methods: twenty-one patients (45-65 years) suffering from Cervicobrachial Neuralgia resistant to medical treatment were divided into two groups. In the PTG group (11), each patient received a complex rehabilitation therapy consisting in laser, iontophoresis, short-wave and/or microwave diathermy, stretching and therapeutic exercises (ROM, active and passive). The control group (10, CG) received oral medication, stretching and therapeutic exercises. Patients were assessed before, at the end, and 3 weeks after rehabilitation treatment using the pain visual analogue scale VAS, the Copenhagen Neck Functional Disability Scale (CNFD), and the Disabilities of the Arm Shoulder and Hand - DASH Symptom Scale. Results: the study showed a significant decrease in pain intensity of the PTG group (mean 1.3), when comparing with CG (mean 2.25) at the end of the assessment period. At the both follow-up, the PTG group showed a lower CNFD and DASH mean scores, significantly decreased after PT (31.4) compared with CG(42.8, p<0.05). Conclusions: there are different modalities of treatment for CBN, but physical therapies must necessarily complete the medical treatment of common Cervicobrachial Neuralgia. Rest and postures that suppresses or attenuates the disc-nerve root conflict is mandatory, and the use of physical agents showed a better effectiveness on pain and upper limb dysfunctionality.

  • Value of physical therapy in Cervicobrachial Neuralgia management
    2014
    Co-Authors: Eugenia Rosulescu, Ilona Ilinca, Mihaela Zavaleanu, M Dragomir, Anamaria Kese
    Abstract:

    Introduction : Cervicobrachial Neuralgia (CBN) can be described as neck pain radiating to the arm because of compression to the nerve roots in the cervical spinal cord. Common CBN is less frequent than sciatica and its etiological profile is more varied. Objectives : the aim of this study was to examine the effectiveness of physical therapeutic (PT) modalities in the management of patients with persistent Cervicobrachial pain. Methods: twenty-one patients (45-65 years) suffering from Cervicobrachial Neuralgia resistant to medical treatment were divided into two groups. In the PTG group (11), each patient received a complex rehabilitation therapy consisting in laser, iontophoresis, short-wave and/or microwave diathermy, stretching and therapeutic exercises (ROM, active and passive). The control group (10, CG) received oral medication, stretching and therapeutic exercises. Patients were assessed before, at the end, and 3 weeks after rehabilitation treatment using the pain visual analogue scale VAS, the Copenhagen Neck Functional Disability Scale (CNFD), and the Disabilities of the Arm Shoulder and Hand - DASH Symptom Scale. Results: the study showed a significant decrease in pain intensity of the PTG group (mean 1.3), when comparing with CG (mean 2.25) at the end of the assessment period. At the both follow-up, the PTG group showed a lower CNFD and DASH mean scores, significantly decreased after PT (31.4) compared with CG(42.8, p

Bouchra Amine - One of the best experts on this subject based on the ideXlab platform.

  • Chronic neck pain and anxiety-depression: prevalence and associated risk factors.
    The Pan African medical journal, 2016
    Co-Authors: Imane Elbinoune, Bouchra Amine, S. Shyen, S. Gueddari, Redouane Abouqal, Najia Hajjaj-hassouni
    Abstract:

    INTRODUCTION: chronic pain in rheumatology often has a psychic impact, which may aggravate the daily life of patients. Chronic neck pain, as an example, is a frequent reason for consultation. The aim of this study is to assess the prevalence of anxiety and depression in patients with neck pain, and identify risk factors associated with their occurrence. METHODS: it was a cross-sectional study that concerned 80 patients with neck pain lasting for more than 3 months, seen in rheumatology consultations. All patients with symptomatic neck pain or psychological history or receiving psychotropic medication were excluded from the study. For each patient, we determined the sociodemographic characteristics and clinical ones. The anxious and depressed mood was assessed by the Hospital Anxiety and Depression Scale (HAD). RESULTS: of the 80 patients, 67 (83.8%) were women. Average age of our population was 51.8± 11.8 years. Median duration of symptoms was 24 months [12, 48]. Mean VAS pain was 63.9% ± 12.5, mean VAS functional discomfort was 60.9% ± 14.2 and mean VAS disability was 59.8% ± 14.7. 32 patients (40%) were illiterate and 18 (22.5%) had university level. Anxiety was found in 54 (68.4%) and 44 (55.7%) patients were depressed. In univariate analysis, VAS disability was statistically linked to anxiety (OR:1.05; 95%CI: 1.01-1.08; p = 0.02). The Cervicobrachial Neuralgia (CBN) was significantly associated with depression (OR: 3.33; 95%CI: 1.20-9.23; p=0.02). Primary education level had a statistically significant relationship with anxiety (OR: 6.00; 95%CI: 1.03-34.84; p=0.04) and depression (OR: 5.00; 95%CI: 1.09-22.82; p=0.03). In multivariate analysis, VAS disability and CBN were independently associated with anxiety and depression respectively. CONCLUSION: this study underlines the fact that anxiety and depression are prevalent in chronic neck pain (CNP) patients. Furthermore, disability and CBN which are linked to CNP can predict which patient is at higher risk of psychological distress.

  • THU0355 The Prevalence of Sleep Disorders and their Determinants in Patients with Chronic Neck Pain
    Annals of the Rheumatic Diseases, 2014
    Co-Authors: S. Shyen, Bouchra Amine, S. Gueddari, Imane El Binoune, Najia Hajjaj-hassouni
    Abstract:

    Objectives Assessing the quality of sleep and the prevalence of sleep disorders in patients with chronic neck pain and identify its determinants. Methods Cross-sectional study is conducted among patients, older than 18 years and followed for common chronic neck pain over 3 months, recruited at the consultation of Rheumatology. The Exclusion criteria were symptomatic neck pain and all chronic diseases or medication which can affect sleep. Sleep quality was assessed by the Pittsburgh Sleep Quality Index (PSQI) (0 = no disorder, 21 = major disorders) grouped into 7 items: subjective sleep quality, sleep latency, sleep duration,habituel sleep efficiency, sleep disturbances, use of sleeping medications and daytime dysfunction The characteristics of the neck pain were: the duration of the current episode, the presence of vertebral contractures or Cervicobrachial Neuralgia (NCB), the pain assessed by the visual analogue scale (VAS), functional disability assessed by the Neck disability index (NDI) French version validated, anxiety and depression assessed by Hospital Anxiety and Depression scale (HAD) Arabic version validated. A descriptive statistical analysis anda linear regression were performed Results 80 chronic neck pain patients were included, the average age of the patients was 51.7±11 years, with a female predominance (83.8%). The median evolution of neck pain was 24 months (12-48 months). The PSQI global score was elevated in 90% of our patients with a mean of 12±3.3. 85% of patients were poor sleepers,Participantsreported an average of 60 min needed tofall asleep each night (sleep latency).The mean hours of actualsleep per night was Conclusions This study suggests that sleep disorders are common in patients with neck pain. This poor sleep is influenced by the intensity of the pain, which can alter their functional ability Disclosure of Interest : None declared DOI 10.1136/annrheumdis-2014-eular.5326

  • AB0872 Chronic Neck Pain and Anxiety-Depression: Prevalence and Associated Risk Factors
    Annals of the Rheumatic Diseases, 2014
    Co-Authors: Imane El Binoune, Bouchra Amine, S. Shiyen, S. Guedarri, Najia Hajjaj-hassouni
    Abstract:

    Background Chronic pain in rheumatology often has a psychic impact, which may aggravate the daily life of patients. Chronic neck pain, as an example, is a frequent reason for consultation. Objectives To assess the prevalence of anxiety and depression in patients with neck pain, and identify risk factors associated with their occurrence. Methods It was a cross-sectional study that concerned 80 patients with neck pain lasting for more than 3 months, and seen during the consultations of rheumatology. All patients with symptomatic neck pain or having psychological history or receiving psychotropic medication were excluded from the study. For each patient, we determined the sociodemographic characteristics: age, gender, educational level, marital status, profession, working hours per day, exercise practice, and clinical characteristics: pain, functional discomfort and disability on a visual analogue scale (VAS). The anxious and depressed mood was assessed by the Hospital Anxiety and Depression Scale (HAD), which can detect anxiety and depressive disorders. It contains 14 items rated from 0 to 3: Seven refer to anxiety (Subscale A) and seven refer to depression (Subscale D). Each subscale score ranges from 0 to 21. If the score HAD (A) is >10, the patient was considered anxious, and if the score HAD (D) >8, the patient was considered depressed. The physicopsychic support was assessed by a single question. Statistical analysis was done to assess the descriptive characteristics and the association between HAD and different items. Results Of the 80 patients, 67 (83.80%) were women. The average age of our population was 51.76±11.78 years [25, 74]. The median duration of progression of symptoms was 24 months [12, 48]. The mean VAS pain was 63.87% ±12.47, the mean VAS functional discomfort was 60.87% ±14.24 and the mean VAS disability was 59.75% ±14.66. The number of active patients was 65 (81.30%) with an average working hours per day of 7.52 hours ±1.96. Among the 80 patients enrolled, 32 (40%) were illiterate and 18 (22.50%) had university level. Celibacy was noted in 6 (7.50%) neck pain patients. A state of anxiety was found in 54 (68.4%) and 44 (55.7%) patients were depressed. A low level of education had a statistically significant relationship with anxiety (p=0.04; Expβ =6; CI95%: 1.03 to 34.84) and depression (p=0.03; Expβ =5; CI95%: 1.09 to 22.82). VAS disability was statistically linked to anxiety (p=0.01; Expβ =1.04, CI95%: 1.009 to 1.085). The Cervicobrachial Neuralgia was significantly associated with depression (p=0.02; Expβ =0.3, CI95%: 0.10 to 0.83). Anxiety and depression were two psychological factors which were significantly associated with p=0,01. Conclusions This study suggests that the disability caused by chronic neck pain can have a significant psychological impact which is more pronounced with a low level of education. Further larger studies are needed to assess other risk factors probably related to anxiety and depression in neck pain patients. Disclosure of Interest None declared DOI 10.1136/annrheumdis-2014-eular.4367