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Sensory Function and Chronic Pain in Multiple Sclerosis

机译:多发性硬化症的感觉功能和慢性疼痛

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摘要

Objective. To examine whether hypoesthesia and chronic pain are related in patients with MS. Methods. Sixty-seven MS patients with pain and 80 persons without MS were included. Sensory functioning was tested by bedside neurological examination. Touch, joint position (dorsal column-medial lemniscus pathway), temperature sense, and pain (spinothalamic tract) were tested. Pain intensity was measured by the Colored Analogue Scale (CAS Intensity) and the Faces Pain Scale (FPS); pain affect was also measured by CAS Affect and Number of Words Chosen-Affective (NWC-A). Mood was assessed with the SCL-90 anxiety and depression subscales and the Beck Depression Inventory (BDI). Results. A significant negative relationship was found between pain intensity and the function of the dorsal column-medial lemniscal pathway, but not with the spinothalamic tract. Conclusion. In addition to the already known relation between hyperesthesia and pain, hypoesthesia for touch and joint position also seems to be related to chronic pain in MS patients.
机译:客观的。检查乳房患者是否有脓肿和慢性疼痛。方法。包括六十七个患者疼痛和80人没有MS。通过床边神经检查测试感官功能。触摸,关节位置(背侧中间延伸途径),温度意义和疼痛(纺花植物道)进行了测试。通过彩色的模拟量表(CAS强度)和面部疼痛量表(FPS)测量疼痛强度; CAS的影响和所选择的情感(NWC-A)的单词数量也测量疼痛影响。用SCL-90焦虑和抑郁症和贝克抑郁库存(BDI)评估情绪。结果。在疼痛强度和背侧中间召集途径的疼痛强度和功能之间发现了显着的负面关系,但不与纺丝癖的道具。结论。除了已经已知的兴高感和疼痛之间的关系,触摸和关节位置的过度缺血也似乎与MS患者的慢性疼痛有关。

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