神经根病是否会影响神经源性腰痛患者的睡眠质量和下肢功能？
Does the presence of radiculopathy affect sleep quality and lower extremity functionality in neuropathic low back pain?
机构信息
Şanlıurfa Training and Research Hospital, Department of Physical Medicine and Rehabilitation - Şanlıurfa, Türkiye.
出版信息
Rev Assoc Med Bras (1992). 2023 Sep 18;69(9):e20230459. doi: 10.1590/1806-9282.20230459. eCollection 2023.
OBJECTIVE
Sleep disturbance in chronic neuropathic low back pain is a well-known condition. In this study, we aimed to investigate the effect of lumbar radiculopathy on sleep quality and lower extremity functionality in the presence of neuropathic low back pain.
METHODS
A total of 79 patients diagnosed with disk herniation, needle electromyography, and neuropathic pain were included in the study. Visual Analog Scale, Pittsburg Sleep Quality Index, and Lower Extremity Functionality Scale were applied to the patients.
RESULTS
Of the 79 patients who participated in the study, 34 (43%) were females and 45 (57%) were males. No significant difference was found between the group with and without radiculopathy in terms of sleep quality and lower extremity functionality (p=0.245 and p=0.092, respectively). In our study, a negative correlation was found between night pain and the presence of radiculopathy (p=0.006). The number of lumbar herniated disk levels was higher in the group without radiculopathy and was statistically significant (p=0.023).
CONCLUSION
We found that the presence of radiculopathy did not affect sleep quality and lower extremity functionality in disk herniation patients with neuropathic pain. Although it was not statistically significant in our study, we think that the degree of herniation may affect sleep and lower extremity functionality rather than the number of disk herniation levels with the available data. The fact that neuropathic pain is not limited to disk herniation and radiculopathy, and that neuropathic pain is intertwined with clinical conditions such as anxiety, sleep disorders, and depression are among the conditions that make the studies difficult.
目的
慢性神经性腰痛患者常伴有睡眠障碍。本研究旨在探讨在存在神经性腰痛的情况下，腰椎神经根病对睡眠质量和下肢功能的影响。
方法
本研究共纳入 79 例经椎间盘突出症、针电极肌电图和神经病理性疼痛诊断的患者。对患者进行视觉模拟评分、匹兹堡睡眠质量指数和下肢功能量表评估。
结果
在参与研究的 79 例患者中，女性 34 例（43%），男性 45 例（57%）。在睡眠质量和下肢功能方面，有神经根病组与无神经根病组之间无显著差异（p=0.245 和 p=0.092）。在本研究中，夜间疼痛与神经根病的存在呈负相关（p=0.006）。无神经根病组的腰椎间盘突出症节段数较高，且具有统计学意义（p=0.023）。
结论
我们发现神经根病的存在并不影响伴有神经性疼痛的椎间盘突出症患者的睡眠质量和下肢功能。尽管在我们的研究中没有统计学意义，但我们认为，根据现有数据，突出的程度可能会影响睡眠和下肢功能，而不是椎间盘突出症的节段数。神经病理性疼痛不仅限于椎间盘突出症和神经根病，而且与焦虑、睡眠障碍和抑郁等临床情况交织在一起，这些都是使研究变得困难的因素之一。
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