Chronic pain in osteoarthritis of the hip is associated with selective cognitive impairment.
Chronic pain
Cognitive impairment
Hip osteoarthritis
Hip replacement
Journal
Archives of orthopaedic and trauma surgery
ISSN: 1434-3916
Titre abrégé: Arch Orthop Trauma Surg
Pays: Germany
ID NLM: 9011043
Informations de publication
Date de publication:
Apr 2023
Apr 2023
Historique:
received:
05
01
2022
accepted:
10
04
2022
pubmed:
6
5
2022
medline:
24
3
2023
entrez:
5
5
2022
Statut:
ppublish
Résumé
Chronic pain of various origin is known to be associated with selective cognitive impairment. Osteoarthritis (OA) of the hip is one of the leading causes of chronic pain in the adult population, but its association with cognitive performance has not been evaluated. Here, we investigate the effect of chronic pain due to unilateral OA of one hip and no further source of chronic pain on cognitive performance. A neuropsychological test battery, consisting of the Mini-Mental State Examination, Rey-Osterrieth complex figure test, Rivermead behavioural memory test, d2 test of attention, and F-A-S test was applied in 148 patients and 82 healthy pain-free control individuals. The influence of potentially confounding factors such as depression and anxiety was examined. Patients with OA of the hip showed decreased performance in specific neuropsychological tests. Performance in verbal and visual short-term and long-term memory and selective attention tests was significantly poorer compared to healthy controls. Whereas the executive functions "updating", "set shifting", "response inhibition" and "reflection" appear intact, "problem solving" and "planning" were impaired. None of the confounders showed any influence on cognitive performance in both study groups. We conclude that chronic pain secondary to end-stage hip OA is associated with selective cognitive impairment. Future studies are required to investigate the effect of total hip arthroplasty on cognitive performance.
Identifiants
pubmed: 35511355
doi: 10.1007/s00402-022-04445-x
pii: 10.1007/s00402-022-04445-x
pmc: PMC10030427
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2189-2197Subventions
Organisme : Stiftung Endoprothetik
ID : S01/15
Informations de copyright
© 2022. The Author(s).
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