Low-back pain in HTLV-I associated myelopathy/tropical spastic paraparesis: nociceptive or neuropathic?

Bibliographic Details
Main Author: Tavares, I. R.
Publication Date: 2010
Other Authors: Franzoi, A. C., Araújo, A.q-C.
Format: Article
Language: eng
Source: Repositório Institucional da FIOCRUZ (ARCA)
DOI: 10.1038/sc.2009.83
Download full: https://arca.fiocruz.br/handle/icict/38712
Summary: 2020-12-19
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spelling Tavares, I. R.Franzoi, A. C.Araújo, A.q-C.2019-12-19T14:51:02Z2019-12-19T14:51:02Z2010TAVARES, I. R.; FRANZOI, A. C.; ARAÚJO, A.Q-C. Low-back pain in HTLV-I-associated myelopathy/tropical spastic paraparesis: nociceptive or neuropathic? Spinal Cord, v. 48, p. 134-137, 2010.1362-4393https://arca.fiocruz.br/handle/icict/3871210.1038/sc.2009.831476-5624engSpringer NatureLow-back pain in HTLV-I associated myelopathy/tropical spastic paraparesis: nociceptive or neuropathic?info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article2020-12-19Federal University of Rio de Janeiro. Clementino Fraga Filho University Hospital. Rio de Janeiro, RJ, Brazil.Federal University of Rio de Janeiro. Clementino Fraga Filho University Hospital. Rio de Janeiro, RJ, Brazil / Brazilian Beneficent Association of Rehabilitation. Rio de Janeiro, RJ, Brazil.Federal University of Rio de Janeiro. Clementino Fraga Filho University Hospital. Rio de Janeiro, RJ, Brazil / Fundação Oswaldo Cruz. Instituto de Pesquisa Clínica Evandro Chagas. Laboratório de Pesquisa Clínica em Neuroinfecções. Rio de Janeiro, RJ, Brasil.Objectives: To describe characteristics of low-back pain in human T-cell lymphotropic virus type I (HTLV-I)-associated myelopathy/tropical spastic paraparesis (HAM/TSP) patients and to identify its neuropathic and/or non-neuropathic pain components. Setting: A reference center for the care of patients with HAM/TSP in Rio de Janeiro, Brazil. Methods: A total of 90 patients with HAM/TSP referred by tertiary care centers were consecutively assessed. The patients were submitted to a clinical protocol that included Visual Analogue Scale (VAS), Timed Up and Go Test, Bodily Pain Domain of the Short Form 36 Health Status Questionnaire, Douleur Neuropathique 4 Questions (Neuropathic Pain 4 Questions) (DN4) and McGill Pain Questionnaire. Results: The prevalence of low-back pain in the studied sample was 75.5%; pain interferes with physical functioning and worsens with movement and physical effort. It can be relieved by analgesics and rest. Average pain intensity was 51.2 mm on VAS and 1.72 on DN4. The most frequent words used to describe low-back pain were throbbing, burning, jumping and aching. Surprisingly, 32.4% patients pointed the lower extremities as the most painful and used different descriptors. The most common drugs used were analgesics, nonsteroidal anti-inflammatory drugs and tricyclic antidepressants. Conclusions: Low-back pain in HAM/TSP patients has mainly nociceptive characteristics. Conversely, descriptors for lower extremities pain suggest a neuropathic origin.HTLV-IMyelopathyLow-back paininfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txttext/plain1748https://arca.fiocruz.br/bitstreams/be32a72a-dc47-4dc7-bad1-515f65995e43/download8a4605be74aa9ea9d79846c1fba20a33MD51falseAnonymousREADORIGINALve_Tavares_I_etal_INI_2010.pdfve_Tavares_I_etal_INI_2010.pdfapplication/pdf206831https://arca.fiocruz.br/bitstreams/66002ac4-c6b7-43bc-aa36-6968ddc5a2bb/download51f2008ff0e01afb644e03e1b2bfceafMD52trueAnonymousREAD2020-12-19TEXTve_Tavares_I_etal_INI_2010.pdf.txtve_Tavares_I_etal_INI_2010.pdf.txtExtracted texttext/plain20387https://arca.fiocruz.br/bitstreams/ffa14697-dc4b-4ac5-8dc3-65e31e1c49b8/download3756ae344efbed613a73df4cb3a45087MD55falseAnonymousREAD2020-12-19THUMBNAILve_Tavares_I_etal_INI_2010.pdf.jpgve_Tavares_I_etal_INI_2010.pdf.jpgGenerated Thumbnailimage/jpeg5785https://arca.fiocruz.br/bitstreams/92a2a087-a91b-4fb0-8ac2-c81ce0ce6148/downloadcf24f1a61de07c634bcb32b0155ec8a6MD56falseAnonymousREAD2020-12-19icict/387122025-07-29 21:33:18.173open.accessoai:arca.fiocruz.br:icict/38712https://arca.fiocruz.brRepositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352025-07-30T00:33:18Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)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
dc.title.none.fl_str_mv Low-back pain in HTLV-I associated myelopathy/tropical spastic paraparesis: nociceptive or neuropathic?
title Low-back pain in HTLV-I associated myelopathy/tropical spastic paraparesis: nociceptive or neuropathic?
spellingShingle Low-back pain in HTLV-I associated myelopathy/tropical spastic paraparesis: nociceptive or neuropathic?
Tavares, I. R.
HTLV-I
Myelopathy
Low-back pain
title_short Low-back pain in HTLV-I associated myelopathy/tropical spastic paraparesis: nociceptive or neuropathic?
title_full Low-back pain in HTLV-I associated myelopathy/tropical spastic paraparesis: nociceptive or neuropathic?
title_fullStr Low-back pain in HTLV-I associated myelopathy/tropical spastic paraparesis: nociceptive or neuropathic?
title_full_unstemmed Low-back pain in HTLV-I associated myelopathy/tropical spastic paraparesis: nociceptive or neuropathic?
title_sort Low-back pain in HTLV-I associated myelopathy/tropical spastic paraparesis: nociceptive or neuropathic?
author Tavares, I. R.
author_facet Tavares, I. R.
Franzoi, A. C.
Araújo, A.q-C.
author_role author
author2 Franzoi, A. C.
Araújo, A.q-C.
author2_role author
author
dc.contributor.author.fl_str_mv Tavares, I. R.
Franzoi, A. C.
Araújo, A.q-C.
dc.subject.en.none.fl_str_mv HTLV-I
Myelopathy
Low-back pain
topic HTLV-I
Myelopathy
Low-back pain
description 2020-12-19
publishDate 2010
dc.date.issued.fl_str_mv 2010
dc.date.accessioned.fl_str_mv 2019-12-19T14:51:02Z
dc.date.available.fl_str_mv 2019-12-19T14:51:02Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv TAVARES, I. R.; FRANZOI, A. C.; ARAÚJO, A.Q-C. Low-back pain in HTLV-I-associated myelopathy/tropical spastic paraparesis: nociceptive or neuropathic? Spinal Cord, v. 48, p. 134-137, 2010.
dc.identifier.uri.fl_str_mv https://arca.fiocruz.br/handle/icict/38712
dc.identifier.issn.none.fl_str_mv 1362-4393
dc.identifier.doi.none.fl_str_mv 10.1038/sc.2009.83
dc.identifier.eissn.none.fl_str_mv 1476-5624
identifier_str_mv TAVARES, I. R.; FRANZOI, A. C.; ARAÚJO, A.Q-C. Low-back pain in HTLV-I-associated myelopathy/tropical spastic paraparesis: nociceptive or neuropathic? Spinal Cord, v. 48, p. 134-137, 2010.
1362-4393
10.1038/sc.2009.83
1476-5624
url https://arca.fiocruz.br/handle/icict/38712
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Springer Nature
publisher.none.fl_str_mv Springer Nature
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
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