A study of the effect of musculoskeletal pain on patients with idiopathic Parkinson’s disease

Baines, Lucy and Deane, Katherine ORCID: https://orcid.org/0000-0002-0805-2708 (2017) A study of the effect of musculoskeletal pain on patients with idiopathic Parkinson’s disease. UNSPECIFIED. (In Press)

Microsoft Word (PD PAIN ARTICLE FINAL DRAFT SYNAPSE 01-1) - Accepted Version Restricted to Repository staff only until 31 December 2099. Request a copy

Abstract

Introduction  Aims: To explore the ‘lived experience’ of musculoskeletal pain in patients with idiopathic Parkinson’s disease.  Background: Research has shown the prevalence of musculoskeletal pain in idiopathic Parkinson’s disease is high. However, the actual detailed experience of it has not been studied.  Methods  Design: Cross-sectional mixed methodology study of people with idiopathic Parkinson’s disease and musculoskeletal pain. Qualitative semi-structured interviews were used with interpretive phenomenology methodology. Patients also completed questionnaires on pain, Parkinson’s and anxiety & depression.  Setting: Participants were recruited from acute and community NHS Trusts in the East of England. Participants: Purposive sample of 15 people with idiopathic Parkinson’s disease & musculoskeletal pain. Patients with dementia were excluded.  Procedure: Two hour home interview and questionnaire session. The interviews were semi-structured around 8 questions. The researcher used her insider clinical experience to guide the interview and talk through the questionnaires.  Main outcome measures: Thematic analysis was used with the interview data. Pain scores included Visual Analogue Scale. Parkinson’s scores included Parkinson’s Disease Questionnaire-39. Anxiety and depression score was Hospital Anxiety & Depression Score.  Results  Nine themes were developed from the interviews: musculoskeletal pain, other symptoms, activities affected, well-being, sleep, carers, expense, healthcare professionals involved, and management. Discussion  Impact of the two conditions (Parkinson’s and pain) varied from mild to severe. All participants were affected in some way in terms of their ability to do activities. This could challenge their well-being. Conclusions  Patients should be reassured of the benefits and low risk of step 1 analgesics. Pacing, comfort, and sleep hygiene contributed to self-management. Best coping was enabled by both acceptance of their condition and advanced management techniques. Patient’s unique experience of pain and their personal expertise in its management should be respected by professionals.

Item Type:	Other
Uncontrolled Keywords:	pain,parkinson's disease,mixed methods
Faculty \ School:	Faculty of Medicine and Health Sciences > School of Health Sciences
UEA Research Groups:	Faculty of Medicine and Health Sciences > Research Groups > Community and Family Health (former - to 2017) Faculty of Medicine and Health Sciences > Research Groups > Health in Later Life (former - to 2017) Faculty of Medicine and Health Sciences > Research Groups > Dementia & Complexity in Later Life Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health
Related URLs:	http://www.hra.nhs.uk/news/research-summ...
Depositing User:	Pure Connector
Date Deposited:	22 Mar 2016 09:10
Last Modified:	19 Oct 2023 03:40
URI:	https://ueaeprints.uea.ac.uk/id/eprint/57648
DOI:

Actions (login required)

View Item