Επιλεγμένες Επιστημονικές Δημοσιεύσεις

@article{,

title = {Cross-cultural Adaptation and Psychometric Properties of the Greek Version of the Central Sensitization Inventory},

author = {P Bilika and R Neblett and G Georgoudis and Z Dimitriadis and E Fandridis and N Strimpakos and E Kapreli},

doi = {10.1111/papr.12843},

issn = {1530-7085},

year  = {2020},

date = {2020-01-01},

journal = {Pain Pract},

volume = {20},

number = {2},

pages = {188-196},

abstract = {OBJECTIVES: Recent studies support the opinion that central sensitization (CS) plays an important role in the pathophysiology of many chronic pain conditions. CS refers to hyperexcitability of the central nervous system, which can result in pain hypersensitivity and other somatosensory symptoms. Recognition of CS-related symptomology is crucial in chronic pain evaluation and rehabilitation. The Central Sensitization Inventory (CSI) was created to evaluate symptoms that have been found to be associated with CS. The aim of the current study was the cross-cultural adaptation of the CSI into Greek (CSI-Gr). METHODS: To evaluate discriminate validity, 200 patients with chronic pain and 50 healthy control subjects participated. The sample was divided into 4 diagnostic groups (fibromyalgia, single pain complaints, multiple pain complaints, and a control group) and into 5 CSI severity subgroups, from subclinical to extreme. Convergent validity was determined by evaluation of the relationship between the CSI-Gr and the Pain Catastrophizing Scale (PCS). Additionally, 30 patients completed the CSI a second time for the purpose of a test/retest analysis. RESULTS: The results showed high internal consistency (Cronbach's alpha = 0.994) and test-retest reliability (intraclass correlation coefficient = 0.993). The standard error of measurement was 2.1. The CSI-Gr correlated moderately with the PCS (r = 0.68). Statistically significant differences were found among the 3 comparison groups, with patients who had fibromyalgia reporting the highest CSI severity and healthy control subjects reporting the lowest severity. CONCLUSIONS: As determined in the present study, the CSI-Gr was found to be a reliable and valid tool for recognition of CS-related symptomology.},

note = {1533-2500 

Bilika, Paraskevi 

Neblett, Randy 

Georgoudis, George 

Dimitriadis, Zacharias 

Fandridis, Emmanouil 

Strimpakos, Nikolaos 

Kapreli, Eleni},

keywords = {Central Sensitization Inventory, Chronic pain, cross-cultural adaptation, PHYSIOLAB},

pubstate = {published},

tppubtype = {article}

}

@article{,

title = {The impact of fascia iliaca compartment block on chronic postsurgical pain in patients undergoing hip fracture repair},

author = {M Diakomi and M Papaioannou and G Georgoudis and E Argyra and A Mela and I Siafaka and A Makris},

doi = {10.1016/j.jclinane.2020.109801},

issn = {0952-8180},

year  = {2020},

date = {2020-01-01},

journal = {J Clin Anesth},

volume = {64},

pages = {109801},

abstract = {STUDY OBJECTIVE: Chronic postsurgical pain (CPSP), i.e. pain persisting >3 months, may appear after any type of surgery. There is a paucity of literature addressing CPSP development after hip fracture repair and the impact of any analgesic intervention on the development of CPSP in patients after hip fracture surgery. This study is the first aiming to examine the impact of ultrasound-guided fascia iliaca compartment block (USG FICB) on the development of CPSP after hip fracture repair. DESIGN: Prospective randomized study. SETTING: Operating room. PATIENTS: 182 patients scheduled for hip fracture surgery. INTERVENTIONS: Patients were randomized to receive a USG FICB (FICB group) or a sham saline injection (sham FICB group), twenty minutes before positioning for spinal anesthesia. MEASUREMENTS: The hip - related characteristic pain intensity (CPI) at 3- months post-surgery was the primary outcome measure. Presence and severity of hip-related pain at 3- and 6-months post-surgery, numeric rating pain scale (NRS) scores at 6, 24, 36, 48 postoperative hours, total 24-hour tramadol PCA administration and timing of the first tramadol dose, were documented as well. MAIN RESULTS: FICB group presented with lower CPI scores 3- months postoperatively (p < 0.01), as well as lower percentage of patients with high-grade CPSP, 3 and 6 months postoperatively (p < 0.001). FICB group also showed significantly lower NRS scores in all instances, lower total 24 - hour tramadol consumption and higher mean time to first tramadol dose (p < 0.05). The overall sample of 182 patients reported a considerably high incidence of hip -related CPSP (60% at 3 months, 45% at 6 months). CONCLUSIONS: USG FICB in the perioperative setting may reduce the incidence, intensity and severity of CPSP at 3 and 6 months after hip fracture surgery, providing safe and effective postoperative analgesia.},

note = {1873-4529 

Diakomi, Maria 

Papaioannou, Marianna 

Georgoudis, George 

Argyra, Erifili 

Mela, Argyro 

Siafaka, Ioanna 

Makris, Alexandros 

Journal Article 

United States 

J Clin Anesth. 2020 Apr 22;64:109801. doi: 10.1016/j.jclinane.2020.109801.},

keywords = {Acute pain, Chronic pain, Lower extremity, PHYSIOLAB},

pubstate = {published},

tppubtype = {article}

}

@article{,

title = {Similar 2-point discrimination and stereognosia but better locognosia at long term with an independent home-based sensory reeducation program vs no reeducation after low-median nerve transection and repair},

author = {D K Antonopoulos and A F Mavrogenis and P D Megaloikonomos and E Mitsiokapa and G Georgoudis and C T Vottis and G K Antonopoulos and P J Papagelopoulos and S Pneumatikos and S G Spyridonos},

doi = {10.1016/j.jht.2017.10.008},

issn = {0894-1130},

year  = {2019},

date = {2019-01-01},

journal = {J Hand Ther},

volume = {32},

number = {3},

pages = {305-312},

abstract = {STUDY DESIGN: Prospective controlled study. INTRODUCTION: Previous studies evaluated the effectiveness of sensory reeducation (SR) after peripheral nerve injury and repair. However, evidence for long-term clinical usefulness of SR is inconclusive. PURPOSE OF THE STUDY: The purpose of this study is to compare the sensory results of patients with low-median nerve complete transection and microsurgical repair, with and without SR at long term. METHODS: We prospectively studied 52 consecutive patients (mean age, 36 years; range, 20-47 years) with low-median nerve complete transection and microsurgical repair. When reinnervation was considered complete with perception of vibration with a 256-cycles per second tuning fork (mean, 3.5 months after nerve injury and repair), the patients were sequentially allocated (into 2 groups [group SR, 26 patients, SR; group R, 26 patients, reassured on recovery without SR). SR was conducted in a standardized fashion, in 2 stages, as an independent home-based program: the first stage was initiated when reinnervation was considered complete, and included instruction in home exercises to identify familiar objects and papers of different roughness, and localization of light touch (eyes open and closed); the second stage was initiated when the patients experienced normal static and moving 2-point discrimination (2PD) at the index fingertip of injured hand, and included instruction in home exercises for stereognosia, supplementary exercises for localization of light touch, and identification of small objects (eyes open and closed). Exercises were prescribed for 5-10 minutes, 4 times per day. At 1.5, 3, and 6 years after nerve injury and repair, we evaluated the static and moving 2PD, stereognosia with the Moberg's pick-up test, and locognosia with the modified Marsh test. Comparison between groups and time points was done with the nonparametric analysis of variance (Kruskal-Wallis analysis of variance). RESULTS: Static and moving 2PD and stereognosia were not significantly different between groups at any study period. Locognosia was significantly better at 1.5 and 3 years in group SR; locognosia was excellent in 17 patients of group SR vs 5 patients of group R at 1.5-year follow-up and in 14 patients of group SR vs 5 patients of group R at 3-year follow-up. Locognosia was not different between the study groups at 6-year follow-up. CONCLUSION: A 2-stage home program of SR improved locognosia at 1.5 and 3 years after low-median nerve complete transection and repair without significant differences in other modalities or the 6-year follow-up of a small subsample.},

keywords = {Adult, Female Humans, Locognosia, Male Median Nerve/injuries/*surgery, Median nerve, Median Neuropathy/physiopathology/*rehabilitation, Microsurgery, Microsurgical repair, Middle Aged *Physical Therapy, Modalities, PHYSIOLAB, Prospective Studies, Recovery of Function/physiology, Sensation/*physiology, Sensory reeducation, Stereognosia, Stereognosis, Two-point discrimination, Wrist, Young Adult},

pubstate = {published},

tppubtype = {article}

}