Characterizing Parkinson’s Disease-Associated Pain in Native Patients with Malayalam Version of the King’s Parkinson’s Disease Pain Scale

Background and Objectives: Pain is an important non-motor symptom in Parkinson’s disease (PD) and is often under-recognized. Pain is also a symptom frequently reported by non-PD elderly subjects. The King’s Parkinson’s Disease Pain Scale (KPPS) is a valid tool to characterize and quantify pain in PD...

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Main Authors: Prabhu Attur Selvaraj, Asish Vijayaraghavan, Vineeth Radhakrishnan, Divya Kalikavil Puthenveedu, Gangadhara Sarma, Sankara P Sarma, Syam Krishnan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-03-01
Series:Annals of Indian Academy of Neurology
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Online Access:https://journals.lww.com/10.4103/aian.aian_701_24
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author Prabhu Attur Selvaraj
Asish Vijayaraghavan
Vineeth Radhakrishnan
Divya Kalikavil Puthenveedu
Gangadhara Sarma
Sankara P Sarma
Syam Krishnan
author_facet Prabhu Attur Selvaraj
Asish Vijayaraghavan
Vineeth Radhakrishnan
Divya Kalikavil Puthenveedu
Gangadhara Sarma
Sankara P Sarma
Syam Krishnan
author_sort Prabhu Attur Selvaraj
collection DOAJ
description Background and Objectives: Pain is an important non-motor symptom in Parkinson’s disease (PD) and is often under-recognized. Pain is also a symptom frequently reported by non-PD elderly subjects. The King’s Parkinson’s Disease Pain Scale (KPPS) is a valid tool to characterize and quantify pain in PD and has been translated into several languages. Methods: We translated KPPS to Malayalam for native patients with PD and examined the pain characteristics in consecutive patients. Correlations with comprehensive disease-specific rating scales, including the Movement Disorder Society-Sponsored Unified Parkinson’s Disease Rating Scale (MDS-UPDRS) and the Non-Motor Symptoms Scale (NMSS), were explored. A group of age- and gender-matched subjects without PD were interviewed using KPPS to examine how the pain reported by the non-PD aging population is different from that in PD. Results: In this study, 82% of patients with PD reported at least one type of pain, compared to 31.3% of age- and gender-matched control subjects (P < 0.001). KPPS total scores (18.2 ± 14.0 vs. 1.8 ± 3.2; P < 0.001) and all the individual domain scores were significantly higher in patients. Pain scores correlated with age in control subjects (R = 0.46, P < 0.001), but not in patients; females reported more pain in both groups. Patients’ pain scores were higher in the postural instability and gait difficulty subtype and showed significant correlations with MDS-UPDRS and NMSS scores. Conclusions: Pain is a prevalent symptom in PD and differs from the pain reported by a non-PD aging population. The Malayalam version of KPPS is a valid tool to characterize pain in native, Malayalam-speaking patients.
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1998-3549
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spelling doaj-art-1d96d288057f44ffa572faef7f61e2f72025-08-20T02:11:01ZengWolters Kluwer Medknow PublicationsAnnals of Indian Academy of Neurology0972-23271998-35492025-03-0128222723310.4103/aian.aian_701_24Characterizing Parkinson’s Disease-Associated Pain in Native Patients with Malayalam Version of the King’s Parkinson’s Disease Pain ScalePrabhu Attur SelvarajAsish VijayaraghavanVineeth RadhakrishnanDivya Kalikavil PuthenveeduGangadhara SarmaSankara P SarmaSyam KrishnanBackground and Objectives: Pain is an important non-motor symptom in Parkinson’s disease (PD) and is often under-recognized. Pain is also a symptom frequently reported by non-PD elderly subjects. The King’s Parkinson’s Disease Pain Scale (KPPS) is a valid tool to characterize and quantify pain in PD and has been translated into several languages. Methods: We translated KPPS to Malayalam for native patients with PD and examined the pain characteristics in consecutive patients. Correlations with comprehensive disease-specific rating scales, including the Movement Disorder Society-Sponsored Unified Parkinson’s Disease Rating Scale (MDS-UPDRS) and the Non-Motor Symptoms Scale (NMSS), were explored. A group of age- and gender-matched subjects without PD were interviewed using KPPS to examine how the pain reported by the non-PD aging population is different from that in PD. Results: In this study, 82% of patients with PD reported at least one type of pain, compared to 31.3% of age- and gender-matched control subjects (P < 0.001). KPPS total scores (18.2 ± 14.0 vs. 1.8 ± 3.2; P < 0.001) and all the individual domain scores were significantly higher in patients. Pain scores correlated with age in control subjects (R = 0.46, P < 0.001), but not in patients; females reported more pain in both groups. Patients’ pain scores were higher in the postural instability and gait difficulty subtype and showed significant correlations with MDS-UPDRS and NMSS scores. Conclusions: Pain is a prevalent symptom in PD and differs from the pain reported by a non-PD aging population. The Malayalam version of KPPS is a valid tool to characterize pain in native, Malayalam-speaking patients.https://journals.lww.com/10.4103/aian.aian_701_24parkinson’s diseasepainking’s parkinson’s disease pain scalenon-motor symptoms
spellingShingle Prabhu Attur Selvaraj
Asish Vijayaraghavan
Vineeth Radhakrishnan
Divya Kalikavil Puthenveedu
Gangadhara Sarma
Sankara P Sarma
Syam Krishnan
Characterizing Parkinson’s Disease-Associated Pain in Native Patients with Malayalam Version of the King’s Parkinson’s Disease Pain Scale
Annals of Indian Academy of Neurology
parkinson’s disease
pain
king’s parkinson’s disease pain scale
non-motor symptoms
title Characterizing Parkinson’s Disease-Associated Pain in Native Patients with Malayalam Version of the King’s Parkinson’s Disease Pain Scale
title_full Characterizing Parkinson’s Disease-Associated Pain in Native Patients with Malayalam Version of the King’s Parkinson’s Disease Pain Scale
title_fullStr Characterizing Parkinson’s Disease-Associated Pain in Native Patients with Malayalam Version of the King’s Parkinson’s Disease Pain Scale
title_full_unstemmed Characterizing Parkinson’s Disease-Associated Pain in Native Patients with Malayalam Version of the King’s Parkinson’s Disease Pain Scale
title_short Characterizing Parkinson’s Disease-Associated Pain in Native Patients with Malayalam Version of the King’s Parkinson’s Disease Pain Scale
title_sort characterizing parkinson s disease associated pain in native patients with malayalam version of the king s parkinson s disease pain scale
topic parkinson’s disease
pain
king’s parkinson’s disease pain scale
non-motor symptoms
url https://journals.lww.com/10.4103/aian.aian_701_24
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