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Titre : | Prevalence and Impact of Neuropathic and Nonneuropathic Pain in Chronic Spinal Cord Injury (2022) |
Auteurs : | Elizabeth R. Felix ; Diana D. Cardenas ; Thomas N. Bryce ; Susan Charlifue ; Tae Kyong Lee ; Bria MacIntyre ; Sara Mulroy ; Heather Taylor |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 103, n° 4, 2022) |
Article en page(s) : | p. 729-737 |
Note générale : | https://doi.org/10.1016/j.apmr.2021.06.022 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Douleur ; Douleur chronique ; Douleur nociceptive ; Névralgie ; Réadaptation ; Sommeil ; Traumatismes de la moelle épinière |
Résumé : |
Objective
To compare prevalence, intensity ratings, and interference ratings of neuropathic pain (NeuP) and nociceptive pain in people with chronic spinal cord injury (SCI) Design Cross-sectional survey. Setting Six SCI Model System centers in the United States. Participants Convenience sample of 391 individuals (N=391) with traumatic SCI, 18 years or older, 81% male, 57% White. Interventions Not applicable. Main Outcome Measures Survey based on the International Spinal Cord Injury Pain Basic Data Set and the Spinal Cord Injury Pain Instrument, including 0-10 numeric ratings of pain intensity and pain interference with daily activities, mood, and sleep Results A total of 80% of those surveyed reported having at least 1 pain problem; 58% reported 2 or more pain problems; 56% had probable NeuP; and 49% had non-NeuP. When comparing ratings for all pains (n=354 for NeuP, n=290 for non-NeuP) across participants, probable NeuPs were significantly more intense (6.9 vs 5.7) and interfered more with activities (5.2 vs 3.7), mood (4.9 vs 3.2), and sleep (5.4 vs 3.6) than non-NeuPs (all P<.001 however when comparing ratings for probable neups and non-neups within participants the subgroup of with both pain types only sleep interference were found to be significantly different between types. additionally we greater prevalence neup non-neup women compared men those paraplegia tetraplegia.> Conclusions Independent assessment of the pain conditions experienced by an individual with SCI is useful in understanding the differential effect that pain type has on quality of life. This is particularly important regarding sleep interference and should be kept in mind when determining treatment strategies for meeting patient-centered outcome goals. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999321009138#! |