Chronic Pain after Spinal Cord Injury: Results of a Long-Term Study

Modirian, Ehsan; Pirouzi, Pirouz; Soroush, Mohammad Reza; Karbalaei-Esmaeili, Sima; Shojaei, Hadi; Zamani, Hamid

doi:10.1111/j.1526-4637.2010.00865.x

Cited by 52 publications

(48 citation statements)

References 30 publications

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“…4,22,23 In addition, SCI characteristics such as age at SCI, duration after SCI and completeness of injury were not related to pain ratings. 8 It has been shown that incomplete spinal injuries were more likely to result in pain than complete injuries, whereas no significant association between the severity of pain and completeness of injury was found.…”

Section: Discussionmentioning

confidence: 99%

“…3 Although the pain often starts within the initial 6 months of SCI, it frequently persists and sometimes can even become aggravated over time. 4 As pain is known to affect recreational activities and vocational status, 5 quality of sleep 6 and sexuality, 7 it can have a major role in QoL, mood and rehabilitation outcome. For many of them, the pain is severe and accompanied by reduced physical functioning, eventually lowering the QoL.…”

Section: Introductionmentioning

confidence: 99%

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Effects of chronic pain on quality of life and depression in patients with spinal cord injury

Ataoglu¹,

Tiftik²,

Kara³

et al. 2012

Spinal Cord

124

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esign: A cross-sectional study. Objective: To assess the effects of pain on quality of life (QoL), functional independence and depression in patients with spinal cord injury (SCI). Setting: An inpatient rehabilitation center. Methods:A total of 140 patients (104 M, 36 F) with SCI who underwent inpatient rehabilitation treatment were examined. A questionnaire including clinical variables was applied. Motor score of Functional Independence Measure was used to assess dailylife activities, the 36-Item Medical Outcomes Short-Form Health (SF-36) for QoL and Beck Depression Inventory (BDI) for depression. Patients were then divided into those having chronic pain (Group I) and those without any pain (Group II), and groups were compared according to demographic and clinical variables. Results: The most common causes of SCI were falls (35.0%) and motor vehicle accidents (34.2%). Chronic pain was present in 78% of patients. Patients employed before injury and patients who had complete injury had lower Numerical Rating Scale scores (Po0.05). SCI patients with chronic pain had higher depression ratings and their BDI scores were correlated with some of the SF-36 domains (general health, vitality, social functioning and mental health). Only bodily pain and social functioning (Po0.05) scores were found to be lower in Group I (Po0.05) when compared with Group II. Conclusion: As mood and QoL are negatively affected with pain in SCI patients, we suggest that chronic pain should always be treated in a multidisciplinary setting where pharmacological, physical and psychological therapies are combined.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effects of chronic pain on quality of life and depression in patients with spinal cord injury

Ataoglu¹,

Tiftik²,

Kara³

et al. 2012

Spinal Cord

124

View full text Add to dashboard Cite

show abstract

“…1,3,4,12 To improve resource allocation and dedicated research within the field, promoting awareness and improved advocacy of NP after SCI was emphasized by the panel.…”

Section: Limited Connections Across the Care Continuummentioning

confidence: 99%

“…Neuropathic pain (NP) is one of the most common complications after spinal cord injury (SCI) [1][2][3][4] and negatively interferes with rehabilitation, function, mood, and quality of life. 3,[5][6][7] Though NP is a significant issue for those with SCI, successful clinical management resulting in reduced pain intensity and improved function can be difficult to achieve and implement, 5,6,8 and evidence for best practices is limited.…”

Section: Introductionmentioning

confidence: 99%

Advancing research and clinical care in the management of neuropathic pain after spinal cord injury: Key findings from a Canadian summit

Loh

Guy

Craven

et al. 2017

Canadian Journal of Pain

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Background: Optimal management of neuropathic pain (NP) is essential to enhancing healthrelated quality of life for individuals living with spinal cord injury (SCI). A key strategic priority for the Ontario Neurotrauma Foundation (ONF) and Rick Hansen Institute (RHI) is optimizing NP management after SCI. Aims: A National Canadian Summit, sponsored by ONF and RHI, was held to develop a strategic plan to improve NP management after SCI. Methods: In a one-day meeting held in Toronto, Ontario, a multidisciplinary panel of 18 Canadian stakeholders utilized a consensus workshop methodology to (1) describe the current state of the field, (2) create a long-term vision, and (3) identify steps for moving into action. Results: A review of the current state of the field identified strengths including rigourously developed evidence syntheses and practice landscape documentation. Identified gaps included limited evidence on NP hindering recommendation development in evidence syntheses, absence of a national strategy, care silos with limited cross-continuum connections, limited consumer involvement, and limited practice standard implementation. The panel identified key themes for a long-term vision to improve the management of SCI NP in Canada, including establishing an integrated collaborative network; standardized care and outcome evaluation; education; advocacy; and directing resources to innovative solutions. The panel identified the next step as prioritization of areas that will have the greatest impact in a 5-year time frame. Conclusion: A strategic plan outlining a long-term vision to improve management of NP after SCI in Canada was developed and will inform future activities of the sponsors.

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“…[1][2][3][4][5][6][7] Pain negatively interferes with sleep, return to work, health-related quality of life and participation in social activities. 3 In addition, pain is associated with poorer rehabilitation outcomes and directly contributes to disability.…”

Section: Introductionmentioning

confidence: 99%

The CanPain SCI Clinical Practice Guidelines for Rehabilitation Management of Neuropathic Pain after Spinal Cord: introduction, methodology and recommendation overview

et al. 2016

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Chronic Pain after Spinal Cord Injury: Results of a Long-Term Study

Abstract: Spinal cord injury-related pain interferes with daily activities of patients and significantly influences their quality of life.

Cited by 52 publications

References 30 publications

Effects of chronic pain on quality of life and depression in patients with spinal cord injury

Effects of chronic pain on quality of life and depression in patients with spinal cord injury

Advancing research and clinical care in the management of neuropathic pain after spinal cord injury: Key findings from a Canadian summit

The CanPain SCI Clinical Practice Guidelines for Rehabilitation Management of Neuropathic Pain after Spinal Cord: introduction, methodology and recommendation overview

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