Pain and Rehabilitation in Patients with Spinal Cord Injury.

Abstract

Abstract. When patients with chronic spinal cord injuries have pain as an accessory symptom, ADL training is delayed, and it is often difficult to take measures to cope with this situation. There have been very few reports on pain experienced by patients with spinal cord injuries in the world literature to date, and medical science today still does not know how to treat patients with spinal cord injuries accompanied by pain systematically. Against this background, to clarify the actual state of pain in chronic spinal cord injury patients, we investigated the severity of impairment due to the pain and patients' independence when they underwent rehabilitation training. 1) Out of patients with chronic spinal cord injuries, 43 that had pain (incidence, 51.2%) were enrolled in this study. 2) Many patients in the vertebral fused group had pain in the back, and the pain was likely to disappear following removal of internal fixation. 3) Pain in the nonsurgery group frequently occurred in a sensory extinction area and was intractable. 4) The period until independence in ADL was achieved was 5.6 ± 1.71 months for the complete paraplegia group with no pain, 7.5 ± 3.34 months for the group with disappearance of previous tentative pain, and 11.6 ± 4.89 months for the group with remaining pain. These findings indicate that pain associated with spinal cord injury is a factor that interferes with rehabilitation.

A systematic review of the prevalence of musculoskeletal pain, back and low back pain in people with spinal cord injury

“…The first difference between the studies was the definition of chronic pain, which varied from !3 to !6 months [3,4,47] to not being reported at all, and there was a need to seek clarification from the authors [4] or to assume that pain was chronic because of the use of the Chronic Pain Grade Questionnaire [5,37,45,46]. Lack of definition of pain chronicity resulted in the exclusion of six studies [7,11,[52][53][54] originally identified. Had definitions been clear, we may have identified additional information for the research questions.…”

The effect of low-intensity laser therapy (LILT) on cutaneous wound healing and pain relief in rats

“…Pain control is an important parameter in wound healing because it influences the application of treatment. The positive results observed with pain control may also contribute to its clinical application in therapy 22 ) . Many studies have focused on the effects of low-intensity laser therapy on the mechanisms of wound healing or the mechanical laser therapy approach, but few studies have shown a correlation with pain relief 9 , 20 , 23 , 24 , 25 ) .…”

Prevalência de alterações posturais em praticantes de musculação

“…Dickson (24) afirma que geralmente considera-se a postura anormal como o fator etiológico principal de condições dolorosas e incapacitantes. As dores que acometem a musculatura da coluna vertebral são, em 90% dos casos, ocasionadas por vícios de postura, estresse postural, contraturas musculares sustentadas e vida sedentária; (25,27). Assim, serão abordados na sequência, alguns aspectos relevantes observados e que podem influenciar na realização dos exercícios de musculação, bem como causar implicações na qualidade de vida dos indivíduos.…”