The influence of pain on community reintegration after spinal cord injury.

IF 2.5 3区医学 Q2 ANESTHESIOLOGY

Pain Practice Pub Date : 2024-11-19 DOI:10.1111/papr.13439

Valerie Henderson, Mokgadi Kholofelo Mashola

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引用次数: 0

Abstract

Background: Community reintegration is an important goal for people living with a spinal cord injury (SCI), and pain is suspected to limit reintegration due to its limitations in daily functioning, mood, and sleep.

Objectives: To determine the influence of pain on community reintegration in manual wheelchair users with SCI.

Methods: The Reintegration to Normal Living Index was used to determine community reintegration, while the DN4 and the Wheelchair User's Shoulder Pain Index were used to determine the presence of neuropathic and shoulder pain respectively. Associations and differences between the pain variables and participants with and without pain were analyzed with Spearman correlations and Mann-Whitney U-tests using SPSS v27 at 0.05 significance level and 95% confidence interval.

Results: Of the 122 participants, 85.2% reported current pain, with a 77.7% median for community reintegration. Neuropathic pain (53.3%) was more common and severe than nociceptive shoulder pain (14.8%). There was no significant difference in community reintegration between participants with and without pain, nor any correlation between the overall presence of pain and community reintegration. The severity of pain, particularly shoulder pain, was negatively associated with taking trips out of town (p < 0.01), and overall community reintegration (p < 0.05).

Conclusion: It is not the mere presence of pain that influences community reintegration, but rather the severity and the location of pain. Shoulder care and pain management need to be included in the rehabilitation program, as these are important considerations when rehabilitating people with SCI back into their communities.

查看原文本刊更多论文

脊髓损伤后疼痛对重新融入社区的影响。

背景：重返社区是脊髓损伤（SCI）患者的重要目标：重新融入社区是脊髓损伤（SCI）患者的一个重要目标，而疼痛因其对日常功能、情绪和睡眠的限制而被怀疑会限制患者重新融入社区：确定疼痛对脊髓损伤手动轮椅使用者重新融入社区的影响：方法：使用 "重新融入正常生活指数"（Reintegration to Normal Living Index）来确定重新融入社区的情况，而 "DN4 "和 "轮椅使用者肩部疼痛指数"（Wheelchair User's Shoulder Pain Index）则分别用于确定是否存在神经病理性疼痛和肩部疼痛。在 0.05 的显著性水平和 95% 的置信区间下，使用 SPSS v27 进行斯皮尔曼相关性检验和曼-惠特尼 U 检验，分析了疼痛变量与有疼痛和无疼痛参与者之间的关联和差异：在122名参与者中，85.2%的人报告目前存在疼痛，重返社区的中位数为77.7%。神经性疼痛（53.3%）比肩痛性疼痛（14.8%）更为常见和严重。有疼痛和无疼痛的参与者在重新融入社区方面没有明显差异，总体疼痛程度与重新融入社区之间也没有任何相关性。疼痛的严重程度，尤其是肩部疼痛，与出城旅行呈负相关（p 结论：疼痛的严重程度与出城旅行呈负相关：影响重返社区的因素并不仅仅是疼痛的存在，而是疼痛的严重程度和部位。肩部护理和疼痛管理需要纳入康复计划，因为这是让 SCI 患者重返社区的重要考虑因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pain Practice ANESTHESIOLOGY-CLINICAL NEUROLOGY

CiteScore

5.60

自引率

3.80%

发文量

审稿时长

6-12 weeks

期刊介绍： Pain Practice, the official journal of the World Institute of Pain, publishes international multidisciplinary articles on pain and analgesia that provide its readership with up-to-date research, evaluation methods, and techniques for pain management. Special sections including the Consultant’s Corner, Images in Pain Practice, Case Studies from Mayo, Tutorials, and the Evidence-Based Medicine combine to give pain researchers, pain clinicians and pain fellows in training a systematic approach to continuing education in pain medicine. Prior to publication, all articles and reviews undergo peer review by at least two experts in the field.