Mechanical diagnosis and therapy in musculoskeletal pain of individuals with spinal cord injury.

IF 1.8 4区医学 Q3 CLINICAL NEUROLOGY

Journal of Spinal Cord Medicine Pub Date : 2024-09-01 Epub Date: 2023-04-28 DOI:10.1080/10790268.2023.2197818

Poliana Grasser, Frederico Ribeiro Neto, João H C L Veloso, Rodrigo R Gomes Costa, Jefferson Rodrigues Dorneles

{"title":"Mechanical diagnosis and therapy in musculoskeletal pain of individuals with spinal cord injury.","authors":"Poliana Grasser, Frederico Ribeiro Neto, João H C L Veloso, Rodrigo R Gomes Costa, Jefferson Rodrigues Dorneles","doi":"10.1080/10790268.2023.2197818","DOIUrl":null,"url":null,"abstract":"Context/objective: Musculoskeletal pain (MSKP) has high prevalence in individuals with spinal cord injury (SCI). Mechanical Diagnosis and Therapy (MDT) is a method focused on identifying the pain source in the musculoskeletal system and presents good results in pain relief in people without neurological impairment. However, no studies have investigated the use of MDT in SCI population. The objective was to evaluate the applicability and outcomes of MDT treatment in pain relief and independence improvement in daily activities of individuals with SCI presenting MSKP.Design: Single-arm trial.Setting: Rehabilitation Hospital.Participants: Twenty-four individuals with SCI who presented MSKP.Intervention: MDT-certified physical therapist conducted assessments and treatments of pain according to the MDT approach.Outcomes measures: Numeric rating scale (NRS) was used to measure pain and Pain Disability Index (PDI) and Patient-Specific Functional Scale (PSFS) to evaluate daily activities.Results: Significant median decreases were found for NRS (from 7 to 2) and PDI (from 27 to 8) after MDT, whereas PSFS score presented a significant mean increase (from 3.2-7.7). The average decrease in pain after MDT treatment was 70.9% (5.36 on the NRS).Conclusion: MDT can reduce pain and enhance independence in daily activities in individuals with SCI and MSKP.","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"744-752"},"PeriodicalIF":1.8000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11378664/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Spinal Cord Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/10790268.2023.2197818","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/4/28 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Context/objective: Musculoskeletal pain (MSKP) has high prevalence in individuals with spinal cord injury (SCI). Mechanical Diagnosis and Therapy (MDT) is a method focused on identifying the pain source in the musculoskeletal system and presents good results in pain relief in people without neurological impairment. However, no studies have investigated the use of MDT in SCI population. The objective was to evaluate the applicability and outcomes of MDT treatment in pain relief and independence improvement in daily activities of individuals with SCI presenting MSKP.

Design: Single-arm trial.

Setting: Rehabilitation Hospital.

Participants: Twenty-four individuals with SCI who presented MSKP.

Intervention: MDT-certified physical therapist conducted assessments and treatments of pain according to the MDT approach.

Outcomes measures: Numeric rating scale (NRS) was used to measure pain and Pain Disability Index (PDI) and Patient-Specific Functional Scale (PSFS) to evaluate daily activities.

Results: Significant median decreases were found for NRS (from 7 to 2) and PDI (from 27 to 8) after MDT, whereas PSFS score presented a significant mean increase (from 3.2-7.7). The average decrease in pain after MDT treatment was 70.9% (5.36 on the NRS).

Conclusion: MDT can reduce pain and enhance independence in daily activities in individuals with SCI and MSKP.

查看原文本刊更多论文

脊髓损伤者肌肉骨骼疼痛的机械诊断和治疗。

背景/目的：肌肉骨骼疼痛（MSKP）在脊髓损伤（SCI）患者中发病率很高。机械诊断和治疗（MDT）是一种专注于识别肌肉骨骼系统疼痛源的方法，在无神经损伤的人群中具有良好的止痛效果。然而，目前还没有研究对 SCI 患者使用 MDT 进行调查。本研究旨在评估MDT疗法在缓解SCI患者疼痛和改善其MSKP日常活动独立性方面的适用性和效果：设计：单臂试验：地点：康复医院：24名出现MSKP的SCI患者：MDT认证理疗师根据MDT方法对疼痛进行评估和治疗：结果：数字评分量表（NRS）用于测量疼痛，疼痛残疾指数（PDI）和患者特定功能量表（PSFS）用于评估日常活动：结果：MDT 治疗后，NRS（从 7 分到 2 分）和 PDI（从 27 分到 8 分）的中位数显著下降，而 PSFS 评分的平均值显著上升（从 3.2 分到 7.7 分）。MDT 治疗后疼痛平均减轻了 70.9%（NRS 为 5.36）：结论：MDT 可以减轻 SCI 和 MSKP 患者的疼痛，提高其日常活动的独立性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Spinal Cord Medicine 医学-临床神经学

CiteScore

4.20

自引率

5.90%

发文量

101

审稿时长

6-12 weeks

期刊介绍： For more than three decades, The Journal of Spinal Cord Medicine has reflected the evolution of the field of spinal cord medicine. From its inception as a newsletter for physicians striving to provide the best of care, JSCM has matured into an international journal that serves professionals from all disciplines—medicine, nursing, therapy, engineering, psychology and social work.