Journal of Spinal Cord Medicine最新文献

{"title":"Closing the nature gap: A good IDEA for people with disabilities.","authors":"Carolann Murphy, Florian P Thomas","doi":"10.1080/10790268.2024.2369491","DOIUrl":"10.1080/10790268.2024.2369491","url":null,"abstract":"","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":"47 4","pages":"461-462"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11218568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141477836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Theory- and evidence-based best practices for physical activity counseling for adults with spinal cord injury.","authors":"Femke Hoekstra, Heather L Gainforth, Rogier Broeksteeg, Stephanie Corras, Delaney Collins, Sonja Gaudet, Emily E Giroux, Shannon McCallum, Jasmin K Ma, Diane Rakiecki, Shannon Rockall, Rita van den Berg-Emons, Anniek van Vilsteren, Jereme Wilroy, Kathleen A Martin Ginis","doi":"10.1080/10790268.2023.2169062","DOIUrl":"10.1080/10790268.2023.2169062","url":null,"abstract":"<p><strong>Objectives: </strong>This project used a systematic and integrated knowledge translation (IKT) approach to co-create theory- and evidence-based best practices for physical activity counseling for adults with spinal cord injury (SCI).</p><p><strong>Methods: </strong>Guided by the IKT Guiding Principles, we meaningfully engaged research users throughout this project. A systematic approach was used. An international, multidisciplinary expert panel (<i>n</i> = 15), including SCI researchers, counselors, and people with SCI, was established. Panel members participated in two online meetings to discuss the best practices by drawing upon new knowledge regarding counselor-client interactions, current evidence, and members' own experiences. We used concepts from key literature on SCI-specific physical activity counseling and health behavior change theories. An external group of experts completed an online survey to test the clarity, usability and appropriateness of the best practices.</p><p><strong>Results: </strong>The best practices document includes an introduction, the best practices, things to keep in mind, and a glossary. Best practices focused on how to deliver a conversation and what to discuss during a conversation. Examples include: build rapport, use a client-centred approach following the spirit of motivational interviewing, understand your client's physical activity barriers, and share the SCI physical activity guidelines. External experts (<i>n</i> = 25) rated the best practices on average as clear, useful, and appropriate.</p><p><strong>Conclusion: </strong>We present the first systematically co-developed theory- and evidence-based best practices for SCI physical activity counseling. The implementation of the best practices will be supported by developing training modules. These new best practices can contribute to optimizing SCI physical activity counseling services across settings.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"584-596"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11218585/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9592366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Triangulation of veteran and provider models of preventing community-acquired pressure injuries in spinal cord injury to reveal convergence and divergence of perspectives.","authors":"Lisa Burkhart, Lisa Skemp, Sameer Siddiqui","doi":"10.1080/10790268.2022.2135714","DOIUrl":"10.1080/10790268.2022.2135714","url":null,"abstract":"<p><strong>Context/objective: </strong>Community-acquired pressure injuries (CAPrI) are a common and costly complication of spinal cord injury (SCI). The majority of PrIs occur in the community, but there is little guidance in CAPrI prevention. This study describes how provider and veteran perspectives of CAPrI prevention converge and diverge.</p><p><strong>Design: </strong>The Farmer triangulation method was used to compare two models from previous qualitative research describing provider and veteran perspectives of CAPrI prevention based on the framework of CAPrI risks, resources, and preventive activities. The previous qualitative research revealed the provider model of CAPrI prevention using semi-structured interviews with interprofessional SCI providers at the Veteran Health Administration (VA) (<i>n</i> = 30). A qualitative descriptive design using photovoice (<i>n</i> = 30) with or without guided tours (<i>n</i> = 15) revealed the Veteran model of CAPrI prevention.</p><p><strong>Setting: </strong>The previous qualitative research was conducted at three geographically different VA spinal cord injury/disorder centers in the United States (north, south, west).</p><p><strong>Participants: </strong>30 interprofessional SCI providers; 30 Veterans living with SCI at three VA SCI Centers in the United States.</p><p><strong>Interventions: </strong>n/a.</p><p><strong>Outcome measures: </strong>Provider-Veteran perspectives of CAPrI prevention that demonstrated agreement, partial agreement, divergence, and silence.</p><p><strong>Results: </strong>Providers and veterans agreed on what is basic care, and the importance of family, caregiver and health provider/system supports, but they viewed motivation, veteran role, informal supports, and adequacy of supports differently.</p><p><strong>Conclusion: </strong>Understanding how SCI providers and veterans living with SCI view prevention in the community informs how to promote preventive care in the context of veterans' lives.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"549-558"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11218588/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10670256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sex differences in heart disease prevalence among individuals with spinal cord injury: A population-based study.","authors":"Analisa Jia, Lisa Kuramoto, Freda M Warner, Lisa Liu, Alexandra M Williams, Annalijn Conklin, Christopher R West, Jacquelyn J Cragg","doi":"10.1080/10790268.2022.2147891","DOIUrl":"10.1080/10790268.2022.2147891","url":null,"abstract":"<p><strong>Context/objective: </strong>The risk for cardiovascular disease is amplified following spinal cord injury, but whether risk differs between the sexes remains unknown. Here, we evaluated sex differences in the prevalence of heart disease among individuals with spinal cord injury, and compared sex differences with able-bodied individuals.</p><p><strong>Design: </strong>The design was a cross-sectional study. Multivariable logistic regression analysis was conducted, using inverse probability weighting to account for the sampling method and to adjust for confounders.</p><p><strong>Setting: </strong>Canada.</p><p><strong>Participants: </strong>Individuals who participated in the national Canadian Community Health Survey.</p><p><strong>Interventions: </strong>Not applicable.</p><p><strong>Outcome measures: </strong>Self-reported heart disease.</p><p><strong>Results: </strong>Among 354 individuals with spinal cord injury, the weighted prevalence of self-reported heart disease was 22.9% in males and 8.7% in females, with an inverse-probability weighted odds ratio of 3.44 (95% CI 1.70-6.95) for males versus females. Among 60,605 able-bodied individuals, the prevalence of self-reported heart disease was 5.8% in males and 4.0% in females, with an inverse probability weighted odds ratio of 1.62 (95% CI 1.50-1.75) for males versus females. The effect of male sex on increasing heart disease prevalence was about two times higher among individuals with spinal cord injury than able-bodied individuals (relative difference in inverse probability weighted odds ratios = 2.12, 95% CI 1.08-4.51).</p><p><strong>Conclusion: </strong>Males with spinal cord injury exhibit a significantly higher prevalence of heart disease, compared with females with spinal cord injury. Moreover, relative to able-bodied individuals, spinal cord injury amplifies sex-related differences in heart disease. Overall, this work will inform targeted cardiovascular prevention strategies, and may also inform a better understanding of cardiovascular disease progression in both able-bodied and individuals with spinal cord injury.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"559-565"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11218573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9199394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of one year pressure injury outcomes in hospitalized spinal cord injured veterans with one stage 3 or 4 pressure injury.","authors":"Patricia Tasha Champagne, Yi-Ting Tzen, Jijia Wang, Bridget Bennett, Dominique Van Beest, Wei-Han Tan","doi":"10.1080/10790268.2022.2158290","DOIUrl":"10.1080/10790268.2022.2158290","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study is to investigate predictors of pressure injury (PrI) outcomes at one year after discharge for Veterans with spinal cord injury (SCI) hospitalized with a Stage 3 or 4 PrI.</p><p><strong>Design/setting/participants: </strong>This is a retrospective medical record review from one VA Health Care System SCI unit. Participants were Veterans with traumatic or non-traumatic SCI admitted with one Stage 3 or 4 pelvic PrI treated medically (e.g. without flap surgery). Logistic models were used to select the significant predictors of PrI healing outcomes.</p><p><strong>Outcome measure: </strong>One year after discharge wound outcomes (healed vs non-healed) for Veterans with SCI hospitalized with a Stage 3 or 4 PrI.</p><p><strong>Results: </strong>A total of 62 hospitalizations were included for analyses resulting in 33 healed and 29 non-healed PrIs. Three significant predictors of non-healed PrI outcomes included use of pressure mapping during hospitalization, greater PrI depth, and usage of alginate dressings. Two significant predictors of healed PrI outcomes included the use of animal-based tissue and hydrocolloid dressings. Area under curve of this logistic regression model was 79.98%.</p><p><strong>Conclusion: </strong>The clinical decision of having a patient pressure mapped predicts that the PrI may not heal at one year of discharge. Pressure mapping protocol correlated with another variable that could not serve as a predictor by itself, including using powered pressure relief techniques. The three PrI treatment predictors may represent characteristics of the PrI itself, rather than the efficacy of the product. Further investigation on these clinical decision-making factors is warranted to ensure efficient and cost-effective treatment strategies for individuals with SCI hospitalized with PrIs.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"605-611"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11218571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10644549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 vaccination status in people with spinal cord injury: Results from a cross-sectional study in Thailand.","authors":"Chayaporn Chotiyarnwong, Sintip Pattanakuhar, Donruedee Srisuppaphon, Napasakorn Komaratat, Surangkhana Insook, Punjama Tunwattanapong, Pratchayapon Kammuang-Lue, Phairin Laohasinnarong, Titiya Potiart, Atcharee Kaewma, Thiti Thoowadaratrakool, Paphawadee Potiruk, Thapanan Mahisanan, Atchara Wangchumthong, Atcharee Kaewtong, Jaruwan Kittiwarawut, Tulaya Dissaneewate, Apichana Kovindha","doi":"10.1080/10790268.2022.2154733","DOIUrl":"10.1080/10790268.2022.2154733","url":null,"abstract":"<p><strong>Objective: </strong>To assess COVID-19 vaccination status among individuals with spinal cord injury (SCI).</p><p><strong>Design: </strong>A cross-sectional study.</p><p><strong>Setting: </strong>Twelve hospitals from all regions of Thailand.</p><p><strong>Participants: </strong>One hundred and eighty people with SCI were randomly selected from the Thai SCI registry database.</p><p><strong>Intervention: </strong>Not applicable.</p><p><strong>Outcome measures: </strong>The primary outcome, which was the COVID-19 vaccination status, and the secondary outcomes, which were the number of vaccination doses, satisfaction and dissatisfaction aspects, and barriers to vaccination, were recorded using a specifically developed questionnaire over the telephone during February to March 2022. Data were analyzed using descriptive analyses, bivariate, and multivariable analyses.</p><p><strong>Results: </strong>Of the 96 people with SCI who were able to respond, the prevalence of receiving at least one dose was 77% but the prevalence of receiving a booster dose was 20%. Being non-traumatic SCI correlated negatively with having received any vaccination doses when compared to traumatic SCI. Most of the participants were satisfied with the government provision of COVID-19 vaccines. The major barriers to vaccination were problems related to a negative attitude toward the vaccination, followed by transportation difficulties and wheelchair-inaccessible vaccination sites.</p><p><strong>Conclusions: </strong>Seventy-seven percent of people with SCI participating in this study received at least one dose of the COVID-19 vaccine, whereas only 20% of them received a booster dose of the COVID-19 vaccination. To increase the prevalence of vaccination, healthcare providers should deliver the fact regarding COVID-19 vaccination to reduce negative attitudes, as well as remove physical barriers to vaccination places for people with SCI.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"573-583"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11218574/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9205123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of neuropathic pain treatments on pain interference following spinal cord injury: A systematic review.","authors":"David J Allison, Jessica Ahrens, Magdalena Mirkowski, Swati Mehta, Eldon Loh","doi":"10.1080/10790268.2023.2218186","DOIUrl":"10.1080/10790268.2023.2218186","url":null,"abstract":"<p><strong>Context: </strong>Neuropathic pain is a common and debilitating condition following SCI. While treatments for neuropathic pain intensity have been reviewed, the impact on pain interference has not been summarized.</p><p><strong>Objective: </strong>To systematically review the effect of neuropathic pain interventions on pain interference in individuals with spinal cord injury.</p><p><strong>Methods: </strong>This systematic review included randomized controlled trials and quasi-experimental (non-randomized) studies which assessed the impact of an intervention on pain interference in individuals with spinal cord injury and neuropathic pain. Articles were identified by searching MEDLINE (1996 to April 11, 2022), EMBASE (1996 to April 11, 2022), PsycInfo (1987 to April, week 2, 2022). Studies were assessed for methodologic quality using a modified GRADE approach and were given quality of evidence (QOE) scores on a 4-point scale ranging from very low to high.</p><p><strong>Results: </strong>Twenty studies met the inclusion criteria. These studies fell into the following categories: anticonvulsants (<i>n</i> = 2), antidepressants (<i>n</i> = 1), analgesics (<i>n</i> = 1), antispasmodics (<i>n</i> = 1), acupuncture (<i>n</i> = 2), transcranial direct current stimulation (<i>n</i> = 1), active cranial electrotherapy stimulation (<i>n</i> = 2), transcutaneous electrical nerve stimulation (<i>n</i> = 2), repetitive transcranial magnetic stimulation (<i>n</i> = 1), functional electrical stimulation (<i>n</i> = 1), meditation and imagery (<i>n</i> = 1), self-hypnosis and biofeedback (<i>n</i> = 1), and interdisciplinary pain programs (<i>n</i> = 4).</p><p><strong>Conclusion: </strong>When considering studies of moderate to high quality, pregabalin, gabapentin, intrathecal baclofen, transcranial direct current stimulation, and transcutaneous electrical nerve stimulation (in 1 of 2 studies) were shown to have beneficial effects on pain interference. However, due to the low number of high-quality studies further research is required to confirm the efficacy of these interventions prior to recommending their use to reduce pain interference.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"465-476"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11218591/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9754683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Are early-onset spasms predictive of poor neurological recovery after traumatic spinal cord injury?","authors":"Antoine Dionne, Jean-Marc Mac-Thiong, Mohammad A Alsofyani, Andréane Richard-Denis","doi":"10.1080/10790268.2022.2150068","DOIUrl":"10.1080/10790268.2022.2150068","url":null,"abstract":"<p><strong>Context: </strong>Following spinal cord injury (SCI), early spasms are associated with decreased functional recovery. It has also been hypothesized that early spasticity might sign underlying maladaptive neuroplasticity, which could translate in worse neurological outcomes.</p><p><strong>Objective: </strong>In this context, this paper aims to evaluate if early-onset spasms are also associated with neurological outcomes after SCI.</p><p><strong>Methods: </strong>A retrospective review of 196 cases from a prospective SCI database was conducted. The presence of early spasms during the acute hospitalization was assessed by a single physiatrist. The characteristics and long-term neurological outcomes of individuals with and without early spasms were first compared. Multivariate regression analyses were then performed to determine the relationship between early spasms and neurological outcomes.</p><p><strong>Results: </strong>30.1% (<i>N</i> = 59) of patients presented early spasms. These patients had several distinguishing characteristics including higher odds of tetraplegia (vs. paraplegia) and more severe injuries. At the bivariate level, patients with early spasms had higher odds of improving at least 1 AIS grade between baseline and follow-up. However, this was not significant at the multivariate level.</p><p><strong>Conclusions: </strong>Early spasms are not significantly associated with poorer neurological outcomes, contrasting with the unwritten consensus that early spasticity translates maladaptive neuroplasticity.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"566-572"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11218569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10863962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preliminary observations on the administration of a glucagon-like peptide-1 receptor agonist on body weight and select carbohydrate endpoints in persons with spinal cord injury: A controlled case series.","authors":"Christopher M Cirnigliaro, Michael F La Fountaine, Susan J Sauer, Gregory T Cross, Steven C Kirshblum, William A Bauman","doi":"10.1080/10790268.2023.2207064","DOIUrl":"10.1080/10790268.2023.2207064","url":null,"abstract":"<p><strong>Context/objective: </strong>To describe the effect of semaglutide, a glucagon-like peptide-1 (GLP-1) agonist, to reduce body weight and improve glycemic control in overweight or obese individuals with spinal cord injury (SCI).</p><p><strong>Design: </strong>Open-label, randomized drug intervention case series.</p><p><strong>Setting: </strong>This study was performed at James J. Peters VA Medical Center (JJP VAMC) and Kessler Institute for Rehabilitation (KIR).</p><p><strong>Participants: </strong>Five individuals with chronic SCI meeting criteria for obesity and abnormal carbohydrate metabolism.</p><p><strong>Intervention: </strong>Administration of semaglutide (subcutaneously once per week) versus no treatment (control) for 26 weeks.</p><p><strong>Outcome measures: </strong>Change in total body weight (TBW), fat tissue mass (FTM), total body fat percent (TBF%), and visceral adipose tissue volume (VAT_vol) was determined at baseline and after 26 weeks using Dual energy X-ray absorptiometry; fasting plasma glucose (FPG) concentration and serum glycated hemoglobin (HbA1C) values were obtained at the same two time points.</p><p><strong>Results: </strong>In 3 participants, after 26 weeks of semaglutide administration, TBW, FTM, TBF%, and VAT_vol decreased, on average, by 6, 4.4 kg, 1.7%, and 674 cm³, respectively. In addition, values for FPG and HbA1c decreased by 17 mg/dl and 0.2%, respectively. After 26 weeks of observation in the 2 control participants, TBW, FTM, TBF% and VAT_vol increased on average by 3.3 , 4.5 kg, 2.5%, and 991 cm³, respectively. The average values for FPG and HbA1c also increased by 11 mg/dl and 0.3%, respectively.</p><p><strong>Conclusions: </strong>Administration of semaglutide for 26 weeks resulted in favorable changes in body composition and glycemic control, suggesting a reduced risk for the development of cardiometabolic disease in obese individuals with SCI.<b>Trial registration:</b> ClinicalTrials.gov identifier: NCT03292315.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"597-604"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11218576/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9425649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predicting chronic pain two years following a spinal cord injury: Longitudinal study on the reciprocal role of acute pain and PTSD symptoms.","authors":"Karni Ginzburg, Hila Greener, Moshe Bondi, Gabi Zeilig, Ruth Defrin","doi":"10.1080/10790268.2024.2361552","DOIUrl":"https://doi.org/10.1080/10790268.2024.2361552","url":null,"abstract":"<p><strong>Objectives: </strong>To examine a) the development of PTSD symptoms and pain over five months post-spinal cord injury (SCI); b) the directional effects of PTSD symptoms and pain across five months post-SCI; and c) the prediction of chronic pain two-years post-SCI by PTSD symptoms and pain severity in the first five months post-SCI.</p><p><strong>Study design: </strong>Two-year longitudinal study.</p><p><strong>Setting: </strong>: Individuals with an SCI admitted to the Department of Neurological Rehabilitation (N = 65).</p><p><strong>Outcome measures: </strong>: PTSD symptoms and pain were evaluated at 1.5 months (T1), three months (T2), and five months (T3) post-SCI. Chronic pain was evaluated at 24 months post-SCI (follow-up).</p><p><strong>Results: </strong>Seventy-five percent of participants reported chronic pain at follow-up. Pain severity at T1 and T2 predicted PTSD symptoms at T2 and T3, respectively. PTSD symptoms at T2 predicted pain severity at T3. Individuals with chronic pain at follow-up had reported more PTSD symptoms at T1, T2, and T3 than those without pain. A multivariate model yielded two significant indirect paths: a) PTSD symptoms at T1 predicted chronic pain severity at follow-up through PTSD symptoms at T2 and T3, and b) pain severity at T1 predicted chronic pain severity at follow-up through pain severity at T2 and T3.</p><p><strong>Conclusions: </strong>Both pain and PTSD in the acute post-SCI phase are markers for chronic pain two years later. PTSD and chronic pain exhibit a complex, reciprocal relationship across time that contributes to pain chronicity. Identifying individuals at risk and implementing interventions targeting both pain and PTSD symptoms during the acute phase may prevent their chronification.</p>","PeriodicalId":50044,"journal":{"name":"Journal of Spinal Cord Medicine","volume":" ","pages":"1-10"},"PeriodicalIF":1.8,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}