Poliana Grasser, Frederico Ribeiro Neto, João H C L Veloso, Rodrigo R Gomes Costa, Jefferson Rodrigues Dorneles
{"title":"脊髓损伤者肌肉骨骼疼痛的机械诊断和治疗。","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":"<p><strong>Context/objective: </strong>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.</p><p><strong>Design: </strong>Single-arm trial.</p><p><strong>Setting: </strong>Rehabilitation Hospital.</p><p><strong>Participants: </strong>Twenty-four individuals with SCI who presented MSKP.</p><p><strong>Intervention: </strong>MDT-certified physical therapist conducted assessments and treatments of pain according to the MDT approach.</p><p><strong>Outcomes measures: </strong>Numeric rating scale (NRS) was used to measure pain and Pain Disability Index (PDI) and Patient-Specific Functional Scale (PSFS) to evaluate daily activities.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusion: </strong>MDT can reduce pain and enhance independence in daily activities in individuals with SCI and MSKP.</p>","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":"{\"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\":\"<p><strong>Context/objective: </strong>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.</p><p><strong>Design: </strong>Single-arm trial.</p><p><strong>Setting: </strong>Rehabilitation Hospital.</p><p><strong>Participants: </strong>Twenty-four individuals with SCI who presented MSKP.</p><p><strong>Intervention: </strong>MDT-certified physical therapist conducted assessments and treatments of pain according to the MDT approach.</p><p><strong>Outcomes measures: </strong>Numeric rating scale (NRS) was used to measure pain and Pain Disability Index (PDI) and Patient-Specific Functional Scale (PSFS) to evaluate daily activities.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusion: </strong>MDT can reduce pain and enhance independence in daily activities in individuals with SCI and MSKP.</p>\",\"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}","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}
Mechanical diagnosis and therapy in musculoskeletal pain of individuals with spinal cord injury.
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.
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.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
