Pain profiles in a community dwelling population following spinal cord injury: a national survey
|Title:||Pain profiles in a community dwelling population following spinal cord injury: a national survey||Authors:||Burke, Dearbhla; Fullen, Brona M.; Lennon, Olive||Permanent link:||http://hdl.handle.net/10197/11400||Date:||4-Mar-2019||Online since:||2020-06-30T14:45:51Z||Abstract:||Context: While as many as 60% of patients with spinal cord injury (SCI) develop chronic pain, limited data currently exists on the prevalence and profile of pain post-SCI in community dwelling populations. Study Design: A cross-sectional population survey. Setting: Primary care. Participants: Community dwelling adults with SCI. Methods: Following ethical approval members registered to a national SCI database (n=1,574) were surveyed. The survey included demographic and SCI characteristics items, the International Spinal Cord Injury Pain Basic Data Set (version 1) the Douleur Neuropathique 4 questionnaire (interview) and questions relating to health care utilisation. Data were entered into the Statistical Package for the Social Sciences (version 20) Significance was set P < 0.05 for between group comparisons. Results: In total 643 (41%) surveys were returned with 458 (71%) respondents experiencing pain in the previous week. Neuropathic pain (NP) was indicated in 236 (37%) of responses and nociceptive pain in 206 (32%) Common treatments for pain included medications n=347 (76%) massage n=133 (29%) and heat n=115 (25%). Respondents with NP reported higher pain intensities and increased healthcare service utilisation (P= < 0.001) when compared to those with nociceptive pain presentations. A higher proportion of females than males reported pain (P = 0.003) and NP (P = 0.001) and those unemployed presented with greater NP profiles compared with those in education or employment (P = 0.006). Conclusion: Pain, in particular NP post SCI interferes with daily life, increases health service utilisation and remains refractory to current management strategies. Increased availability of multi-disciplinary pain management and further research into management strategies is warranted.||metadata.dc.description.othersponsorship:||Pfizer Healthcare Ireland||Type of material:||Journal Article||Publisher:||Taylor & Francis||Journal:||Journal of Spinal Cord Medicine||Volume:||42||Issue:||2||Start page:||201||End page:||211||Copyright (published version):||2017 The Academy of Spinal Cord Injury Professionals||Keywords:||Spinal Cord Injuries; Chronic pain; Neuropathic pain; Nociceptive pain; Postal survey; Prevalence||DOI:||10.1080/10790268.2017.1351051||Language:||en||Status of Item:||Peer reviewed|
|Appears in Collections:||Public Health, Physiotherapy and Sports Science Research Collection|
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