Evaluation of Pain and Its Effect on Quality of Life and Functioning in Men with Spinal Cord Injury
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Background: Pain is one of the most important consequences of spinal cord injury (SCI). It may affect several aspects of life, especially the quality of life (QoL). Hence, this study was conducted to establish an understanding of pain and its correlates and effects on patients with SCI in our community.Methods: In a cross-sectional study, 58 male veterans suffering from SCI were admitted to our center for a regular follow-up. Demographic and SCI-related descriptive information were gathered using a self-reported questionnaire. To evaluate the patients’ pain quality and the effect of pain on daily life, a questionnaire in 3 parts of lumbar, cervical and shoulder pain was administered. EuroQoL questionnaire and General Health Questionnaire (GHQ) 12 were also used to assess the patients’ QoL.Results: The mean age of the participants was 45.91 ± 6.69 with mean injury time of 25.54 ± 5.91. forty-four patients (75.9%) reported pain, including lumbar pain (63%), cervical pain (39%) and shoulder pain (51%). The presence of pain was associated with lower QoL. Patients with lumbar pain reported a significant amount of pain affecting their daily life and this effect was higher in patients with lower GHQ score or anxiety/depressive disorder.Conclusions: Musculoskeletal pain, is a common complaint in veterans with SCI and is inversely associated with functioning and general health status. Lumbar and shoulder pain affects patient’s daily living more than cervical pain. (Korean J Pain 2015; 28: 129-136)
Abstract
Background: Pain is one of the most important consequences of spinal cord injury (SCI). It may affect several aspects of life, especially the quality of life (QoL). Hence, this study was conducted to establish an understanding of pain and its correlates and effects on patients with SCI in our community.Methods: In a cross-sectional study, 58 male veterans suffering from SCI were admitted to our center for a regular follow-up. Demographic and SCI-related descriptive information were gathered using a self-reported questionnaire. To evaluate the patients’ pain quality and the effect of pain on daily life, a questionnaire in 3 parts of lumbar, cervical and shoulder pain was administered. EuroQoL questionnaire and General Health Questionnaire (GHQ) 12 were also used to assess the patients’ QoL.Results: The mean age of the participants was 45.91 ± 6.69 with mean injury time of 25.54 ± 5.91. forty-four patients (75.9%) reported pain, including lumbar pain (63%), cervical pain (39%) and shoulder pain (51%). The presence of pain was associated with lower QoL. Patients with lumbar pain reported a significant amount of pain affecting their daily life and this effect was higher in patients with lower GHQ score or anxiety/depressive disorder.Conclusions: Musculoskeletal pain, is a common complaint in veterans with SCI and is inversely associated with functioning and general health status. Lumbar and shoulder pain affects patient’s daily living more than cervical pain. (Korean J Pain 2015; 28: 129-136)
참고문헌 (37)
- de Miguel M, "Pain in patients with spinal cord injury : a review", Rev Bras Anestesiol, 59, pp.350~357 (2009)
- Siddall PJ, "A longitudinal study of the prevalence and characteristics of pain in the first 5 years following spinal cord injury", Pain, 103, pp.249~257 (2003)
- Subbarao JV, "Prevalence and impact of wrist and shoulder pain in patients with spinal cord injury", J Spinal Cord Med, 18, pp.9~13 (1995)
- Adriaansen JJ, "Secondary health conditions in persons with spinal cord injury : a longitudinal study from one to five years post-discharge", J Rehabil Med, 45, pp.1016~1022 (2013)
- Hu Y, "Quality of life of traumatic spinal cord injured patients in Hong Kong", J Rehabil Med, 40, pp.126~131 (2008)
- Wollaars MM, "Spinal cord injury pain : the influence of psychologic factors and impact on quality of life", Clin J Pain, 23, pp.383~391 (2007)
- Post M, "Quality of life after spinal cord injury", J Neurol Phys Ther, 29, pp.139~146 (2005)
- Putzke JD, "Pain classification following spinal cord injury : the utility of verbal descriptors", Spinal Cord, 40, pp.118~127 (2002)
- Siddall PJ, "Classification of pain following spinal cord injury", Spinal Cord, 35, pp.69~75 (1997)
- Widerström-Noga E, "The international spinal cord injury pain basic data set", Spinal Cord, 46, pp.818~823 (2008)
- Richards JS, "Chronic pain and spinal cord injury : review and comment", Clin J Pain, 8, pp.119~122 (1992)
- Ragnarsson KT, "Management of pain in persons with spinal cord injury", J Spinal Cord Med, 20, pp.186~199 (1997)
- Myoung Joong Kim, "Antinociceptive Effects of Intraperitoneal and Intrathecal Vitamin E in the Rat Formalin Test", The Korean Journal of Pain, 25(4), pp.238~244 (2012), 대한통증학회
- Budh CN, "Life satisfaction in individuals with a spinal cord injury and pain", Clin Rehabil, 21, pp.89~96 (2007)
- Donnelly C, "Pain following spinal cord injury : the impact on community reintegration", Spinal Cord, 43, pp.278~282 (2005)
- EuroQol Group, "EuroQol--a new facility for the measurement of health-related quality of life", Health Policy, 16, pp.199~208 (1990)
- Goldberg DP, "A scaled version of the General Health Questionnaire", Psychol Med, 9, pp.139~145 (1979)
- Rose M, "Pain following spinal cord injury : results from a postal survey", Pain, 34, pp.101~102 (1988)
- Nepomuceno C, "Pain in patients with spinal cord injury", Arch Phys Med Rehabil, 60, pp.605~609 (1979)
- Fenollosa P, "Chronic pain in the spinal cord injured : statistical approach and pharmacological treatment", Paraplegia, 31, pp.722~729 (1993)
- Störmer S, "Chronic pain", dysaesthesiae in spinal cord injury patients : results of a multicentre study, 1997, pp.35, 446~455
- Siddall PJ, "Pain report and the relationship of pain to physical factors in the first 6 months following spinal cord injury", Pain, 81, pp.187~197 (1999)
- Munro D, "Two-year end-results in the total rehabilitation of veterans with spinal-cord and cauda-equina injuries", N Engl J Med, 242, pp.1~16 (1950)
- New PW, "A survey of pain during rehabilitation after acute spinal cord injury", Spinal Cord, 35, pp.658~663 (1997)
- Werhagen L, "Neuropathic pain after traumatic spinal cord injury--relations to gender, spinal level, completeness, and age at the time of injury", Spinal Cord, 42, pp.665~673 (2004)
- Rintala DH, "Chronic pain in a community-based sample of men with spinal cord injury: prevalence, severity, and relationship with impairment, disability, handicap, and subjective well-being", Arch Phys Med Rehabil, 79, pp.604~614 (1998)
- Demirel G, "Pain following spinal cord injury", Spinal Cord, 36, pp.25~28 (1998)
- Haisma JA, "Complications following spinal cord injury : occurrence and risk factors in a longitudinal study during and after inpatient rehabilitation", J Rehabil Med, 39, pp.393~398 (2007)
- Westgren N, "Quality of life and traumatic spinal cord injury", Arch Phys Med Rehabil, 79, pp.1433~1439 (1998)
- Norrbrink Budh C, "A comprehensive pain management programme comprising educational, cognitive and behavioural interventions for neuropathic pain following spinal cord injury", J Rehabil Med, 38, pp.172~180 (2006)
- Norrbrink Budh C, "Quality of sleep in individuals with spinal cord injury : a comparison between patients with and without pain", Spinal Cord, 43, pp.85~95 (2005)
- Heuch I, "The impact of body mass index on the prevalence of low back pain : the HUNT study", Spine(Phila Pa 1976), 35, pp.764~768 (2010)
- Fernández-de-las-Peñas C, "Prevalence of neck and low back pain in community-dwelling adults in Spain: a population-based national study", Spine (Phila Pa 1976), 36, pp.E213~E219 (2011)
- Mann R, "Burden of spinal cord injury-related neuropathic pain in the United States : retrospective chart review and cross-sectional survey", Spinal Cord, 51, pp.564~570 (2013)
- Widerström-Noga EG, "Chronic pain after spinal injury : interference with sleep and daily activities", Arch Phys Med Rehabil, 82, pp.1571~1577 (2001)
- Valtonen K, "Work participation among persons with traumatic spinal cord injury and meningomyelocele1", J Rehabil Med, 38, pp.192~200 (2006)
- Jensen MP, "Chronic pain in individuals with spinal cord injury : a survey and longitudinal study", Spinal Cord, 43, pp.704~712 (2005)