뇌졸중 후 중추성 통증에 대한 통증관리가재활에 미치는 효과

Abstract

=RehabilitationDoo Ik Lee, M.D., Keon Sik Kim, M.D., Ho Seung Chae, M.D., Do Young Choi, O.M.D.Jae Dong Le, O.M.D., Yun Ho Le, O.M.D., Jae Kyung Park, Ph.D.and Su Young Kim, Ph.D.Research Group of Pain and Neuroscience in Vision 2000 Project East-West Medical Research Institute, Kyung Hee University, Seoul, KoreaBackground: Central poststroke pain (CPSP) can ocur as a result of lesiobrain from stroke and may cause many difficulties in social activities and daily life, especially in the rehabilitation program. In this study, we evaluate the clinical effectiveness of pain management for CPSP patients during their rehabilitation. Methods: Thirty patients who had suffered from CPSP, as diagnosed by their typical pain charac-teristics of central pain from stroke, were included in the stuthe visual analogue scale (VAS), and improvements of mobility and rehabilitation through the modified Barthel index (MBI) and Rankin scale (RS), respectively, before and after pain treatment for 3 weks. Modalities of pain treatment were sympathetic nerve block, antidepressants, anticonvulsants and/or α-2 agonists. Results: VAS pain scores improved significantly (P ＜ 0.05) from 7.9 ± ± 1.6 with pain treatment. MBI and RS scores improved significantly (both, P ＜ 0.05) from 61.4 ± 13.6 to 85.0 ± 13.9 and from 3.3 ± 0.7 to 2.5 ± 0.7, respectively, with pain treatment. Conclusions: The rehabilitation scores, MBI and RS, were improved significantly in conjunction with an improvement of VAS pain score. Furthermore, we thought active pain management of CPSP patients