Upper extremity pain after spinal cord injury
Upper extremity pain after spinal cord injury
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DOI：
10.1038/sj.sc.3100802
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发表时间：
1999-03-01
期刊：
影响因子：
2.2
通讯作者：
Gerard, B
中科院分区：
文献类型：
--
作者：
Dalyan, M;Cardenas, DD;Gerard, B
目的：脊髓损伤（SCI）患者常主诉上肢疼痛。本研究的目的是确定UE疼痛的频率和严重程度及其与功能活动的相关性。类型的治疗，SCI患者接受UE疼痛和这些治疗的好处也identified.Study设计和方法：问卷调查的人口统计变量和UE疼痛强度，位置，治疗和功能活动的干扰措施邮寄给170人与SCI。数据进行了分析，通过描述性和比较statistics.Results：130人回应，76（58.5%）（38例截瘫，38例四肢瘫痪患者）报告UE疼痛：71%有肩痛，53%腕痛，43%手痛，35%肘痛。疼痛干扰了65%（36/55）正在进行转移的患者。在10种功能活动中，疼痛更可能与减压、转移和轮椅移动有关。63%的人因疼痛寻求医疗，其中90%接受物理治疗、药物治疗或按摩。虽然只有27%的轮椅或家庭改造或联合保护教育，这些方法是有帮助的，几乎所有的，非常有帮助或非常有帮助的26.6%和63.6%patients.Conclusion：UE疼痛是一个常见的问题，在个人与SCI和日常活动的影响。SCI患者需要UE疼痛预防和管理计划。
Objective: Patients with spinal cord injury (SCI) may complain of upper extremity (UE) pain. The purpose of this study was to determine the frequency and severity of UE pain as well as its association with functional activities. Types of treatments that SCI patients received for UE pain and the benefits of these treatments were also identified.Study design and methods: A questionnaire of demographic variables and measures of UE pain intensity, location, treatment, and interference with functional activities was mailed to 170 persons with SCI. Data was analyzed by descriptive and comparative statistics.Results: Of the 130 persons who responded, 76 (58.5%) (38 paraplegic, 38 tetraplegic patients) reported UE pain: 71% had shoulder pain, 53% wrist pain, 43% hand pain, and 35% elbow pain. Pain interfered with transfers in 65%;, (36/55) of the patients who were doing them. Of ten functional activities, pain was more likely to be associated with pressure reliefs, transfers, and wheelchair mobility. Sixty-three per cent sought medical treatment for pain, and of those, 90% received either physical therapy, pharmacological treatment or massage. Although only 27% had wheelchair or home modification or joint protection education, these approaches were helpful for almost all and very helpful or extremely helpful in 26.6% and 63.6% of the patients, respectively.Conclusion: UE pain is a common problem in individuals with SCI and has impact on daily activities. UE pain prevention and management programs are needed for SCI patients.