Upper extremity pain in the postrehabilitation spinal cord injured patient.
Upper extremity pain in the postrehabilitation spinal cord injured patient.
复制标题
脊髓损伤患者康复后的上肢疼痛。
DOI：
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发表时间：
1992
影响因子：
4.3
通讯作者：
Harris Gellman
中科院分区：
文献类型：
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作者：
I. Sie;Robert L. Waters;Rodney H. Adkins;Harris Gellman
本研究的目的是确定门诊慢性脊髓损伤（SCI）患者上肢疼痛（UE）的患病率。共239例SCI门诊患者（136例四肢瘫痪，103例截瘫）接受了肩、肘、腕和手UE疼痛的采访。受访时受试者的平均年龄为37.4岁，自发病以来的平均时间为12.1年。报告疼痛的受试者被转诊至SCI诊所以确定病因。55%的四肢瘫痪患者报告UE疼痛，最常见于肩部。在受伤后的前五年，受试者报告疼痛的患病率最高。64%的截瘫患者报告UE疼痛。与腕管综合征相关的投诉最常见，其次是与肩痛相关的投诉。这项研究记录了慢性SCI患者UE疼痛的患病率和性质，并强调需要进一步研究，以制定预防和治疗疼痛综合征的策略。
The purpose of this study was to determine the prevalence of upper extremity (UE) pain in outpatients with chronic spinal cord injury (SCI). A total of 239 SCI outpatients (136 with quadriplegia and 103 with paraplegia) were interviewed for the presence of UE pain at the shoulder, elbow, wrist, and hand. The average age of the subjects at the time of interview was 37.4 years, and the average time since onset was 12.1 years. Subjects who reported pain were referred to SCI clinics to determine the etiology. Fifty-five percent of the patients with quadriplegia reported UE pain, most commonly at the shoulder. Prevalence of reported pain was highest for subjects in the first five years postinjury. Sixty-four percent of patients with paraplegia reported UE pain. Complaints related to carpal tunnel syndrome were the most common, followed by those related to shoulder pain. This study documents the prevalence and nature of UE pain in chronic SCI patients and emphasizes the need for further research to develop strategies for prevention and treatment of pain syndromes.