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Psychological interventions for post stroke pain: A systematic review.

Ian I Kneebone^1,2, Imogene Munday¹, Brooke E Van Zanden¹

¹Graduate School of Health, University of Technology, Sydney, Australia.

Neuropsychological Rehabilitation

|May 11, 2022

Summary

Psychological interventions may help reduce chronic pain after stroke. However, current evidence is limited and of poor quality, requiring more rigorous research for confirmation.

Keywords:

Stroke chronic pain post-stroke pain psychological interventions

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Area of Science:

Neurology
Psychology
Rehabilitation Medicine

Background:

Chronic pain is a common and debilitating condition following stroke, significantly impacting patients' quality of life.
Psychological interventions have shown promise in managing chronic pain in general populations.

Approach:

This review systematically searched major databases (PubMed, PsychINFO, Embase, CINAHL) for studies on psychological interventions for chronic post-stroke pain.
Included studies focused on adults with stroke, measuring pain outcomes like intensity and frequency.
Study quality was assessed using established tools like the Joanna Briggs Institute (JBI) Critical Appraisal Checklist and RoBiNT Scale.

Key Points:

Three single-case reports were included in the narrative synthesis.
Psychological interventions demonstrated a potential to alleviate chronic post-stroke pain.
The overall quality of the included studies was poor due to low internal validity inherent in single-case designs.

Conclusions:

Limited evidence suggests psychological interventions may offer clinical utility for chronic post-stroke pain.
The paucity and low quality of existing research necessitate cautious interpretation of findings.
More high-quality, rigorous studies are essential to establish definitive efficacy and guide clinical practice.