疼痛对脊髓损伤后社区重新融入的影响
Valerie Henderson1, Mokgadi Kholofelo Mashola1,2
1Department of Physiotherapy, School of Therapeutic Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Pain practice : the official journal of World Institute of Pain
|November 19, 2024
概括
疼痛的严重程度和位置,而不仅仅是它的存在,影响脊髓损伤 (SCI) 幸存者重新融入社区. 有效的疼痛管理,特别是肩部疼痛,对于成功的康复和社区参与至关重要.
科学领域:
- 康复医学 康复医学 康复医学
- 疼痛管理 疼痛管理
- 脊髓损伤研究 脊髓损伤研究
背景情况:
- 对于脊髓损伤 (SCI) 患者来说,重新融入社区是关键目标.
- 疼痛是SCI患者日常功能,情绪和睡眠的重要障碍.
- 了解疼痛对重新整合的影响对于改善患者的治疗结果至关重要.
研究的目的:
- 研究SCI患者使用手动轮椅对疼痛对社区重新融入的影响.
- 为了区分神经病痛与肩膀疼痛在重新整合方面的影响.
主要方法:
- 使用重返正常生活指数进行社区重返社会评估.
- 雇员DN4和轮椅使用者的肩部疼痛指数,以确定神经病和肩部疼痛.
- 使用斯皮尔曼相关性和曼-惠特尼U测试分析了数据.
主要成果:
- 在122名参与者中,85.2%报告了当前疼痛;神经病痛比肩部疼痛 (14.8%) 更普遍 (53.3%).
- 在疼痛和没有疼痛的参与者之间,没有发现社区重新融入的显著差异.
- 疼痛的严重程度,特别是肩部疼痛,与城市外旅行和整体社区重新融入负相关.
结论:
- 疼痛的严重程度和位置,而不仅仅是它的存在,会影响SCI的社区重新融入.
- 有针对性的肩部护理和疼痛管理策略是SCI康复的重要组成部分.
- 将疼痛管理纳入康复计划可以增强SCI个体的社区参与.
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