疼痛在中风后肩部疼痛中的中心作用:一项病例对照研究
Hasan Hüseyin Gökpınar1, Büşra Arı1, Dilan Bulut Özkaya1
1Physical Medicine and Rehabilitation Department, Faculty of Medicine, Kutahya Health Sciences University, Kütahya, Türkiye.
Neurorehabilitation and neural repair
|February 11, 2026
概括
患有中风后肩部疼痛 (PSSP) 的人比患有非半性肩部疼痛的人表现出更大的疼痛集中行为. 中央疼痛机制显著导致PSSP患者的残疾.
科学领域:
- 神经学 神经学
- 疼痛管理 疼痛管理
- 康复医学 康复医学 康复医学
背景情况:
- 肩膀疼痛是中风后的一个常见并发症.
- 慢性肩部疼痛也可能发生在没有中风病史的人身上.
- 了解肩膀疼痛的潜在机制对于有效治疗至关重要.
研究的目的:
- 为了比较患有中风后肩部疼痛 (PSSP) 和患有非半性慢性肩部疼痛的人之间的疼痛行为的中心性.
- 研究肩部疼痛患者的疼痛中心性和残疾之间的关系.
主要方法:
- 130名参与者被分为PSSP (n=65) 和非半性肩部疼痛 (n=65) 组.
- 疼痛强度是使用数值疼痛尺度来测量的.
- 疼痛中心度量 (COPS) 和肩部疼痛和残疾指数 (SPADI) 分别用于评估疼痛集中行为和功能状态.
主要成果:
- 与非半截肢患者组相比,PSSP组显示出明显更高的COPS得分 (表明更大的疼痛集中行为),而非半截肢患者组.
- PSSP组还报告了较高的SPADI残疾和总分.
- 两组之间没有观察到疼痛强度或持续时间的显著差异.
- COPS分数解释了SPADI疼痛和总分数 (54%和51.1%) 差异的很大一部分.
结论:
- 脑卒中后的肩部疼痛与非半性慢性肩部疼痛相比,与疼痛集中行为的增加有关.
- 中央疼痛机制在PSSP患者体验的残疾中起着重要作用.
- 这些发现强调了在PSSP的管理中考虑中央疼痛机制的重要性.
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