Evaluation of Pain and Its Effect on Quality of Life and Functioning in Men with Spinal Cord Injury

Hassanijirdehi, Marzieh; Khak, Mohammad; Afshari-Mirak, Sohrab; Holakouie-Naieni, Kourosh; Saadat, Soheil; Taheri, Taher; Rahimi‐Movaghar, Vafa

doi:10.3344/kjp.2015.28.2.129

Cited by 30 publications

(37 citation statements)

References 36 publications

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“…The third tier includes the primary pain source and pathology, and it is recommended to consider pain intensity also. This system parallels earlier systems that classify pain according to etiology, pathology, location, severity, and quality, and according to four dimensions: musculoskeletal, visceral, neuropathic, or “other” types, all of which significantly impact QoL 1. Pain is also classified relative to the level of the spinal injury: pain at or below the level of the injury tends to be neuropathic in nature, and depending on the completeness of the lesion may be akin to phantom pain.…”

Section: Introductionmentioning

confidence: 73%

Evaluation of a specialized yoga program for persons with a spinal cord injury: a pilot randomized controlled trial

Curtis¹,

Hitzig²,

Bechsgaard³

et al. 2017

JPR

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ObjectivesThe purpose of this randomized controlled trial was to evaluate the effects of a specialized yoga program for individuals with a spinal cord injury (SCI) on pain, psychological, and mindfulness variables.Materials and methodsParticipants with SCI (n=23) were outpatients or community members affiliated with a rehabilitation hospital. Participants were randomized to an Iyengar yoga (IY; n=11) group or to a 6-week wait-list control (WLC; n=12) group. The IY group participated in a twice-weekly 6-week seated IY program; the WLC group participated in the same yoga program, after the IY group’s yoga program had ended. Pain, psychological, and mindfulness measures were collected at two time points for both groups (within 1–2 weeks before and after program 1 and at a third time point for the WLC group (within 1 week after program 2).ResultsLinear mixed-effect growth models were conducted to evaluate the main effects of group at T2 (postintervention), controlling for T1 (preintervention) scores. T2 depression scores were lower (F1,18=6.1, P<0.05) and T2 self-compassion scores higher (F1,18=6.57, P< 0.05) in the IY group compared to the WLC group. To increase sample size and power, the two groups were combined and analyzed across time by comparing pre- and postintervention scores. Main effects of time were found for depression scores, (F1,14.83=6.62, P<0.05), self-compassion, (F1,16.6=4.49, P<0.05), mindfulness (F1,16.79=5.42, P<0.05), mindful observing (F1,19.82=5.06, P<0.05), and mindful nonreactivity, (F1,16.53=4.92, P<0.05), all showing improvement after the intervention.DiscussionThe results indicated that a specialized 6-week yoga intervention reduced depressive symptoms and increased self-compassion in individuals with SCI, and may also have fostered greater mindfulness.

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Section: Introductionmentioning

confidence: 73%

Evaluation of a specialized yoga program for persons with a spinal cord injury: a pilot randomized controlled trial

Curtis¹,

Hitzig²,

Bechsgaard³

et al. 2017

JPR

View full text Add to dashboard Cite

show abstract

“…Spinal cord injury (SCI) is a mixture of motor, sensory and autonomic disorders caused by injury to the spine due to various causes including trauma, sports injuries, violence, etc. (1).…”

Section: Introductionmentioning

confidence: 99%

“…It affects various aspects of life among SCI patients and decreases their quality of life (1,10). Approximately 80% of spinal cord injury patients report pain and one-third of them report severe chronic pain which disrupts their activities and quality of life (1). Pain in SCI patients is categorized into two groups of neuropathic and musculoskeletal pains.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Shoulder Pain in Spinal Cord Injury Patients Referring to the Brain and Spinal Cord Injury Research Center of Tehran University of Medical Sciences

et al. 2019

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Background: Spinal cord injury (SCI) is a catastrophic event that influences all aspects of the life of the patients and their families. It may have many acute or chronic complications. One of the most common complications is shoulder pain, which particularly occurs in wheelchair users. Objectives: This study aimed to estimate the prevalence of shoulder pain in paraplegic spinal cord injury patients who were referred to our clinic. Methods: We included 70 spinal cord injury patients in our study according to inclusion criteria. Demographic data and SCI-related factors were recorded. The disabilities of the arm, shoulder, and hand (DASH) questionnaire was used to assess shoulder pain in our patients. Results: Mean score of pain was 51 in cervical, 23 in thoracic and 12 in lumbar spinal cord injury according to the DASH questionnaire. The pain was more prevalent and severe in the cervical group. Conclusions: According to our study, it seems that shoulder pain has a relatively high prevalence and is more severe in cervical quadriplegic SCI patients that may be due to muscle imbalance around the shoulder. Therefore, this problem should be noted in the course of managing these patients.

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“…Spinal cord injury (SCI) seriously affects human life and is frequently accompanied by neuropathic pain (Hassanijirdehi et al, 2015; Stensman, 1994; Westgren and Levi, 1998). The incidence of pain after SCI has been reported to be 77–86% (Donnelly and Eng, 2005).…”

Section: Introductionmentioning

confidence: 99%

Meta-analysis of stem cell transplantation for reflex hypersensitivity after spinal cord injury

Xue

Song

et al. 2017

Neuroscience

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Stem cells have been used in novel therapeutic strategies for spinal cord injury (SCI), but the effect of stem cell transplantation on neuropathic pain after SCI is unclear. The current meta-analysis evaluates the effects of stem cell transplantation on neuropathic pain after SCI. We first conducted online searches of PubMed, Web of Science, China Academic Journals Full-text Database, and Wanfang Data for randomized controlled trials that compared stem cell transplantation and vehicle treatments in rodent models of neuropathic pain after SCI. Quality assessment was performed using Cochrane Reviewer’s Handbook 5.1.0, and meta-analysis was conducted with RevMan 5.3. Then, we developed a rat model of SCI and transplanted bone marrow mesenchymal stem cells to verify meta-analysis results. Twelve randomized, controlled trials (n = 354 total animals) were included in our meta-analysis and divided by subgroups, including species, timing of behavioral measurements, and transplantation time after SCI. Subgroup analysis of these 12 studies indicated that stem cell-treated animals had a higher mechanical reflex threshold than vehicle groups, with a significant difference in both rats and mice. The thermal withdrawal latency showed the same results in mouse subgroups, but not in rat subgroups. In addition, mesenchymal stem cell transplantation was an effective treatment for mechanical, but not thermal reflex hypersensitivity relief in rats. Transplantation showed a positive effect when carried out at 3 or 7 days post-SCI. Stem cell transplantation alleviates mechanical reflex hypersensitivity in rats and mice and thermal reflex hypersensitivity in mice after SCI.

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Evaluation of Pain and Its Effect on Quality of Life and Functioning in Men with Spinal Cord Injury

Cited by 30 publications

References 36 publications

Evaluation of a specialized yoga program for persons with a spinal cord injury: a pilot randomized controlled trial

Evaluation of a specialized yoga program for persons with a spinal cord injury: a pilot randomized controlled trial

Prevalence of Shoulder Pain in Spinal Cord Injury Patients Referring to the Brain and Spinal Cord Injury Research Center of Tehran University of Medical Sciences

Meta-analysis of stem cell transplantation for reflex hypersensitivity after spinal cord injury

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