Neuropathic pain characteristics in patients from Curitiba (Brazil) with spinal cord injury

Vall, Janaína; Costa, Carlos Maurício de Castro; Santos, Terezinha de Jesus Teixeira; Costa, Samuel Bovy de Castro

doi:10.1590/s0004-282x2011000100013

Cited by 18 publications

(15 citation statements)

References 16 publications

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“…Concerning the protection factor for pain syndromes, observed by tetraplegic in this study, in relation to paraplegia, it is embodied that this complication is common among individuals with TRM, and may be classified as musculoskeletal or visceral neuropathic, which may be related to neuro-spasticity phenomena, tissue inflammation or visceral onsets [31][32]. In this context, the intensity of pain refers to disabilities, often more emphatic than the loss of functionality.…”

Section: Discussionmentioning

confidence: 75%

Rachimedural Trauma: Epidemiology And Complications

et al. 2016

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Background: Traumatic spinal cord is a public health problem due to the high morbidity and mortality worldwide. The objective of this research was to characterize the profile demographic and clinical partner of people with TRM; analyze correlations between clinical features of traumatic injury level and its complications. Methods:Observational study, the cut cross-sectional with a quantitative approach, performed with 80 people with TRM. Data were analyzed using descriptive and inferential techniques statistics. Results:The results show correlation of spinal cord injury in lumbar level with accidents with firearms, of chest injury to car accidents and cervical injuries the diving in shallow water. Regarding complications, quadriplegia had greater influence as a risk factor for UP, spasticity, orthostatic hypotension, urinary complications, autonomic dysreflexia and intestinal disorders in relation to paraplegia, but showed a protective factor to pain syndromes. Conclusion:The absence of notification is a limiting factor for research and construction of new public policies aimed at preventing determinants external causes of TRM, as well as development of actions aimed at specialized care to minimize complications and improve quality of life in this population.

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Section: Discussionmentioning

confidence: 75%

Rachimedural Trauma: Epidemiology And Complications

et al. 2016

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“…Pain was diagnosed according to DN4 questionnaire in 20 patients. Results have also shown that most affected individuals by this pain were male, young adults with 40 years of age, single or married, retired, with basic education and paraplegic with incomplete injury 9 . In 77% of patients of this series, NP has started up to one year after SCI; 69% in up to six months.…”

Section: Discussionmentioning

confidence: 77%

“…Most affected vertebral segment in this study was the thoracolumbar region, with 51.7% of cases 8 . A different study has evaluated NP characteristics in 109 SCI individuals 9 . Pain was diagnosed according to DN4 questionnaire in 20 patients.…”

Section: Discussionmentioning

confidence: 99%

Biopsychosocial characteristics of patients with neuropathic pain following spinal cord trauma injury. Case reports

Silva¹,

Jesus²

2015

Revista Dor

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BACKGROUND AND OBJECTIVES:Spinal cord injury is a change in spinal canal structures and may induce motor, sensory, autonomic and psychoaffective changes. Trauma injury is the most prevalent. Neuropathic pain is more frequent in people with spinal cord injury and may be disabling. Pain development mechanism is poorly known being its management difficult for both patients and health professionals. This study aimed at identifying biopsychosocial characteristics associated to neuropathic pain in spinal cord trauma injury patients. CASE REPORTS: Sample was made up of 13 patients with spinal cord trauma injury and neuropathic pain, hospitalized for rehabilitation in a health institution. The following data collection tools were used: Douleur Neuropathique em 4 Questions Questionnaire and Brief Pain Inventory, in addition to demographic data. Most patients were male, mean age of 40 years, retired or unemployed. Most frequent cause of spinal cord injury was car accident, followed by firearm and falls. The thoracic segment was more commonly affected, with prevalence of incomplete injuries. Neuropathic pain onset was predominantly within six months after spinal cord injury. Pharmacological treatment was the most cited and considered very effective by 70% of those who use it. Cold and immobility were the most common factors worsening pain; physical activity and leisure were factors improving pain. Mood and general activities were those influenced the most by neuropathic pain.

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“…36 Chronic pain is the complication most related to a lower score in quality of life evaluations. 24 The use of analgesic medication was reported by only 36.4% of the patients, as found in a similar study, 22 in which 35% of the patients used it. However, 54% of the patients used specific medication for pain and spasticity in the Finnerup study.…”

Section: Study On the Characteristics Of Pain In Patients With Spinalmentioning

confidence: 70%

“…22 After an SCI, there are neuroplasticity phenomena, with consequent abnormal neuronal sprouting of the peripheral neurons located in the dorsal column of the spinal cord, resulting in an increase of painful synaptic transmission. 23,24 Musculoskeletal pain is caused by trauma or inflammation of the bone, joint, or muscular tissues, mechanical instability, muscular spasm, or it can be secondary to excessive use. Visceral pain is associated with visceral afflictions, and it is found in deep visceral structures.…”

Section: Introductionmentioning

confidence: 99%

Study on the characteristics of pain in patients with spinal cord injury

et al. 2012

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Aside from the loss of functionality after a spinal cord injury (SCI) pain is considered one of the most disabling complications experienced in the rehabilitation process, even with the significant advances in understanding the physiopathology and treatment of the pain, the approach to this symptom is still precarious in spinal cord injury. Objective: To describe the characteristics of pain in this population and to associate the pain between variables such as the type of injury, the interference in the daily living activities (DLA), and its onset. Method: It is a descriptive cross-sectional study and was conducted on 77 patients with spinal cord injuries; the survey was applied using a semi-structured interview. Mean and standard deviation and absolute and relative frequencies were calculated, and for the association between qualitative variables we used the Chisquare test (χ²). Results: The mean age was 38.26 ± 12.43 years, 84.4% of which were men, and 80.5% were paraplegics. Thirty-one were caused by motor vehicle crashes and twenty-nine were by gunshot; 61% of them were fully disabled. As for the pain, 44.2% reported severe pain and 29.8% moderate, 50.6% felt no pain above the lesion, but 58.4% felt it below. Thirty-nine patients reported feeling burning pain, 40% reported that the pain came in the first year after SCI. Pain intensity was 5.44 ± 3.18 points, with 5.20 ± 3.07 in men and 6.75 ± 3.54 in women; for tetraplegic individuals it was 4.13 ± 3.18 and with 5.76 ± 3.12 in the paraplegics. For 27 patients the pain worsened if they remained in the same position, improved to 22 by performing physiotherapy, and to 21 with a change in position. For 68.8% of the patients the pain did not interfere with their DLAs. Twenty-eight used analgesics. It was significantly mentioned that the presence of pain below the lesion interferes with the DLAs (p = 0.04) and appears in the first year after injury above and below the lesion (p = 0.05 and p = 0.01), respectively. Conclusion: Pain was prevalent in those with injured spinal cords, more evident in women, and for the majority arose in the first year after injury and interferes with their DLA. Physiotherapy and a change of position decreased the pain. Therefore, orientations and interventions by the multidisciplinary team should be immediate after the injury, because the prevention or reduction of this complication will lead to an improved quality of life and the re-adaptation of the patient to their family and social life.

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Neuropathic pain characteristics in patients from Curitiba (Brazil) with spinal cord injury

Cited by 18 publications

References 16 publications

Rachimedural Trauma: Epidemiology And Complications

Rachimedural Trauma: Epidemiology And Complications

Biopsychosocial characteristics of patients with neuropathic pain following spinal cord trauma injury. Case reports

Study on the characteristics of pain in patients with spinal cord injury

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