Pain in Patients with Traumatic Spinal Cord Injury

Çelik, Canan; Boyaci, S.; Uçan, Halil

doi:10.3109/10582452.2013.770422

Cited by 3 publications

(10 citation statements)

References 26 publications

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“…Response rates, defined in studies as the number of subjects who participated from those invited, and in surveys as those who responded from those who were contacted, were 90% or higher in seven studies (Frisbie and Aguilera, ; Levi et al., ; New et al., ; Siddall et al., ; Budh et al., ; Aito et al., ; Zeilig et al., ), above 70% in four studies (Barrett et al., ; Siddall et al., ; Werhagen et al., ; Wen et al., ), below 70% in three studies (Heutink et al., ; Adriaansen et al., ; Finnerup et al., ), not disclosed in one study (Celik et al., ) and not applicable in two retrospective studies (Werhagen et al., , ). Only two studies (Wen et al., ; Finnerup et al., ) used validated NP screening tools for assessment.…”

Section: Resultsmentioning

confidence: 99%

“…From an initial total of 3075 studies, 17 studies were included in the review; eight prospective studies (New et al., ; Siddall et al., , ; Aito et al., ; Zeilig et al., ; Adriaansen et al., ; Wen et al., ; Finnerup et al., ), six cross‐sectional studies (Frisbie and Aguilera, ; Levi et al., ; Barrett et al., ; Budh et al., ; Heutink et al., ; Celik et al., ), and three retrospective studies (Werhagen et al., , , ). A PRISMA flow diagram (Moher et al., ) of the selection process is summarized in Supporting Information Figure S1.…”

Section: Resultsmentioning

confidence: 99%

“…Between 44% (Wen et al., ) and 92% (New et al., ) of respondents were men. Overall participants' age ranged from 31 (Celik et al., ) to 56 years (Werhagen et al., ). Ten studies (Frisbie and Aguilera, ; Levi et al., ; Siddall et al., , ; Werhagen et al., , ; Aito et al., ; Celik et al., ; Wen et al., ; Finnerup et al., ) included only patients with traumatic SCIs.…”

Section: Resultsmentioning

confidence: 99%

“…Ten studies were conducted in European countries (Levi et al., ; Budh et al., ; Werhagen et al., , , ; Aito et al., ; Heutink et al., ; Adriaansen et al., ; Celik et al., ; Finnerup et al., ), four in Australia (New et al., ; Siddall et al., , ; Barrett et al., ; Zeilig et al., ) and the remainders were based in the United States (Frisbie and Aguilera, ), Israel (Zeilig et al., ) and China (Wen et al., ).…”

Section: Resultsmentioning

confidence: 99%

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Neuropathic pain prevalence following spinal cord injury: A systematic review and meta‐analysis

Burke

Fullen

Stokes

et al. 2016

European Journal of Pain

284

168

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Following spinal cord injury (SCI), chronic pain is a common secondary complication with neuropathic pain (NP) cited as one of the most distressing and debilitating conditions leading to poor quality of life, depression and sleep disturbances. Neuropathic pain presenting at or below the level of injury is largely refractory to current pharmacological and physical treatments. No consensus on the prevalence of NP post SCI currently exists, hence this systematic review was undertaken. The review comprised three phases: a methodological assessment of databases [PubMed, Embase, Web of Knowledge, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Library and Physiotherapy Evidence Database (PEDro)] identifying potential papers and screening for inclusion criteria by two independent reviewers; data extraction; and finally rating of internal validity and strength of the evidence, using a published valid and reliable scale. Meta-analysis estimated pooled point prevalence rates using a random effects model. In total, 17 studies involving 2529 patients were included in the review. Overall point prevalence rates for NP were established at 53% (38.58-67.47); 19% (13.26-26.39) for at-level NP and 27% (19.89-34.61) for below-level NP, with high heterogeneity noted (I 2 = 84-93%). Prevalence rates for NP following SCI are high. Future studies should include established definitions, classification systems and assessment tools for NP at defined time points post SCI to follow the trajectory of this problem across the lifespan and include indices of sleep, mood and interference to allow for appropriate, optimal and timely NP management for each patient. What does this review add?: This is the first systematic review and meta-analysis to record pooled point prevalence of neuropathic pain post spinal cord injury at 53%. Additional pooled analysis shows that neuropathic pain is more common below the level of lesion, in patients with tetraplegia, older patients and at 1 year post injury.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Neuropathic pain prevalence following spinal cord injury: A systematic review and meta‐analysis

Burke

Fullen

Stokes

et al. 2016

European Journal of Pain

284

168

View full text Add to dashboard Cite

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“…On the topic of pain associated with traumatic spinal cord injury, comes a report by investigators from Bursa and Ankara, Turkey (8). The study was designed to determine the prevalence of pain in such patients and to characterize the pain they experienced.…”

Section: The Musculoskeletal Examinationmentioning

confidence: 99%

The Musculoskeletal Examination

Russell¹

2013

Journal of Musculoskeletal Pain

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Central Nervous System Reorganization and Pain After Spinal Cord Injury: Possible Targets for Physical Therapy—A Systematic Review of Neuroimaging Studies

et al. 2020

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Background Pain is one of the main symptoms associated with spinal cord injury (SCI) and can be associated with changes to the central nervous system (CNS). Purpose This article provides an overview of the evidence relating to CNS changes (structural and functional) associated with pain in SCIs. Data Sources A systematic review was performed, according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations, on PubMed, Embase, and Web of Science in March 2018. Study Selection Studies were selected if they concerned changes in the CNS of patients with SCI, regardless of the type of imagery. Data Extraction Data were extracted by 2 blinded reviewers. Data Synthesis There is moderate evidence for impaired electroencephalographic function and metabolic abnormalities in the anterior cingulate in patients experiencing pain. There is preliminary evidence that patients with pain have morphological and functional changes to the somatosensory cortex and alterations to thalamic metabolism. There are conflicting data regarding the relationships between lesion characteristics and pain. In contrast, patients without pain can display protective neuroplasticity. Limitations and Conclusion Further studies are required to elucidate fully the relationships between pain and neuroplasticity in patients with SCIs. However, current evidence might support the use of physical therapist treatments targeting CNS plasticity in patients with SCI pain.

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Pain in Patients with Traumatic Spinal Cord Injury

Cited by 3 publications

References 26 publications

Neuropathic pain prevalence following spinal cord injury: A systematic review and meta‐analysis

Neuropathic pain prevalence following spinal cord injury: A systematic review and meta‐analysis

The Musculoskeletal Examination

Central Nervous System Reorganization and Pain After Spinal Cord Injury: Possible Targets for Physical Therapy—A Systematic Review of Neuroimaging Studies

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