The CanPain SCI Clinical Practice Guidelines for Rehabilitation Management of Neuropathic Pain after Spinal Cord: screening and diagnosis recommendations

Mehta, Swati; Guy, Stacey; Bryce, Thomas N.; Craven, B. Catharine; Finnerup, Nanna Brix; Hitzig, Sander L.; Orenczuk, Steve; Siddall, Philip J.; Widerström-Noga, Eva; Casalino, A; Côté, Isabelle; Harvey, David T.; Kras‐Dupuis, Anna; Lau, Brenda; Middleton, James; Moulin, Dwight E.; O’Connell, Colleen; Parrent, Andrew G.; Potter, Patrick J.; Short, Christine; Teasell, Robert; Townson, Andrea; Truchon, Catherine; Wolfe, Dalton; Bradbury, Cheryl; Loh, Eldon

doi:10.1038/sc.2016.89

Cited by 33 publications

(18 citation statements)

References 26 publications

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“…For the CNP group, patients with peripheral neuropathy or any pain above the level of injury were excluded. Although in general, criteria for the diagnosis of chronic pain is its presence for at least 6 months, CNP can also be studied in an early stage, due to its characteristic sensory descriptors, location, and responsiveness to a certain group of anticonvulsants and antidepressants (Mehta et al 2016). All patients in this study were within months of injury still hospitalised and receiving primary rehabilitation following spinal cord injury.…”

Section: Participantsmentioning

confidence: 99%

Prediction of central neuropathic pain in spinal cord injury based on EEG classifier

Vučković

Gallardo

Jarjees

et al. 2018

Clinical Neurophysiology

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Section: Participantsmentioning

confidence: 99%

Prediction of central neuropathic pain in spinal cord injury based on EEG classifier

Vučković

Gallardo

Jarjees

et al. 2018

Clinical Neurophysiology

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“…The CanPainSCI CPG also highlighted this lack of evidence in SCI NP. [9][10][11][12] The panel identified a lack of funding, particularly for nonpharmacological management options, as a barrier to new evidence generation. Limitations in the current literature regarding the economic consequences of NP in SCI populations was also noted.…”

Section: Limited Evidence and Researchmentioning

confidence: 99%

“…3,[5][6][7] Though NP is a significant issue for those with SCI, successful clinical management resulting in reduced pain intensity and improved function can be difficult to achieve and implement, 5,6,8 and evidence for best practices is limited. [9][10][11] The recent CanPainSCI Clinical Practice Guidelines (CPG) on the management of NP after SCI, [9][10][11][12] with recommendations on screening and diagnosis, treatment, and models of care, highlight many of these challenges.…”

Section: Introductionmentioning

confidence: 99%

Advancing research and clinical care in the management of neuropathic pain after spinal cord injury: Key findings from a Canadian summit

Loh

Guy

Craven

et al. 2017

Canadian Journal of Pain

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Background: Optimal management of neuropathic pain (NP) is essential to enhancing healthrelated quality of life for individuals living with spinal cord injury (SCI). A key strategic priority for the Ontario Neurotrauma Foundation (ONF) and Rick Hansen Institute (RHI) is optimizing NP management after SCI. Aims: A National Canadian Summit, sponsored by ONF and RHI, was held to develop a strategic plan to improve NP management after SCI. Methods: In a one-day meeting held in Toronto, Ontario, a multidisciplinary panel of 18 Canadian stakeholders utilized a consensus workshop methodology to (1) describe the current state of the field, (2) create a long-term vision, and (3) identify steps for moving into action. Results: A review of the current state of the field identified strengths including rigourously developed evidence syntheses and practice landscape documentation. Identified gaps included limited evidence on NP hindering recommendation development in evidence syntheses, absence of a national strategy, care silos with limited cross-continuum connections, limited consumer involvement, and limited practice standard implementation. The panel identified key themes for a long-term vision to improve the management of SCI NP in Canada, including establishing an integrated collaborative network; standardized care and outcome evaluation; education; advocacy; and directing resources to innovative solutions. The panel identified the next step as prioritization of areas that will have the greatest impact in a 5-year time frame. Conclusion: A strategic plan outlining a long-term vision to improve management of NP after SCI in Canada was developed and will inform future activities of the sponsors.

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“…Pain in individuals who have sustained SCI is classified by the International SCI Pain Classification according to three tiers 13. The first tier classifies the type of pain (eg, nociceptive, neuropathic, or “other”), and the second tier classifies the subtype of pain.…”

Section: Introductionmentioning

confidence: 99%

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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The CanPain SCI Clinical Practice Guidelines for Rehabilitation Management of Neuropathic Pain after Spinal Cord: screening and diagnosis recommendations

Cited by 33 publications

References 26 publications

Prediction of central neuropathic pain in spinal cord injury based on EEG classifier

Prediction of central neuropathic pain in spinal cord injury based on EEG classifier

Advancing research and clinical care in the management of neuropathic pain after spinal cord injury: Key findings from a Canadian summit

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

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