The Experience of Post-Stroke Pain and The Impact on Quality of Life: An Integrative Review

Payton, Hannah; Soundy, Andrew

doi:10.3390/bs10080128

Cited by 23 publications

(16 citation statements)

References 59 publications

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“…Although previous studies show that post-stroke pain affects around 40% of stroke survivors [27] we are not aware of studies of post-stroke pain during the COVID-19 pandemic. We identified that during the pandemic pain interference and intensity was significantly higher compared those seen pre-pandemic.…”

Section: Discussionmentioning

confidence: 89%

The impact of the UK COVID-19 pandemic on patient-reported health outcomes after stroke: a retrospective sequential comparison

et al. 2021

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Background and purpose The COVID-19 pandemic and related social isolation measures are likely to have adverse consequences on community healthcare provision and outcome after acute illnesses treated in hospital, including stroke. We aimed to evaluate the impact of the COVID-19 pandemic on patient-reported health outcomes after hospital admission for acute stroke. Methods This retrospective study included adults with acute stroke admitted to the University College Hospital NHS Foundation Trust Hyperacute Stroke Unit. We included two separate cohorts of consecutively enrolled patients from the same geographical population at two time points: 16th March–16th May 2018 (pre-COVID-19 pandemic); and 16th March–16th May 2020 (during the COVID-19 pandemic). Patients in both cohorts completed the validated Patient Reported Outcomes Measurement Information System–29 (PROMIS-29 version 2.0) at 30 days after stroke. Results We included 205 patients who were alive at 30 days (106 admitted before and 99 admitted during the COVID-19 pandemic), of whom 201/205 (98%) provided patient-reported health outcomes. After adjustment for confounding factors, admission with acute stroke during the COVID-19 pandemic was independently associated with increased anxiety (β = 28.0, p < 0.001), fatigue (β = 9.3, p < 0.001), depression (β = 4.5, p = 0.002), sleep disturbance (β = 2.3, p = 0.018), pain interference (β = 10.8, p < 0.001); and reduced physical function (β = 5.2, p < 0.001) and participation in social roles and activities (β = 6.9, p < 0.001). Conclusion Compared with the pre-pandemic cohort, patients admitted with acute stroke during the first wave of the COVID-19 pandemic reported poorer health outcomes at 30 day follow-up in all domains. Stroke service planning for any future pandemic should include measures to mitigate this major adverse impact on patient health.

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Section: Discussionmentioning

confidence: 89%

The impact of the UK COVID-19 pandemic on patient-reported health outcomes after stroke: a retrospective sequential comparison

et al. 2021

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“…Stroke is a leading cause of disability worldwide, resulting in 1 or more physical and/or cognitive impairments, 1 , 2 , 3 , 4 , 5 which are often accommodated by sensory, perceptual, emotional, and social conditions that may affect quality of life. 6 , 7 , 8 Regular exercise has been recognized as a critical behavior for chronic disease prevention and overall health improvement in the general population. 9 , 10 For people poststroke, exercise can also be beneficial, with evidence demonstrating its positive effects on physical function, 11 cognition, 12 and quality of life.…”

mentioning

confidence: 99%

The Effects of a Movement-to-Music (M2M) Intervention on Physical and Psychosocial Outcomes in People Poststroke: A Randomized Controlled Trial

Young

Mehta

Herman

et al. 2021

Archives of Rehabilitation Research and Clinical Translation

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Objective To investigate the effects of a 12-week movement-to-music (M2M) intervention on physical and psychosocial outcomes in people poststroke. Design Two-arm randomized controlled trial. Setting A community-based fitness facility. Participants Participants (N=47) with stroke between 18 and 65 years old were randomized to M2M (n=23) or waitlist control (n=24). Interventions Participants in M2M completed 3 60-minute exercise sessions per week for 12 weeks. Controls received biweekly educational newsletters via mail. Main Outcome Measures Primary outcomes included Six-Minute Walk Test (6MWT, in meters), Five Times Sit-to-Stand Test (FTSST, in seconds) and Timed Up and Go (TUG, in seconds). Secondary outcomes were self-reported measures using Patient-Reported Outcomes Measurement Information System Fatigue and Pain Interference Short Form 8a. Outcomes were collected at baseline and postintervention. Analyses involved descriptive statistics and adjusted linear mixed models. Results Mixed models adjusted for the respective baseline values and demographic variables showed that M2M participants had longer 6MWT distance (least square mean difference [LSM], 14.5; 95% confidence interval [CI], −12.9 to 42.0), more FTSST time (LSM, 2.0; 95% CI, −4.5 to 8.5), and less fatigue (LSM, −3.0; 95% CI, −7.2 to 1.2) compared with controls postintervention. When controlling for baseline TUG and demographic variables, there was a larger increase in 6MWT distance (LSM, 37.9; 95% CI, −22.7 to 98.6), lower FTSST time (LSM, −6.1; 95% CI, −18.5 to 6.2), and decrease in fatigue (LSM, −6.5; 95% CI, −13.1 to 0.2) in the M2M group compared with controls. Moderate effect sizes were observed for improving 6MWT ( d =0.6), FTSST ( d =−0.6), and fatigue ( d =−0.6). There was no group difference in change in TUG time and pain interference, with trivial effect sizes ( d =−0.1). Conclusion M2M may be a valuable exercise form for adults with stroke. Future studies are needed to determine optimal exercise doses for improving health and function in this population.

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“…Chronic pain is a common symptom in post-stroke patients increasing patients’ disability and affecting rehabilitation outcomes. To date, the management of these patients is a challenge in the neurorehabilitation setting [ 67 ]. As a matter of fact, it is important to deeply understand all the factors involved in pain occurrence and chronification as well as its impact on disability and HrQoL.…”

Section: Discussionmentioning

confidence: 99%

Health-Related Quality of Life and Psychological Features in Post-Stroke Patients with Chronic Pain: A Cross-Sectional Study in the Neuro-Rehabilitation Context of Care

Gandolfi

Donisi

Battista³

et al. 2021

IJERPH

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This study aims at exploring disability, health-related quality of life (HrQoL), psychological distress, and psychological features in post-stroke patients with chronic pain. An observational cross-sectional study involving 50 post-stroke patients (25 with chronic pain and 25 without pain) was conducted. The primary outcome was the self-reported level of disability and HrQoL which were both assessed through the Stroke Impact Scale 3.0. Both psychological distress and specific psychological features (i.e., self-efficacy, coping strategies, psychological flexibility, perceived social support) were examined. Post-stroke patients with chronic pain reported statistically significant higher levels of disability and worse HrQoL, higher psychological distress and inflexibility, as well as a lower level of self-efficacy and problem-oriented coping strategies than patients without pain (p < 0.001). Finally, correlation analysis in the group of stroke survivors with pain showed that higher levels of disability were significantly related to higher psychological distress. This study confirms the negative influence of chronic pain on disability and HrQoL in post-stroke patients and presents preliminary insights on the association between chronic pain, disability, HrQoL, psychosocial distress, and the patient’s approach in dealing with personal difficulties and emotions. These findings carry further implications for multidisciplinary management of post-stroke patients with chronic pain.

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The Experience of Post-Stroke Pain and The Impact on Quality of Life: An Integrative Review

Cited by 23 publications

References 59 publications

The impact of the UK COVID-19 pandemic on patient-reported health outcomes after stroke: a retrospective sequential comparison

The impact of the UK COVID-19 pandemic on patient-reported health outcomes after stroke: a retrospective sequential comparison

The Effects of a Movement-to-Music (M2M) Intervention on Physical and Psychosocial Outcomes in People Poststroke: A Randomized Controlled Trial

Health-Related Quality of Life and Psychological Features in Post-Stroke Patients with Chronic Pain: A Cross-Sectional Study in the Neuro-Rehabilitation Context of Care

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