Abstract
Objective
To compare prevalence, intensity ratings, and interference ratings of neuropathic
pain (NeuP) and nociceptive pain in people with chronic spinal cord injury (SCI)
Design
Cross-sectional survey.
Setting
Six SCI Model System centers in the United States.
Participants
Convenience sample of 391 individuals (N=391) with traumatic SCI, 18 years or older,
81% male, 57% White.
Interventions
Not applicable.
Main Outcome Measures
Survey based on the International Spinal Cord Injury Pain Basic Data Set and the Spinal
Cord Injury Pain Instrument, including 0-10 numeric ratings of pain intensity and
pain interference with daily activities, mood, and sleep
Results
A total of 80% of those surveyed reported having at least 1 pain problem; 58% reported
2 or more pain problems; 56% had probable NeuP; and 49% had non-NeuP. When comparing
ratings for all pains (n=354 for NeuP, n=290 for non-NeuP) across participants, probable
NeuPs were significantly more intense (6.9 vs 5.7) and interfered more with activities
(5.2 vs 3.7), mood (4.9 vs 3.2), and sleep (5.4 vs 3.6) than non-NeuPs (all P<.001). However, when comparing ratings for probable NeuPs and non-NeuPs within participants,
for the subgroup of 94 participants with both pain types, only ratings for sleep interference
were found to be significantly different between the pain types. Additionally, we
found significantly greater prevalence of NeuP and non-NeuP for women compared with
men and of NeuP for those with paraplegia compared with those with tetraplegia.
Conclusions
Independent assessment of the pain conditions experienced by an individual with SCI
is useful in understanding the differential effect that pain type has on quality of
life. This is particularly important regarding sleep interference and should be kept
in mind when determining treatment strategies for meeting patient-centered outcome
goals.
Keywords
List of abbreviations:
ISCIPBDS (International Spinal Cord Injury Pain Basic Data Set), NeuP (neuropathic pain), SCI (spinal cord injury), SCIMS (Spinal Cord Injury Model Systems), SCIPI (Spinal Cord Injury Pain Instrument)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: August 02, 2021
Accepted:
June 8,
2021
Received in revised form:
June 4,
2021
Received:
December 31,
2020
Footnotes
Supported by grant nos.: 90SI5023, South Florida SCIMS/University of Miami; 90SI5017, Mount Sinai Hospital SCIMS; 90SI5027, Texas SCIMS at TIRR; 90SI5019, University of Alabama at Birmingham SCIMS; 90SI5018, Southern California SCIMS/Rancho Los Amigos National Rehabilitation Center; 90SI5015, Rocky Mountain Regional SCIIS/Craig Hospital from the National Institute for Disability, Independent Living, and Rehabilitation Research (NIDILRR). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this manuscript do not necessarily represent the policy of NIDILRR, ACL, HHS, and you should not assume endorsement by the Federal Government.
Identification
Copyright
© 2021 The American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
