Relationship of psychosocial factors and musculoskeletal pain among individuals with newly acquired spinal cord injury.

Autor:	Finley M; Department of Physical Therapy and Rehabilitation Science, Drexel University, Philadelphia, PA, USA. maf378@drexel.edu., Euiler E; Department of Physical Therapy and Rehabilitation Science, Drexel University, Philadelphia, PA, USA., Baehr L; Department of Physical Therapy and Rehabilitation Science, Drexel University, Philadelphia, PA, USA., Gracely E; School of Public Health, Drexel University, Philadelphia, PA, USA., Brownsberger M; Good Shepherd Rehabilitation Network, Allentown, PA, USA., Schmidt-Read M; Magee Rehabilitation Hospital/Jefferson Health, Philadelphia, PA, USA., Frye SK; University of Maryland Rehabilitation and Orthopaedic Institute, Baltimore, MD, USA., Kallins M; University of Maryland Rehabilitation and Orthopaedic Institute, Baltimore, MD, USA., Summers A; University of Maryland Rehabilitation and Orthopaedic Institute, Baltimore, MD, USA., York H; University of Maryland Rehabilitation and Orthopaedic Institute, Baltimore, MD, USA.; Department of Neurology, University Maryland School of Medicine, Baltimore, MD, USA., Geigle PR; University of Maryland Rehabilitation and Orthopaedic Institute, Baltimore, MD, USA.; Department Physical Therapy, South College, Knoxville, TN, USA.
Jazyk:	angličtina
Zdroj:	Spinal cord series and cases [Spinal Cord Ser Cases] 2021 Jul 19; Vol. 7 (1), pp. 61. Date of Electronic Publication: 2021 Jul 19.
DOI:	10.1038/s41394-021-00415-4
Abstrakt:	Study Design: Cross-sectional analysis of baseline data of a longitudinal cohort study. Objectives: Little evidence exists on pain-related psychosocial factors in individuals with newly acquired spinal cord injury (SCI). To understand a biopsychosocial model of pain, we must first understand the presenting psychological pain-related factors at injury onset. Therefore, we assessed musculoskeletal pain and pain-related psychological constructs in a group of individuals with newly acquired SCI. We hypothesized that individuals with new SCI would report musculoskeletal shoulder pain with elevated levels of kinesiophobia and pain catastrophizing. Setting: Data were collected in three rehabilitation hospitals located in urban and suburban communities. Methods: Thirty-five individuals with newly acquired SCI participated. Demographics, Musculoskeletal Pain Survey shoulder subscale, Tampa Kinesiophobia Scale-11, Pain Catastrophizing Scale, Fear of Pain Questionnaire, Chronic Pain Coping Inventory-42, and Subjective Quality of Life Questionnaire were administered. Descriptive analysis of all measures was determined and relationships between pain and psychosocial measures determined. Results: Moderate shoulder pain existed in 40% of people with new SCI along with clinically elevated kinesiophobia, pain catastrophizing, fear of pain, and reduced quality of life. Shoulder pain was statistically associated with pain catastrophizing (ρ = 0.41, p = 0.01). Kinesiophobia positively correlated with fear of pain (ρ = 0.38, p = 0.02) with an inverse relationship to quality of life (ρ = -0.47, p = 0.01). Conclusions: Elevated pain, and pain-related psychological characteristics, such as catastrophizing and kinesiophobia exist during the early stages after SCI. Early identification of pain-related factors can guide clinical intervention potentially ameliorating pain-linked functional impairments. Trial Registry: This trial is registered with ClinTrial.gov ID NCT03137394. (© 2021. The Author(s), under exclusive licence to International Spinal Cord Society.)
Databáze:	MEDLINE
Externí odkaz: