@article{ref1,
title="Pain severity and mobility one year after spinal cord injury: a multicenter, cross-sectional study",
journal="European journal of physical and rehabilitation medicine",
year="2015",
author="Marcondes, B. F. and Sreepathi, S. and Markowski, J. and Nguyen, D. and Stock, S. R. and Carvalho, S. and Tate, D. and Zafonte, R. and Morse, L. and Fregni, F.",
volume="52",
number="5",
pages="630-636",
abstract="BACKGROUND: Following a spinal cord injury, patients are often burdened by chronic pain. Preliminary research points to activation of the motor cortex through increased mobility as a potential means of alleviating post-injury chronic pain. <br><br>AIM: The aim of this study was to assess the relationship between pain severity and mobility among patients who have sustained a traumatic spinal cord injury while controlling for clinically-relevant covariates. <br><br>METHODS: A multi-center, cross-sectional study was performed to assess the impact of mobility on self-reported pain using information from 1,980 subjects who sustained a traumatic spinal cord injury and completed a year-one follow-up interview between October 2000 and December 2013. Patient information was acquired using the Spinal Cord Injury National Database, compiled by the affiliated Spinal Cord Injury Model Systems. Analyses included a multivariable linear regression of patients' self-reported pain scores on mobility, quantified using the CHART- SF mobility total score, and other clinically relevant covariates. <br><br>RESULTS: After controlling for potential confounders, a significant quadratic relationship between mobility and patients' self-reported pain was observed (p = 0.016). Furthermore, female gender, 'unemployed' occupational status, paraplegia, and the presence of depressive symptoms were associated with significantly higher pain scores (p < 0.02 for all variables). Statistically significant quadratic associations between pain scores and age at injury, life satisfaction total score, and the CHART-SF occupational total subscale were also observed (p ≤ 0.03 for all variables). <br><br>CONCLUSION: Among patients with moderate to high levels of mobility, pain scores decreased with increasing mobility.<p /><p>Language: en</p>",
language="en",
issn="1973-9087",
doi="",
url="http://dx.doi.org/"
}