TY  - JOUR
PY  - 2015//
TI  - Pain severity and mobility one year after spinal cord injury: a multicenter, cross-sectional study
JO  - European journal of physical and rehabilitation medicine
A1  - Marcondes, B. F.
A1  - Sreepathi, S.
A1  - Markowski, J.
A1  - Nguyen, D.
A1  - Stock, S. R.
A1  - Carvalho, S.
A1  - Tate, D.
A1  - Zafonte, R.
A1  - Morse, L.
A1  - Fregni, F.
SP  - 630
EP  - 636
VL  - 52
IS  - 5
N2  - 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>
LA  - en
SN  - 1973-9087
UR  - http://dx.doi.org/
ID  - ref1
ER  -