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Pain severity and mobility one year after spinal cord injury: a multicenter, cross-sectional study

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Resumo: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 postinjury chronic pain.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.DESIGN: A multi-center, cross-sectional study.SETTING: The SCIMS is composed of 14 centers, all located in the United States and funded by the National Institute on Disability and Rehabilitation Research (NIDRR).POPULATION: The study cohort included 1980 patients who completed the one-year SCIMS follow-up assessment between October 2000 December 2013.METHODS: A multi-center, cross-sectional study was performed to assess the impact of mobility on self-reported pain using information from 1980 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.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).CONCLUSIONS: Among patients with moderate to high
Autores principais:Marcondes, Bianca F.
Outros Autores:Sreepathi, Shruti; Markowski, Justin; Dung Nguyen; Stock, Shannon R.; Carvalho, Sandra; Tate, Denise; Zafonte, Ross; Morse, Leslie R.; Fregni, Felipe
Assunto:Spinal cord injuries Pain Psychomotor performance Ciências Sociais::Psicologia
Ano:2016
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso restrito
Instituição associada:Universidade do Minho
Idioma:inglês
Origem:RepositóriUM - Universidade do Minho
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author Marcondes, Bianca F.
author2 Sreepathi, Shruti
Markowski, Justin
Dung Nguyen
Stock, Shannon R.
Carvalho, Sandra
Tate, Denise
Zafonte, Ross
Morse, Leslie R.
Fregni, Felipe
author2_role author
author
author
author
author
author
author
author
author
author_facet Marcondes, Bianca F.
Sreepathi, Shruti
Markowski, Justin
Dung Nguyen
Stock, Shannon R.
Carvalho, Sandra
Tate, Denise
Zafonte, Ross
Morse, Leslie R.
Fregni, Felipe
author_role author
contributor_name_str_mv RepositóriUM - Universidade do Minho
country_str PT
creators_json_txt [{\"Person.name\":\"Marcondes, Bianca F.\"},{\"Person.name\":\"Sreepathi, Shruti\"},{\"Person.name\":\"Markowski, Justin\"},{\"Person.name\":\"Dung Nguyen\"},{\"Person.name\":\"Stock, Shannon R.\"},{\"Person.name\":\"Carvalho, Sandra\"},{\"Person.name\":\"Tate, Denise\"},{\"Person.name\":\"Zafonte, Ross\"},{\"Person.name\":\"Morse, Leslie R.\"},{\"Person.name\":\"Fregni, Felipe\"}]
datacite.contributors.contributor.contributorName.fl_str_mv RepositóriUM - Universidade do Minho
datacite.creators.creator.creatorName.fl_str_mv Marcondes, Bianca F.
Sreepathi, Shruti
Markowski, Justin
Dung Nguyen
Stock, Shannon R.
Carvalho, Sandra
Tate, Denise
Zafonte, Ross
Morse, Leslie R.
Fregni, Felipe
datacite.date.Accepted.fl_str_mv 2016-01-01T00:00:00Z
datacite.date.embargoed.fl_str_mv 10000-01-01T00:00:00Z
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_16ec
datacite.subjects.subject.fl_str_mv Spinal cord injuries
Pain
Psychomotor performance
Ciências Sociais::Psicologia
datacite.titles.title.fl_str_mv Pain severity and mobility one year after spinal cord injury: a multicenter, cross-sectional study
dc.contributor.none.fl_str_mv RepositóriUM - Universidade do Minho
dc.creator.none.fl_str_mv Marcondes, Bianca F.
Sreepathi, Shruti
Markowski, Justin
Dung Nguyen
Stock, Shannon R.
Carvalho, Sandra
Tate, Denise
Zafonte, Ross
Morse, Leslie R.
Fregni, Felipe
dc.date.Accepted.fl_str_mv 2016-01-01T00:00:00Z
dc.date.embargoed.fl_str_mv 10000-01-01T00:00:00Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv https://hdl.handle.net/1822/69975
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv Edizioni Minerva Medica
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_16ec
dc.subject.none.fl_str_mv Spinal cord injuries
Pain
Psychomotor performance
Ciências Sociais::Psicologia
dc.title.fl_str_mv Pain severity and mobility one year after spinal cord injury: a multicenter, cross-sectional study
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description 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 postinjury chronic pain.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.DESIGN: A multi-center, cross-sectional study.SETTING: The SCIMS is composed of 14 centers, all located in the United States and funded by the National Institute on Disability and Rehabilitation Research (NIDRR).POPULATION: The study cohort included 1980 patients who completed the one-year SCIMS follow-up assessment between October 2000 December 2013.METHODS: A multi-center, cross-sectional study was performed to assess the impact of mobility on self-reported pain using information from 1980 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.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).CONCLUSIONS: Among patients with moderate to high
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fulltext.url.fl_str_mv https://repositorium.uminho.pt/bitstreams/73964508-8f0f-4255-b0c7-435286773a4c/download
id rum_fcabb5a003e53caabeb1b8502cfc19e1
identifier.url.fl_str_mv https://hdl.handle.net/1822/69975
instacron_str repositorium
institution Universidade do Minho
instname_str Universidade do Minho
language eng
network_acronym_str rum
network_name_str RepositóriUM - Universidade do Minho
oai_identifier_str oai:repositorium.uminho.pt:1822/69975
organization_str_mv urn:organizationAcronym:repositorium
person_str_mv Marcondes, Bianca F.
Sreepathi, Shruti
Markowski, Justin
Dung Nguyen
Stock, Shannon R.
Carvalho, Sandra
Tate, Denise
Zafonte, Ross
Morse, Leslie R.
Fregni, Felipe
publishDate 2016
publisher.none.fl_str_mv Edizioni Minerva Medica
reponame_str RepositóriUM - Universidade do Minho
repository_id_str urn:repositoryAcronym:rum
service_str_mv urn:repositoryAcronym:rum
spelling engEdizioni Minerva MedicaporBACKGROUND: 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 postinjury chronic pain.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.DESIGN: A multi-center, cross-sectional study.SETTING: The SCIMS is composed of 14 centers, all located in the United States and funded by the National Institute on Disability and Rehabilitation Research (NIDRR).POPULATION: The study cohort included 1980 patients who completed the one-year SCIMS follow-up assessment between October 2000 December 2013.METHODS: A multi-center, cross-sectional study was performed to assess the impact of mobility on self-reported pain using information from 1980 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.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).CONCLUSIONS: Among patients with moderate to highapplication/pdfporPain severity and mobility one year after spinal cord injury: a multicenter, cross-sectional studyMarcondes, Bianca F.Sreepathi, ShrutiMarkowski, JustinDung NguyenStock, Shannon R.Carvalho, SandraTate, DeniseZafonte, RossMorse, Leslie R.Fregni, FelipeHostingInstitutionOrganizationalRepositóriUM - Universidade do Minhoe-mailmailto:repositorium@usdb.uminho.ptrepositorium@usdb.uminho.ptCITATIONMarcondes BF , Sreepathi S, Markowski J, Nguyen D, Stock SR , Carvalho S, et al. Pain severity and mobility one year after spinal cord injury: a multicenter, cross-sectional study. Eur J Phys Rehabil Med 2016;52:630-6)PMID26616359ISSNIsPartOf1973-9087EISSNIsPartOf1973-909520162021-01-31T14:50:15Z10000-01-01T00:00:00Z2016-01-01T00:00:00ZHandlehttps://hdl.handle.net/1822/69975http://purl.org/coar/access_right/c_16ecrestricted accessSpinal cord injuriesPainPsychomotor performancehttp://www.oecd.org/science/inno/38235147.pdfFields of Science and Technology (FOS)Ciências Sociais::Psicologia434693 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal articlehttp://purl.org/coar/access_right/c_f1cfapplication/pdffulltexthttps://repositorium.uminho.pt/bitstreams/73964508-8f0f-4255-b0c7-435286773a4c/download
spellingShingle Pain severity and mobility one year after spinal cord injury: a multicenter, cross-sectional study
Marcondes, Bianca F.
Spinal cord injuries
Pain
Psychomotor performance
Ciências Sociais::Psicologia
status SINGLETON
subject.fl_str_mv Spinal cord injuries
Pain
Psychomotor performance
subject.other.fl_str_mv Ciências Sociais::Psicologia
title Pain severity and mobility one year after spinal cord injury: a multicenter, cross-sectional study
title_full Pain severity and mobility one year after spinal cord injury: a multicenter, cross-sectional study
title_fullStr Pain severity and mobility one year after spinal cord injury: a multicenter, cross-sectional study
title_full_unstemmed Pain severity and mobility one year after spinal cord injury: a multicenter, cross-sectional study
title_short Pain severity and mobility one year after spinal cord injury: a multicenter, cross-sectional study
title_sort Pain severity and mobility one year after spinal cord injury: a multicenter, cross-sectional study
topic Spinal cord injuries
Pain
Psychomotor performance
Ciências Sociais::Psicologia
topic_facet Spinal cord injuries
Pain
Psychomotor performance
Ciências Sociais::Psicologia
url https://hdl.handle.net/1822/69975
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