Article

OBJECTIVE: To describe pain during inpatient rehabilitation and its impact on
delivery of inpatient rehabilitation services for persons with spinal cord injury
(SCI). DESIGN: Prospective observational study and retrospective chart review.
SETTING: Six inpatient rehabilitation facilities participating in the SCIRehab
Study. PARTICIPANTS: Patients (N=1357) receiving initial rehabilitation after
traumatic SCI, for whom pain data were available.
MAIN OUTCOME MEASURES: Self-reported rating of pain intensity (0-10), pain
locations, and treatment time by various rehabilitation disciplines. RESULTS: The
vast majority of patients (97%) reported pain at least once during the
rehabilitation stay, with an average pain intensity +/- SD of 4.9 +/- 2.4.
Average pain intensity over the stay was severe (rated 7-10) for 30% of patients,
moderate (4-6) for 42%, and mild (1-3) for 25%. Pain prevalence at admission was
greater than at discharge (87% vs 74%), as was pain intensity (6.0 vs 4.6). Most
(79%) of the 177 participants who did not have pain at admission reported pain at
least once later in the rehabilitation stay, but their average high pain
intensity over the stay was lower than that of the full sample (1.9 vs 4.9).
Nearly half (47%) of patients reported pain at >/= 3 locations during the stay,
with the back, neck, and shoulder commonly reported. Patients with severe pain
spent fewer days in rehabilitation, received less rehabilitation treatment time
(hours per week and total hours), and had more treatment sessions altered in
objective or content because of pain than those with lower pain levels.
CONCLUSIONS: Pain is a common problem for persons receiving inpatient
rehabilitation for traumatic SCI and adversely impacts delivery of therapy
services.
CI - Copyright (c) 2013 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS