Article

OBJECTIVE: To assess efficacy of an interdisciplinary pain program adapted for
persons with spinal cord injury (SCI) and chronic pain.
DESIGN: Prospective cohort. SETTING: University-affiliated rehabilitation hospital. PARTICIPANTS:
Twenty-two persons with traumatic or nontraumatic SCI and chronic pain of at
least 6 months' duration. METHODS: Subjects participated in an interdisciplinary
pain program consisting of biweekly group sessions for 10 consecutive weeks.
Sessions incorporated patient education on chronic pain and associated pain
mechanisms, cognitive behavioral therapy, self-management strategies (eg, energy
conservation, ergonomics, goal setting, stress management, anger management, and
coping skills), group discussions and activities, and either exercise or guided
relaxation at the end of each session. MAIN OUTCOME MEASURES: Multidimensional
Pain Inventory SCI, Coping Inventory of Stressful Situations, Pain Stages of
Change Questionnaire, and Life Satisfaction Questionnaire. RESULTS: After
participation in an interdisciplinary pain program, persons with SCI and chronic
neuropathic pain demonstrated increased involvement in learning and maintenance
of coping strategies for chronic pain. Participation also led to less pain
interference in daily life and a greater sense of control over one's life.
CONCLUSIONS: Participation in an interdisciplinary pain program does not reduce
pain severity, but it can help persons with SCI and chronic neuropathic pain cope
with pain, lessen interference of pain, and improve their sense of control.
CI - Copyright (c) 2013 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS