Rehabilitation and Research Centre for Torture Victims, Copenhagen, Denmark.
Disabil Rehabil. 2011;33(7):569-78. doi: 10.3109/09638288.2010.493597. Epub 2010 Jun 8.
To describe activity limitations in tortured refugees referred for rehabilitation, particularly the impact of neuropathic pain resulting from falanga (beatings under the feet).
Physiotherapists assessed 103 consecutively referred torture victims with a long history of sequelae, among them pain and mobility problems. All had been subjected to various forms of physical and psychological torture and 71 victims had also suffered falanga. Main outcome measures used were: the Disability Rating Index (DRI; 12 items) to assess self-reported capacity to carry out daily activities; for falanga victims, a specific foot assessment of sensory function in the feet.
All patients perceived clear activity limitations according to the DRI. The falanga victims' feet were categorised according to the type of foot pain: stimulus-independent pain; stimulus-evoked pain; no pain. The two groups with foot pain displayed sensory dysfunction and suffered more extensive activity limitations. After correction for confounding factors, these two groups reported significantly more activity limitations in 7 out of 12 DRI items than those who were not exposed to falanga.
In this group of victims who had chronic pain for at least 5 years after torture, all perceived activity limitations, but pain from falanga had a greater overall impact on disability assessed in terms of daily activities.
描述接受康复治疗的酷刑难民的活动受限情况，特别是由falanga（脚底挨打）引起的神经病理性疼痛的影响。
物理治疗师评估了 103 名连续转介的酷刑受害者，他们都有长期后遗症，包括疼痛和行动问题。所有受害者都曾遭受过各种形式的身心折磨，其中 71 名受害者还遭受过 falanga。主要的评估指标包括：残疾评定指数（DRI；12 项），用于评估自我报告的日常活动能力；对于 falanga 受害者，还对脚部的感觉功能进行了特定的足部评估。
所有患者根据 DRI 都明显感知到活动受限。根据脚部疼痛的类型，将 falanga 受害者的脚部进行分类：非刺激相关的疼痛；刺激诱发的疼痛；无痛。有脚部疼痛的两组患者表现出感觉功能障碍，活动受限更为广泛。在对混杂因素进行校正后，这两组在 DRI 的 12 项中的 7 项中报告的活动受限明显多于未接触 falanga 的患者。
在这群酷刑后至少有 5 年慢性疼痛的受害者中，所有人都感知到了活动受限，但与 falanga 相关的疼痛对日常生活活动评估的残疾状况影响更大。
