, Center of Excellence for Rehabilitation Medicine, De Hoogstraat Rehabilitation, Utrecht, The Netherlands.
J Rehabil Med. 2014 Jun;46(6):540-5. doi: 10.2340/16501977-1798.
To explore the long-term outcomes of CONECSI (COping with NEuropathiC Spinal cord Injury pain), a multidisciplinary cognitive behavioural treatment programme in persons with spinal cord injury.
Long-term follow-up pre-post-intervention design.
A total of 29 subjects with a spinal cord injury and chronic neuropathic pain from 4 Dutch rehabilitation centres.
Primary outcomes were pain intensity and pain-related disability (Chronic Pain Grade questionnaire). Secondary outcomes were mood (Hospital Anxiety and Depression Scale), participation in activities (Utrecht Activities List), and life satisfaction (Life Satisfaction Questionnaire). Random coefficient analysis was used for the analyses of measurements before (t1), immediate post-intervention (t2), and 6 (t3), 9 (t4), and 12 (t5) months follow-up.
The analyses showed significant improvements on pain intensity (t1-t2 and t1-t5) and pain-related disability (t1-t2, t1-t4, and t1-t5), anxiety and participation in activities (t1-t2, t1-t3, and t1-t5).
This exploratory study suggests that a multidisciplinary cognitive behavioural programme might have lasting improvements on pain intensity, pain-related disability, anxiety, and participation in activities in people with chronic neuropathic spinal cord injury pain and highlights the potential of such programmes.
探索 CONECSI(应对神经性脊髓损伤疼痛)的长期结果,这是一种多学科认知行为治疗方案,适用于脊髓损伤患者。
长期随访前后干预设计。
来自 4 个荷兰康复中心的 29 名脊髓损伤和慢性神经性疼痛患者。
主要结果是疼痛强度和与疼痛相关的残疾(慢性疼痛等级问卷)。次要结果是情绪(医院焦虑和抑郁量表)、活动参与度(乌得勒支活动清单)和生活满意度(生活满意度问卷)。采用随机系数分析对治疗前(t1)、干预即刻(t2)以及 6(t3)、9(t4)和 12(t5)个月随访时的测量结果进行分析。
分析显示,疼痛强度(t1-t2 和 t1-t5)和与疼痛相关的残疾(t1-t2、t1-t4 和 t1-t5)、焦虑和活动参与度(t1-t2、t1-t3 和 t1-t5)均有显著改善。
这项探索性研究表明,多学科认知行为方案可能对慢性神经性脊髓损伤疼痛患者的疼痛强度、与疼痛相关的残疾、焦虑和活动参与度产生持久的改善,并凸显了此类方案的潜力。