Institute of Health Sciences, Department of Physiotherapy and Rehabilitation, Gazi University, Ankara, Turkey.
Department of Rehabilitation, Riga Stradiņš University, Riga, Latvia.
Brain Behav. 2021 May;11(5):e02092. doi: 10.1002/brb3.2092. Epub 2021 Mar 2.
The objective of this study was to investigate the role of mobility limitations and vitality, as well as additional factors such as comorbidities, to predict post-stroke pain.
MATERIALS & METHODS: This study included cross-sectional data from 214 participants living in varied settings in different parts of Sweden. Participants were asked to complete the Stroke Impact Scale, Medical Outcomes Study Short Form 36, and Self-administered Comorbidity Questionnaire to evaluate mobility, vitality, comorbidities, and pain. Descriptive statistics were used for demographic and clinical characteristics. Binary logistic regression analysis was performed to predict the pain domain score on Medical Outcomes Study Short Form 36.
The mean age of all participants in the sample was 66 years (SD 14); 43.4% of the study population were women. After analyses, "standing without losing balance and vitality'' were found to be significant predictors in the model which explained the pain score on Medical Outcomes Study Short Form 36.
In conclusion, the results suggest that restrictions in mobility and low vitality have an important role on the occurrence of post-stroke pain. Having post-stroke pain could be due to not able to stand without losing balance and low vitality. Thus, rehabilitation professionals may consider the importance of these factors, especially mobility restrictions, in preventing post-stroke pain.
本研究旨在探讨活动受限和活力，以及合并症等其他因素对预测卒中后疼痛的作用。
本研究纳入了来自瑞典不同地区不同环境的 214 名参与者的横断面数据。参与者被要求完成卒中影响量表、医疗结局研究简表 36 项和自我合并症问卷，以评估活动能力、活力、合并症和疼痛。采用描述性统计方法分析人口统计学和临床特征。采用二项逻辑回归分析预测医疗结局研究简表 36 中的疼痛域评分。
样本中所有参与者的平均年龄为 66 岁（标准差 14）；研究人群中有 43.4%为女性。分析后发现，“站立时不失去平衡和活力”是模型中解释医疗结局研究简表 36 疼痛评分的显著预测因素。
总之，结果表明，活动受限和活力低下对卒中后疼痛的发生有重要作用。出现卒中后疼痛可能是由于无法站立而不失去平衡和活力低下所致。因此，康复专业人员可能需要考虑这些因素的重要性，尤其是活动受限，以预防卒中后疼痛。
