Mashola Mokgadi K, Korkie Elzette, Mothabeng Diphale J
Department of Physiotherapy, Faculty of Health Science, University of the Witwatersrand, Johannesburg, South Africa.
Department of Physiotherapy, Faculty of Health Science, University of Pretoria, Pretoria, South Africa.
S Afr J Physiother. 2022 Feb 22;78(1):1600. doi: 10.4102/sajp.v78i1.1600. eCollection 2022.
Pain after spinal cord injury (SCI) is common and is likely to continue throughout life with varying levels of severity.
To determine the presence of pain, the sociodemographic and injury profile of community-dwelling manual wheelchair users.
This quantitative correlational study used a sociodemographic and injury profile sheet and the Douleur Neuropathique 4 Questions (DN4) questionnaire to document demographic, SCI profiles as well as pain characteristics. Pain severity was determined using the Numeric Rating Scale. Data were analysed using the Statistical Package for the Social Sciences (SPSS) v27 at 0.05 level of significance.
The pain rate was 104; 85% of 122 participants and mainly in those with complete SCI (77.9%). Neuropathic pain was more common (76; 62.5%) and significantly associated ( < 0.05) with higher pain severity. Pain was mainly in one area of the body (59; 48.4%) but occurring in up to five areas. The most painful area had a mean severity of 6.7/10; was more common in the lower limbs below the injury level (48; 39.4%); and was burning in nature (40; 32.7%).
Pain after SCI is as problematic in the South African context as it is globally. With the rising SCI prevalence in the country, understanding pain and its presentation is important for holistic management of a person with SCI.
In-depth assessment of pain should be conducted and appropriate management interventions for specific pain types be prescribed to effectively reduce pain.
脊髓损伤（SCI）后疼痛很常见，且可能在一生中持续存在，严重程度各不相同。
确定社区居住的手动轮椅使用者的疼痛情况、社会人口统计学特征和损伤情况。
这项定量相关性研究使用了社会人口统计学和损伤情况记录表以及神经病理性疼痛4问题（DN4）问卷来记录人口统计学、脊髓损伤情况以及疼痛特征。使用数字评定量表确定疼痛严重程度。数据使用社会科学统计软件包（SPSS）v27进行分析，显著性水平为0.05。
疼痛发生率为104；122名参与者中有85%，主要是完全性脊髓损伤患者（77.9%）。神经性疼痛更为常见（76；62.5%），且与较高的疼痛严重程度显著相关（<0.05）。疼痛主要集中在身体的一个部位（59；48.4%），但也可能出现在多达五个部位。最疼痛部位的平均严重程度为6.7/10；在损伤水平以下的下肢更为常见（48；39.4%）；性质为灼痛（40；32.7%）。
在南非，脊髓损伤后的疼痛与全球情况一样成问题。随着该国脊髓损伤患病率的上升，了解疼痛及其表现对于脊髓损伤患者的整体管理很重要。
应进行深入的疼痛评估，并针对特定疼痛类型开出适当的管理干预措施，以有效减轻疼痛。
