A comprehensive pain management programme comprising educational, cognitive and behavioural interventions for neuropathic pain following spinal cord injury.

Full Abstract

OBJECTIVE:
To assess whether a comprehensive multidisciplinary pain management programme could contribute to improvement regarding sleep quality, mood, life satisfaction, health-related quality of life, sense of coherence and pain for patients with a spinal cord injury and neuropathic pain.Design:
A prospective intervention study.

PATIENTS:
Twenty-seven patients with spinal cord injury and neuropathic pain participated in a pain management programme in parallel with 11 patients in a control group.

METHODS:
A comprehensive pain management programme comprising educational, cognitive, and behavioural interventions was created for patients with spinal cord injury and neuropathic pain. The pain management programme consisted of 20 sessions over a 10-week period and included educational sessions, behavioural therapy, relaxation, stretching, light exercise and body awareness training. All patients were followed-up 3, 6 and 12 months after completion of the programme.

RESULTS:
At the 12-month follow-up, levels of anxiety and depression in the treatment group decreased compared with baseline values, and a tendency towards better quality of sleep was seen. In comparison with the control group, patients in the treatment group improved regarding sense of coherence and depression.

CONCLUSION:
This study implies that a multidimensional pain management programme can be a valuable complement in the treatment of spinal cord injured patients with neuropathic pain.

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Author information

Author/s: Norrbrink Budh, Cecilia (C); Kowalski, Jan (J); Lundeberg, Thomas (T);

Affiliation: Spinalis SCI Unit, Karolinska University Hospital, Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden. cecilianorrbrink-budh(-atsign-)karolinska.se

Journal and publication information

Publication Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't

Journal: Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine (J Rehabil Med), published in Sweden. (Language: eng)

Reference: 2006-May; vol 38 (issue 3) : pp 172-80

Dates: Created 2006/05/16; Completed 2006/06/19; Revised 2008/11/21;

PMID: 16702084, status: MEDLINE (last retrieval date: 12/26/2008)

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Middle Aged
Neuralgia - etiology; psychology; rehabilitation
Pain - etiology; psychology; rehabilitation
Patient Education as Topic
Patient Satisfaction
Physical Therapy Modalities
Prospective Studies
Quality of Life
Relaxation Therapy
Spinal Cord Injuries - complications; psychology; rehabilitation

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