TY - JOUR
T1 - Function-limiting dysesthetic pain syndrome among traumatic spinal cord injury patients
T2 - a cross-sectional study
AU - Davidoff, Gary
AU - Roth, Elliot
AU - Guarracini, Mary
AU - Sliwa, James
AU - Yarkony, Gary
N1 - Funding Information:
This investigationw as funded by a grant from the CNS ResearchD ivision of Bristol-Myers Corporation. Esther Stohl served as researcha ssistant.C onstance Keyserling, M.S., serveda s consultantf or statisticala nalysis.S ecretarials upport was providedb y Victoria Gregory and Patricia Wagner.
PY - 1987/4
Y1 - 1987/4
N2 - Diffuse burning dysesthetic sensations distal to the level of spinal injury are the most common and disabling painful sequelae of traumatic spinal cord injury (SCI). In a cross-sectional study of 19 SCI patients, clinical characteristics and results of 3 validated pain measurement instruments (McGill Pain Questionnaire, Stembach Pain Intensity and Zung Pain and Distress Scale) were used to develop a profile of function-limiting dysesthetic pain sydrome (DPS). Compared to a cohort of 147 patients admitted to the Midwest Regional Spinal Cord Injury Care System during the time period of the study, subjects were more likely to have paraplegia, incomplete sensory myelopathy, gunshot wounds to the spine and non-surgical spinal stabilization. Most patients described the pain as 'cutting,' βurning,' 'piercing,' 'radiating' and 'tight.' The majority of patients located the pain internally and in the lower extremities. Values obtained from 6 McGill Pain Questionnaire subscales, 2 Sternbach Pain Intensity ratings and the Zung Pain and Distress index equalled or exceeded those reported for other pain syndromes. Use of these validated pain measures resulted in a systematic comprehensive assessment of function-limiting DPS following SCI.
AB - Diffuse burning dysesthetic sensations distal to the level of spinal injury are the most common and disabling painful sequelae of traumatic spinal cord injury (SCI). In a cross-sectional study of 19 SCI patients, clinical characteristics and results of 3 validated pain measurement instruments (McGill Pain Questionnaire, Stembach Pain Intensity and Zung Pain and Distress Scale) were used to develop a profile of function-limiting dysesthetic pain sydrome (DPS). Compared to a cohort of 147 patients admitted to the Midwest Regional Spinal Cord Injury Care System during the time period of the study, subjects were more likely to have paraplegia, incomplete sensory myelopathy, gunshot wounds to the spine and non-surgical spinal stabilization. Most patients described the pain as 'cutting,' βurning,' 'piercing,' 'radiating' and 'tight.' The majority of patients located the pain internally and in the lower extremities. Values obtained from 6 McGill Pain Questionnaire subscales, 2 Sternbach Pain Intensity ratings and the Zung Pain and Distress index equalled or exceeded those reported for other pain syndromes. Use of these validated pain measures resulted in a systematic comprehensive assessment of function-limiting DPS following SCI.
KW - Pain
KW - Pain measures
KW - Spinal cord injury
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U2 - 10.1016/0304-3959(87)90176-X
DO - 10.1016/0304-3959(87)90176-X
M3 - Article
C2 - 3588000
AN - SCOPUS:0023091260
SN - 0304-3959
VL - 29
SP - 39
EP - 48
JO - Pain
JF - Pain
IS - 1
ER -