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Relationship of psychosocial factors and musculoskeletal pain among individuals with newly acquired spinal cord injury
Journal article   Open access   Peer reviewed

Relationship of psychosocial factors and musculoskeletal pain among individuals with newly acquired spinal cord injury

Margaret Finley, Elizabeth Euiler, Laura Baehr, Edward Gracely, Mary Brownsberger, Mary Schmidt-Read, Sara Kate Frye, Marni Kallins, Amanda Summers, Henry York, …
Spinal cord series and cases, v 7(1), pp 61-61
19 Jul 2021
PMID: 34282128
url
https://doi.org/10.1038/s41394-021-00415-4View
Published, Version of Record (VoR)Open Access (License Unspecified) Open

Abstract

Cross-Sectional Studies Humans Longitudinal Studies Musculoskeletal Pain - epidemiology Spinal Cord Injuries - complications Spinal Cord Injuries - epidemiology Quality of Life
Cross-sectional analysis of baseline data of a longitudinal cohort study. Little evidence exists on pain-related psychosocial factors in individuals with newly acquired spinal cord injury (SCI). To understand a biopsychosocial model of pain, we must first understand the presenting psychological pain-related factors at injury onset. Therefore, we assessed musculoskeletal pain and pain-related psychological constructs in a group of individuals with newly acquired SCI. We hypothesized that individuals with new SCI would report musculoskeletal shoulder pain with elevated levels of kinesiophobia and pain catastrophizing. Data were collected in three rehabilitation hospitals located in urban and suburban communities. Thirty-five individuals with newly acquired SCI participated. Demographics, Musculoskeletal Pain Survey shoulder subscale, Tampa Kinesiophobia Scale-11, Pain Catastrophizing Scale, Fear of Pain Questionnaire, Chronic Pain Coping Inventory-42, and Subjective Quality of Life Questionnaire were administered. Descriptive analysis of all measures was determined and relationships between pain and psychosocial measures determined. Moderate shoulder pain existed in 40% of people with new SCI along with clinically elevated kinesiophobia, pain catastrophizing, fear of pain, and reduced quality of life. Shoulder pain was statistically associated with pain catastrophizing (ρ = 0.41, p = 0.01). Kinesiophobia positively correlated with fear of pain (ρ = 0.38, p = 0.02) with an inverse relationship to quality of life (ρ = -0.47, p = 0.01). Elevated pain, and pain-related psychological characteristics, such as catastrophizing and kinesiophobia exist during the early stages after SCI. Early identification of pain-related factors can guide clinical intervention potentially ameliorating pain-linked functional impairments. This trial is registered with ClinTrial.gov ID NCT03137394.

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Collaboration types
Domestic collaboration
Web of Science research areas
Clinical Neurology
Rehabilitation
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