关键词: Athlete Disability Knowledge translation Para-Athletes

来  源:   DOI:10.1136/bmjsem-2023-001828   PDF(Pubmed)

Abstract:
UNASSIGNED: Chronic pain among athletes is often misinterpreted as tissue damage resulting from sport. While researchers have started to examine neuropathic pain among athletes with spinal cord injury (SCI), there is a need to develop a deeper understanding of their neuropathic pain symptoms and experiences, to support the development of evidence-based pain management protocols.
UNASSIGNED: The primary purpose of this study was to describe neuropathic pain experienced by athletes with SCI. A secondary purpose was to compare athletes\' neuropathic pain symptoms when measured by two different clinical pain assessment tools and describe their experiences when trying to communicate their neuropathic pain.
UNASSIGNED: 47 athletes with SCI completed the International Spinal Cord Injury Pain Basic Data Set (V.2.0), Douleur Neuropathique 4 (DN4), and two open-ended pain questions over the telephone.
UNASSIGNED: 66% of participants reported experiencing moderate-intensity neuropathic pain (Mpain intensity=5.32±1.78) and mild-to-moderate pain interference with activities of daily living (Mpain interference=3.55±2.11) and sleep (Mpain interference4.68±2.92). Overall, participants reported significantly more neuropathic pain symptoms in response to DN4 questions (M=4.62±1.38) versus open-ended pain questions (M=2.13±1.08), p<0.001. Participants reported difficulty with identifying neuropathic pain, describing their pain symptoms and identifying pain locations.
UNASSIGNED: Athletes with SCI reported moderate-intensity neuropathic pain. However, they struggled with communicating their neuropathic pain without being prompted with a list of symptoms. To guide the development of effective pain management strategies among athletes with SCI, future research should focus on developing knowledge products to improve awareness of common neuropathic pain descriptors among athletes with SCI and sports medicine personnel.
摘要:
运动员的慢性疼痛经常被误解为运动引起的组织损伤。虽然研究人员已经开始检查脊髓损伤(SCI)运动员的神经性疼痛,有必要对他们的神经性疼痛症状和经历有更深入的了解,支持循证疼痛管理方案的制定。
本研究的主要目的是描述SCI运动员所经历的神经性疼痛。次要目的是比较运动员通过两种不同的临床疼痛评估工具测量的神经性疼痛症状,并描述他们在尝试传达神经性疼痛时的经历。
47名SCI运动员完成了国际脊髓损伤疼痛基本数据集(V.2.0),DouleurNeuropathique4(DN4),和两个开放式的疼痛问题通过电话。
66%的参与者报告经历中等强度的神经性疼痛(Mpain强度=5.32±1.78)和轻度至中度疼痛干扰日常生活活动(Mpain干扰=3.55±2.11)和睡眠(Mpain干扰4.68±2.92)。总的来说,参与者对DN4问题(M=4.62±1.38)的反应明显多于开放式疼痛问题(M=2.13±1.08)的神经性疼痛症状,p<0.001。参与者报告难以识别神经性疼痛,描述他们的疼痛症状并确定疼痛位置。
SCI运动员报告中等强度神经性疼痛。然而,他们挣扎着传达他们的神经性疼痛,而没有被提示出一系列症状。为了指导SCI运动员制定有效的疼痛管理策略,未来的研究应侧重于开发知识产品,以提高SCI运动员和运动医学人员对常见神经性疼痛描述的认识。
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