The presence of pain in community-dwelling South African manual wheelchair users with spinal cord injury

Show simple item record Mashola, Mokgadi Kholofelo Korkie, Elzette Mothabeng, Joyce Diphale 2022-11-29T05:39:46Z 2022-11-29T05:39:46Z 2022-02-22
dc.description.abstract BACKGROUND: Pain after spinal cord injury (SCI) is common and is likely to continue throughout life with varying levels of severity. OBJECTIVE: To determine the presence of pain, the sociodemographic and injury profile of community-dwelling manual wheelchair users. METHOD: 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. RESULTS: 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 (p < 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%). CONCLUSIONS: 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. CLINICAL IMPLICATIONS: In-depth assessment of pain should be conducted and appropriate management interventions for specific pain types be prescribed to effectively reduce pain. en_US
dc.description.department Physiotherapy en_US
dc.description.librarian dm2022 en_US
dc.description.sponsorship The Southern African Spinal Cord Association (SASCA) and the National Research Fund (NRF) Thuthuka grant. en_US
dc.description.uri en_US
dc.identifier.citation Mashola, M.K., Korkie, E. & Mothabeng, D.J., 2022, ‘The presence of pain in community-dwelling South African manual wheelchair users with spinal cord injury’, South African Journal of Physiotherapy 78(1), a1600. en_US
dc.identifier.issn 2410-8219 (online)
dc.identifier.issn 0379-6175 (print)
dc.identifier.other 10.4102/sajp. v78i1.1600
dc.language.iso en en_US
dc.publisher AOSIS en_US
dc.rights © 2022. The Authors. Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License. en_US
dc.subject Neuropathic pain en_US
dc.subject Nociceptive pain en_US
dc.subject Behaviour of pain en_US
dc.subject Location of pain en_US
dc.subject Spinal cord injury (SCI) en_US
dc.subject Community-dwelling manual wheelchair users en_US
dc.subject Douleur Neuropathique 4 Questions (DN4) en_US
dc.title The presence of pain in community-dwelling South African manual wheelchair users with spinal cord injury en_US
dc.type Article en_US

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