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

Cecilia Norrbrink Budh·Jan Kowalski·Thomas Lundeberg
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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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Adaptation, PsychologicalAdultAgedCognitive Behavioral TherapyFemaleFollow-Up StudiesHumansInterviews as TopicMaleMiddle AgedNeuralgiaPainPatient Education as TopicPatient SatisfactionPhysical Therapy ModalitiesProspective StudiesQuality of LifeRelaxation TherapySpinal Cord InjuriesComparative StudyJournal ArticleResearch Support, Non-U.S. Gov't

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Cecilia Norrbrink Budh, Jan Kowalski, Thomas Lundeberg. 2006. A comprehensive pain management programme comprising educational, cognitive and behavioural interventions for neuropathic pain following spinal cord injury.. https://doi.org/10.1080/16501970500476258

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