Assessment of the impact of pain and impairments associated with spinal cord injuries

Eva Widerstrom-Noga, Robert Duncan, Ernesto Felipe-Cuervo, Dennis C. Turk

Research output: Contribution to journalArticle

64 Citations (Scopus)

Abstract

Objectives: To determine the adequacy of the Multidimensional Pain Inventory (MPI) for assessing pain impact after spinal cord injury (SCI) and to determine whether the impact of pain can be separated from other consequences of SCI. Design: Postal survey. Setting: General community. Participants: Of the 159 subjects contacted who experienced chronic pain, 120 (75.5%) participated. Interventions: Subjects were mailed the original MPI and a set of additional items specific to SCI. Main Outcome Measure: The MPI. Results: Confirmatory (CFA) and exploratory factor analyses were performed for each section of the MPI. Elimination of several items, including those related to work in section 1 (pain impact), improved the goodness-of-fit index (GFI). A CFA for section 2 (response of significant other) resulted in acceptable GFI after 2 items were deleted. Decrease in activity levels (section 3) because of other consequences of injury was significantly greater after tetraplegia than after paraplegia. In contrast, pain-related reduction in activities was not associated with injury level. Although other consequences of SCI may have greater impact on activities than pain, severe pain is likely to affect activity levels significantly. Conclusion: The MPI appears to be appropriate for use in a SCI population when modified to eliminate questions related to work and to supplement the activity scale with items addressing decreased activity levels due to pain.

Original languageEnglish
Pages (from-to)395-404
Number of pages10
JournalArchives of Physical Medicine and Rehabilitation
Volume83
Issue number3
DOIs
StatePublished - Mar 19 2002

Fingerprint

Pain Measurement
Spinal Cord Injuries
Pain
Equipment and Supplies
Quadriplegia
Paraplegia
Wounds and Injuries
Chronic Pain
Statistical Factor Analysis
Outcome Assessment (Health Care)

Keywords

  • Disabled persons
  • Pain
  • Pain measurement
  • Paraplegia
  • Rehabilitation
  • Spinal cord injuries
  • Tetraplegia

ASJC Scopus subject areas

  • Rehabilitation

Cite this

Assessment of the impact of pain and impairments associated with spinal cord injuries. / Widerstrom-Noga, Eva; Duncan, Robert; Felipe-Cuervo, Ernesto; Turk, Dennis C.

In: Archives of Physical Medicine and Rehabilitation, Vol. 83, No. 3, 19.03.2002, p. 395-404.

Research output: Contribution to journalArticle

Widerstrom-Noga, Eva ; Duncan, Robert ; Felipe-Cuervo, Ernesto ; Turk, Dennis C. / Assessment of the impact of pain and impairments associated with spinal cord injuries. In: Archives of Physical Medicine and Rehabilitation. 2002 ; Vol. 83, No. 3. pp. 395-404.
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