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Pain following spinal cord injury: the clinical problem and experimental studies. Chronic pain-related syndrome in rats after ischemic spinal cord lesion: a possible animal model for pain in patients with spinal cord injury. Allodynia following traumatic spinal cord injury in the rat. Perceived difficulty in dealing with consequences of spinal cord injury.

Widerström-Noga EG, Felipe-Curvo E, Broton JG. Final version of our psychological distress scale. Prevalence and impact of wrist and shoulder pain in patients with spinal cord injury. Pain and life quality within 2 years of spinal cord injury. Psychosocial factors in chronic spinal cord injury pain. Pain and depression in acute traumatic spinal cord injury: origins of chronic problematic pain?. Relationships among clinical characteristics of chronic pain after spinal cord injury. Widerström-Noga EG, Felipe-Cuervo E, Yezierski RP. Chronic pain associated with spinal cord injuries: a community survey. A longitudinal study of the prevalence and characteristics of pain in the first 5 years following spinal cord injury. Pain following spinal cord injury: clinical features, prevalence, and taxonomy. Management of chronic central neuropathic pain following traumatic spinal cord injury: executive summary of evidence report/technology assessment: number 45. Chronic pain after spinal cord injury: a survey of practice in UK spinal cord injury units. Pain report and the relationship of pain to physical factors in the first 6 months following spinal cord injury. Classification of pain following spinal cord injury. Chronic pain secondary to disability: a review. Chronic pain after SCI: a patient survey. However, pain can have a negative influence on mood and in the capacity to perform cognitive, social, recreational, and work-related activities. It was not possible to conclude which is the relationship between pain and level of spinal cord injury. An association between pain and integrity of the lesion is not observed, and the percentage of patients who complain of severe pain varies from 21% to 39%. Neuropathic pain at the level of the injury has an early onset (days or weeks), while that below the level of the injury has a late onset (months or years). CONCLUSIONS: Despite conceptual and methodological differences among the studies, the prevalence of pain in patients with spinal cord injury was high, varying from 64% to 82%. The clinical characteristics of pain in patients with spinal cord injury are discussed, and the works of several authors are compared.

CONTENTS: Original studies in the Medline database with patients older than 18 years and published over the last six years were reviewed. The objective of this study was to review the literature on pain in patients with spinal cord injury and the possible association with physical (level of the injury, completeness of lesion, pain duration) and psychological (mood and quality of life) factors. Therefore, it is important to know its clinical characteristics and causes for a better diagnostic and therapeutic approach.

Palavras-chaveīACKGROUND AND METHODS: Chronic pain after spinal cord injury is a highly prevalent clinical condition, which is difficult to treat. A dor, no entanto, pode interferir de forma negativa no humor, na capacidade de realizar atividades cognitivas, sociais, recreacionais e laborativas. Não foi possível concluir qual a relação entre a dor e o nível da lesão medular. Não há associação entre dor e integridade da lesão e a porcentagem de pacientes que referem dor intensa varia entre 21 e 39%. A dor neuropática ao nível da lesão tem início precoce (dias ou semanas) e aquela abaixo do nível da lesão aparece mais tardiamente (meses ou anos). CONCLUSÕES: Apesar das diferenças conceituais e metodológicas entre os estudos, as prevalências de dor encontradas em pacientes com lesão medular foram altas, variando entre 64% e 82%. Foram discutidas as características clínicas da dor no paciente com lesão medular, comparando casuística de diversos autores. CONTEÚDO: Foram pesquisados trabalhos na base de dados Medline, publicados nos últimos seis anos e os critérios de inclusão foram os estudos originais em maiores de 18 anos. O objetivo desse trabalho foi revisar a literatura sobre a dor no paciente com lesão medular e sua possível associação com fatores físicos (nível da lesão, grau da lesão, tempo de início de dor) e fatores psicológicos (humor e qualidade de vida). Desse modo, é importante que se conheça suas características clínicas e fatores causais para melhor abordagem diagnóstica e terapêutica. JUSTIFICATIVA E OBJETIVOS: A dor crônica após a lesão medular é uma condição clínica de alta prevalência e de difícil tratamento.