Grasser P, Neto FR, Veloso JHCL, Gomes Costa RR, Dorneles JR. Mechanical diagnosis and therapy in musculoskeletal pain of individuals with spinal cord injury.
J Spinal Cord Med 2024;
47:744-752. [PMID:
37116180 PMCID:
PMC11378664 DOI:
10.1080/10790268.2023.2197818]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/30/2023] Open
Abstract
CONTEXT/OBJECTIVE
Musculoskeletal pain (MSKP) has high prevalence in individuals with spinal cord injury (SCI). Mechanical Diagnosis and Therapy (MDT) is a method focused on identifying the pain source in the musculoskeletal system and presents good results in pain relief in people without neurological impairment. However, no studies have investigated the use of MDT in SCI population. The objective was to evaluate the applicability and outcomes of MDT treatment in pain relief and independence improvement in daily activities of individuals with SCI presenting MSKP.
DESIGN
Single-arm trial.
SETTING
Rehabilitation Hospital.
PARTICIPANTS
Twenty-four individuals with SCI who presented MSKP.
INTERVENTION
MDT-certified physical therapist conducted assessments and treatments of pain according to the MDT approach.
OUTCOMES MEASURES
Numeric rating scale (NRS) was used to measure pain and Pain Disability Index (PDI) and Patient-Specific Functional Scale (PSFS) to evaluate daily activities.
RESULTS
Significant median decreases were found for NRS (from 7 to 2) and PDI (from 27 to 8) after MDT, whereas PSFS score presented a significant mean increase (from 3.2-7.7). The average decrease in pain after MDT treatment was 70.9% (5.36 on the NRS).
CONCLUSION
MDT can reduce pain and enhance independence in daily activities in individuals with SCI and MSKP.
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