Frequency of Central Post-Stroke Pain and Its Impact on Quality of Life

Year 2022, Volume: 12 Issue: 4, 728 - 736, 28.12.2022

Sibel Ösken , Afitap Icagasıoglu , Bekir Durmus , Sinem Sağ , Ercan Madenci

https://doi.org/10.31832/smj.1197365

Abstract

Objective: This study aims to determine the frequency of central post-stroke pain (CPSP) in a patient population with stroke as well as investigating the relationship between CPSP and patients' clinical/demographic characteristics, pain intensity, functional status, and quality of life.
Methods: The study included 150 patients, who had a stroke and were aged 18 years and above. Demographic data of the patients, time since onset, and etiology, localization of the cerebral lesion, affected side, ambulation status, and Brunnstrom stages were recorded. Douleur neuropathique 4 questions (DN4) were used to assess the presence of CPSP. Visual Analog Scale (VAS) was used for pain intensity, functional ambulation scale (FAS) was used for ambulation status, Barthel Index (BI) was used for functional status, and the stroke impact scale (SIS) was used for quality of life.
Results: The mean age of the patients was 67±11.5 years, 54.7% was male, and 45.3% was female. CPSP was evaluated in 15.3% of patients. There was no significant difference between the affected side of the body and age, gender, time since onset, BI scores, and ambulation status of patients according to their CPSP status (p>0.05). There was no statistically significant difference between SIS sub-parameter scores and the presence of CPSP (p>0.05). In correlation analysis, a significant relationship was found between Barthel Indexes and all SIS domains except memory and emotion (p <0.01).
Conclusion: CPSP can be seen with varying frequency in stroke patients. In our study, the negative effect of the presence of CPSP on quality of life was not demonstrated.

Keywords

central post-stroke pain; quality of life; stroke impact scale, quality of life, stroke impact scale

İnme Sonrası Santral Ağrının Sıklığı ve Yaşam Kalitesine Etkisi

Abstract

Amaç: Bu çalışma, inmeli bir hasta popülasyonunda inme sonrası santral ağrı (İSSA) prevalansını belirlemeyi ve İSSA ile hastaların klinik/demografik özellikleri, ağrı şiddeti, fonksiyonel durumu ve yaşam kalitesi arasındaki ilişkiyi araştırmayı amaçlamaktadır.
Yöntemler: Çalışmaya 18 yaş ve üzeri inme geçirmiş 150 hasta dahil edildi. Hastaların demografik verileri, inme sonrası geçen süre, etiyoloji, serebral lezyonun lokalizasyonu, etkilenen taraf, ambulasyon durumu ve Brunnstrom evreleri kaydedildi. İSSA varlığını değerlendirmek için Douleur nöropatik 4 (DN4) ölçeği kullanıldı. Ağrı şiddeti için görsel analog skala (VAS), ambulasyon durumu için fonksiyonel ambulasyon skalası (FAS), fonksiyonel durum için Barthel İndeksi (BI) ve yaşam kalitesi için inme etki skalası (SIS) kullanıldı.
Bulgular: Hastaların yaş ortalaması 67±11,5 yıl, %54.7'si erkek, %45.3'ü kadındı. İSSA hastaların %15.3'ünde saptandı. Hastaların İSSA durumlarına göre etkilenen taraf ile yaş, cinsiyet, inme sonrası geçen süre, BI skorları ve ambulasyon durumları arasında anlamlı fark yoktu (p>0.05). SIS alt parametre puanları ile İSSA varlığı arasında istatistiksel olarak anlamlı fark yoktu (p>0.05). Korelasyon analizinde Barthel İndeksleri ile bellek ve duygu dışındaki tüm SIS alt parametreleri arasında anlamlı bir ilişki bulundu (p<0.01).
Sonuç: Kötü fonksiyonel durum, inme sonrası ağrı şiddeti, ileri yaş ve sağ hemipleji varlığı yaşam kalitesini olumsuz etkilemektedir.

Keywords

inme sonrası santral ağrı, inme etki skalası, yaşam kalitesi, quality of life, stroke impact scale

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