Pain medication misuse among participants with spinal cord injury.


STUDY DESIGN:Self-reported survey. OBJECTIVE:Our purpose was to identify the predictors of pain medication misuse (PMM) among participants with spinal cord injury (SCI). SETTING:A medical university in the southeastern United States. METHODS:A total of 919 adults with impairment from traumatic SCI of at least 1-year duration, who reported at least one painful condition and were taking prescription medication to treat pain, were included in this study. PMM was measured by the Pain Medication Questionnaire (PMQ). RESULTS:The average PMQ score was 19.7, with 25.8% of participants scoring at or above the cutoff of 25, which is indicative of PMM. A three-stage logistic regression analysis was conducted by sequentially adding three sets of predictors to the equation: (1) demographic and injury characteristics; (2) pain characteristics and (3) frequency of pain medication use. Age and education level were protective of PMM, whereas pain intensity, pain interference and pain medication use were risk factors. Number of painful days was not significant in the final model. CONCLUSION:PMM must be of concern after SCI, given its high prevalence among those with at least one painful condition and its relationship with pain indicators.


Spinal Cord


Spinal cord


Krause JS,Clark JM,Saunders LL




Has Abstract


2015-08-01 00:00:00














  • Rehabilitation of spinal cord injury in the national rehabilitation center for the disabled of Japan: profile of a spinal service.

    abstract::The National Rehabilitation Center for the Disabled (hereunder abbreviated NRC) in Japan was established in 1979. It consists of four divisions: the hospital, the rehabilitation training center, the research institute, and the information service section. The spinal unit has been functioning and cooperating corelative...

    journal_title:Spinal cord

    pub_type: 杂志文章


    authors: Suyama T,Nihei R,Kimura T,Yano H,Tobimatsu Y,Hatsuyama Y,Nakamura R,Mizukami M

    更新日期:1997-11-01 00:00:00

  • The sensitivity of ultrasound screening examination in detecting heterotopic ossification following spinal cord injury.

    abstract:STUDY DESIGN:Retrospective chart review. OBJECTIVE:To analyze the role of sonography in detecting heterotopic ossification (HO) following spinal cord injury (SCI). SETTING:Department of Spinal Cord Injury and Department of General and Trauma Surgery, BG University Hospital Bergmannsheil Bochum, Ruhr University Bochum...

    journal_title:Spinal cord

    pub_type: 杂志文章


    authors: Rosteius T,Suero EM,Grasmücke D,Aach M,Gisevius A,Ohlmeier M,Meindl R,Schildhauer TA,Citak M

    更新日期:2017-01-01 00:00:00

  • Increase in soluble CD95L during subacute phases after human spinal cord injury: a potential therapeutic target.

    abstract:STUDY DESIGN:A pilot study measuring the levels of serum-soluble CD95 ligand (CD95L) in eight spinal cord-injured patients. OBJECTIVES:To determine the soluble concentration of CD95L in spinal cord injury (SCI) patients after trauma. METHODS:We collected blood samples from eight patients with acute traumatic SCI. Sol...

    journal_title:Spinal cord

    pub_type: 杂志文章


    authors: Biglari B,Büchler A,Swing T,Biehl E,Roth HJ,Bruckner T,Schmidmaier G,Ferbert T,Gerner HJ,Moghaddam A

    更新日期:2013-03-01 00:00:00

  • A comprehensive, multispecialty approach to an acute exacerbation of chronic central pain in a tetraplegic.

    abstract:STUDY DESIGN:We present a case report describing the multidisciplinary treatment of a tetraplegic spinal cord injury (SCI) patient who developed an acute exacerbation of chronic central pain. OBJECTIVE:To bring further awareness to the importance of using a comprehensive, multidisciplinary approach in treating acute e...

    journal_title:Spinal cord

    pub_type: 杂志文章


    authors: Chang EY,Zhao X,Perret DM,Luo ZD,Liao SS

    更新日期:2014-06-01 00:00:00

  • Brain activation in the chronic phase of traumatic spinal cord injury.

    abstract:STUDY DESIGN:Cross-sectional clinical study. OBJECTIVES:Plastic changes within cortical areas occur after traumatic spinal cord injury (TSCI). The aim of the study was to assess cortical activation in the chronic phase of TSCI using functional magnetic resonance imaging (fMRI). SETTING:Tartu University Hospital, Tart...

    journal_title:Spinal cord

    pub_type: 杂志文章


    authors: Sabre L,Tomberg T,Kõrv J,Kepler J,Kepler K,Linnamägi Ü,Asser T

    更新日期:2016-01-01 00:00:00

  • Evaluation of seminal zinc levels by atomic absorption in men with spinal cord injury.

    abstract:STUDY DESIGN:A case-control study evaluating seminal zinc level in spinal cord injury (SCI) patients. OBJECTIVES:Patients with SCI have neurological prostate dysfunction. There are only some indications in the literature that seminal zinc level may be lower in these patients. Seminal zinc is mainly produced by the pro...

    journal_title:Spinal cord

    pub_type: 杂志文章


    authors: Alexandrino AP,Rodrigues MA,Matsuo T,Gregório EP,Santilli JC

    更新日期:2011-03-01 00:00:00

  • The effect of tidal volumes on the time to wean persons with high tetraplegia from ventilators.

    abstract:STUDY DESIGN:Retrospective review of patient medical records comparing the outcomes of two groups of individuals with high-level (C3-4) tetraplegia- those with high-volume and those with low-volume mechanical ventilation. OBJECTIVES:To determine if higher volume mechanical ventilation contributes to faster weaning fro...

    journal_title:Spinal cord

    pub_type: 临床试验,杂志文章


    authors: Peterson WP,Barbalata L,Brooks CA,Gerhart KA,Mellick DC,Whiteneck GG

    更新日期:1999-04-01 00:00:00

  • Static respiratory pressures in patients with post-traumatic tetraplegia.

    abstract::The purpose of this study was to examine ventilatory muscle strength as represented by static respiratory pressures in 30 tetraplegic patients with a complete lesion between the fifth and the eighth cervical vertebrae. The Inspiratory/Expiratory Pressure Meter was used to obtain maximum static expiratory mouth pressur...

    journal_title:Spinal cord

    pub_type: 临床试验,杂志文章


    authors: Gounden P

    更新日期:1997-01-01 00:00:00

  • Mid-term follow-up of patients with permanent sequel due to spinal cord ischemia after advanced endovascular therapy for extensive aortic disease.

    abstract:STUDY DESIGN:Observational study. OBJECTIVES:Thoraco-abdominal endovascular aortic aneurysm repair (TAEVAR) can be used to treat patients with extensive and complex aortic disease, however, at the risk of spinal cord ischemia (SCI). The aim of this follow-up study was to evaluate the life satisfaction in patients with...

    journal_title:Spinal cord

    pub_type: 杂志文章


    authors: Mehmedagic I,Jörgensen S,Acosta S

    更新日期:2015-03-01 00:00:00

  • Rehabilitation of spinal cord injury in France: a nationwide multicentre study of incidence and regional disparities.

    abstract:STUDY DESIGN:Multicentre retrospective 1-year survey during 2000. OBJECTIVES:To describe the network of physical medicine and rehabilitation units in France that care for people with traumatic spinal cord injuries (SCI), and secondly, to evaluate the incidence of SCI persons who have postinjury rehabilitation care. S...

    journal_title:Spinal cord

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验


    authors: Albert T,Ravaud JF,Tetrafigap group.

    更新日期:2005-06-01 00:00:00

  • Effect of 4-aminopyridine and single-dose methylprednisolone on functional recovery after a chronic spinal cord injury.

    abstract::The demyelination process is an important factor contributing to long term sensory and motor impairments after spinal cord injury (SCI). Exposure of axonal K+ channels after demyelination may contribute to blockage of action potentials across the injury site. A K+ channel blocker, 4-aminopyridine (4-AP), has been effe...

    journal_title:Spinal cord

    pub_type: 杂志文章


    authors: Haghighi SS,Clapper A,Johnson GC,Stevens A,Prapaisilp A

    更新日期:1998-01-01 00:00:00

  • Intraradicular disc herniations in the lumbar spine and a new classification of intradural disc herniations.

    abstract:STUDY DESIGN:A case report of intraradicular disc herniation. Intraradicular disc herniation is a special type of intradural disc herniations. In this report, we present the tenth case of intraradicular lumbar disc herniation and suggest a new classification for intradural disc herniations. CASE REPORT:A 32-year-old m...

    journal_title:Spinal cord

    pub_type: 杂志文章


    authors: Mut M,Berker M,Palaoğlu S

    更新日期:2001-10-01 00:00:00

  • Risk factors for mortality after spinal cord injury in the USA.

    abstract:STUDY DESIGN:Cohort study. OBJECTIVES:First, to examine three sets of risk and protective factors for mortality after spinal cord injury (SCI), with an emphasis on health and secondary conditions. Second, to extend earlier work with several methodologic enhancements and addition of new predictors. SETTING:Twenty hosp...

    journal_title:Spinal cord

    pub_type: 杂志文章


    authors: Cao Y,Krause JS,DiPiro N

    更新日期:2013-05-01 00:00:00

  • Amenorrhoea in newly spinal cord injured women: an effect of hyperprolactinaemia?

    abstract:STUDY DESIGN:Prospective, single centre study. OBJECTIVES:Previous studies have suggested a relationship between stress reaction and elevated levels of prolactine. The aim of the present study was to investigate if there was a relationship between s-prolactine and menstrual cycle status following spinal cord injury (S...

    journal_title:Spinal cord

    pub_type: 杂志文章


    authors: Rutberg L,Fridén B,Karlsson AK

    更新日期:2008-03-01 00:00:00

  • Precision of dual-energy X-ray absorptiometry of the knee and heel: methodology and implications for research to reduce bone mineral loss after spinal cord injury.

    abstract:STUDY DESIGN:Methodological validation of dual-energy x-ray absorptiometry (DXA)-based measures of leg bone mineral density (BMD) based on the guidelines of the International Society for Clinical Densitometry. OBJECTIVES:The primary objective of this study was to determine the precision of BMD estimates at the knee an...

    journal_title:Spinal cord

    pub_type: 杂志文章


    authors: Peppler WT,Kim WJ,Ethans K,Cowley KC

    更新日期:2017-05-01 00:00:00

  • Correction: Comparative validity of energy expenditure prediction algorithms using wearable devices for people with spinal cord injury.

    abstract::An amendment to this paper has been published and can be accessed via a link at the top of the paper. ...

    journal_title:Spinal cord

    pub_type: 已发布勘误


    authors: Shwetar YJ,Veerubhotla AL,Huang Z,Ding D

    更新日期:2020-10-01 00:00:00

  • The feasibility of using auto-titrating continuous positive airway pressure to treat obstructive sleep apnoea after acute tetraplegia.

    abstract:STUDY DESIGN:A prospective cohort with acute tetraplegia. OBJECTIVES:Obstructive sleep apnoea (OSA) is common within weeks of tetraplegia. This study aimed at determining the feasibility of auto-titrating continuous positive airway pressure (CPAP) to treat OSA after acute tetraplegia. SETTING:The Victorian Spinal Cor...

    journal_title:Spinal cord

    pub_type: 杂志文章


    authors: Berlowitz DJ,Spong J,Pierce RJ,Ross J,Barnes M,Brown DJ

    更新日期:2009-12-01 00:00:00

  • Comparative analysis of goal achievement during rehabilitation for older and younger adults with spinal cord injury.

    abstract:OBJECTIVE:To evaluate rehabilitation outcome in a representative sample of older and younger SCI patients. DESIGN:Case series, consecutive sample, survey. SETTING:Tertiary care, spinal cord injury unit (National Spinal Injuries Centre), Stoke Mandeville Hospital. PARTICIPANTS:One hundred and forty-seven male and 45 ...

    journal_title:Spinal cord

    pub_type: 杂志文章


    authors: Kennedy P,Evans MJ,Berry C,Mullin J

    更新日期:2003-01-01 00:00:00

  • Symptomatic postoperative spinal epidural hematoma after spine tumor surgery: Incidence, clinical features, and risk factors.

    abstract:STUDY DESIGN:Case-control study. OBJECTIVES:The objective of this study was to provide some useful information concerning the incidence, clinical features, and risk factors for symptomatic postoperative spinal epidural hematoma (SPSEH) in an isolated cohort of patients undergoing spine tumor surgery. SETTING:Hospital...

    journal_title:Spinal cord

    pub_type: 杂志文章


    authors: Gao X,Li L,Cao J,Zhao Y,Liu Y,Yang J,Dong L,Wan W,Liu T,Xiao J

    更新日期:2019-08-01 00:00:00

  • Epidemiology of traumatic spinal cord injury in Norway in 2012-2016: a registry-based cross-sectional study.

    abstract:STUDY DESIGN:A registry-based cross-sectional study. OBJECTIVES:To analyse the epidemiological and demographic characteristics of persons with traumatic spinal cord injury (TSCI) in Norway. SETTING:TSCI patients admitted for primary rehabilitation to one of the three specialised spinal cord injury (SCI) departments (...

    journal_title:Spinal cord

    pub_type: 杂志文章


    authors: Halvorsen A,Pettersen AL,Nilsen SM,Halle KK,Schaanning EE,Rekand T

    更新日期:2019-04-01 00:00:00

  • Endoscopic management of urethral trauma in male spinal cord injury patients.

    abstract::Spinal cord injury (SCI) patients with a neuropathic bladder are more prone to develop catheter-induced urethral trauma than occurs in the general population because many of the SCI patients are on indwelling urethral catheter drainage, or intermittent urethral catheterisation is performed either by them or by their c...

    journal_title:Spinal cord

    pub_type: 临床试验,杂志文章


    authors: Vaidyanathan S,Krishnan KR,Soni BM

    更新日期:1996-11-01 00:00:00

  • MRI in acute and subacute post-traumatic spinal cord injury: pictorial review.

    abstract:STUDY DESIGN:Pictorial review. OBJECTIVES:To illustrate MRI signs of acute and subacute injury with emphasis on evidence-based links to clinical outcome and implications for treatment. METHODS:Description of important aspects of MRI techniques and illustration of critical MRI signs important in the assessment of spin...

    journal_title:Spinal cord

    pub_type: 杂志文章,评审


    authors: Chandra J,Sheerin F,Lopez de Heredia L,Meagher T,King D,Belci M,Hughes RJ

    更新日期:2012-01-01 00:00:00

  • The effect of autonomic nervous system dysfunction on oxygen consumption during daily living activities in patients with spinal cord injury.

    abstract:STUDY DESIGN:Case-control study. OBJECTIVES:To investigate the level of autonomic nervous system dysfunction in patients with spinal cord injury and to determine its effect on the basal metabolic rate and oxygen consumption during daily living activities. SETTING:Turkish Armed Forces Rehabilitation Center, Ankara, Tu...

    journal_title:Spinal cord

    pub_type: 杂志文章


    authors: Yilmaz B,Göktepe S,Yaşar E,Kesikburun S,Adıgüzel E

    更新日期:2017-03-01 00:00:00

  • Ambulation training of neurological patients on the treadmill with a new Walking Assistance and Rehabilitation Device (WARD).

    abstract:STUDY DESIGN:Patients with neurological walking impairment were rehabilitated with a new system, consisting of an apparatus to constantly relieve the body weight and a treadmill: The Walking Assistance and Rehabilitation Device (WARD). Patients were evaluated before and after rehabilitation with clinical scales and phy...

    journal_title:Spinal cord

    pub_type: 杂志文章


    authors: Gazzani F,Bernardi M,Macaluso A,Coratella D,Ditunno JF Jr,Castellano V,Torre M,Macellari V,Marchetti M

    更新日期:1999-05-01 00:00:00

  • Pharmacokinetics of the ghrelin agonist capromorelin in a single ascending dose Phase-I safety trial in spinal cord-injured and able-bodied volunteers.

    abstract:STUDY DESIGN:Single centre, single ascending dose study. OBJECTIVES:To compare the pharmacokinetics and assess the safety of capromorelin, a compound that has potential to treat constipation following spinal cord injury (SCI), in groups of able-bodied and SCI volunteers. SETTING:Local population from Victoria, Austra...

    journal_title:Spinal cord

    pub_type: 杂志文章


    authors: Ellis AG,Zeglinski PT,Brown DJ,Frauman AG,Millard M,Furness JB

    更新日期:2015-02-01 00:00:00

  • Upper extremity musculoskeletal pain during and after rehabilitation in wheelchair-using persons with a spinal cord injury.

    abstract:STUDY DESIGN:Prospective cohort study. OBJECTIVES:To study upper extremity musculoskeletal pain during and after rehabilitation in wheelchair-using subjects with a spinal cord injury (SCI) and its relation with lesion characteristics, muscle strength and functional outcome. SETTING:Eight rehabilitation centers with a...

    journal_title:Spinal cord

    pub_type: 杂志文章


    authors: van Drongelen S,de Groot S,Veeger HE,Angenot EL,Dallmeijer AJ,Post MW,van der Woude LH

    更新日期:2006-03-01 00:00:00

  • Patient preferences for next generation neural prostheses to restore bladder function.

    abstract:STUDY DESIGN:A survey administered to 66 individuals with spinal cord injury (SCI) implementing a choice-based conjoint (CBC) analysis. Six attributes with three levels each were defined and used to generate choice sets with treatment scenarios. Patients were asked to choose the scenario that they preferred most. OBJE...

    journal_title:Spinal cord

    pub_type: 杂志文章


    authors: Sanders PM,Ijzerman MJ,Roach MJ,Gustafson KJ

    更新日期:2011-01-01 00:00:00

  • A systematic review of risk factors for the development and recurrence of pressure ulcers in people with spinal cord injuries.

    abstract:STUDY DESIGN:A systematic review was undertaken, based upon methods recommended for effectiveness questions but adapted to identify observational risk factor (RF) studies. OBJECTIVES:The literature identifies many RFs for pressure ulcer (PU) recurrence and development; however, RFs independently predictive of PU devel...

    journal_title:Spinal cord

    pub_type: 杂志文章,meta分析,评审


    authors: Marin J,Nixon J,Gorecki C

    更新日期:2013-07-01 00:00:00

  • Cognitive appraisals, coping and quality of life outcomes: a multi-centre study of spinal cord injury rehabilitation.

    abstract:STUDY DESIGN:Longitudinal, multiple wave panel design. OBJECTIVES:To investigate the degree to which current thinking in terms of early appraisals and coping predicts adjustment and quality of life outcomes after spinal cord injury, and to what degree social and demographic variables are involved. SETTING:Data were a...

    journal_title:Spinal cord

    pub_type: 临床试验,杂志文章,多中心研究


    authors: Kennedy P,Lude P,Elfström ML,Smithson E

    更新日期:2010-10-01 00:00:00

  • Efficacy, safety and predictive factors of therapeutic success with sildenafil for erectile dysfunction in patients with different spinal cord injuries.

    abstract:STUDY DESIGN:Multicenter, open, prospective, before-after study. OBJECTIVE:To assess the efficacy and safety of sildenafil therapy for erectile dysfunction in patients with spinal cord injury, and the association between the response to sildenafil and factors such as causes and levels of spinal cord injury, grade of A...

    journal_title:Spinal cord

    pub_type: 临床试验,杂志文章,多中心研究


    authors: Sánchez Ramos A,Vidal J,Jáuregui ML,Barrera M,Recio C,Giner M,Toribio L,Salvador S,Sanmartín A,de la Fuente M,Santos JF,de Juan FJ,Moraleda S,Méndez JL,Ramírez L,Casado RM

    更新日期:2001-12-01 00:00:00