Guidelines for chronic pain in adult spinal cord injury population: Scoping review

South African Journal of Physiotherapy

Field Value
Title Guidelines for chronic pain in adult spinal cord injury population: Scoping review
Creator Williams, Tammy-Lee Joseph, Conran Nilsson-Wikmar, Lena Phillips, Joliana
Subject — chronic pain; traumatic spinal cord injury; clinical practice guidelines; pharmacological management; nonpharmacological management
Description Background: Chronic pain among survivors of spinal cord injury (SCI) hurts physical and mental health. Persons with SCI have demonstrated dissatisfaction with the management of their chronic pain.Objectives: This study aimed to identify existing clinical practice guidelines for chronic pain in the SCI population.Method: A scoping review was conducted across various databases available at the University of the Western Cape, in addition to guideline clearing houses (BioMedCentral, Cambridge Journals Online, CINAHL, Cochrane Library, Medline [EbscoHost], Medline [Pubmed], Sabinet Reference, SAGE Journals Online, ScienceDirect, SCOPUS, Wiley Online Library, Springerlink, PubMed, Guideline Central, and Agency for Healthcare Research and Quality). The population consisted of adults with SCI, and the interventions that were included were pharmacological and nonpharmacological management of chronic pain. Guidelines that met the inclusion criteria were critically appraised by two reviewers from this study using the AGREE II instrument. Inter-rater reliability was calculated using SPSS 27, and Cohen’s kappa coefficients were established.Results: Five articles were included in the data extraction, analysis and appraisal. Two guidelines were rated as high quality, according to the AGREE II tool. In addition, most guidelines focused on neuropathic pain (NeuP) and only one guideline included nociceptive pain and NeuP.Conclusion: One guideline met the objectives of this scoping review.Clinical implications: Guidelines developed in the future should include a screening tool to identify the specific type of pain and distinguish peripheral NeuP from central NeuP.
Publisher AOSIS
Date 2024-05-06
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajp.v80i1.1931
Source South African Journal of Physiotherapy; Vol 80, No 1 (2024); 14 pages 2410-8219 0379-6175
Language eng
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Rights Copyright (c) 2024 Tammy-Lee Williams, Conran Joseph, Lena Nilsson-Wikmar, Joliana Phillips