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A Comparison of Neuropathic Pain Experiences Among Paralympic Versus Recreational Athletes with Spinal Cord Injury.
Todd, Kendra R; Olsen, Kenedy; Hamamoto, Gail; Hirschfield, Trevor J; Kramer, John L K; Martin Ginis, Kathleen A.
Afiliación
  • Todd KR; School of Health and Exercise Sciences, University of British Columbia, 3333 University Way, Kelowna, BC, V1V1V7, Canada. kendra.todd@ubc.ca.
  • Olsen K; International Collaboration On Repair Discoveries (ICORD), Blusson Spinal Cord Centre (BSCC), University of British Columbia, Vancouver, Canada. kendra.todd@ubc.ca.
  • Hamamoto G; British Columbia Wheelchair Sports Association, Vancouver, Canada. kendra.todd@ubc.ca.
  • Hirschfield TJ; Centre for Chronic Disease Prevention and Management, University of British Columbia, Kelowna, BC, Canada. kendra.todd@ubc.ca.
  • Kramer JLK; School of Health and Exercise Sciences, University of British Columbia, 3333 University Way, Kelowna, BC, V1V1V7, Canada.
  • Martin Ginis KA; British Columbia Wheelchair Sports Association, Vancouver, Canada.
Sports Med Open ; 9(1): 117, 2023 Dec 09.
Article en En | MEDLINE | ID: mdl-38071237
BACKGROUND: Individuals with spinal cord injury (SCI) report high levels of neuropathic pain. Current treatment options are primarily pharmaceutical, despite their limited effectiveness. Exercise may reduce neuropathic pain among persons with SCI; however, the optimal dose of exercise required to elicit analgesic effects remains unknown. The purpose of this study was to compare neuropathic pain intensity, pain catastrophizing, use of coping strategies, and positive affect and well-being among Paralympic versus recreational athletes with SCI who experience chronic neuropathic pain. Forty-seven athletes with SCI (25 Paralympic, 27 recreational) completed the International SCI Pain Basic Data Set, Douleur Neuropathique-4, coping strategies questionnaire, pain catastrophizing scale, and SCI-quality of life assessment. RESULTS: Paralympic athletes reported significantly greater neuropathic pain (p = 0.032) and positive affect and well-being (p = 0.047) than recreational athletes. No other comparisons were significant (ps > 0.09). Significant, medium-sized positive correlations were observed between neuropathic pain and total minutes of moderate-intensity exercise (r = 0.335, p = 0.023) and average minutes per day of moderate-intensity exercise (r = 0.375, p = 0.010) over the past week. CONCLUSIONS: The results suggest that frequent moderate- to high-intensity exercise may exacerbate neuropathic pain sensations for persons with SCI. Research should investigate psychosocial and physiological mechanisms by which exercise may influence neuropathic pain to explain how Paralympic athletes with SCI are able to continue exercising while maintaining positive affect despite neuropathic pain.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Sports Med Open Año: 2023 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Sports Med Open Año: 2023 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Suiza