Incidence of chronic pain following traumatic brain injury
Archives of Physical Medicine and RehabilitationPublished 1 September 1996
Sophia Lahz, Richard A. Bryant
Citations167
SJR quartileQ1
SJR score1.14
SNIP1.41
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TL;DR
Findings indicate that chronic pain is a significant problem in mild and moderate/severe TBI patients, and more effective diagnosis of TBI Patients with chronic pain may facilitate rehabilitation of these patients.
Abstract
Findings indicate that chronic pain is a significant problem in mild and moderate/severe TBI patients. More effective diagnosis of TBI patients with chronic pain may facilitate rehabilitation of these patients.
Keywords
Medicine
The LancetASSESSMENT OF COMA AND IMPAIRED CONSCIOUSNESS
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322 Citations1991
Evaluation of the Patient: Measurement of Musculoskeletal Function: Electrodiagnosis: Gait Analysis; Diagnosis and Management: Speech and Language Disorders.
Rehabilitation of the Adult and Child With Traumatic Brain Injury
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Clinicians, educators, and researchers will find this to be the most comprehensive textbook on the rehabilitation of adults and children with traumatic brain injury.
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The results underscore the high frequency of chronic pain problems in the mild head injury population and implicate the need for avoiding the mislabeling of symptoms such attentional deficits or psychological distress as attributable only to head injury sequelae in those with coexisting chronic pain.
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It is argued that the vague and aspecific nature of the postconcussion syndrome may have given rise to the controversy over this entity, but the many methodological inconsistencies in the experimental approaches to the syndrome have certainly enhanced the confusion about this issue.
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Results indicated that patients reported only marginal improvement after the pain management program, and the need to investigate the interaction between patients' mood and autobiographical memory.
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The rehabilitation outcome of patients with severe traumatic brain injury is well documented and is highly correlated to the neurobehavioural sequelae of CNS damage, but many of these patients suffer from polytrauma involving systems other than the CNS and to systems involved in acquisition of external information.
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A cluster characterized by comparatively higher use of self-controlling and positive reappraisal CS and lower external LOC was associated with significantly lower mood disturbance and physical difficulties and a trend to be less depressed.
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Brain‐injured patients often display agitation, hyperalgesia, disuse or neglect of the RSD‐involved extremity, and these patients are often cognitively unable to vocalize complaints of pain.
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PubMedBrain injury obscured by chronic pain: a preliminary report.
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It is found that formal examination of cognitive function is required to explore the potential of coexisting brain injury; if pain is a prominent clinical feature, residual cognitive sequelae of mild brain injury is easily masked.
