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Long-term pain conditions after a stroke
Linköping University, Department of Medicine and Care.
Department of Orthopaedics, Örebro University Hospital, Örebro, Sweden.
Department of Neurology & Clinical Neurophysiology, Örebro University Hospital, Örebro, Sweden.
Linköping University, Department of Medicine and Health Sciences, Nursing Science. Linköping University, Faculty of Health Sciences.
2002 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 34, no 4, 165-170 p.Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to classify and describe the characteristics of different long-term pain conditions after a stroke by clinical examination and pain assessment using the Pain-O-Meter and a Pain questionnaire. Pain was classified as central post-stroke pain (n = 15), nociceptive pain (n = 18), and tension-type headache (n = 10). In 65%, pain onset was within 1-6 months and the pain intensity revealed individual differences. Many pain descriptors was common, some were discriminating as burning in central and cramping in nociceptive pain, and pressing and worrying in headache. More than half with central or nociceptive pain had continuous or almost continuous pain. Cold was the factor mostly increasing the pain in central, physical movements in nociceptive pain, and stress and anxiety in headache. More than one-third had no pain treatment and two-thirds of those with central pain had no or inadequate prescribed pain treatment. The clinical findings support the classification of pain and describe discriminating and common pain characteristics in pain conditions after a stroke.

Place, publisher, year, edition, pages
2002. Vol. 34, no 4, 165-170 p.
Keyword [en]
Pain, Pain Measurement, Stroke, Central Poststroke Pain, Cpsp, Shoulder Pain, Headache
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-13718DOI: 10.1080/16501970213237OAI: oai:DiVA.org:liu-13718DiVA: diva2:21201
Available from: 2004-01-18 Created: 2004-01-18 Last updated: 2017-12-13
In thesis
1. Living with Long-Term Pain after a Stroke
Open this publication in new window or tab >>Living with Long-Term Pain after a Stroke
2003 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The general aim of this thesis was to classify and describe long-term pain two years after a stroke and to describe the experiences of pain, and the consequences it has on the persons’ lives. The studies were conducted from a multidimensional perspective on pain, combining quantitative and qualitative methods. Three types of long-term pain were classified and described among the 43 participants included, aged 33-82 years. These were central post-stroke pain, nociceptive, mainly shoulder pain, and tension-type headache. Pain onset, within one to six months in most of the cases was after discharge from the hospital. Continuous pain or pain almost every day was reported by nearly two-thirds. The pain was mostly described as troublesome, annoying and tiring in all pain groups. The rating of pain intensity revealed individual differences among the participants within the pain groups. In addition to long-term pain, the participants suffered several impairments and nearly half of them were dependent on others, and two-thirds on assistive devices. Several coping strategies were described, most often problem-focused. Their health-related quality of life was decreased, mostly related to their long-term pain and physical impairments. Their experiences of caring revealed the need of improvements in knowledge about longterm pain, attention and understanding among the professionals, and continuity in the contacts.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2003. 78 p.
Series
Linköping University Medical Dissertations, ISSN 0345-0082 ; 827
Keyword
stroke, central pain, chronic pain, neuropathic pain, nociceptive pain, shoulder, pain, tension-type headache, pain assessment, disability, activities of daily living, coping, health-related quality of life, mood, caring
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-5228 (URN)91-7373-518-3 (ISBN)
Public defence
2003-12-12, Aulan, Örbero universitet, Örebro, 13:00 (English)
Opponent
Supervisors
Note
On the day of the public defence the status of article III was: Accepted for publication and the status of article IV was: In press.Available from: 2004-01-18 Created: 2004-01-18 Last updated: 2012-01-25Bibliographically approved

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Ahlström, Gerd

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