Success in Pain Management Associated with Spasticity in Stroke Measured by Goal Attainment Scaling
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.25759/spmfr.261 |
Resumo: | Introduction: The pain associated with spasticity after stroke is common and interfere with the functionality and quality of life, and their treatment is not easy in some cases. Currently botulinum toxin type A (BoNTA) has an alternative to established treatments, so the authors aims to evaluate the success of their treatment in pain in patients with stroke sequelae, measured by goal attainment scaling.Material and Methods: Prospective, non-interventional study. Cohort of 82 cases treated between 01/03/09 and 31/10/12. Included patients aged 18 to 85 years with a diagnosis of stroke, in which pain was a target for treatment. The scales used were the numerical pain scale and Likert scale. The measuring success was made with goal attainment scaling. The treatment met the characteristics and expectations of each case. The results were analyzed with parametric tests and non-parametric tests.Results and Discussion: Sample of 37 men and 39 women with a mean age of 59 years. The pain affected more the upper limb (77.6%), and was most frequent in shoulder (49%). The numerical pain scale was used in 53 cases and the mean value before and after treatment was 7/10 and 3/10 respectively. In 49 (92%) patients, the decreased amount of one or more degrees in numerical pain scale. The difference was significant (p < 0.001). The Likert scale was used in 23 cases. After treatment 20 (87%) were “better” or “much better”. This result was significant (p < 0.001). The end goal attainment scaling score was 52 and its variation was 12 on average. In 61 (80%) cases this was clinically significant (≥ 10). The difference between initial and final scores was statistically significant (p < 0.001).Conclusion: The goal attainment scaling was a valid instrument, which resulted in the successful delivery of objectives centered on the patient and their quality of life, and had good correlation with the results of standardized scales, used to measure the clinical results in the treatment of pain. |
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Success in Pain Management Associated with Spasticity in Stroke Measured by Goal Attainment ScalingSucesso no Tratamento da Dor Associada a Espasticidade no AVC Medido pela Goal Attainment ScalingBotulinum Toxins, Type A; Muscle Spasticity; Pain Management; Pain Measurement; Stroke/complicationsAcidente Vascular Cerebral/complicações; Avaliação da Dor; Espasticidade Muscular; Toxinas Botulínicas Tipo A; Tratamento da DorIntroduction: The pain associated with spasticity after stroke is common and interfere with the functionality and quality of life, and their treatment is not easy in some cases. Currently botulinum toxin type A (BoNTA) has an alternative to established treatments, so the authors aims to evaluate the success of their treatment in pain in patients with stroke sequelae, measured by goal attainment scaling.Material and Methods: Prospective, non-interventional study. Cohort of 82 cases treated between 01/03/09 and 31/10/12. Included patients aged 18 to 85 years with a diagnosis of stroke, in which pain was a target for treatment. The scales used were the numerical pain scale and Likert scale. The measuring success was made with goal attainment scaling. The treatment met the characteristics and expectations of each case. The results were analyzed with parametric tests and non-parametric tests.Results and Discussion: Sample of 37 men and 39 women with a mean age of 59 years. The pain affected more the upper limb (77.6%), and was most frequent in shoulder (49%). The numerical pain scale was used in 53 cases and the mean value before and after treatment was 7/10 and 3/10 respectively. In 49 (92%) patients, the decreased amount of one or more degrees in numerical pain scale. The difference was significant (p < 0.001). The Likert scale was used in 23 cases. After treatment 20 (87%) were “better” or “much better”. This result was significant (p < 0.001). The end goal attainment scaling score was 52 and its variation was 12 on average. In 61 (80%) cases this was clinically significant (≥ 10). The difference between initial and final scores was statistically significant (p < 0.001).Conclusion: The goal attainment scaling was a valid instrument, which resulted in the successful delivery of objectives centered on the patient and their quality of life, and had good correlation with the results of standardized scales, used to measure the clinical results in the treatment of pain.introdução: A dor associada à espasticidade após o acidente vascular cerebral (AVC) é frequente e interfere com a funcionalidade e qualidade de vida, sendo por vezes difícil o seu tratamento. Atualmente a toxina botulínica tipo A (BoNTA) tem-se mostrado uma alternativa aos tratamentos já estabelecidos, pelo que os autores pretendem avaliar o sucesso do seu tratamento na dor em doentes com sequelas de AVC, medido pela goal attainment scaling.Material e Métodos: Estudo prospetivo, não intervencional. Coorte de 82 casos tratados entre 01/03/09 e 31/10/12. Incluídos doentes dos 18 aos 85 anos, com diagnóstico de AVC, em que a dor foi um objetivo de tratamento. As escalas usadas foram a escala numérica da dor e a escala de Lickert. A avaliação do sucesso alcançado foi feita com a goal attainment scaling. O tratamento atendeu às características e expectativas de cada caso e os resultados foram analisados com testes paramétricos e nãoparamétricos.Resultados e discussão: Amostra de 37 homens e 39 mulheres, com idade média de 59 anos. A dor afetou predominantemente o membro superior (77,6%), e o segmento mais frequente foi o ombro (49%). A escala numérica da dor foi usada em 53 casos, sendo o valor médio antes e após o tratamento de 7/10 e 3/10, respetivamente. Em 49 (92%) casos, o valor da escala numérica da dor diminuiu 1 ou mais pontos, tendo a diferença sido significativa (p < 0,001). A escala de Lickert utilizou-se em 23 casos. Após o tratamento 20 (87%) estavam “melhor” ou “muito melhor”, e este resultado foi significativo (p <0,001). O score goal attainment scaling final foi de 52 e a respetiva variação foi de 12 em média. Em 61 (80%) casos esta foi clinicamente significativa (≥ 10). A diferença entre os scores inicial e final foi também significativa (p < 0,001).Conclusão: A goal attainment scaling foi um instrumento válido, que traduziu o sucesso na concretização de objetivos centrados no doente e qualidade de vida, com boa correlação com os resultados das escalas padronizadas, utilizadas na clínica para medir resultados no tratamento da dor.Sociedade Portuguesa de Medicina Física e de Reabilitação2018-10-13T00:00:00Zjournal articlejournal articleinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://doi.org/10.25759/spmfr.261oai:ojs.spmfrjournal.org:article/261Revista da Sociedade Portuguesa de Medicina Física e de Reabilitação; v. 30, n. 2 (2018): Ano 26; 54-590872-9204reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://spmfrjournal.org/index.php/spmfr/article/view/261https://doi.org/10.25759/spmfr.261https://spmfrjournal.org/index.php/spmfr/article/view/261/155Copyright (c) 2018 Revista da Sociedade Portuguesa de Medicina Física e de Reabilitaçãohttp://creativecommons.org/licenses/by-nc-nd/4.0info:eu-repo/semantics/openAccessBettencourt Dias, Mónica; Centro de Medicina e Reabilitação de AlcoitãoPinto, Daniela; Centro de Medicina e Reabilitação de AlcoitãoParadinha, Sara; Centro de Medicina e Reabilitação de AlcoitãoGonçalves, Luís; Centro de Medicina e Reabilitação de AlcoitãoJacinto, Jorge; Centro de Medicina e Reabilitação de Alcoitão2022-09-20T15:28:42Zoai:ojs.spmfrjournal.org:article/261Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:51:17.276820Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Success in Pain Management Associated with Spasticity in Stroke Measured by Goal Attainment Scaling Sucesso no Tratamento da Dor Associada a Espasticidade no AVC Medido pela Goal Attainment Scaling |
title |
Success in Pain Management Associated with Spasticity in Stroke Measured by Goal Attainment Scaling |
spellingShingle |
Success in Pain Management Associated with Spasticity in Stroke Measured by Goal Attainment Scaling Bettencourt Dias, Mónica; Centro de Medicina e Reabilitação de Alcoitão Botulinum Toxins, Type A; Muscle Spasticity; Pain Management; Pain Measurement; Stroke/complications Acidente Vascular Cerebral/complicações; Avaliação da Dor; Espasticidade Muscular; Toxinas Botulínicas Tipo A; Tratamento da Dor |
title_short |
Success in Pain Management Associated with Spasticity in Stroke Measured by Goal Attainment Scaling |
title_full |
Success in Pain Management Associated with Spasticity in Stroke Measured by Goal Attainment Scaling |
title_fullStr |
Success in Pain Management Associated with Spasticity in Stroke Measured by Goal Attainment Scaling |
title_full_unstemmed |
Success in Pain Management Associated with Spasticity in Stroke Measured by Goal Attainment Scaling |
title_sort |
Success in Pain Management Associated with Spasticity in Stroke Measured by Goal Attainment Scaling |
author |
Bettencourt Dias, Mónica; Centro de Medicina e Reabilitação de Alcoitão |
author_facet |
Bettencourt Dias, Mónica; Centro de Medicina e Reabilitação de Alcoitão Pinto, Daniela; Centro de Medicina e Reabilitação de Alcoitão Paradinha, Sara; Centro de Medicina e Reabilitação de Alcoitão Gonçalves, Luís; Centro de Medicina e Reabilitação de Alcoitão Jacinto, Jorge; Centro de Medicina e Reabilitação de Alcoitão |
author_role |
author |
author2 |
Pinto, Daniela; Centro de Medicina e Reabilitação de Alcoitão Paradinha, Sara; Centro de Medicina e Reabilitação de Alcoitão Gonçalves, Luís; Centro de Medicina e Reabilitação de Alcoitão Jacinto, Jorge; Centro de Medicina e Reabilitação de Alcoitão |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Bettencourt Dias, Mónica; Centro de Medicina e Reabilitação de Alcoitão Pinto, Daniela; Centro de Medicina e Reabilitação de Alcoitão Paradinha, Sara; Centro de Medicina e Reabilitação de Alcoitão Gonçalves, Luís; Centro de Medicina e Reabilitação de Alcoitão Jacinto, Jorge; Centro de Medicina e Reabilitação de Alcoitão |
dc.subject.por.fl_str_mv |
Botulinum Toxins, Type A; Muscle Spasticity; Pain Management; Pain Measurement; Stroke/complications Acidente Vascular Cerebral/complicações; Avaliação da Dor; Espasticidade Muscular; Toxinas Botulínicas Tipo A; Tratamento da Dor |
topic |
Botulinum Toxins, Type A; Muscle Spasticity; Pain Management; Pain Measurement; Stroke/complications Acidente Vascular Cerebral/complicações; Avaliação da Dor; Espasticidade Muscular; Toxinas Botulínicas Tipo A; Tratamento da Dor |
description |
Introduction: The pain associated with spasticity after stroke is common and interfere with the functionality and quality of life, and their treatment is not easy in some cases. Currently botulinum toxin type A (BoNTA) has an alternative to established treatments, so the authors aims to evaluate the success of their treatment in pain in patients with stroke sequelae, measured by goal attainment scaling.Material and Methods: Prospective, non-interventional study. Cohort of 82 cases treated between 01/03/09 and 31/10/12. Included patients aged 18 to 85 years with a diagnosis of stroke, in which pain was a target for treatment. The scales used were the numerical pain scale and Likert scale. The measuring success was made with goal attainment scaling. The treatment met the characteristics and expectations of each case. The results were analyzed with parametric tests and non-parametric tests.Results and Discussion: Sample of 37 men and 39 women with a mean age of 59 years. The pain affected more the upper limb (77.6%), and was most frequent in shoulder (49%). The numerical pain scale was used in 53 cases and the mean value before and after treatment was 7/10 and 3/10 respectively. In 49 (92%) patients, the decreased amount of one or more degrees in numerical pain scale. The difference was significant (p < 0.001). The Likert scale was used in 23 cases. After treatment 20 (87%) were “better” or “much better”. This result was significant (p < 0.001). The end goal attainment scaling score was 52 and its variation was 12 on average. In 61 (80%) cases this was clinically significant (≥ 10). The difference between initial and final scores was statistically significant (p < 0.001).Conclusion: The goal attainment scaling was a valid instrument, which resulted in the successful delivery of objectives centered on the patient and their quality of life, and had good correlation with the results of standardized scales, used to measure the clinical results in the treatment of pain. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-10-13T00:00:00Z |
dc.type.driver.fl_str_mv |
journal article journal article info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.25759/spmfr.261 oai:ojs.spmfrjournal.org:article/261 |
url |
https://doi.org/10.25759/spmfr.261 |
identifier_str_mv |
oai:ojs.spmfrjournal.org:article/261 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://spmfrjournal.org/index.php/spmfr/article/view/261 https://doi.org/10.25759/spmfr.261 https://spmfrjournal.org/index.php/spmfr/article/view/261/155 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2018 Revista da Sociedade Portuguesa de Medicina Física e de Reabilitação http://creativecommons.org/licenses/by-nc-nd/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2018 Revista da Sociedade Portuguesa de Medicina Física e de Reabilitação http://creativecommons.org/licenses/by-nc-nd/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Medicina Física e de Reabilitação |
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Sociedade Portuguesa de Medicina Física e de Reabilitação |
dc.source.none.fl_str_mv |
Revista da Sociedade Portuguesa de Medicina Física e de Reabilitação; v. 30, n. 2 (2018): Ano 26; 54-59 0872-9204 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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