ArticlePain practice : the official journal of World Institute of Pain2025
The influence of pain on community reintegration after spinal cord injury.
Article in Pain practice : the official journal of World Institute of Pain, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Real-world participation after spinal cord injury: longitudinal associations with return to work and long-term social integration.European journal of physical and rehabilitation medicine · 2026Article
- The influence of pain on community reintegration after spinal cord injury.Pain practice : the official journal of World Institute of Pain · 2025Article
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Authors and funding
2 authors.
Funding
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Abstract
backgroundCommunity reintegration is an important goal for people living with a spinal cord injury (SCI), and pain is suspected to limit reintegration due to its limitations in daily functioning, mood, and sleep.
objectivesTo determine the influence of pain on community reintegration in manual wheelchair users with SCI.
methodsThe Reintegration to Normal Living Index was used to determine community reintegration, while the DN4 and the Wheelchair User's Shoulder Pain Index were used to determine the presence of neuropathic and shoulder pain respectively. Associations and differences between the pain variables and participants with and without pain were analyzed with Spearman correlations and Mann-Whitney U-tests using SPSS v27 at 0.05 significance level and 95% confidence interval.
resultsOf the 122 participants, 85.2% reported current pain, with a 77.7% median for community reintegration. Neuropathic pain (53.3%) was more common and severe than nociceptive shoulder pain (14.8%). There was no significant difference in community reintegration between participants with and without pain, nor any correlation between the overall presence of pain and community reintegration. The severity of pain, particularly shoulder pain, was negatively associated with taking trips out of town (p < 0.01), and overall community reintegration (p < 0.05).
conclusionIt is not the mere presence of pain that influences community reintegration, but rather the severity and the location of pain. Shoulder care and pain management need to be included in the rehabilitation program, as these are important considerations when rehabilitating people with SCI back into their communities.
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