{"id":11278,"date":"2021-03-03T10:31:33","date_gmt":"2021-03-03T10:31:33","guid":{"rendered":"https:\/\/www.mmj.mw\/?p=11278"},"modified":"2021-03-18T07:27:53","modified_gmt":"2021-03-18T07:27:53","slug":"the-prevalence-and-management-of-central-post-stroke-pain-at-a-hospital-in-zimbabwe","status":"publish","type":"post","link":"https:\/\/www.mmj.mw\/?p=11278","title":{"rendered":"Original Research: The prevalence and management of central post-stroke pain at a hospital in Zimbabwe"},"content":{"rendered":"\n<p><strong>Veronica Ntsiea<\/strong><\/p>\n\n\n\n<p>Physiotherapy Department, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa<\/p>\n\n\n\n<p><strong>Keywords:&nbsp;<\/strong>Central post-stroke pain, chronic pain, Zimbabwe<\/p>\n\n\n\n<h3>Abstract<\/h3>\n\n\n\n<p><strong>Background<\/strong><br>Central post-stroke pain (CPSP) is a poorly diagnosed chronic pain. It is under-treated and usually mismanaged.<br><strong>Objective<\/strong><br>To establish the prevalence of CPSP and its management in stroke clinics at a tertiary hospital.<br>Methods<br>This was a cross-sectional design with stroke patients and health professionals from the stroke clinic at the tertiary hospital in Zimbabwe.<br><strong>Results<\/strong><br>Out of 166 stroke survivors, 8% had CPSP. Younger age (&lt;60 years) was significantly associated with CPSP (P&lt;0.003). Pain characteristics of CPSP were hyperaesthesia (10, 71%), electric shocks (9, 64%), temperature allodynia (9, 64%) and allodynia (12, 86%). Ten health professionals participated in the study: one (10%) reported using Douleur Neuropathique 4 (to diagnose neuropathic pain) and two (20%) reported using sensory tests. Four patients (44%) were on paracetamol (acetaminophen) and on weak opiates such as codeine. None of the patients were on anticonvulsants or antidepressants. Two medical doctors (50%) used weak opiates as second-line management. Five patients (36%) reported receiving a combination of massage, stretching, general exercise and moist heat or cryotherapy.<br><strong>Conclusion<\/strong><br>The prevalence of CPSP in the study group is within international range. There is a need for appropriate management and use of tests and outcome measures for diagnosis of CPSP.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2>Journal Identifiers<\/h2>\n\n\n\n<p>eISSN: 1995-7262<br>print ISSN: 1995-7262<\/p>\n\n\n\n<div class=\"wp-block-buttons\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link\" href=\"https:\/\/www.mmj.mw\/wp-content\/uploads\/2021\/03\/201117-Article-Text-504310-1-10-20201030.pdf\">Download PDF<\/a><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Veronica Ntsiea Physiotherapy Department, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa Keywords:&nbsp;Central post-stroke pain, chronic pain, Zimbabwe Abstract BackgroundCentral post-stroke pain (CPSP) is a poorly diagnosed chronic pain. It is under-treated and usually mismanaged.ObjectiveTo establish the prevalence of CPSP and its management in stroke clinics at a tertiary hospital.MethodsThis was a [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[72],"tags":[66],"_links":{"self":[{"href":"https:\/\/www.mmj.mw\/index.php?rest_route=\/wp\/v2\/posts\/11278"}],"collection":[{"href":"https:\/\/www.mmj.mw\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.mmj.mw\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.mmj.mw\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mmj.mw\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=11278"}],"version-history":[{"count":2,"href":"https:\/\/www.mmj.mw\/index.php?rest_route=\/wp\/v2\/posts\/11278\/revisions"}],"predecessor-version":[{"id":11521,"href":"https:\/\/www.mmj.mw\/index.php?rest_route=\/wp\/v2\/posts\/11278\/revisions\/11521"}],"wp:attachment":[{"href":"https:\/\/www.mmj.mw\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=11278"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.mmj.mw\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=11278"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.mmj.mw\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=11278"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}