护理新闻室

肩部疼痛是中风的最常见和直接影响，助理教授Deniz Dishman，PhD，DNAP，CRNA，将使用来自伙伴组织以了解有关大脑如何感知这种疼痛的更多信息。

Dishman is an assistant professor in the Department of Research at Cizik School of Nursing at UTHealth Houston and leads the university’s Pain Management Program at the Institute for Stroke and Cerebrovascular Disease.

迪斯曼说：“大约70％的中风幸存者报告中风的近期肩部疼痛。”这种“偏瘫性的肩痛”或HSP是由于中风相关的迁移率损害而导致大脑一侧的损害。

“Chronic HSP can lead to lengthened hospital stays, worsened outcomes, depression, and deconditioning,” Dishman said. “Effective treatment is critical for stroke survivors to participate in intensive physical therapy and realize the associated functional improvements.”

Dishman补充说，最近的临床试验破坏了一个长期以来的想法，即患有慢性HSP的患者无法改善其整体功能。相反，在中风生存后甚至六个月至一年接受治疗的患者表现出长期改善的肩部功能。但是，疼痛通常会阻止这些患者参加这种必要的冲程后治疗。

“Approximately 30% percent of HSP sufferers experience unmanageable pain that does not respond to traditional interventions including nonsteroidal anti-inflammatories, opioids, and therapy including strapping, acupuncture, and injections,” said Dishman.

Armed with this information, Dishman reached out to her co-investigator in the study,Sarah Prinsloo，博士，医学博士安德森癌症中心。Prinsloo已成功治疗了接受化学疗法的癌症患者，并报告了化学疗法诱发神经性疼痛。

迪瓦曼说：“我们已经了解到，脑成像（例如脑电图成像（EEG））和功能性MRI在视觉上证明了主观疼痛的神经网络，尤其是在抱怨疼痛的癌症患者和慢性下背部疼痛的患者中。”“那么，为什么不看到类似的方法是否会为遇到类似疼痛的中风幸存者开发治疗方法吗？”

她的提议“生物标志物照亮了中风后（Bipas）的疼痛”，最近被选为100,000美元的合作伙伴护理研究奖。beplay苹果手机能用吗DISHMAN和她的团队将使用这些资金来帮助识别有关中风后肩痛患者的定量脑电图脑图的共同空间模式。

为了进行研究，Dishman的团队将与Prinsloo实验室at MD Anderson, which focuses on applied neuroscience, particularly the use of neuroimaging and noninvasive techniques. She will work closely withSean Savitz, MD, professor, neurology chair, and director of the UTHealth Institute for Stroke and Cerebrovascular Diseases, who is also a co-investigator in this study. They will recruit stroke patients who have developed HSP from across the Texas Medical Center to participate in the study.

“我们的长期目标是双重发展有效treatments for post-stroke pain and remove the barriers to intensive rehabilitation. This study is the first step in a long-term plan to provide important and timely evidence to advance pain assessment and interventions in stroke survivors and enable participation in critical rehabilitation,” said Dishman.

DISHMAN研究团队的其他成员是McGovern医学beplay苹果手机能用吗院的Charles Green教授和助理Mary E. Russell Do；以及休斯顿生物医学信息学的Uthealth Houston School学学院的小江教授。

合作伙伴（或为护理教育，研究和学生提供促进资源）成立于1994年，其唯一使命是筹集资金以支持Cizik护理学院的教师研究和学生奖学金。beplay苹果手机能用吗

劳拉·弗恩卡·戴维斯（Laura Frnka Davis）

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Deniz n Dishman，博士，DNAP，CRNA