Journal of Pain and Relief最新文献_第2页

Effects of Superficial and Deep Dry Needling on Pain and Muscle Thickness in Subject with Upper Trapezius Muscle Myofascial Pain Syndrome 干针刺对上斜方肌肌筋膜疼痛综合征患者疼痛和肌肉厚度的影响

Journal of Pain and Relief Pub Date : 2018-01-01 DOI: 10.4172/2167-0846.1000322

J. Sarrafzadeh, Saemeh Khani, K. Ezzati, I. Takamjani

{"title":"Effects of Superficial and Deep Dry Needling on Pain and Muscle Thickness in Subject with Upper Trapezius Muscle Myofascial Pain Syndrome","authors":"J. Sarrafzadeh, Saemeh Khani, K. Ezzati, I. Takamjani","doi":"10.4172/2167-0846.1000322","DOIUrl":"https://doi.org/10.4172/2167-0846.1000322","url":null,"abstract":"Background: Dry needling is one of the main therapeutic approaches in patients with Myofascial pain syndrome. Few studies have been compared the superficial and deep dry needling methods in these patients. Objective: To evaluate the effects of superficial and deep dry needling on pain and muscle thickness in subjects with upper trapezius myofascial pain syndrome. Design: A randomized quasi-experimental double-blinded trial. Methods: 50 subjects with upper trapezius myofascial pain syndrome (age=26/08 ± 4/62, weight=63/88 ± 8/71 kg, height=167/7 ± 4/82 cm, pain duration=9/75 ± 7/05 m) randomly assigned to the superficial (n=25) and deep (n=25) dry needling groups. The pain and maximum thickness of upper trapezius muscle in rest, fair and normal contractions were measured by visual analogue scale (VAS) and an ultrasound device respectively before and after the intervention as well as 7 and 15 days follow-up. Results: The mixed-model ANOVAs revealed a significant group-by-time interaction (F=44.03, p<0.001) for pain and muscle thickness in rest (F=67.00, p<0.001), fair (F=108.73, p<0.001) and normal contraction (F=17.73, p<0.001). The main effects of group and time were statistically significant for pain, rest, fair and normal muscle thickness (p<0.001). There were not any significant differences in rest, fair and normal muscle thickness after intervention as well as 7 and 15 days follow-up. Conclusion: Both superficial and deep dry needling techniques induced significant short-term changes in the VAS. Muscle thickness in rest, fair and normal contractions did not show any significant changes between the groups.","PeriodicalId":16641,"journal":{"name":"Journal of Pain and Relief","volume":"13 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74773176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Nursing in the Attention of the Evaluation of Pain as a 5th Vital Sign 疼痛作为第五生命体征评价的护理注意

Journal of Pain and Relief Pub Date : 2018-01-01 DOI: 10.4172/2167-0846.1000312

Bruno Vilas Boas Dias, Jhenifer Luana dos Santos Camara, Bruno Oliveira Prado, Jean Jhonys Beraldes Cesar

{"title":"Nursing in the Attention of the Evaluation of Pain as a 5th Vital Sign","authors":"Bruno Vilas Boas Dias, Jhenifer Luana dos Santos Camara, Bruno Oliveira Prado, Jean Jhonys Beraldes Cesar","doi":"10.4172/2167-0846.1000312","DOIUrl":"https://doi.org/10.4172/2167-0846.1000312","url":null,"abstract":"Objective: The objective of this study was to identify the view of nurses in the application of the pain scale in patients hospitalized in intensive care and medical clinic. Method: An exploratory-descriptive study was conducted with a qualitative approach in a private hospital in the interior of the State of Sao Paulo. The sample consisted of 20 nurses who answered 2 identical questionnaires, one demographic member with thirteen questions and the other with a dissertative question regarding the research objective. Results: Twenty nurses were interviewed, where 10 (50%) applied the scale at the time of patient admission, 4 (20%) applied the numerical scale more easily, while another 4 (20%) reported that they did not apply any pain scale. Among these, 20 (100%) consider the scale useful, 17 (85%) do not find difficulties in the application and 14 (70%) do not apply the scale in sedated patients. All of them recognized the importance of the scale and know pain as the 5th vital sign and it was clear that with the application of the scale it is possible to offer more comfort, evaluating the effectiveness of the medication and aiding in the clinical reasoning. Conclusion: All nurses consider it useful to use the pain scale, but lack of an institutional protocol often fails to apply the scale at important moments of patient admission.","PeriodicalId":16641,"journal":{"name":"Journal of Pain and Relief","volume":"187 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89007505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Inhalation Burn, Crush-syndrome and Rhabdomyolysis Syndrome 吸入烧伤，挤压综合征和横纹肌溶解综合征

Journal of Pain and Relief Pub Date : 2018-01-01 DOI: 10.4172/2167-0846.1000332

Dalamagka Maria, Zervas Konstantinos

引用次数: 0

Real-World Evidence for the Widespread Effects of Fixed-Site High- Frequency Transcutaneous Electrical Nerve Stimulation in Chronic Pain 固定部位高频经皮神经电刺激对慢性疼痛的广泛影响的真实世界证据

Journal of Pain and Relief Pub Date : 2018-01-01 DOI: 10.4172/2167-0846.1000329

S. Gozani, X. Kong

{"title":"Real-World Evidence for the Widespread Effects of Fixed-Site High- Frequency Transcutaneous Electrical Nerve Stimulation in Chronic Pain","authors":"S. Gozani, X. Kong","doi":"10.4172/2167-0846.1000329","DOIUrl":"https://doi.org/10.4172/2167-0846.1000329","url":null,"abstract":"Purpose: Transcutaneous electrical nerve stimulation (TENS) produces pain relief by decreasing central excitability and increasing central inhibition. Fixed-site high-frequency TENS (FS-TENS) is a form of TENS in which the device is designed to stimulate a predetermined area rather than to overlap the patient’s pain. The objective of this study was to confirm that FS-TENS has widespread effects beyond the stimulation site in a real-world chronic pain population. Methods: A retrospective cohort study was conducted on users of a FS-TENS device. This device is placed on the upper calf. Study participants were stratified into two groups, those whose pain distribution did not include foot or leg pain (proximal pain group) and those whose pain distribution included foot or leg pain (distal pain group). The outcome measures were changes in pain intensity and pain interference with sleep, activity and mood from a baseline assessment to a 60-day follow-up. FS-TENS dose was characterized by utilization, which was defined as the percentage of days with at least 30 minutes of stimulation. Predictors of pain outcomes were examined by moderated multivariable regression. Results: 1676 FS-TENS users met the inclusion and exclusion criteria. There were 296 (17.7%) participants in the proximal pain group and 1380 (82.3%) participants in the distal pain group. There were no differences in FS-TENS usage between the groups. There were no differences between the two groups for any pain outcome. Age, baseline pain measures, number of painful health conditions, constant pain, weather sensitivity and utilization were predictive of pain outcomes. Distal pain moderated the associations between utilization and sleep/activity interference. The doseresponse associations between FS-TENS utilization and pain outcomes were comparable in participants with distal and proximal pain. Conclusion: These results are consistent with FS-TENS having widespread effects beyond the site of stimulation in real-world chronic pain.","PeriodicalId":16641,"journal":{"name":"Journal of Pain and Relief","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79646325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Proposal for Portable Shower for Comfort and Relief of Patients, Family, and Professionals 为病人、家属和专业人员提供舒适和救济的便携式淋浴的建议

Journal of Pain and Relief Pub Date : 2018-01-01 DOI: 10.4172/2167-0846.1000324

Bruno Vilas Boas Dias, Jose Paulo Muniz Junior, Silvia M R Oyama

引用次数: 0

Neuralgic and Nociceptive Pain in the Knee as a Cause of the Treatment Failure after Cartilage Repair Surgery: Two Case Reports 膝关节神经痛和痛觉性疼痛是软骨修复手术后治疗失败的原因:两例报告

Journal of Pain and Relief Pub Date : 2018-01-01 DOI: 10.4172/2167-0846.1000325

N. Andjelkov, H. Riyadh, P. Wretenberg

{"title":"Neuralgic and Nociceptive Pain in the Knee as a Cause of the Treatment Failure after Cartilage Repair Surgery: Two Case Reports","authors":"N. Andjelkov, H. Riyadh, P. Wretenberg","doi":"10.4172/2167-0846.1000325","DOIUrl":"https://doi.org/10.4172/2167-0846.1000325","url":null,"abstract":"Objective: Cartilage injuries are one of the most frequent causes of knee pain. Other causes such as meniscus tears, synovial plica, synovitis, partial and total ligament ruptures are rather easy to identify by standard diagnostic methods and diagnostic arthroscopy. In this study we are describing two other clinical states, which could be the cause of the knee pain and should be addressed before a decision for operative treatment of cartilage injury has been made by a surgeon. Materials and Methods: Two patients with isolated focal defects due to previous trauma to the knee were diagnosed both using magnetic resonance imaging preoperatively and intraoperatively during arthroscopy. These were operated arthroscopically with standard procedure for microfracture. Both patients had treatment failure without a sign of significant improvement after six and twelve months. Results: Second look arthroscopy was performed in both cases due to the treatment failure and close to normal cartilage was found in the patella in first case and both in trochlea and medial femoral condyle in other case. No other cause of pain could be identified both with second look arthroscopy and magnetic resonance imaging done 6-12 months postoperatively. The patients were diagnosed with neuralgic pain in one case, and nociceptive pain in other case. Conclusion: These states are rare, but have to be addressed by the surgeon before making the decision about the operative treatment. By doing so, one could avoid eventual treatment failure and exposition of the patient to an unnecessary risk of complications during the surgery.","PeriodicalId":16641,"journal":{"name":"Journal of Pain and Relief","volume":"3 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74948723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

TAP Blocks: A Recent Review of Anesthetic Combinations TAP阻滞:麻醉药物组合的最新综述

Journal of Pain and Relief Pub Date : 2018-01-01 DOI: 10.4172/2167-0846.1000333

Pedro Garcia-Quintero, N. Suraci, J. D. Mello

引用次数: 0

The Value of Placebos to Individualize Pain Therapy via A New Singleblind Test Paradigm Identifying Responders on Topical Analgesic Interventions 通过一种新的单盲测试范式确定局部镇痛干预反应者的安慰剂对个体化疼痛治疗的价值

Journal of Pain and Relief Pub Date : 2018-01-01 DOI: 10.4172/2167-0846.1000313

J. Hesselink, D. Kopsky

引用次数: 1

Interventional Treatments for Bladder Pain Syndrome 膀胱疼痛综合征的介入治疗

Journal of Pain and Relief Pub Date : 2018-01-01 DOI: 10.4172/2167-0846.1000334

D. G. Vilar, G. García-Fadrique, J. BeltranPersiva, M. Perez-Mestre

引用次数: 0

Intraoral Sensory Abnormalities Caused by Tooth Extraction in a Patient with Chronic Inflammatory Demyelinating Polyneuropathy 慢性炎性脱髓鞘性多神经病变拔牙所致的口内感觉异常1例

Journal of Pain and Relief Pub Date : 2018-01-01 DOI: 10.4172/2167-0846.1000314

Takuya Naganawa, Jumpei Uchida, T. Okamoto, T. Ando, Abhishek Kumar

{"title":"Intraoral Sensory Abnormalities Caused by Tooth Extraction in a Patient with Chronic Inflammatory Demyelinating Polyneuropathy","authors":"Takuya Naganawa, Jumpei Uchida, T. Okamoto, T. Ando, Abhishek Kumar","doi":"10.4172/2167-0846.1000314","DOIUrl":"https://doi.org/10.4172/2167-0846.1000314","url":null,"abstract":"Background: Chronic inflammatory demyelinating polyneuropathy (CIDP) is considered to be an immunemediated, acquired disease of the peripheral nerves. CIDP patients infrequently develop neuropathy with various clinical forms, such as blink reflex and trigeminal neuropathy. However, to our knowledge, there is no information about intraoral somatosensory changes associated with CIDP. Here, we report the case of a patient with CIDP who exhibited somatosensory changes investigated by quantitative sensory testing (QST). Case Report: A 77-year-old Japanese man was referred to our institution with symptoms of intraoral pain and swollen gingiva. The patient had been diagnosed with CIDP 8 years earlier. The second premolar of the right mandible was diagnosed with apical periodontitis, and tooth extraction was performed to control his pain and inflammation. Following the tooth extraction, local inflammation and pain subsided, however, the patient reported spontaneous dysesthesia on the adjacent gingiva of the extracted tooth. Intraoral qualitative sensory testing of the gingiva showed gingival mechanical allodynia and cold hypoalgesia at the extraction site. We diagnosed the patient with painful post-traumatic trigeminal neuropathy related to tooth extraction. Conclusion: Because of the lack of evidence for peripheral, organic changes in the oral mucosa, the sensory changes may be best explained by peripheral disturbance, an association may exist between these reported somatosensory changes and CIDP.","PeriodicalId":16641,"journal":{"name":"Journal of Pain and Relief","volume":"39 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81308836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1