Pain Research and Treatment最新文献_第9页

The Association between Patient-Reported Pain and Doctors' Language Proficiency in Clinical Practice. 临床实践中病人自述疼痛与医生语言能力的关系。

Pain Research and Treatment Pub Date : 2015-01-01 Epub Date: 2015-09-21 DOI: 10.1155/2015/263904

Marianne Mustajoki, Tom Forsén, Timo Kauppila

{"title":"The Association between Patient-Reported Pain and Doctors' Language Proficiency in Clinical Practice.","authors":"Marianne Mustajoki, Tom Forsén, Timo Kauppila","doi":"10.1155/2015/263904","DOIUrl":"https://doi.org/10.1155/2015/263904","url":null,"abstract":"Patients' limited literacy and language fluency of different kinds cause them problems in navigating the medical interview. However, it is not known how physicians' native language skills affect the reported intensity of pain among Finnish emergency patients. Data were collected with two consecutive questionnaires in 16 healthcare centres and outpatient departments along the Finnish coast. Swedish and Finnish speaking 18-65-year-old emergency patients were eligible for this study. Our patients were predominantly Finnish speakers. Patient-rated poor language skills in Finnish among the physicians in ED setting increased statistically significantly pain reported by the Finnish speaking patients and their dissatisfaction with the health service. These patients were also less motivated to adhere to the instructions given by their physician. Patients speaking various languages reported less degree of pain. Foreign physicians' poor language proficiency in Finnish was expected to explain only some of the patients' pain experience. Physicians' good native language skills may help to reduce pain experience. Despite concordant language communication, other unknown barriers in the interaction might reduce the magnitude of pain reported. ","PeriodicalId":19786,"journal":{"name":"Pain Research and Treatment","volume":"2015 ","pages":"263904"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2015/263904","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34100635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Retracted: Is Hippocampus Susceptible to Antinociceptive Tolerance to NSAIDs Like the Periaqueductal Grey? 缩回:海马是否对非甾体抗炎药如导水管周围灰质的抗感觉性耐受敏感?

Pain Research and Treatment Pub Date : 2015-01-01 Epub Date: 2015-11-24 DOI: 10.1155/2015/350798

Pain Research And Treatment

引用次数: 23

Central Sensitization and Perceived Indoor Climate among Workers with Chronic Upper-Limb Pain: Cross-Sectional Study. 慢性上肢疼痛工人的中枢敏化和感知室内气候:横断面研究。

Pain Research and Treatment Pub Date : 2015-01-01 Epub Date: 2015-09-06 DOI: 10.1155/2015/793750

Emil Sundstrup, Markus D Jakobsen, Mikkel Brandt, Kenneth Jay, Roger Persson, Lars L Andersen

{"title":"Central Sensitization and Perceived Indoor Climate among Workers with Chronic Upper-Limb Pain: Cross-Sectional Study.","authors":"Emil Sundstrup, Markus D Jakobsen, Mikkel Brandt, Kenneth Jay, Roger Persson, Lars L Andersen","doi":"10.1155/2015/793750","DOIUrl":"https://doi.org/10.1155/2015/793750","url":null,"abstract":"Monitoring of indoor climate is an essential part of occupational health and safety. While questionnaires are commonly used for surveillance, not all workers may perceive an identical indoor climate similarly. The aim of this study was to evaluate perceived indoor climate among workers with chronic pain compared with pain-free colleagues and to determine the influence of central sensitization on this perception. Eighty-two male slaughterhouse workers, 49 with upper-limb chronic pain and 33 pain-free controls, replied to a questionnaire with 13 items of indoor climate complaints. Pressure pain threshold (PPT) was measured in muscles of the arm, shoulder, and lower leg. Cross-sectional associations were determined using general linear models controlled for age, smoking, and job position. The number of indoor climate complaints was twice as high among workers with chronic pain compared with pain-free controls (1.8 [95% CI: 1.3-2.3] versus 0.9 [0.4-1.5], resp.). PPT of the nonpainful leg muscle was negatively associated with the number of complaints. Workers with chronic pain reported more indoor climate complaints than pain-free controls despite similar actual indoor climate. Previous studies that did not account for musculoskeletal pain in questionnaire assessment of indoor climate may be biased. Central sensitization likely explains the present findings. ","PeriodicalId":19786,"journal":{"name":"Pain Research and Treatment","volume":"2015 ","pages":"793750"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2015/793750","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34120065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

Classifying Patients with Chronic Pelvic Pain into Levels of Biopsychosocial Dysfunction Using Latent Class Modeling of Patient Reported Outcome Measures. 使用患者报告结果测量的潜在分类模型将慢性盆腔疼痛患者分类为生物心理社会功能障碍水平。

Pain Research and Treatment Pub Date : 2015-01-01 Epub Date: 2015-08-18 DOI: 10.1155/2015/940675

Bradford W Fenton, Scott F Grey, Krystel Tossone, Michele McCarroll, Vivian E Von Gruenigen

{"title":"Classifying Patients with Chronic Pelvic Pain into Levels of Biopsychosocial Dysfunction Using Latent Class Modeling of Patient Reported Outcome Measures.","authors":"Bradford W Fenton, Scott F Grey, Krystel Tossone, Michele McCarroll, Vivian E Von Gruenigen","doi":"10.1155/2015/940675","DOIUrl":"https://doi.org/10.1155/2015/940675","url":null,"abstract":"Chronic pelvic pain affects multiple aspects of a patient's physical, social, and emotional functioning. Latent class analysis (LCA) of Patient Reported Outcome Measures Information System (PROMIS) domains has the potential to improve clinical insight into these patients' pain. Based on the 11 PROMIS domains applied to n=613 patients referred for evaluation in a chronic pelvic pain specialty center, exploratory factor analysis (EFA) was used to identify unidimensional superdomains. Latent profile analysis (LPA) was performed to identify the number of homogeneous classes present and to further define the pain classification system. The EFA combined the 11 PROMIS domains into four unidimensional superdomains of biopsychosocial dysfunction: Pain, Negative Affect, Fatigue, and Social Function. Based on multiple fit criteria, a latent class model revealed four distinct classes of CPP: No dysfunction (3.2%); Low Dysfunction (17.8%); Moderate Dysfunction (53.2%); and High Dysfunction (25.8%). This study is the first description of a novel approach to the complex disease process such as chronic pelvic pain and was validated by demographic, medical, and psychosocial variables. In addition to an essentially normal class, three classes of increasing biopsychosocial dysfunction were identified. The LCA approach has the potential for application to other complex multifactorial disease processes. ","PeriodicalId":19786,"journal":{"name":"Pain Research and Treatment","volume":"2015 ","pages":"940675"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2015/940675","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33992860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 14

Radiofrequency for the Treatment of Lumbar Radicular Pain: Impact on Surgical Indications. 射频治疗腰神经根痛:对手术指征的影响。

Pain Research and Treatment Pub Date : 2015-01-01 Epub Date: 2015-08-16 DOI: 10.1155/2015/392856

José Manuel Trinidad, Ana Isabel Carnota, Inmaculada Failde, Luis Miguel Torres

{"title":"Radiofrequency for the Treatment of Lumbar Radicular Pain: Impact on Surgical Indications.","authors":"José Manuel Trinidad, Ana Isabel Carnota, Inmaculada Failde, Luis Miguel Torres","doi":"10.1155/2015/392856","DOIUrl":"https://doi.org/10.1155/2015/392856","url":null,"abstract":"Study Design. Quasiexperimental study. Objective. To investigate whether radiofrequency treatment can preclude the need for spinal surgery in both the short term and long term. Background. Radiofrequency is commonly used to treat lumbosacral radicular pain. Only few studies have evaluated its effects on surgical indications. Methods. We conducted a quasiexperimental study of 43 patients who had been scheduled for spinal surgery. Radiofrequency was indicated for 25 patients. The primary endpoint was the decision of the patient to reject spinal surgery 1 month and 1 year after treatment (pulsed radiofrequency of dorsal root ganglion, 76%; conventional radiofrequency of the medial branch, 12%; combined technique, 12%). The primary endpoint was the decision of the patient to reject spinal surgery 1 month and 1 year after treatment. In addition, we also evaluated adverse effects, ODI, NRS. Results. We observed after treatment with radiofrequency 80% of patients rejected spinal surgery in the short term and 76% in the long term. We conclude that radiofrequency is a useful treatment strategy that can achieve very similar outcomes to spinal surgery. Patients also reported a very high level of satisfaction (84% satisfied/very satisfied). We also found that optimization of the electrical parameters of the radiofrequency improved the outcome of this technique. ","PeriodicalId":19786,"journal":{"name":"Pain Research and Treatment","volume":"2015 ","pages":"392856"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2015/392856","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34055357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 18

Usefulness of the Pain Tracking Technique in Acute Mechanical Low Back Pain. 疼痛追踪技术在急性机械性腰痛中的应用。

Pain Research and Treatment Pub Date : 2015-01-01 Epub Date: 2015-07-09 DOI: 10.1155/2015/512673

Tania Bravo Acosta, Jorge E Martín Cordero, Solangel Hernández Tápanes, Isis Pedroso Morales, José Ignacio Fernández Cuesta, Maritza Leyva Serrano

{"title":"Usefulness of the Pain Tracking Technique in Acute Mechanical Low Back Pain.","authors":"Tania Bravo Acosta, Jorge E Martín Cordero, Solangel Hernández Tápanes, Isis Pedroso Morales, José Ignacio Fernández Cuesta, Maritza Leyva Serrano","doi":"10.1155/2015/512673","DOIUrl":"https://doi.org/10.1155/2015/512673","url":null,"abstract":"Objective. To evaluate the usefulness of the pain tracking technique in acute mechanical low back pain. Method. We performed an experimental prospective (longitudinal) explanatory study between January 2011 and September 2012. The sample was randomly divided into two groups. Patients were assessed at the start and end of the treatment using the visual analogue scale and the Waddell test. Treatment consisted in applying the pain tracking technique to the study group and interferential current therapy to the control group. At the end of treatment, cryotherapy was applied for 10 minutes. The Wilcoxon signed-rank test and the Mann Whitney test were used. They were performed with a predetermined significance level of p ≤ 0.05. Results. Pain was triggered by prolonged static posture and intense physical labor and intensified through trunk movements and when sitting and standing. The greatest relief was reported in lateral decubitus position and in William's position. The majority of the patients had contracture. Pain and disability were modified with the rehabilitation treatment in both groups. Conclusions. Both the pain tracking and interferential current techniques combined with cryotherapy are useful treatments for acute mechanical low back pain. The onset of analgesia is faster when using the pain tracking technique. ","PeriodicalId":19786,"journal":{"name":"Pain Research and Treatment","volume":"2015 ","pages":"512673"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2015/512673","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34064864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

The Verbal Rating Scale Is Reliable for Assessment of Postoperative Pain in Hip Fracture Patients. 言语评定量表对髋部骨折患者术后疼痛的评价是可靠的。

Pain Research and Treatment Pub Date : 2015-01-01 Epub Date: 2015-05-20 DOI: 10.1155/2015/676212

Rune Dueholm Bech, Jens Lauritsen, Ole Ovesen, Søren Overgaard

{"title":"The Verbal Rating Scale Is Reliable for Assessment of Postoperative Pain in Hip Fracture Patients.","authors":"Rune Dueholm Bech, Jens Lauritsen, Ole Ovesen, Søren Overgaard","doi":"10.1155/2015/676212","DOIUrl":"https://doi.org/10.1155/2015/676212","url":null,"abstract":"Background. Hip fracture patients represent a challenge to pain rating due to the high prevalence of cognitive impairment. Methods. Patients prospectively rated pain on the VRS. Furthermore, patients described the changes in pain after raising their leg, with one of five descriptors. Agreement between paired measures on the VRS at rest and by passive straight leg raise with a one-minute interval between ratings at rest and three-minute interval for straight leg raise was expressed by kappa coefficients. Reliability of this assessment of pain using the VRS was compared to the validity of assessing possible change in pain from the selected descriptors. Cognitive status was quantified by the short Orientation-Memory-Concentration Test. Results. 110 patients were included. Paired scores with maximum disagreement of one scale point reached 97% at rest and 95% at straight leg raise. Linear weighted kappa coefficients ranged from 0.68 (95% CI = 0.59-0.77) at leg raise to 0.75 (95% CI = 0.65-0.85) at rest. Unweighted kappa coefficients of agreement in recalled pain compared to agreement of paired VRS scores ranged from 0.57 (95% CI = 0.49-0.65) to 0.36 (95% CI = 0.31-0.41). Interpretation. The VRS is reliable for assessment of pain after hip fracture. The validity of intermittent questioning about possible change in pain intensity is poor. ","PeriodicalId":19786,"journal":{"name":"Pain Research and Treatment","volume":"2015 ","pages":"676212"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2015/676212","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33390552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 41

Evidence-Based Treatments for Adults with Migraine. 对成人偏头痛患者的循证治疗。

Pain Research and Treatment Pub Date : 2015-01-01 Epub Date: 2015-12-29 DOI: 10.1155/2015/629382

Rubesh Gooriah, Randa Nimeri, Fayyaz Ahmed

引用次数: 0

Pain Management in Pregnancy: Multimodal Approaches. 妊娠期疼痛管理：多模式疗法

Pain Research and Treatment Pub Date : 2015-01-01 Epub Date: 2015-09-13 DOI: 10.1155/2015/987483

Shalini Shah, Esther T Banh, Katharine Koury, Gaurav Bhatia, Roneeta Nandi, Padma Gulur

{"title":"Pain Management in Pregnancy: Multimodal Approaches.","authors":"Shalini Shah, Esther T Banh, Katharine Koury, Gaurav Bhatia, Roneeta Nandi, Padma Gulur","doi":"10.1155/2015/987483","DOIUrl":"10.1155/2015/987483","url":null,"abstract":"Nonobstetrical causes of pain during pregnancy are very common and can be incapacitating if not treated appropriately. Recent reports in the literature show that a significant percentage of pregnant women are treated with opioids during pregnancy. To address common pain conditions that present during pregnancy and the available pharmacological and nonpharmacological treatment options, for each of the pain conditions identified, a search using MEDLINE, PubMed, Embase, and Cochrane databases was performed. The quality of the evidence was evaluated in the context of study design. This paper is a narrative summary of the results obtained from individual reviews. There were significant disparities in the studies in terms of design, research and methodology, and outcomes analyzed. There is reasonable evidence available for pharmacological approaches; however, these are also associated with adverse events. Evidence for nonpharmacological approaches is limited and hence their efficacy is unclear, although they do appear to be primarily safe. A multimodal approach using a combination of nonpharmacological and pharmacological options to treat these pain conditions is likely to have the most benefit while limiting risk. Research trials with sound methodology and analysis of outcome data are needed. ","PeriodicalId":19786,"journal":{"name":"Pain Research and Treatment","volume":"2015 ","pages":"987483"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4584042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34138894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Novel Association between Femoroacetabular Impingement and Anterior Knee Pain. 股髋臼撞击与膝关节前侧疼痛的新关联。

Pain Research and Treatment Pub Date : 2015-01-01 Epub Date: 2015-09-14 DOI: 10.1155/2015/937431

Vicente Sanchis-Alfonso, Marc Tey, Joan Carles Monllau

{"title":"A Novel Association between Femoroacetabular Impingement and Anterior Knee Pain.","authors":"Vicente Sanchis-Alfonso, Marc Tey, Joan Carles Monllau","doi":"10.1155/2015/937431","DOIUrl":"https://doi.org/10.1155/2015/937431","url":null,"abstract":"Background. For a long time it has been accepted that the main problem in the anterior knee pain (AKP) patient is in the patella. Currently, literature supports the link between abnormal hip function and AKP. Objective. Our objective is to investigate if Cam femoroacetabular impingement (FAI) resolution is related to the outcome in pain and disability in patients with chronic AKP recalcitrant to conservative treatment associated with Cam FAI. Material and Methods. A retrospective study on 7 patients with chronic AKP associated with FAI type Cam was performed. Knee and hip pain were measured with the visual analogue scale (VAS), knee disability with the Kujala scale, and hip disability with the Nonarthritic Hip Score (NAHS). Results. The VAS knee pain score and VAS hip pain score had a significant improvement postoperatively. At final follow-up, there was significant improvement in all functional scores (Kujala score and NAHS). Conclusion. Our finding supports the link between Cam FAI and AKP in some young patients. Assessment of Cam FAI should be considered as a part of the physical examination of patients with AKP, mainly in cases with pain recalcitrant to conservative treatment. ","PeriodicalId":19786,"journal":{"name":"Pain Research and Treatment","volume":"2015 ","pages":"937431"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2015/937431","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34075235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6