Journal of Pain Management最新文献_第2页

The potential role of brain stimulation in the management of postoperative pain. 脑刺激在术后疼痛治疗中的潜在作用。

Journal of Pain Management Pub Date : 2009-01-01

Jeffrey J Borckardt, Scott Reeves, Mark S George

引用次数: 0

Efficacy of anodal transcranial direct current stimulation (tDCS) for the treatment of fibromyalgia: results of a randomized, sham-controlled longitudinal clinical trial. 阳极经颅直流电刺激(tDCS)治疗纤维肌痛的疗效:一项随机、假对照纵向临床试验的结果。

Journal of Pain Management Pub Date : 2009-01-01

Angela Valle, Suely Roizenblatt, Sueli Botte, Soroush Zaghi, Marcelo Riberto, Sergio Tufik, Paulo S Boggio, Felipe Fregni

{"title":"Efficacy of anodal transcranial direct current stimulation (tDCS) for the treatment of fibromyalgia: results of a randomized, sham-controlled longitudinal clinical trial.","authors":"Angela Valle, Suely Roizenblatt, Sueli Botte, Soroush Zaghi, Marcelo Riberto, Sergio Tufik, Paulo S Boggio, Felipe Fregni","doi":"","DOIUrl":"","url":null,"abstract":"Fibromyalgia has been recognized as a central pain disorder with evidence of neuroanatomic and neurophysiologic alterations. Previous studies with techniques of noninvasive brain stimulation--transcranial direct current stimulation (tDCS) and repetitive transcranial magnetic stimulation (rTMS)--have shown that these methods are associated with a significant alleviation of fibromyalgia-associated pain and sleep dysfunction. Here we sought to determine whether a longer treatment protocol involving 10 sessions of 2 mA, 20 min tDCS of the left primary motor (M1) or dorsolateral prefrontal cortex (DLPFC) could offer additional, more long-lasting clinical benefits in the management of pain from fibromyalgia. METHODS: Forty-one women with chronic, medically refractory fibromyalgia were randomized to receive 10 daily sessions of M1, DLPFC, or sham tDCS. RESULTS: Our results show that M1 and DLPFC stimulation both display improvements in pain scores (VAS) and quality of life (FIQ) at the end of the treatment protocol, but only M1 stimulation resulted in long-lasting clinical benefits as assessed at 30 and 60 days after the end of treatment. CONCLUSIONS: This study demonstrates the importance of the duration of the treatment period, suggesting that 10 daily sessions of tDCS result in more long lasting outcomes than only five sessions. Furthermore, this study supports the findings of a similarly designed rTMS trial as both induce pain reductions that are equally long-lasting.","PeriodicalId":39102,"journal":{"name":"Journal of Pain Management","volume":"2 3","pages":"353-361"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3002117/pdf/nihms168468.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29546076","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

Parent-Child Pain Relationships from a Psychosocial Perspective: A Review of the Literature. 心理社会视角下的亲子疼痛关系:文献综述。

Journal of Pain Management Pub Date : 2008-12-01

Subhadra Evans, Jennie C I Tsao, Qian Lu, Cynthia Myers, Joanne Suresh, Lonnie K Zeltzer

{"title":"Parent-Child Pain Relationships from a Psychosocial Perspective: A Review of the Literature.","authors":"Subhadra Evans, Jennie C I Tsao, Qian Lu, Cynthia Myers, Joanne Suresh, Lonnie K Zeltzer","doi":"","DOIUrl":"","url":null,"abstract":"Chronic or recurrent pain is a widespread health issue that affects a large proportion of the population, including adults and children. Family factors in the development of pain have received increasing attention of late as research has shown that pain tends to run in families, A burgeoning literature has also demonstrated the influence of parental factors in children's responses to chronic and laboratory pain. This review attempts to integrate: first,) the literature documenting an association between parent and child pain both within the clinical chronic pain and laboratory pain literatures; and second,) research accounting for likely mechanisms explaining the parent-child pain association. To this end, we present a conceptual model that incorporates a number of parent and child specific characteristics, such as parental responses, coping and gender role socialization as well as broader socio-demographic factors such as parent and child age and sex, family functioning, socioeconomic status, and race/ethnicity. It is anticipated that consideration of such variables will lead to needed research exploring the mechanisms of parent-child pain relationships, and to interventions designed to prevent and ameliorate child pain sensitivity when it correlates with poor adaptation to pain.","PeriodicalId":39102,"journal":{"name":"Journal of Pain Management","volume":"1 3","pages":"237-246"},"PeriodicalIF":0.0,"publicationDate":"2008-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2658611/pdf/nihms90650.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28543998","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

"Just be in pain and just move on": Functioning limitations and strategies in the lives of children with chronic pain. “忍受痛苦，继续前进”:慢性疼痛儿童生活中的功能限制和策略。

Journal of Pain Management Pub Date : 2008-03-01

Marcia L Meldrum, Jennie Ci Tsao, Lonnie K Zeltzer

{"title":"\"Just be in pain and just move on\": Functioning limitations and strategies in the lives of children with chronic pain.","authors":"Marcia L Meldrum, Jennie Ci Tsao, Lonnie K Zeltzer","doi":"","DOIUrl":"","url":null,"abstract":"This paper uses a mixed-methods approach to examine the impact of pain-associated functioning limitations on children's lives and the strategies they develop to try to continue functioning. Forty-five children ages 10-18 completed standardized questionnaires and participated in semistructured interviews prior to intake at a university-based tertiary clinic specializing in the treatment of pediatric chronic pain. All the children reported that pain limited their functioning in everyday activities and that these limitations caused them frustration and distress. Qualitative analysis identified three distinct functioning patterns or groups, which were designated as Adaptive, Passive, and Stressed. The groups did not differ significantly in demographics or clinical pain characteristics. Adaptive children continued to participate in many activities and were more likely to realize that focusing on pain would heighten their perception of pain. Children in this group reported more effective use of distraction and of other independently developed strategies to continue functioning. Passive children had given up most activities, tended to use passive distraction when in pain, and were more likely to feel isolated and different from peers. Stressed children described themselves as continuing to function, but were highly focused on their pain and the difficulties of living with it. The qualitative groupings were supported by quantitative findings that Stressed children reported a higher degree of social anxiety than did Passive children and were more likely than the other groups to report experiencing pain throughout the day. Finally, Adaptive children were rated by their parents as having better overall health compared to Passive children.","PeriodicalId":39102,"journal":{"name":"Journal of Pain Management","volume":"1 2","pages":"131-141"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2678800/pdf/nihms50322.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28164446","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

Effects of Patient Controlled Analgesia Hydromorphone during Acute Painful Episodes in Adolescents with Sickle Cell Disease: A Pilot Study. 镰状细胞病青少年急性疼痛发作时使用患者自控镇痛剂氢吗啡酮的效果：一项试点研究。

Journal of Pain Management Pub Date : 2008-01-01

Eufemia Jacob, Marilyn Hockenberry, Brigitta U Mueller

引用次数: 0

The Role of Coping and Race in Healthy Children's Experimental Pain Responses. 应对和种族在健康儿童实验性疼痛反应中的作用。

Journal of Pain Management Pub Date : 2008-01-01

Subhadra Evans, Qian Lu, Jennie C I Tsao, Lonnie K Zelter

{"title":"The Role of Coping and Race in Healthy Children's Experimental Pain Responses.","authors":"Subhadra Evans, Qian Lu, Jennie C I Tsao, Lonnie K Zelter","doi":"","DOIUrl":"","url":null,"abstract":"This study examined the relationship between race, laboratory-based coping strategies and anticipatory anxiety and pain intensity for cold, thermal (heat) and pressure experimental pain tasks. Participants were 123 healthy children and adolescents, including 33 African Americans (51% female; mean age =13.9 years) and 90 Caucasians (50% female; mean age = 12.6 years). Coping in response to the cold task was assessed with the Lab Coping Style interview; based on their interview responses, participants were categorized as 'attenders' (i.e., those who focused on the task) vs. 'distractors' (i.e., those who distracted themselves during the task). Analysis of covariance (ANCOVA) revealed significant interactions between race (African-American vs. Caucasian) and lab-based coping style after controlling for sex, age and socioeconomic status. African-American children classified as attenders reported less anticipatory anxiety for the cold task and lower pain intensity for the cold, heat and pressure tasks compared to those categorized as distractors. For these pain outcomes, Caucasian children classified as distractors reported less anticipatory anxiety and lower pain intensity relative to those categorized as attenders. The findings point to the moderating effect of coping in the relationship between race and experimental pain sensitivity.","PeriodicalId":39102,"journal":{"name":"Journal of Pain Management","volume":"1 2","pages":"151-162"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2845994/pdf/nihms90669.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28888542","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

Analgesic Response to Morphine in Children with Sickle Cell Disease: A Pilot Study. 镰状细胞病儿童对吗啡的镇痛反应：试点研究。

Journal of Pain Management Pub Date : 2008-01-01

Eufemia Jacob, Marilyn Hockenberry, Brigitta U Mueller, Thomas D Coates, Lonnie Zeltzer

{"title":"Analgesic Response to Morphine in Children with Sickle Cell Disease: A Pilot Study.","authors":"Eufemia Jacob, Marilyn Hockenberry, Brigitta U Mueller, Thomas D Coates, Lonnie Zeltzer","doi":"","DOIUrl":"","url":null,"abstract":"Morphine given by Patient Controlled Analgesia (PCA) is widely used in hospital settings to manage severe pain during acute painful episodes. Wide variations in prescription patterns occur and some patients are often self-administering sub- or low- therapeutic doses. In this preliminary study, a descriptive design with repeated measures was used to examine the effects of different PCA morphine regimens on the intensity, location and quality of pain as well as on the perceived amount of relief and side effects in patients with sickle cell disease (N=13; mean age 13.7 years; eight males; five females). The preliminary data showed that a regimen with a high background infusion rate and low intermittent push dose (Regimen B) may provide better response to PCA morphine. The difference in trends between the worst and least pain intensity ratings were narrower in this regimen, suggesting that pain peaks and troughs were not occurring as in a regimen with an around the clock nurse administered dosing schedule (Regimen C). The amount of morphine that was administered per day was not significantly different (p > 0.05) among the three morphine regimens. The combination of a high background infusion rate and low intermittent push dose (as in Regimen B) within the first 24 hours of admission, may provide improved response and possibly shorter recovery from the painful episode than the regimen that would routinely be prescribed with lower background infusion rate and high intermittent push dose (as in regimen A).","PeriodicalId":39102,"journal":{"name":"Journal of Pain Management","volume":"2 1","pages":"179-190"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2810969/pdf/nihms-117892.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28672543","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