British Journal of Pain最新文献_第9页

The effect of pregabalin on postoperative pain after anterior cruciate ligament reconstruction: A systematic review of randomized clinical trials. 普瑞巴林对前十字韧带重建术后疼痛的影响：随机临床试验的系统回顾。

IF 1.3

British Journal of Pain Pub Date : 2023-08-01 Epub Date: 2023-02-08 DOI: 10.1177/20494637231152967

Seyyed Morteza Kazemi, Emad Kouhestani, Seyyed Mehdi Hosseini

{"title":"The effect of pregabalin on postoperative pain after anterior cruciate ligament reconstruction: A systematic review of randomized clinical trials.","authors":"Seyyed Morteza Kazemi, Emad Kouhestani, Seyyed Mehdi Hosseini","doi":"10.1177/20494637231152967","DOIUrl":"10.1177/20494637231152967","url":null,"abstract":"Background: Despite the enormous success of anterior cruciate ligament (ACL) reconstruction, acute neuropathic pain can develop postoperatively and is both distressing and difficult to treat once established. Pregabalin, an anticonvulsant agent that selectively affects the nociceptive process, has been used as a pain relief agent. The purpose of this systematic review of randomized controlled trials (RCTs) was to evaluate the pain control effect of pregabalin versus placebo after ACL reconstruction.Method: A search of the literature was performed from inception to June 2022, using PubMed, Scopus, Google Scholar, Web of Science, Cochrane and EBSCO. Studies considered for inclusion were RCTs that reported relevant outcomes (postoperative pain scores, cumulative opioid consumption, adverse events) following administration of pregabalin in patients undergoing ACL reconstruction.Result: Five placebo-controlled RCTs involving 272 participants met the inclusion criteria. 75 mg and 150 mg oral pregabalin was used in included trials. Two studies used a single dose of pregabalin one hour before anesthesia induction. Two studies used pregabalin 1 hour before anesthesia induction and 12 hours after. One study used daily pregabalin 7 days before and 7 days after surgery. Out of five papers, three papers found significantly lower pain intensity and cumulative opioid consumption in pregabalin group compared with placebo group. However, a decrease in pain scores was found in all trials. Pregabalin administration was associated with dizziness and nausea.Conclusion: The use of pregabalin may be a valuable asset in pain management after ACL reconstruction. However, future studies with larger sample size and longer follow-up period are required.","PeriodicalId":46585,"journal":{"name":"British Journal of Pain","volume":"17 4","pages":"332-341"},"PeriodicalIF":1.3,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10395387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10301546","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

Exploring the lived experiences of debilitating period pain management in the UK. 探索英国人经期疼痛治疗的生活经历。

IF 1.3

British Journal of Pain Pub Date : 2023-08-01 Epub Date: 2023-04-26 DOI: 10.1177/20494637231172674

Parmis Vafapour, Esther Murray

{"title":"Exploring the lived experiences of debilitating period pain management in the UK.","authors":"Parmis Vafapour, Esther Murray","doi":"10.1177/20494637231172674","DOIUrl":"10.1177/20494637231172674","url":null,"abstract":"Background: Five to ten percent of women experience period pains that disrupt their lives yet 4 in 5 women believe that their claims for their dysmenorrhea are not taken seriously. Within the process of seeking support and understanding about their pain, they face various barriers that prevent them from finding the answers they deserve.Methods: Semi-structured interviews were conducted with 8 women aged 20-28 to discuss their experiences with dysmenorrhea throughout their time since menarche.Results: Using Scheper-Hughes and Lock understanding of the mindful body, this research explores women's experiences of dysmenorrhea through their physical body (relationship with the body and needing control), the social body (cultural concepts and comparisons to others) and the body politic (medicalisation, the medical team and the transvaginal ultrasound).Conclusions: The impact of these aspects of their mindful bodies developed arguments showing how different actors had an impact on preventing them obtaining the patient-centred care they required without resistance. More must be done to honour the experience of pain women have regarding their periods, especially by healthcare professionals. There must be consistency in the way women are approached for their dysmenorrhea to prevent discrepancies of support. This must be done with clearer guidance on what is offered to women with dysmenorrhea, especially in the primary care setting.","PeriodicalId":46585,"journal":{"name":"British Journal of Pain","volume":"17 4","pages":"408-419"},"PeriodicalIF":1.3,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10395394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10305886","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

Is England facing an opioid epidemic? 英国正面临阿片类药物泛滥吗?

IF 1.8

British Journal of Pain Pub Date : 2023-06-01 DOI: 10.1177/20494637231160684

Antonia-Olivia Roberts, Georgia C Richards

引用次数: 2

Delivering equitable pain care: Lessons from the Scottish Service Model for Chronic Pain. 提供公平的疼痛护理：苏格兰慢性疼痛服务模式的经验教训。

IF 1.3

British Journal of Pain Pub Date : 2023-06-01 Epub Date: 2023-05-30 DOI: 10.1177/20494637231180485

Cassandra Macgregor, Christopher Seenan, David N Blane

引用次数: 0

Reliability and minimal detectable difference of pressure pain thresholds in a pain-free population. 无痛人群压力痛阈值的可靠性和最小检测差异。

IF 1.8

British Journal of Pain Pub Date : 2023-06-01 Epub Date: 2022-12-23 DOI: 10.1177/20494637221147185

Ryan Gl Koh, Tracy M Paul, Karlo Nesovic, Daniel West, Dinesh Kumbhare, Richard D Wilson

{"title":"Reliability and minimal detectable difference of pressure pain thresholds in a pain-free population.","authors":"Ryan Gl Koh, Tracy M Paul, Karlo Nesovic, Daniel West, Dinesh Kumbhare, Richard D Wilson","doi":"10.1177/20494637221147185","DOIUrl":"10.1177/20494637221147185","url":null,"abstract":"The objective of this work was to evaluate the inter-rater and intra-rater reliability and minimal detectable difference (MDD) of pressure pain thresholds (PPTs) in pain-free participants with two examiners over two consecutive days in a cross-sectional study design. Examiners used a standardized method to measure and locate a specific testing site over tibialis anterior for PPT testing with a hand-held algometer. The mean of each examiner's three PPT measurements was used to calculate the intraclass correlation coefficient, inter-rater reliability, and intra-rater reliability. The minimal detectable difference (MDD) was calculated. Eighteen participants were recruited (11 female). The inter-rater reliability was 0.94 and 0.96 on day 1 and day 2, respectively. Intra-rater reliability for the examiners was 0.96 and 0.92 on day 1 and day 2, respectively. The MDD on day 1 was 1.24 kg/cm2 (CI: 0.76-2.03) and the MDD on day 2 was 0.88 kg/cm2 (CI: 0.54-1.43). This study demonstrates high inter- and intra-rater reliability and the MDD values for this method of pressure algometry.","PeriodicalId":46585,"journal":{"name":"British Journal of Pain","volume":"17 3","pages":"239-243"},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10278453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10646906","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

The effects of high-definition transcranial direct current stimulation on pain modulation and stress-induced hyperalgesia. 高清晰度经颅直流电刺激对疼痛调节和压力诱发的痛觉过敏的影响。

IF 1.8

British Journal of Pain Pub Date : 2023-06-01 Epub Date: 2023-01-03 DOI: 10.1177/20494637221150333

Constantino Toufexis, Molly Macgregor, Aidan Lewis, Andrew Flood

{"title":"The effects of high-definition transcranial direct current stimulation on pain modulation and stress-induced hyperalgesia.","authors":"Constantino Toufexis, Molly Macgregor, Aidan Lewis, Andrew Flood","doi":"10.1177/20494637221150333","DOIUrl":"10.1177/20494637221150333","url":null,"abstract":"Background: The dorsolateral prefrontal cortex (DLPFC) has been implicated in the modulation of pain-related signals. Given this involvement, manipulation of the DLPFC through transcranial direct current stimulation (tDCS) may influence internal pain modulation and decrease pain sensitivity. Acute stress is also thought to affect pain, with increased pain sensitivity observed following the presentation of an acute stressor.Methods: A total of 40 healthy adults (50% male), ranging in age from 19 to 28 years (M = 22.13, SD = 1.92), were randomly allocated to one of two stimulation conditions (active and sham). High-definition tDCS (HD-tDCS) was applied for 10 min at 2 mA, with the anode placed over the left DLPFC. Stress was induced after HD-tDCS administration using a modified version of the Trier Social Stress Test. Pain modulation and sensitivity were assessed through the conditioned pain modulation paradigm and pressure pain threshold measurements, respectively.Results: Compared to sham stimulation, active stimulation produced a significant increase in pain modulation capacity. No significant change in pain sensitivity and stress-induced hyperalgesia was observed following active tDCS.Conclusion: This research shows novel evidence that anodal HD-tDCS over the DLPFC significantly enhances pain modulation. However, HD-tDCS had no effect on pain sensitivity or stress-induced hyperalgesia. The observed effect on pain modulation after a single dose of HD-tDCS over the DLPFC is a novel finding that informs further research into the utility of HD-tDCS in the treatment of chronic pain by presenting the DLPFC as an alternative target site for tDCS-induced analgesia.","PeriodicalId":46585,"journal":{"name":"British Journal of Pain","volume":"17 3","pages":"244-254"},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10278446/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10646912","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 systematic review of screening diagnostic tools for trigeminal neuralgia. 三叉神经痛筛查诊断工具的系统综述。

IF 1.8

British Journal of Pain Pub Date : 2023-06-01 DOI: 10.1177/20494637221146854

Thn Teshima, J M Zakrzewska, R Potter

{"title":"A systematic review of screening diagnostic tools for trigeminal neuralgia.","authors":"Thn Teshima, J M Zakrzewska, R Potter","doi":"10.1177/20494637221146854","DOIUrl":"https://doi.org/10.1177/20494637221146854","url":null,"abstract":"Background and objective: Trigeminal neuralgia (TN) is a rare chronic neuropathic pain condition of sudden and severe pain, often described as an electric shock. Diagnosis is challenging for non-expert clinicians, particularly in primary care settings. We wanted to identify and assess the diagnostic accuracy of existing screening tools for TN and orofacial pain that could be used to support the diagnosis of TN in primary care.Databases and data treatment: We searched key databases (MEDLINE, ASSIA, Embase, and Web of Knowledge and PsycINFO) supplemented by citation tracking from January 1988 to 2021. We used an adapted version of the Quality of Diagnostic Accuracy Studies (QUADAS-2) to assess the methodological quality of each study.Results: Searches identified five studies, from the UK, USA and Canada; three validated self-report questionnaires; and two artificial neural networks. All screened for multiple orofacial pain diagnoses, including dentoalveolar pain, musculoskeletal pain (temporomandibular disorders) and neurological pain (trigeminal neuralgia, headache, atypical facial pain and postherpetic neuralgia). The overall quality assessment was low for one study.Conclusions: Diagnosis of TN can be challenging for non-expert clinicians. Our review found few existing screening tools to diagnose TN, and none is currently suitable to be used in primary care settings. This evidence supports the need to adapt an existing tools or to create a new tool for this purpose. The development of an appropriate screening questionnaire could assist non-expert dental and medical clinicians to identify TN more effectively and empower them to manage or refer patients for treatment more effectively.","PeriodicalId":46585,"journal":{"name":"British Journal of Pain","volume":"17 3","pages":"255-266"},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2b/d3/10.1177_20494637221146854.PMC10278451.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10646904","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

A Comparison of Social Exclusion Towards People with Depression or Chronic Back Pain. 抑郁症和慢性背痛患者的社会排斥比较。

IF 1.8

British Journal of Pain Pub Date : 2023-06-01 DOI: 10.1177/20494637221148337

Lucy Roberts-West, Amy Gravatt, Natasha Guest, Ashley Hunt, Laraib Siddique, Danijela Serbic

{"title":"A Comparison of Social Exclusion Towards People with Depression or Chronic Back Pain.","authors":"Lucy Roberts-West, Amy Gravatt, Natasha Guest, Ashley Hunt, Laraib Siddique, Danijela Serbic","doi":"10.1177/20494637221148337","DOIUrl":"https://doi.org/10.1177/20494637221148337","url":null,"abstract":"Objectives: Research comparing mental and physical health stigma is scarce. The aim of this study was to compare social exclusion towards hypothetical males and females with depression or chronic back pain. Furthermore, the study investigated whether social exclusion is associated with participant's empathy and personality traits, while controlling for their sex, age and personal exposure to mental/physical chronic health conditions.Design: This study employed a cross-sectional questionnaire design.Methods: Participants (N = 253) completed an online vignette-based questionnaire and were randomly allocated to either a depression or chronic back pain study condition. Measures of social exclusion through respondents' willingness to interact with hypothetical individuals, empathy and the Big Five personality traits were completed.Results: Willingness to interact scores did not significantly differ depending on the diagnosis or sex of the hypothetical person in the vignette. For depression, higher levels of conscientiousness significantly predicted less willingness to interact. Whilst being a female participant and having higher empathy significantly predicted greater willingness to interact. For chronic back pain, higher empathy significantly predicted greater willingness to interact, with no significant predictors found from the Big Five personality traits.Conclusion: Findings indicate that females and males with depression or chronic back pain face similar levels of social exclusion, with empathy being a core variable driving social exclusion behaviours. These findings enhance our understanding of potential variables driving social exclusion, in-turn informing campaign development to reduce public stigma towards depression and chronic back pain.","PeriodicalId":46585,"journal":{"name":"British Journal of Pain","volume":"17 3","pages":"267-280"},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10278445/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10646908","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

Do lifestyle factors influence pain prognosis? A 1-year follow-up study. 生活方式会影响疼痛的预后吗？为期 1 年的跟踪研究。

IF 1.8

British Journal of Pain Pub Date : 2023-06-01 Epub Date: 2023-01-19 DOI: 10.1177/20494637231152975

Marc-Henri Louis, Anne Berquin, Arnaud Steyaert

{"title":"Do lifestyle factors influence pain prognosis? A 1-year follow-up study.","authors":"Marc-Henri Louis, Anne Berquin, Arnaud Steyaert","doi":"10.1177/20494637231152975","DOIUrl":"10.1177/20494637231152975","url":null,"abstract":"Objective: The aim of this observational longitudinal study was to investigate the impact of lifestyle factors on the prognosis of patients with pain.Methods: This study was part of a large prospective longitudinal study conducted in general practice (GP). Participants completed questionnaires at baseline (T0) and one year later (T1). Outcomes analysed were the EQ-5D index, presence of pain and the ability to perform a light work for 1 hour without difficulty.Results: Among 377 individuals with pain at T0, 294 still reported pain at T1. This subgroup had a significantly higher BMI, more painful sites, higher pain intensity, more sleep problems, poorer general self-rated health (GSRH) and higher Örebro Musculoskeletal Pain Screening Questionnaire (ÖMPSQ) score at T0 than pain-free individuals at T1. There were no differences in age, sex, physical activity and smoking. In multivariable analyses, the number of painful sites, GSRH, sleep problems, pain duration, pain intensity and 2 short-form 10-item Örebro musculoskeletal pain questionnaire (SF-ÖMPSQ) items were independently associated with at least one outcome 1 year later. Only GSRH was strongly associated with all outcomes. The accuracy of GSRH at T0 to classify participants according to dichotomous outcomes was overall moderate (0.7 < AUC <0.8).Conclusions: Lifestyle factors appear to have little influence on the outcome of patients with pain in GP. Conversely, poorer GSRH - which probably integrates the subjects' perception of several factors - could be considered a negative prognostic factor in patients with pain.","PeriodicalId":46585,"journal":{"name":"British Journal of Pain","volume":"17 3","pages":"293-305"},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10278450/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10664078","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

'Power to the People, to the people': Training for social prescribers improves support of persistent pain. “权力给人民，给人民”:对社会开处方者的培训改善了对持续性疼痛的支持。

IF 1.8

British Journal of Pain Pub Date : 2023-06-01 DOI: 10.1177/20494637231152979

Alex Corline, Frances Cole, Louise Trewern, Chris Penlington

{"title":"'Power to the People, to the people': Training for social prescribers improves support of persistent pain.","authors":"Alex Corline, Frances Cole, Louise Trewern, Chris Penlington","doi":"10.1177/20494637231152979","DOIUrl":"https://doi.org/10.1177/20494637231152979","url":null,"abstract":"Introduction: Supported self-management is an important aspect of managing pain, however widely held beliefs about the biomedical nature of pain and limited time availability can make it a tricky concept to introduce to patients. Social prescribers are in an ideal position to support self-management of pain if appropriate training is available to support them. This study aimed to evaluate training for social prescribers and to explore their opinions and experiences about providing self-management support.Methods: This was a mixed methods study. Repeated measures t-tests were used to compare the reported confidence of attendees in supporting different facets of self-management before and after the training. Thematic analysis of interviews was used to develop a deeper understanding of how participants related the training to their work with patients.Results: Average confidence improved in all aspects of supporting self-management, and particularly with regard to supporting understanding pain, acceptance, pacing, setting goals, sleep and managing setbacks. Challenges were identified around explaining pain in an accurate and accessible way in order to provide a meaningful rationale for self-management.Conclusion: Training for social prescribers in self-management support is feasible and leads to improvements in self-reported confidence. Further research is needed to determine the impact on patients and over a longer period of time.","PeriodicalId":46585,"journal":{"name":"British Journal of Pain","volume":"17 3","pages":"281-292"},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/90/3e/10.1177_20494637231152979.PMC10278448.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10664076","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: 3