Scales, questionnaires, tests, and other methods used to assess pain severity and duration in patients or experimental animals to aid in diagnosis, therapy, and physiological studies.
An unpleasant sensation induced by noxious stimuli which are detected by NERVE ENDINGS of NOCICEPTIVE NEURONS.
Aching sensation that persists for more than a few months. It may or may not be associated with trauma or disease, and may persist after the initial injury has healed. Its localization, character, and timing are more vague than with acute pain.
A form of therapy that employs a coordinated and interdisciplinary approach for easing the suffering and improving the quality of life of those experiencing pain.
Amount of stimulation required before the sensation of pain is experienced.
Pain during the period after surgery.
Acute or chronic pain in the lumbar or sacral regions, which may be associated with musculo-ligamentous SPRAINS AND STRAINS; INTERVERTEBRAL DISK DISPLACEMENT; and other conditions.
Acute or chronic pain located in the posterior regions of the THORAX; LUMBOSACRAL REGION; or the adjacent regions.
Discomfort or more intense forms of pain that are localized to the cervical region. This term generally refers to pain in the posterior or lateral regions of the neck.
Sensation of discomfort, distress, or agony in the abdominal region.
Persistent pain that is refractory to some or all forms of treatment.
Pain in the pelvic region of genital and non-genital origin and of organic or psychogenic etiology. Frequent causes of pain are distension or contraction of hollow viscera, rapid stretching of the capsule of a solid organ, chemical irritation, tissue ischemia, and neuritis secondary to inflammatory, neoplastic, or fibrotic processes in adjacent organs. (Kase, Weingold & Gershenson: Principles and Practice of Clinical Gynecology, 2d ed, pp479-508)
The process by which PAIN is recognized and interpreted by the brain.
Pain in the facial region including orofacial pain and craniofacial pain. Associated conditions include local inflammatory and neoplastic disorders and neuralgic syndromes involving the trigeminal, facial, and glossopharyngeal nerves. Conditions which feature recurrent or persistent facial pain as the primary manifestation of disease are referred to as FACIAL PAIN SYNDROMES.
Intensely discomforting, distressful, or agonizing sensation associated with trauma or disease, with well-defined location, character, and timing.
A type of pain that is perceived in an area away from the site where the pain arises, such as facial pain caused by lesion of the VAGUS NERVE, or throat problem generating referred pain in the ear.
The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results.
Unilateral or bilateral pain of the shoulder. It is often caused by physical activities such as work or sports participation, but may also be pathologic in origin.

Relative efficacy of 32P and 89Sr in palliation in skeletal metastases. (1/9560)

32p and 89Sr have been shown to produce significant pain relief in patients with skeletal metastases from advanced cancer. Clinically significant pancytopenia has not been reported in doses up to 12 mCi (444 MBq) of either radionuclide. To date, no reports comparing the relative efficacy and toxicity of the two radionuclides in comparable patient populations have been available. Although a cure has not been reported, both treatments have achieved substantial pain relief. However, several studies have used semiquantitative measures such as "slight," "fair," "partial" and "dramatic" responses, which lend themselves to subjective bias. This report examines the responses to treatment with 32P or 89Sr by attempting a quantification of pain relief and quality of life using the patients as their own controls and compares toxicity in terms of hematological parameters. METHODS: Thirty-one patients with skeletal metastases were treated for pain relief with either 32P (16 patients) or 89Sr (15 patients). Inclusion criteria were pain from bone scan-positive sites above a subjective score of 5 of 10 despite analgesic therapy with narcotic or non-narcotic medication, limitation of movement related to the performance of routine daily activity and a predicted life expectancy of at least 4 mo. The patients had not had chemotherapy or radiotherapy during the previous 6 wk and had normal serum creatinine, white cell and platelet counts. 32P was given orally as a 12 mCi dose, and 89Sr was given intravenously as a 4 mCi (148 MBq) dose. The patients were monitored for 4 mo. RESULTS: Complete absence of pain was seen in 7 of 16 patients who were given 32P and in 7 of 15 patients who were given 89Sr. Pain scores fell by at least 50% of the pretreatment score in 14 of 16 patients who were given 32P and 14 of 15 patients who were given 89Sr. Mean duration of pain relief was 9.6 wk with 32P and 10 wk with 89Sr. Analgesic scores fell along with the drop in pain scores. A fall in total white cell, absolute granulocyte and platelet counts occurred in all patients. Subnormal values of white cells and platelets were seen in 5 and 7 patients, respectively, with 32P, and in 0 and 4 patients, respectively, after 89Sr therapy. The decrease in platelet count (but not absolute granulocyte count) was statistically significant when 32P patients were compared with 89Sr patients. However, in no instance did the fall in blood counts require treatment. Absolute granulocyte counts did not fall below 1000 in any patient. There was no significant difference between the two treatments in terms of either efficacy or toxicity. CONCLUSION: No justification has been found in this study for the recommendation of 89Sr over the considerably less expensive oral 32P for the palliation of skeletal pain from metastases of advanced cancer.  (+info)

Cardiovascular and neuronal responses to head stimulation reflect central sensitization and cutaneous allodynia in a rat model of migraine. (2/9560)

Reduction of the threshold of cardiovascular and neuronal responses to facial and intracranial stimulation reflects central sensitization and cutaneous allodynia in a rat model of migraine. Current theories propose that migraine pain is caused by chemical activation of meningeal perivascular fibers. We previously found that chemical irritation of the dura causes trigeminovascular fibers innervating the dura and central trigeminal neurons receiving convergent input from the dura and skin to respond to low-intensity mechanical and thermal stimuli that previously induced minimal or no responses. One conclusion of these studies was that when low- and high-intensity stimuli induce responses of similar magnitude in nociceptive neurons, low-intensity stimuli must be as painful as the high-intensity stimuli. The present study investigates in anesthetized rats the significance of the changes in the responses of central trigeminal neurons (i.e., in nucleus caudalis) by correlating them with the occurrence and type of the simultaneously recorded cardiovascular responses. Before chemical stimulation of the dura, simultaneous increases in neuronal firing rates and blood pressure were induced by dural indentation with forces >/= 2.35 g and by noxious cutaneous stimuli such as pinching the skin and warming > 46 degrees C. After chemical stimulation, similar neuronal responses and blood pressure increases were evoked by much smaller forces for dural indentation and by innocuous cutaneous stimuli such as brushing the skin and warming it to >/= 43 degrees C. The onsets of neuronal responses preceded the onsets of depressor responses by 1.7 s and pressor responses by 4.0 s. The duration of neuronal responses was 15 s, whereas the duration of depressor responses was shorter (5.8 s) and pressor responses longer (22.7 s) than the neuronal responses. We conclude that the facilitated cardiovascular and central trigeminal neuronal responses to innocuous stimulation of the skin indicate that when dural stimulation induces central sensitization, innocuous stimuli are as nociceptive as noxious stimuli had been before dural stimulation and that a similar process might occur during the development of cutaneous allodynia during migraine.  (+info)

Cannabinoid suppression of noxious heat-evoked activity in wide dynamic range neurons in the lumbar dorsal horn of the rat. (3/9560)

The effects of cannabinoid agonists on noxious heat-evoked firing of 62 spinal wide dynamic range (WDR) neurons were examined in urethan-anesthetized rats (1 cell/animal). Noxious thermal stimulation was applied with a Peltier device to the receptive fields in the ipsilateral hindpaw of isolated WDR neurons. To assess the site of action, cannabinoids were administered systemically in intact and spinally transected rats and intraventricularly. Both the aminoalkylindole cannabinoid WIN55,212-2 (125 microg/kg iv) and the bicyclic cannabinoid CP55,940 (125 microg/kg iv) suppressed noxious heat-evoked activity. Responses evoked by mild pressure in nonnociceptive neurons were not altered by CP55,940 (125 microg/kg iv), consistent with previous observations with another cannabinoid agonist, WIN55,212-2. The cannabinoid induced-suppression of noxious heat-evoked activity was blocked by pretreatment with SR141716A (1 mg/kg iv), a competitive antagonist for central cannabinoid CB1 receptors. By contrast, intravenous administration of either vehicle or the receptor-inactive enantiomer WIN55,212-3 (125 microg/kg) failed to alter noxious heat-evoked activity. The suppression of noxious heat-evoked activity induced by WIN55,212-2 in the lumbar dorsal horn of intact animals was markedly attenuated in spinal rats. Moreover, intraventricular administration of WIN55,212-2 suppressed noxious heat-evoked activity in spinal WDR neurons. By contrast, both vehicle and enantiomer were inactive. These findings suggest that cannabinoids selectively modulate the activity of nociceptive neurons in the spinal dorsal horn by actions at CB1 receptors. This modulation represents a suppression of pain neurotransmission because the inhibitory effects are selective for pain-sensitive neurons and are observed with different modalities of noxious stimulation. The data also provide converging lines of evidence for a role for descending antinociceptive mechanisms in cannabinoid modulation of spinal nociceptive processing.  (+info)

Physiological properties of raphe magnus neurons during sleep and waking. (4/9560)

Neurons in the medullary raphe magnus (RM) that are important in the descending modulation of nociceptive transmission are classified by their response to noxious tail heat as ON, OFF, or NEUTRAL cells. Experiments in anesthetized animals demonstrate that RM ON cells facilitate and OFF cells inhibit nociceptive transmission. Yet little is known of the physiology of these cells in the unanesthetized animal. The first aim of the present experiments was to determine whether cells with ON- and OFF-like responses to noxious heat exist in the unanesthetized rat. Second, to determine if RM cells have state-dependent discharge, the activity of RM neurons was recorded during waking and sleeping states. Noxious heat applied during waking and slow wave sleep excited one group of cells (ON-U) in unanesthetized rats. Other cells were inhibited by noxious heat (OFF-U) applied during waking and slow wave sleep states in unanesthetized rats. NEUTRAL-U cells did not respond to noxious thermal stimulation applied during either slow wave sleep or waking. ON-U and OFF-U cells were more likely to respond to noxious heat during slow wave sleep than during waking and were least likely to respond when the animal was eating or drinking. Although RM cells rarely respond to innocuous stimulation applied during anesthesia, ON-U and OFF-U cells were excited and inhibited, respectively, by innocuous somatosensory stimulation in the unanesthetized rat. The spontaneous activity of >90% of the RM neurons recorded in the unanesthetized rat was influenced by behavioral state. OFF-U cells discharged sporadically during waking but were continuously active during slow wave sleep. By contrast, ON-U and NEUTRAL-U cells discharged in bursts during waking and either ceased to discharge entirely or discharged at a low rate during slow wave sleep. We suggest that OFF cell discharge functions to suppress pain-evoked reactions during sleep, whereas ON cell discharge facilitates pain-evoked responses during waking.  (+info)

Ketamine-induced peripheral analgesia in rats. (5/9560)

AIM: To examine whether ketamine may directly act at peripheral nociceptors to produce analgesia. METHODS: Wistar rats were anesthetized with urethane. As a nociceptive flexion reflex (FR), C responses from the posterior biceps semitendinosus (PBST) muscle was evoked by electrical stimulation (2 ms, 80 V, 2-3 pulses, 0.5 Hz) via a pair of stainless steel needles inserted subcutaneously applied to the two toes of ipsilateral hindpw. RESULTS: Subcutaneous injection of ketamine (36 mmol.L-1, 5 microL) into the ipsilateral hindpaw produced an inhibition of C responses. At 9 min after application of ketamine, injection of naloxone (1%, 5 microL) into the same area annulled ketamine-induced inhibition. CONCLUSION: Ketamine as a dissociate anesthetic acts on peripheral nociceptors to produce analgesia, which is related to activity of peripheral opioid receptors.  (+info)

Response surface analysis of synergism between morphine and clonidine. (6/9560)

Graded doses of morphine sulfate and clonidine hydrochloride were administered intrathecally to mice that were then tested for antinociception in the 55 degrees C tail immersion test. The dose-effect relations of each compound were used in calculations that permitted the construction of a three-dimensional plot of the expected additive effect (vertical scale) against the planar domain of dose pairs representing combinations administered simultaneously. This additive response surface became the reference surface for viewing the actual effects produced by three different fixed-ratio combinations of the drugs that were used in our tests. Each combination produced effects significantly greater than indicated by the additive surface, thereby illustrating marked synergism and a method for quantifying the synergism. This quantification, measured by the value of the interaction index (alpha), was found to be dependent on the fixed-ratio combination; accordingly, the actual response surface could not be described by a single value of the index alpha. Furthermore, we found that application of the common method of isoboles gave estimates of the index that agreed well with those obtained from the more extensive surface analysis. These results confirm earlier studies, which found synergism for these drugs while also providing surface views of additivity and synergism that form the basis of isobolographic analysis.  (+info)

Nitrocinnamoyl and chlorocinnamoyl derivatives of dihydrocodeinone: in vivo and in vitro characterization of mu-selective agonist and antagonist activity. (7/9560)

Two 14beta-p-nitrocinnamoyl derivatives of dihydrocodeinone, 14beta-(p-nitrocinnamoylamino)-7,8-dihydrocodeinone (CACO) and N-cyclopropylmethylnor-14beta-(p-nitrocinnamoylamino)- 7, 8-dihydrocodeinone (N-CPM-CACO), and the corresponding chlorocinnamoylamino analogs, 14beta-(p-chlorocinnamoylamino)-7, 8-dihydrocodeinone (CAM) and N-cyclopropylmethylnor-14beta-(p-chlorocinnamoylamino) -7, 8-dihydrocodeinone (MC-CAM), were tested in opioid receptor binding assays and the mouse tail-flick test to characterize the opioid affinity, selectivity, and antinociceptive properties of these compounds. In competition binding assays, all four compounds bound to the mu opioid receptor with high affinity. When bovine striatal membranes were incubated with any of the four dihydrocodeinones, binding to the mu receptor was inhibited in a concentration-dependent, wash-resistant manner. Saturation binding experiments demonstrated that the wash-resistant inhibition of mu binding was due to a decrease in the Bmax value for the binding of the mu-selective peptide [3H][D-Ala2, MePhe4,Gly(ol)5] enkephalin and not a change in the Kd value, suggesting an irreversible interaction of the compounds with the mu receptor. In the mouse 55 degrees C warm water tail-flick test, both CACO and N-CPM-CACO acted as short-term mu-selective agonists when administered by i. c.v. injection, whereas CAM and MC-CAM produced no measurable antinociception at doses up to 30 nmol. Pretreatment of mice for 24 h with any of the four dihydrocodeinone derivatives produced a dose-dependent antagonism of antinociception mediated by the mu but not the delta or kappa receptors. Long-term antagonism of morphine-induced antinociception lasted for at least 48 h after i.c. v. administration. Finally, shifts in the morphine dose-response lines after 24-h pretreatment with the four dihydrocodeinone compounds suggest that the nitrocinnamoylamino derivatives may produce a greater magnitude long-term antagonism of morphine-induced antinociception than the chlorocinnamoylamino analogs.  (+info)

Activation of peripheral kappa opioid receptors inhibits capsaicin-induced thermal nociception in rhesus monkeys. (8/9560)

8-Methyl-N-vanillyl-6-nonenamide (capsaicin) was locally applied in the tail of rhesus monkeys to evoke a nociceptive response, thermal allodynia, which was manifested as reduced tail-withdrawal latencies in normally innocuous 46 degrees C water. Coadministration of three kappa opioid ligands, U50,488 (3.2-100 microgram), bremazocine (0.1-3.2 microgram), and dynorphin A(1-13) (3.2-100 microgram), with capsaicin in the tail dose-dependently inhibited capsaicin-induced allodynia. This local antinociception was antagonized by a small dose of an opioid antagonist, quadazocine; (0.32 mg), applied in the tail; however, this dose of quadazocine injected s.c. in the back did not antagonize local U50,488. Comparing the relative potency of either agonist or antagonist after local and systemic administration confirmed that the site of action of locally applied kappa opioid agonists is in the tail. In addition, local nor-binaltorphimine (0.32 mg) and oxilorphan (0.1-10 microgram) antagonist studies raised the possibility of kappa opioid receptor subtypes in the periphery, which indicated that U50,488 produced local antinociception by acting on kappa1 receptors, but bremazocine acted probably on non-kappa1 receptors. These results provide functional evidence that activation of peripheral kappa opioid receptors can diminish capsaicin-induced allodynia in primates. This experimental pain model is a useful tool for evaluating peripherally antinociceptive actions of kappa agonists without central side effects and suggests new approaches for opioid pain management.  (+info)

Pain and Pain Measurement Scales, 978-3-659-62722-4, This book provides an insight about pain and subjective scales that are used to measure pain. Fear of pain is the most vulnerable cause that deters most of the children from seeking dental care. Young children are often unable to explain the intensity of pain and therefore it is of utmost importance for the clinician to identify and measure the pain. Subjective pain measurement scales serve as an useful guide towards pain management in clinical situations and also provides a detailed database for research studies in pain measurement.
Looking for McGill Pain Questionnaire? Find out information about McGill Pain Questionnaire. at Montreal, Que., Canada; coeducational; chartered 1821, opened 1829. It was named for James McGill, who left a bequest to establish it. Its real... Explanation of McGill Pain Questionnaire
New guidelines for measuring pain in patients with rheumatic conditions recommend that clinicians use the Numeric Rating Scale for Pain (NRS Pain) for estimating patients pain intensity and the Short Form-36 Bodily Pain Scale (SF-36 BPS) for evaluating pain in the context of overall health status, says an article by Medscape Medical News based on a review published online last month in Arthritis Care & Research. The review, part of the journals special issue titled Patient Outcomes in Rheumatology, 2011, includes the Visual Analog Scale for Pain (VAS Pain), NRS Pain, McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), SF-36 BPS, and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Details on questionnaire content, ease of use, and measurement properties are included in the review of each questionnaire. The review also discusses the strengths and weaknesses of each questionnaire.. The authors also recommend the ...
New guidelines for measuring pain in patients with rheumatic conditions recommend that clinicians use the Numeric Rating Scale for Pain (NRS Pain) for estimating patients pain intensity and the Short Form-36 Bodily Pain Scale (SF-36 BPS) for evaluating pain in the context of overall health status, says an article by Medscape Medical News based on a review published online last month in Arthritis Care & Research. The review, part of the journals special issue titled Patient Outcomes in Rheumatology, 2011, includes the Visual Analog Scale for Pain (VAS Pain), NRS Pain, McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), SF-36 BPS, and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Details on questionnaire content, ease of use, and measurement properties are included in the review of each questionnaire. The review also discusses the strengths and weaknesses of each questionnaire.. The authors also recommend the ...
OBJECTIVE: Establishing a research agenda on standardizing pain measurement in clinical trials in rheumatic and musculoskeletal diseases (RMD).. METHODS: Discussion during a meeting at the Outcome Measures in Rheumatology (OMERACT) 2018, prepared by a systematic review of existing core outcome sets and a patient online survey.. RESULTS: Several key questions were debated: Is pain a symptom or a disease? Are pain core (sub)domains consistent across RMD? How to account for pain mechanistic descriptors (e.g., central sensitization) in pain measurement?. CONCLUSION: Characterizing and assessing the spectrum of pain experience across RMD in a standardized fashion is the objective of the OMERACT Pain Working Group. ...
OBJECTIVE: Establishing a research agenda on standardizing pain measurement in clinical trials in rheumatic and musculoskeletal diseases (RMD). METHODS: Discussion during a meeting at the Outcome Measures in Rheumatology (OMERACT) 2018, prepared by a systematic review of existing core outcome sets and a patient online survey. RESULTS: Several key questions were debated: Is pain a symptom or a disease? Are pain core (sub)domains consistent across RMD? How to account for pain mechanistic descriptors (e.g., central sensitization) in pain measurement? CONCLUSION: Characterizing and assessing the spectrum of pain experience across RMD in a standardized fashion is the objective of the OMERACT Pain Working Group.
TY - JOUR. T1 - Pain measurement in mechanically ventilated critically ill patients: Behavioral Pain Scale versus Critical-Care Pain Observation Tool. AU - Rijkenberg, S.. AU - Stilma, W.. AU - Endeman, H.. AU - Bosman, R.J.. AU - van Straaten, H.M.. PY - 2015. Y1 - 2015. U2 - 10.1016/j.jcrc.2014.09.007. DO - 10.1016/j.jcrc.2014.09.007. M3 - Article. C2 - 25446372. VL - 30. SP - 167. EP - 172. JO - Journal of Critical Care. JF - Journal of Critical Care. SN - 0883-9441. IS - 1. ER - ...
Pain intensity is frequently measured on an 11-point pain intensity numerical rating scale (PI-NRS), where 0=no pain and 10=worst possible pain. However, it is difficult to interpret the clinical importance of changes from baseline on this scale (such as a 1- or 2-point change). To date, there are n …
Regardless of whether it is acute or chronic, the assessment of pain should be simple and practical. Since the intensity of pain is thought to be one of the primary factors that determine its effect on a humans overall function and sense, there are many scales to assess pain. The aim of the current article was to review pain intensity scales that are commonly used in dental and oral and maxillofacial surgery (OMFS). Previous studies demonstrated that multidimensional scales, such as the McGill Pain Questionnaire, Short form of the McGill Pain Questionnaire, and Wisconsin Brief Pain Questionnaire were suitable for assessing chronic pain, while unidimensional scales, like the Visual Analogue Scales (VAS), Verbal descriptor scale, Verbal rating scale, Numerical rating Scale, Faces Pain Scale, Wong-Baker Faces Pain Rating Scale (WBS), and Full Cup Test, were used to evaluate acute pain. The WBS is widely used to assess pain in children and elderly because other scales are often difficult to ...
Home , Papers , Cross-Cultural Adaptation and Validation of the Norwegian Short-form McGill Pain Questionnaire-2 in Low Back-Related Leg Pain. ...
Read this full essay on Pain Assessment Tool for Postoperative Pain-week 12. Pain Assessment Tool for Postoperative PainAs mentioned earlier, Clark and Spear...
Running Head: Week 5Pain Assessment Tool for Postoperative Pain[Writer Name][Institute Name] Pain Assessment Tool for Postoperative PainIntroductionA study by Scott and Huskisson (1976) (N = 100) found no significant differences between the distri...
TY - JOUR. T1 - Can Multidimensional Pain Assessment Tools Help Improve Pain Outcomes in the Perianesthesia Setting?. AU - Petti, Emily. AU - Scher, Clara. AU - Meador, Lauren. AU - Van Cleave, Janet. AU - Reid, M. Carrington. PY - 2018/10/1. Y1 - 2018/10/1. UR - http://www.scopus.com/inward/record.url?scp=85053435757&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=85053435757&partnerID=8YFLogxK. U2 - 10.1016/j.jopan.2018.07.010. DO - 10.1016/j.jopan.2018.07.010. M3 - Article. VL - 33. SP - 767. EP - 772. JO - Journal of Perianesthesia Nursing. JF - Journal of Perianesthesia Nursing. SN - 1089-9472. IS - 5. ER - ...
TY - JOUR. T1 - Small fibers, large impact. T2 - Quality of life in small-fiber neuropathy. AU - Bakkers, Mayienne. AU - Faber, Catharina G.. AU - Hoeijmakers, Janneke G J. AU - Lauria, Giuseppe. AU - Merkies, Ingemar S J. PY - 2014. Y1 - 2014. N2 - Introduction: The impact of small-fiber neuropathy (SFN) on patients quality of life (QOL) has not been studied extensively. Our aim was to determine the impact of SFN on QOL and examine possible determinants. Methods: We examined a total of 265 patients diagnosed with SFN. The SFN Symptoms Inventory Questionnaire (SFN-SIQ), the pain Visual Analog Scale (VAS), and the generic SF-36 Health Survey were assessed. Regression studies were undertaken to evaluate determinants of functioning. Results: SFN patients demonstrated a severe overall reduction in QOL. The biggest deficits were in Role Functioning-Physical, Body Pain, and Physical Component Summary (PCS) scores. VAS scores, changed sweating pattern, dry mouth, and age were the strongest predictors ...
TY - JOUR. T1 - Pain relief scale is more highly correlated with numerical rating scale than with visual analogue scale in chronic pain patients. AU - Lee, Jae Jin. AU - Lee, Mi Kyoung. AU - Kim, Jung Eun. AU - Kim, Heezoo. AU - Park, Sang Hoon. AU - Tae, Jong Hyun. AU - Choi, Sang Sik. PY - 2015/1/1. Y1 - 2015/1/1. N2 - The pain relief scale (PRS) is a method that measures the magnitude of change in pain intensity after treatment. The present study aimed to evaluate the correlation between PRS and changes in pain determined by the visual analogue scale (VAS) and numerical rating scale (NRS), to confirm the evidence supporting the use of PRS. Sixty patients with chronic spinal pain that had a VAS and NRS recorded during an initial examination were enrolled in the study. One week later, the patients received an epidural nerve block, then VAS, NRS, and PRS assessments were performed. Differences between VAS and NRS were compared to the PRS and scatter plots and correlation coefficient were ...
Background: Pain measurement in nonverbal older adults is best based on behavioural observation, e.g. using an observational measurement tool such as Doloplus-2. The purposes of this study were to examine the use ...
in Douleur et Analgésie (2014), 27. This article aims to establish a profile of patients presenting with chronic pain in the algology service of CHU of Liège to identify possible relationships between diagnoses, psychological states and ... [more ▼]. This article aims to establish a profile of patients presenting with chronic pain in the algology service of CHU of Liège to identify possible relationships between diagnoses, psychological states and modes of pain management. Between 2005 and 2010 we monitored 1832 individual chronic pain patients who attended our pain clinic at the University Hospital of Liège. This paper presents the characteristics of these patients and their test scores before the treatment to assess their health status in a biopsychosocial perspective. Demographic and lifestyle as well as occupational factors, pain disability index, pain belief assessment, hospital anxiety and depression scale, SF-36 (Short Form Health Survey) and pain visual analogue scale are ...
TY - JOUR. T1 - Anaesthetists views of managing childrens pain post-surgery. AU - Simons, Joan. AU - Carter, Bernie. AU - Craske, Jennie. AU - Parry, Sarah. AU - Cole, Sally. AU - Bennett, Michelle. PY - 2017/12/31. Y1 - 2017/12/31. N2 - This study explored the views, knowledge and use of pain assessment tools of 185 anaesthetists working Europe via an e-survey, which included three scenarios of children with varying degrees of unresolved pain. Our findings were that the three most frequently used pain assessment tools were VAS, FLACC and FACES. Anaesthetists appear to value the judgement of both parents and nurses in assessing a childs pain, as they reported that in cases of uncertainty about a childs pain, they would ask the parent (n=88) or ask a nurse (n=81). Fewer than half used a pain assessment tool with most patients and some respondents were dismissive of the value of pain tools preferring to rely on common sense or clinical judgement. Opportunities were identified ...
Patients will be assessed for pain using a Visual Analogue Scale (VAS) Scale at set time points after surgery (0,1,2,4,8,12,16,20,24 hours post-operatively). The Visual Analogue Scale (VAS) scale was measured on a scale of 0 - 10 (0 = no pain, 1-3 = mild, 4-6 = moderate, 7-10 = severe). Higher values on the VAS represent a worse outcome. The two rows below report: 1. the average VAS score for the least amount of pain reported per group and 2. the average VAS score of the worst amount of pain reported per group ...
Sixty subjects with diagnostic of facet joint syndrome will be enrolled in the study.. They were randomized into experimental and control groups. The experimental group will be submitted to intra-articular infiltration of six facet joints. The control group will be submitted to intramuscular injection of six lumbar paravertebral points. After the randomization, all subjects will be assessed by an investigator blinded to the groups. The assessment will be taken just before the interventions (T0) and them 7 , 30 , 90 and 180 days after the interventions. The following assessment instruments will be used: pain visual analogical scale (VAS) (0-10cm), pain visual analogical scale during extension of the spine (VAS E) (0-10cm), Likert scale for improving (0-5), percentage scale of subjective improving perception(0-100%), Rolland-Morris questionnaire (0-24), short health survey questionnaire (SF36), accountability of medications taken for back pain: analgesics and non-steroidal antiinflammatories ...
Aim:. To determine the associations of patients documented self-rated pain with self-rated early postoperative physical recovery.. Design:. Observational with repeated measures.. Methods:. General and orthopaedic inpatients (N = 479) were during the period 2012-2015 screened for pain. Individual daily median pain scores at rest and during activity were based on 4-9 self-ratings on postoperative days 1 and 2, using the Numeric Rating Scale. Nine items reflecting physical recovery from the Postoperative Recovery Profile were used in a questionnaire.. Results:. Associations between median pain scores on postoperative day 1 and physical recovery (fatigue, sleeping difficulties, bladder function, mobilization, muscle weakness and personal hygiene) the same day were found. Additionally, associations were found between median pain scores on day 1 and physical recovery (fatigue, sleeping difficulties, mobilization and muscle weakness) on day 2.. ...
Brief Pain Inventory©: Cleeland CS. Measurement of pain by subjective report. In: Chapman CR, Loeser JD, editors. Issues in Pain Measurement. New York: Raven Press; pp. 391-403, 1989. Advances in Pain Research and Therapy; Vol. 12.. For further information: The Brief Pain Inventory (BPI)© from M. D. Andersons Department of Symptom Research ...
Reference Values of the Pain Disability Index in Patients With Painful Musculoskeletal and Spinal Disorders: A Cross-national Study ...
Are you experiencing spine, neck or back pain? Take our online pain assessment tool to self-diagnose your pain and start finding treatment options.
We have developed a neonatal pain assessment tool CRIES. The tool is a ten point scale similar to the APGAR score (Apgar 1953). It is an acronym of five physiological and behavioural variables previously shown to be associated with neonatal pain. C--Crying; R--Requires increased oxygen administratio …
TY - JOUR. T1 - Describing pain with physical disability. T2 - Narrative interviews and the McGill Pain Questionnaire. AU - Dudgeon, Brian J.. AU - Ehde, Dawn M.. AU - Cardenas, Diana D.. AU - Engel, Joyce M.. AU - Hoffman, Amy J.. AU - Jensen, Mark P.. N1 - Funding Information: Supported by the National Institutes of Health, National Institute of Child Health and Human Development, and National Institute of Neurological Disorders and Stroke (grant no. 1PO1HD/NS33988). Funding Information: The sample with SCI was recruited primarily through the mailing list of the regional newsletter of the University of Washington Northwest Regional Spinal Cord Injury System, a comprehensive, interdisciplinary service delivery model system funded in part by the National Institute on Disability and Rehabilitation Research. Notices were also placed in local clinics that serve patients with SCI and in the regional newsletter. PY - 2005/1. Y1 - 2005/1. N2 - Objectives To identify common pain descriptors used by ...
Objective: To determine the influence of a new intraarticular hyaluronic acid based hydrogel (Hymovis®) injections on the amount of analgesics consumption in patients diagnosed with primary knee OA.. Methods: A prospective, single-center study that included 35 patients, aged 45-80 years was conducted in our orthopaedics department. Patients received two intra-articular injections of hyaluronic acid (24 mg/3 ml; 500-730 kDa; Hymovis®) at one week apart. Follow-up was scheduled at 2 and 6 months after the injections. Assessment tools included Visual Analogue Scale (VAS) and an in-house designed questionnaire regarding analgesic consumption (quantity, period and product) during the follow-up.. Results: Compared to baseline, a significant amelioration in visual analogue scale was observed at six months follow-up (74.2mm ± 11.7 vs. 57.3mm ± 12.1; p ,.0001). 28% (n=10) of the patients reduced their total analgesic consumption at two months after the injections. At final follow-up, the analgesic ...
Background: The guidance of prospective therapists focused on Cognitive Behavioral Therapy (CBT) is most often made by groups of four students. However, learning therapist skills is a sensitive process that will be affected by the processes which occur within the group. Objective: The aim was to examine prospective psychotherapists attitudes to group assessments based on the revised version of the Cognitive Therapy Scale (CTS-R). Method: Participants were 56 students with an average age of 45.65 years (range = 31 - 64). They were recruited from psychotherapy training at the Gothenburg University and the Evidens University College in Sweden. A questionnaire was constructed in which the questions were answered by check on visual analogue scales (VAS). Results: A majority of students consisting of 38 participants (68%) had a very positive approach to group assessments, while a minority of 18 participants (32%) was more negative. Most crucial for how to answer the question of group assessments was whether
Introduction: Perception of pain and the need to treat it is highly variable, even amongst oncologists. Availability of pain specialists is an added advantage. This is an analysis of prescription patterns of pain medication and its outcome in cancer patients. Materials and Methods: The center has 8 oncologists and a pain and palliative care specialist. All the patients presenting to the outpatient department of our institute with a diagnosis of cancer were prospectively analyzed for usage of pain medication using a structured questionnaire. Data on diagnosis, stage, treatment given, and outcomes were analyzed. Pain intensity was recorded on visual analogue scale, types of pain medicines used, and their side effects were noted. The average cost of the pain medication purchased in our pharmacy was calculated. Use of alternative medicines was also noted. Results: A total of 1,098 cancer patients were evaluated. Pain was a prominent complaint in 64.6% of patients. Of these, only 89.5% received pain ...
Has anyone found an effective pain relief for female genital ulcers please? This symptom started about a year ago and I am currently experiencing a severe flair But neither my doctor or specialist...
Methods. We enrolled 62 patients (40 males and 22 females, with mean age of 30.1±9.3 ranging between 17 and 52 years affected by acute muscular injuries of different sites and severity. Fourty-three patients with a mean age of 30.5±9.9 received hyperthermia (group A) and the remaining 19 with a mean age of 28.2±8.2 (group B) ultrasound. Both groups received 8 applications, three times per week with a duration of 30 for the group (A), and 10 for the group (B). All the patients underwent a clinical examination including a pain measurement with a visual analogue scale (VAS) and a ultrasound scanner before, at the end and after one month follow-up ...
Aching, stabbing, dull, sharp - pain is difficult to describe, impossible to see, and is frequently treated with opium derivatives that go back to Middle Ages. Pediatric pain has long been under recognized and under treated. In fact, as many as 40% of children and adolescents complain of pain that occurs at least once weekly. One important barrier that leads to under-treatment of pain is inadequate measurement and assessment of pain. Numerical and face-based scales (e.g. Wong Baker Faces Pain Scale, Faces Pain Scale Revised) are most commonly used to assess pain in children. These scales require a certain level of expressive capacity that younger children may not have, and give no information regarding the character of pain that the child is experiencing. In addition, children may have a number of barriers that prevent accurate communication of their pain, ranging from cognitive impairments to developmental differences that make these scales inadequate for the task at hand. By utilizing other ...
A pain management algorithm was developed. The algorithm instructed nurses to assess patients´pain at least once a shift, both at rest and during turning. Further, the algorithm instructed nurses to use valid pain assessment tools. The numeric rating scale was used when patients could self-report pain. For patients not able to self-report pain, the Behavioral Pain Scale was used when patients were receiving mechanical ventilation, and the Behavioral Pain Scale-Non Intubated was used when patients were non-intubated.. Pain treatment actions were chosen based on cutoff points that defined a pain event. The algorithm was implemented in three units. Data was collected a time period after implementing the algorithm, and the same data was collected the same time period the previous year.. ...
Results Low pain group (LPG) consists of 63 (76%) and High pain group (HPG) of 20 (24%) patients respectively. Median for SF-MPQ total index in LPG was 2.0 (IQR 0-5) and HPG 14.5 (IQR 5.5-20.5). Comparative statistical analysis showed a statistical significant difference between LPG and HPG (p≤0.001). The median number of descriptive words used to describe pain for LPG was 2 (IQR 0-4.0) and for HPG 8.5 (IQR 4.0-10.5) words (p≤0.001). Correlation was found between self-reported pain related to SLE on VAS and numbers of describing words (r=0.78, p≤0.001). In both LPG and HPG the most used words to describe moderate and severe pain related to SLE were aching and tender. In HPG burning and in LPG stabbing also were used frequently. In HPG, 70% reported their present pain (PPI) as distressing. Arthralgia was the most common location of pain due to SLAM in both LPG and HPG.. ...
After approval from the local ethical committee and written informed consent, 80 patients (ASA I-II), scheduled for elective surgery below umbilicus expected to last less than 180 minutes, were included in this prospective double blind study.. The patients were familiarized with the 10 cm visual analogue scale (VAS) for pain during the pre anesthetic visit and informed of the feeling of tingling, warmth or heaviness that may be felt after the injection. Each patient received 1 mg I/v midazolam in the pre op before shifting to OT where all monitoring (ECG, noninvasive blood pressure and SpO2) was established and preloading done with 10 ml kg-1 ringer lactate over 30 min. A midline spinal puncture at L3/4 space in sitting position with 25-gauge Quincke needle was performed. All patients received a coded intrathecal drug volume of 3.0 ml at a rate of 1 ml/ 5 sec with13.5 mg 0.5% hyperbaric bupivacaine, with saline ± clonidine. The control group (group 1) received bupivacain with saline (0.3ml) ...
Assessment Tools Pain assessment tools are in the public domain and are available to all health care providers to assist them in better understanding the impact of pain on a person. Single-dimensional pain scales Single-dimensional scales only measure pain intensity and are useful in acute pain when the etiology is clear. They provide a baseline and ongoing subjective measurement of a patients pain intensity score over time. Source.
A non-invasive integrated method was developed to measure neural and behavioural responses to peripheral sensory and noxious stimulation in human infants. The introduction of a novel event-detection interface allows synchronous recording of: (i) muscle and central nervous system activity with surface electromyography (EMG), scalp electroencephalography (EEG) and near-infrared spectroscopy (NIRS); (ii) behavioural responses with video-recording and (iii) autonomic responses (heart rate, oxygen saturation, respiratory rate and cardiovascular activity) with electrocardiography (ECG) and pulse oximetry. The system can detect noxious heel lance and touch stimuli with precision (33 μs and 624 μs respectively) and accuracy (523 μs and 256 μs) and has 100% sensitivity and specificity for both types of stimulation. Its ability to detect response latencies accurately was demonstrated by a shift in latency of the vertex potential of 20.7 ± 15.7 ms (n=6 infants), following touch of the heel and of the shoulder
The KOOS self-report questionnaire (Knee injury and Osteoarthritis Outcome Score) has 5 sub-scales, assessing knee symptoms and function, and quality of life. It is widely used as it has been found to be a valid and reliable measure. The purpose of this study was to investigate the validity, reliability and responsiveness of the Icelandic translation of KOOS. A total of 145 were recruited for the study and in addition to answering KOOS, knee pain was rated on a visual analog scale (VAS), perception of knee function during activities of daily living on a numerical rating scale, and some were tested with the timed up-and-go test (TUG). Reliability was assessed by observing ICC-values, internal consistency with Cronbachs alpha, and associations between KOOS subscales and other outcome measures with Pearsons correlation coefficient. A one-way ANOVA was used to assess differences between groups of participants with different levels of knee dysfunction. A significant change in all KOOS subscales was ...
Methods TARGET assessed sarilumab 150mg and 200mg added to csDMARDs vs placebo in patients with RA intolerant of or not responding to anti-TNF therapy. MONARCH assessed sarilumab 200mg monotherapy vs adalimumab 40mg monotherapy in patients with RA either intolerant of, inadequate responders to, or considered inappropriate candidates for continued treatment with methotrexate. Treatments were administered subcutaneously every 2 weeks. RAID has 7 single-item domains, each rated by patients on an 11-point numeric rating scale from 0 (absence) to 10 (extreme). A total score from 0 to 10 (with lower scores indicative of less impact of disease) is calculated by weighting responses for each item based on patient assessment of the relative importance of the item. RAID was assessed at baseline (BL), Weeks 12 and 24. Least square mean (LSM) changes from BL in total score (Weeks 12 and 24) and domains (Week 24 only) were analysed with a mixed model for repeated measures, including treatment, region, visit, ...
40 patients (n = 23 women, n = 17 men) with acute and chronic painful condition and difficulty to perform ADL accompanying musculoskeletal or neurological disorders were comprised in the study. All patients were treated with rPMS. The therapy parameters were adjusted to patients condition. Patients with acute pain underwent daily treatments (n = 5). Patients with chronic pain underwent treatments three times per week (n = 10). The pain presence was evaluated by a 10-point Visual Analog Scale (VAS) for Pain Presence. Difficulties to perform ADL were evaluated by Patient Functional Assessment Questionnaire (PFAQ) for ADL. A three-month follow-up was completed. All collected data were further evaluated.. ...
This cross validation study examined the reliability of the Multidimensional Pain Inventory (MPI) and the stability of the Multidimensional Pain Inventory Classification System of the empirically derived subgroup classification obtained by cluster analysis in chronic musculoskeletal pain. Reliability of the German Multidimensional Pain Inventory was only examined once in the past in a small sample. Previous international studies mainly involving fibromyalgia patients showed that retest resulted in 33-38% of patients being assigned to a different Multidimensional Pain Inventory subgroup classification. Participants were 204 persons with chronic musculoskeletal pain (82% chronic non-specific back pain). Subgroup classification was conducted by cluster analysis at 4 weeks before entry (=test) and at entry into the pain management program (=retest) using Multidimensional Pain Inventory scale scores. No therapeutic interventions in this period were conducted. Reliability was quantified by intraclass
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TY - JOUR. T1 - Translation, cross-cultural adaptation and validation of the Pain Catastrophizing Scale (PCS) into Bengali in patients with chronic non-malignant musculoskeletal pain. AU - Majumder, M.S.M.. AU - Ahmed, Shamim. AU - Shazzad, Md Nahiduzzamane. AU - Hasan, Abu Tahir Muhammad Tanveer. AU - Haq, Syed Atiqul. AU - Rasker, Johannes J.. PY - 2020/8/30. Y1 - 2020/8/30. N2 - Aim: To develop a culturally adapted and validated Bengali Pain Catastrophizing Scale (BePCS). Methods: The English PCS was translated, adapted and back-translated into and from Bengali, pre-tested by 30 adult patients with chronic non-malignant musculoskeletal pain. The BePCS was administered twice with 14 days interval to 90 patients. Convergent validity was measured by comparing the BePCS score with scores of the domains physical functioning and mental health of the Bengali Short Form 36, through Spearmans correlation coefficient. Test-retest reliability was assessed by intraclass correlation coefficient (ICC) and ...
OBJECTIVE: To examine patient-reported outcomes (PROs) in patients with different rheumatoid arthritis (RA) disease activity levels and identify residual symptoms. METHODS: Post hoc analyses of overall and Japanese data from two randomized controlled trials including RA patients with previous inadequate responses to methotrexate (NCT01710358) or no/minimal previous disease-modifying antirheumatic drug treatment (NCT01711359) (sponsor: Eli Lilly and Company). Week 24 assessments were disease activity (Simplified Disease Activity Index, Disease Activity Score/Disease Activity Score 28 joints-erythrocyte sedimentation rate) and PROs (pain visual analog scale [VAS], morning joint stiffness [MJS], Health Assessment Questionnaire-Disability Index, Functional Assessment of Chronic Illness Therapy-Fatigue, and Medical Outcomes Study Short Form 36 Health Survey Physical and Mental Component Scores ...
Objectives: A tool for measuring neck pain in patients with dizziness is needed to further investigate the relationship between the two symptoms. The objective of this study was to examine the reliability and validity of a hand‐held pressure algometer in measuring pressure pain threshold (PPT) in different cervical regions of dizzy patients. Methods: PPT was measured at two bilateral standardized sites of the neck by a trained physiotherapist in 50 patients with dizziness. Intraclass correlation coefficients (ICC) were calculated for intrarater and test-retest reliability. Concurrent validity was assessed by measuring the association between PPT and the American College of Rheumatology (ACR) tender points at each site and with the numeric pain rating scale (NPRS). Results: Almost perfect intrarater (ICC = 0.815-0.940) and within‐session test-retest (ICC = 0.854-0.906) reliability was found between the measures. On each site, a low PPT predicted a positive ACR tender point at each site (OR = ...
Objectives: This study aims to evaluate the effects of two different doses of intraarticular ketamine on visual analog scale (VAS) scores at rest and movement, time to first analgesic requirement, and 24-h morphine consumption in patients undergoing arthroscopic meniscectomy as well as to assess the frequency of postoperative nausea&vomiting, respiratory depression, pruritus, urinary retention, and constipation and to compare the time to discharge.. Patients and methods: This prospective randomized double- blind study was performed between August 2013 and August 2014 on 75 patients (32 males, 43 females; mean age 46.7±13 years; range, 18 to 75 years) with American Society of Anesthesiologists scores of I-II scheduled for unilateral meniscectomy. Patients were randomized to receive 0.5 mg.kg-1 ketamine (group K1), 1 mg.kg-1 ketamine (group K2) or saline (group S) to a total volume of 20 mL intraarticularly at the end of the surgery. All patients were performed periarticular 10 mL 0.5% ...
A 44-year-old woman presented with lumbar pain (visual analog scale [VAS] = 9) secondary to adrenocortical carcinoma sclerotic L4-vertebral metastasis. The positron emission tomography-computed tomography hypermetabolic lesion (Fig 1a,d) was unresponsive to radiotherapy or chemotherapy. She refused surgery. Following general anesthesia and aseptic preparation, 2 power d rill-mounted (Aescula...
Objective. In lumbar foraminal spinal stenosis (LFSS), numerous ligaments may play an important role in causing radiculopathy by narrowing the exit of the nerve root. In order to achieve effective decompression of lumbar foraminal ligaments, a specially designed instrument for percutaneous lumbar extraforaminotomy (PLEF) was invented. The purpose of this study was to evaluate the effectiveness of PLEF in patients with intractable radiculopathy from LFSS. Design. A prospective, single-armed, observational pilot study. Setting. A pain center in a tertiary university-based hospital. Methods. The PLEF was performed in patients who suffered from radiculopathy with concordant imaging evidence of a mild to severe degree of LFSS. For each patient, an 11-point numerical rating scale (NRS) pain score, the Oswestry Disability Index (ODI), the Roland Morris Disability Questionnaire (RMDQ) score, and any adverse events were evaluated at three-month follow- ups. Successful responder percentage defined as 40% ...
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PMID: 9656903 The McGill Pain Questionnaire is an instrument that is widely used to assess the multidimensional experience of pain. Although it was introduced more than 20 years ago, limited information is available about its use in patients suffering from persistent facial pain. The aim of this study was to investigate the response patterns of persistent facial pain patients to the McGill Pain Questionnaire, to correlate these patterns with patients beliefs about the seriousness of the condition, and to compare the findings with data reported from other painful conditions. The study sample consisted of 200 consecutive female patients referred to a tertiary care facial pain clinic. The Pain Rating Index scores of the McGill Pain Questionnaire subscales and the total number of words chosen by these patients closely matched the summary scores reported by Wilkie et al, who pooled data from seven pain conditions (cancer, chronic back, mixed chronic, acute/postoperative, labor/gynecological, dental, ...
4Dicle University, School of Medicine, Department of Neurosurgery, Diyarbakır, Turkey DOI : 10.5137/1019-5149.JTN.9087-13.0 AIM: Symptoms of thoracic outlet syndrome (TOS) may be vascular, neurological or combined symptoms involving both. Treatment of TOS is generally conservative. Surgical treatment is required when radiological results indicate anatomical abnormality. This study aims to present the surgical outcomes of TOS patients treated with supraclavicular approach via microsurgery.. MATERIAL and METHODS: 41 patients with thoracic outlet syndrome were rewieved retrospectively. The pain was determined using both on visual analogue scale (VAS) and Oswestry score both in the preoperative and postoperative period. All patients underwent electromyography including brachial plexus, ulnar and median nerves. Computed Tomography (CT) angiographic examination was applied dynamically with required manoeuvres.. RESULTS: Post-op VAS scores were recorded as 0.8 for the arm, 0.6 for the shoulder and 0.5 ...
Article 8.5 of the Directive 2011/24/EU states that the degree of patients pain must be taken into account in the process of the cross-border healthcare treatment authorization.. Member States should have transposed the Directive into their national legislation by October 2013 and, consequently, should have put in place mechanisms to assess the patients level of pain.Unfortunately, in the transposition process at national level only few Countries have formally recognized the importance of the assessment of the degree of patients pain as stated in article 8.5, setting the benchmark on the implementation of the cross-border healthcare directive.. In practice, do the National implementation measures include a reference to the intensity of pain? Do the medical records have now specific sections dedicated to the patients pain assessment? How common is pain measurement in the EU Member States? According to the intensity of pain, do patients receive any medical advice from their doctors about which ...
Data Synthesis:. We found good evidence that NSAIDs, skeletal muscle relaxants (for acute low back pain), and tricyclic antidepressants (for chronic low back pain) are effective for pain relief. The magnitude of benefit was moderate (effect size of 0.5 to 0.8, improvement of 10 to 20 points on a 100-point visual analogue pain scale, or relative risk of 1.25 to 2.00 for the proportion of patients experiencing clinically significant pain relief), except in the case of tricyclic antidepressants (for which the benefit was small to moderate). We also found fair evidence that acetaminophen, opioids, tramadol, benzodiazepines, and gabapentin (for radiculopathy) are effective for pain relief. We found good evidence that systemic corticosteroids are ineffective. Adverse events, such as sedation, varied by medication, although reliable data on serious and long-term harms are sparse. Most trials were short term (≤4 weeks). Few data address efficacy of dual-medication therapy compared with monotherapy, or ...
The Oxford Textbook of Paediatric Pain brings together an international team of experts to provide an authoritative and comprehensive textbook on all aspects of pain in infants, children and youth. Divided into nine sections, this resource analyses pain as a multifactorial problem and gives the reader a comprehensive understanding of this challenging subject. Topics covered include the biological, social, and psychological basis of pain, pain in specific populations, pain measurement, pharmacology, psychosocial and physical interventions, complementary therapies, education, and ethics of pain control in youths, children, and infants. Evidence-based chapters look in depth at areas ranging from the long-term effects of the pain in children, to sociodemographic differences in paediatric pain management. Case examples and online materials including scales, worksheets, and videos are provided to aid learning and illustrate the application of knowledge.
The efficacy of Qutenza, was established in two 12-week, double-blind, randomized, dose-controlled, multicenter studies. These studies enrolled patients with postherpetic neuralgia (PHN) persisting for at least 6 months following healing of herpes zoster rash and a baseline score of 3-9 on an 11-point Numerical Pain Rating Scale (NPRS) ranging from 0 (no pain) to 10 (worst possible pain). Qutenza and a control patch were each applied as a single 60-minute application. The control used in these studies looked similar to Qutenza but contained a low concentration of the active ingredient, capsaicin (3.2 mcg/cm 2, 0.04% w/w) to retain blinding regarding the known application site reactions of capsaicin (such as burning and erythema). The baseline mean pain scores across the 2 studies was approximately 6.0. Patients who entered the study on stable doses of pain-control medications were required to keep dosing stable throughout the duration of the study. Approximately half of the patients were taking ...
We identified 12 additional trials and included 22 trials with 8275 participants in this update. Oral oxycodone was studied in 10 trials, transdermal buprenorphine and oral tapentadol in four, oral codeine in three, oral morphine and oral oxymorphone in two, and transdermal fentanyl and oral hydromorphone in one trial each. All trials were described as double-blind, but the risk of bias for other domains was unclear in several trials due to incomplete reporting. Opioids were more beneficial in pain reduction than control interventions (SMD -0.28, 95% CI -0.35 to -0.20), which corresponds to a difference in pain scores of 0.7 cm on a 10-cm visual analogue scale (VAS) between opioids and placebo. This corresponds to a difference in improvement of 12% (95% CI 9% to 15%) between opioids (41% mean improvement from baseline) and placebo (29% mean improvement from baseline), which translates into a number needed to treat (NNTB) to cause one additional treatment response on pain of 10 (95% CI 8 to 14). ...
This non-experimental study was designed to investigate the congruence between in-labor report and postpartum recall of labor pain as measured by the McGill Pain Questionnaire (MPQ). Fifty married parturients, ages 19 to 39 at term with a normal pregnancy, served as subjects. Analysis of variance showed that postpartum report of labor pain on the Present Pain Intensity scale of the MPQ was not consistently congruent with pain reported during labor. In contrast, the Pain Rating Index of the MPQ provided postpartum data that was congruent with the in-labor report. Significant interaction effects, however, suggested that postpartally the women tended to devaluate the pain of early labor and inflate the pain of transitional labor when compared to their in-labor report. Theoretical and practical implications of the results for the measurement of labor pain are discussed. ...
JK Olsen et al. have tested the reliability of pain assessment with this new tool. Inter-rater and intra-rater reliabilities were all above the defined cutt off 0.75 for excellent results. The DoloCuff is now in production and has a great potential for systematic follow-up on sensitivity to pain, on both an individual basis and group wise. The article is accepted in Pain Pratice.. For more information on the study of the equipment, please contact [email protected] ...
The objective of this study is to fill gaps in the literature regarding the effectiveness of cupping therapy on lumbar stiffness. Participants will be recruited from the University of South Carolina and from local clinics in Columbia, South Carolina. Individuals will be classified based on lumbar range of motion limitations, and then they will be equally dispersed into three treatment groups via stratified randomization. These groups include dynamic cupping, static cupping, or stretching. All participants will be assessed prior to selected treatment to obtain baseline values for four measures: back range of motion (BROM), pain pressure threshold (PPT), active straight leg raise (ASLR), and numeric pain rating scale (NPRS). Participants will be given each measure directly after treatment, followed by a follow-up measurement 24 hours after treatment.
In this systematic review and meta-analysis of 33 studies, we identified nine preoperative predictors that were negatively associated with pain control after surgery: young age, female sex, smoking, history of depressive symptoms, history of anxiety symptoms, sleep difficulties, higher BMI, presence of preoperative pain and use of preoperative analgesia. The most well-studied predictors were female sex (number of studies, n=20), young age (n=14) and the presence of preoperative pain (n=13). The strongest negative prognostic factors were a history of sleeping difficulties (number of studies, n=2) and depression (n=8), which were independently associated with approximately twofold higher odds of poor postoperative pain control. Our findings are consistent with and extend the results of the previous systematic review by Ip et al.20 In addition to the predictors previously described, we identified six additional preoperative predictors of poor postoperative pain control.20. Previous reports have ...
TY - JOUR. T1 - Timing interval from peri-prostatic block to biopsy impacts procedural pain. AU - Pathak, Ram A.. AU - Thiel, David D.. AU - Parker, Alexander. AU - Heckman, Michael G.. AU - Crook, Juliana. AU - Diehl, Nancy N.. AU - Tavlarides, Andrea. AU - Alford, Scott W.. AU - Igel, Todd C.. PY - 2017/6/1. Y1 - 2017/6/1. N2 - Introduction: To compare visual analog scale (VAS) pain scores between patients with a 2-minute versus 10-minute delay of peri-prostatic lidocaine injection prior to transrectal ultrasound-guided prostate biopsies (TRUS-bx). Materials and methods: Eighty patients who underwent standard 12-core TRUS-bx by a single surgeon were prospectively randomized into four different treatment arms: bibasilar injection with a 2-minute delay, bibasilar injection plus a single apical injection with a 2-minute delay, bibasilar injection with a 10-minute delay, and bibasilar injection plus a single apical injection with a 10-minute delay. Patients were asked to report their level of pain ...
View more ,Question Is Strain-Counterstrain treatment combined with exercise therapy more effective than exercise alone in reducing levels of pain and disability in people with acute low back pain? Design Randomised trial with concealed allocation, assessor blinding, and intention-to-treat analysis. Participants 89 (55 female) participants between 18 and 55 years experiencing acute low back pain were randomised to experimental (n = 44) and control (n = 45) groups. Intervention Participants attended four treatments in two weeks. The experimental group received Strain-Counterstrain treatment and review of standardised exercises (abdominal bracing, knee to chest, and lumbar rotation). The control group performed the standardised exercises under supervision. Following the intervention period, all participants received exercise progression, manual therapy, and advice. Outcome measures The primary outcome was the modified Oswestry low back pain disability questionnaire, measured at 2 weeks (ie, end of ...
7thSpace has reprinted an article that was first published in BMC Musculoskeletal Disorders:. Prevalence of fibromyalgia in low socioeconomic status population. The aim of this study was to estimate the prevalence of fibromyalgia, as well as to assess the major symptoms of this syndrome in an adult, low socioeconomic status population assisted by the primary health care system in a city in Brazil.. Methods: We cross-sectionally sampled individuals assisted by the public primary health care system (n=768, 35-60 years old). Participants were interviewed by phone and screened about pain.. They were then invited to be clinically assessed (304 accepted). Pain was estimated using a Visual Analogue Scale (VAS).. Fibromyalgia was assessed using the Fibromyalgia Impact Questionnaire (FIQ), as well as screening for tender points using dolorimetry. Statistical analyses included Bayesian Statistics and the Kruskal-Wallis Anova test (significance level=5%).. Results: From the phone-interview screening, we ...
Chronic pain is generally regarded as being divided into two mutually exclusive pain mechanisms: nociceptive and neuropathic. Recently, this dichotomous approach has been questioned and a model of chronic pain being more or less neuropathic has been suggested. To test whether such a spectrum exists, we examined responses by patients with chronic pain to validated neuropathic pain assessment tools and compared these with ratings of certainty about the neuropathic origin of pain by their specialist pain physicians. We examined 200 patients (100 each with nociceptive and neuropathic pain) and administered the self-complete Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS score) and the Neuropathic Pain Scale (NPS). Clinicians were asked to rate their certainty of the presence of neuropathic pain mechanisms on a 100 mm visual analogue scale (VAS) (0 = not at all neuropathic in origin to 100 = completely neuropathic in origin). The whole sample was divided into tertiles based on ...
Listen to this podcast with Clifford Moy, MD, the behavioral health medical director at TMF Health Quality Institute, and Lindsay Botsford, MD, the market medical director for Iora Health in Houston, a clinical associate professor of the Department of Clinical Science at the University of Houston Co
Three nonpharmacological nursing interventions, relaxation, chosen music, and their combination, were tested for pain relief following intestinal (INT) surgery in a randomized clinical trial. The 167 patients were randomly assigned to one of three intervention groups or control and were tested during ambulation and rest on postoperative days 1 and 2. Pain sensation and distress were measured with visual analog scales (VAS). Multivariate analysis of covariance showed significantly less post-test pain in the intervention groups than in the control group on both days after rest and at three of six ambulation post-tests (p = .024-.001), resulting in 16-40% less pain. Mixed effects after ambulation were due to the large variation in pain and difficulty relaxing while returning to bed; but post hoc explorations showed effects for those with high and low pain. These interventions are recommended along with analgesics for greater postoperative relief without additional side effects.
TY - JOUR. T1 - Correspondence between EQ-5D health state classifications and EQ VAS scores. AU - Whynes, David K. AU - The TOMBOLA (Trial Of Management of Borderline and Other Low-grade Abnormal smears) Group. PY - 2008. Y1 - 2008. N2 - BACKGROUND: The EQ-5D health-related quality of life instrument comprises a health state classification followed by a health evaluation using a visual analogue scale (VAS). The EQ-5D has been employed frequently in economic evaluations, yet the relationship between the two parts of the instrument remains ill-understood. In this paper, we examine the correspondence between VAS scores and health state classifications for a large sample, and identify variables which contribute to determining the VAS scores independently of the health states as classified. METHODS: A UK trial of management of low-grade abnormalities detected on screening for cervical pre-cancer (TOMBOLA) provided EQ-5D data for over 3,000 women. Information on distress and multi-dimensional health ...
Treating persistent pain conditions with opioid medications is not only ineffective for long-term treatment but is also a preventable factor behind the current opioid crisis, which kills thousands of people each year. One way to address the opioid crisis is to identify better treatments to reduce pain. The purpose of this study is to determine the potential of a specific metabolite of ketamine named (2R,6R)-hydroxynorketamine (HNK) to be an effective alternative to opioids in reducing pain or opioid adjunct to make opioid pain treatment safer and more effective. The specific aims for this study are 1) to determine the pain reduction effects of (2R,6R)-HNK in healthy mice and mice with induced neuropathic and inflammatory pain, and 2) to examine the interaction between (2R,6R)-HNK and opioid-induced pain reduction in mice. To investigate these aims, C57BL/J6 mice will be tested utilizing various pain measurement tests after receiving (2R,6R)-HNK and compared to mice receiving saline as a placebo. ...
Around 14% of adults who experience pain report that it lasts 3 months to a year and 42% report pain that lasts more than a year.
This project is supported by the Canadian Institutes of Health Research (award #111062), Alberta Innovates - Health Solutions, and by The Metabolomics Innovation Centre (TMIC), a nationally-funded research and core facility that supports a wide range of cutting-edge metabolomic studies. TMIC is funded by Genome Alberta, Genome British Columbia, and Genome Canada, a not-for-profit organization that is leading Canadas national genomics strategy with funding from the federal government. Maintenance, support, and commercial licensing is provided by OMx Personal Health Analytics, Inc. Designed by Educe Design & Innovation Inc. ...
TY - JOUR. T1 - A prospective double-blind randomised controlled trial of intraoperative pelvic instillation with bupivacaine for management of pain following laparoscopy and dye. AU - Sripada, Sreebala. AU - Roy, S.. AU - Mathur, M.. AU - Hamilton, M. AU - Cranfield, K.. AU - Bhattacharya, Siladitya. PY - 2006. Y1 - 2006. N2 - The aim of this randomised, double-blind, placebo-controlled trial was to evaluate the effectiveness of intraperitoneal instillation of bupivacaine following laparoscopy and dye test. Women received either 15 ml of 0.9% saline (n=42) or 15 ml of 0.5% bupivacaine (n=43), which was instilled intraperitoneally. Pain and nausea scores were recorded on a visual analogue scale (VAS). Pain perception was no different in the bupivacaine group compared with the control group with median values of VAS at 2 hours (18, 19; P=0.8), 6 hours (21, 22; P=0.5), 12 hours (19, 25; P=0.8), 24 hours (27, 27; P=0.9) and 48 hours (21, 13; P=0.26). Women in the bupivacaine group were less ...
Pain assessment is a broad concept involving clinical judgment based on observation of the type, significance and context of the individuals pain experience. There are challenges in assessing paediatric pain, none more so than in the pre-verbal and developmentally disabled child. Therefore physiological and behavioural tools are used in place of the self-report of pain. However in children with developmental disabilities there can be incorrect assumptions and there is a risk of under-treating pain. It is important to take behavioral cues identified by parents and caregivers to improve pain assessment in these children. Pain assessment in infants and children is also challenging due to the subjectivity and multidimensional nature of pain. The dependence on others to assess pain, limited language, comprehension and perception of pain expressed contextually. In some children it can be difficult to distinguish between pain, anxiety and distress. Assessment and documenting pain is needed in order to ...
RATIONALE: Low back pain has a significant socioeconomic impact. Repetitive lifting, with combined twisting and flexion motions of the lumbar spine, increases the risk for low-back pain and injury to the supporting tissues. PATIENT CONCERNS: A 60-year-old male who presented with acute low-back pain, with a pain intensity of 6/10 on the visual analog scale (VAS) and an Oswestry disability index (ODI) score of 70%. The range of motion (ROM) of the lumbar spine on initial examination, relative to the normal peak ROM, was as follows: extension, 12°/30°; flexion, 15°/80°; left rotation, 15°/45°; and right rotation, 25°/45 ...
Background: Local anesthetics act by different mechanisms to produce their effects in control acute and chronic pain. Methods: A total of 22 patients (14 female, 8 male) who need tooth apisectomy under infiltration local anesthesia were examined in two situations: Before and after administration of local anesthesia. For all patients salivary sample has been collected by salivette to estimate the level of opiorphin using ELISA Kits, the pain was assessed after administration of local anesthesia using Visual Analogue Scale (VAS). Results: the results showed a significant differences of salivary opiorphin before and after administration of local anesthesia (5.96+5.38) ng/ml and (14.49±3.66) ng/ml respectively with p0.05). Conclusions: local
Description: M.Cur. , Midwives are responsible to assess pain before treating it; then they should reassess the pain to evaluate the effectiveness of the interventions and plan future therapy. Accurate and objective measures of labour pain continue to be scarce and the discrepancy in labour pain perceptions between parturients and health-care providers remains challenging. Various pain measurement tools are currently in use measuring chronic and acute pain, but many problems were encountered applying these methods to the woman in labour. The charts were detailed and required too much time to complete. The aim of the study was to develop a multidimensional labour pain assessment instrument to assist clinicians and midwives with labour pain control. Objectives for developing a valid and reliable instrument to accurately measure labour pain included refinement of the labour pain assessment instrument developed from literature, testing of the refined instrument on patients during labour, compilation ...
to the editor: I was pleased to read the article1 on management of nonmalignant pain. The undertreatment of pain is a widespread issue in the United States, and helping to educate practicing family physicians in the most current pain management techniques is an important, even critical, goal.. I was disappointed, however, by the relative lack of information in the article on the two newest classes of oral analgesics: (1) tramadol (Ultram) and (2) cyclooxygenase-2 (COX-2) inhibitors, which represent a new type of non-steroidal anti-inflammatory drug (NSAID).. Tramadol has been available in the United States for five years. It is effective not only for an acute episode of neuropathic pain (as suggested in the article), but also for chronic neuropathic pain syndrome, fibromyalgia, osteoarthritis pain2 and chronic low back pain.3 Tramadol may be most notable for what it is not-tramadol is not an NSAID, nor is it a typical opioid. Tramadol has a dual mechanism of action: it acts centrally at ...
DUBLIN, IRELAND, July 9 (Korea Bizwire) - Research and Markets (http://bit.ly/VZyRjp) has announced the addition of Jain PharmaBiotechs new report Global Pain Therapeutics Report 2014: Drugs, Markets and Companies - The Latest Concepts of Pathomechanisms of Pain to their offering.. This report describes the latest concepts of pathomechanisms of pain as a basis for management and development of new pharmacotherapies for pain. Major segments of the pain market are arthritis, neuropathic pain and cancer pain. Because pain is a subjective sensation, it is difficult to evaluate objectively in clinical trials. Various tools for pain measurement are described, including brain imaging.. Most of the currently used analgesic drugs fall into the categories of opioids and nonsteroidal antiinflammatory drugs such as COX-2 inhibitors. Non-opioid analgesics include ketamine, a N-methyl-D-aspartate receptor antagonist. Adjuvant analgesics include antidepressants and antiepileptic drugs used for the treatment ...
Dolorimetry has been defined as "the measurement of pain sensitivity or pain intensity". Dolorimeters apply steady pressure, ... Hot plate test Dol Pain scale Pain threshold Pain tolerance Schmidt sting pain index Stedman's Medical Dictionary 2004 Houghton ... Another pain measurement device uses heat from a 500 watt incandescent heat lamp which is delivered to a small area of skin. ... The Measurement of Pain: Prototype for the Quantitative Study of Subjective Responses, Henry K. Beecher, Pharmacological ...
He wants to create a measurement of pain with a unit called the "Razim". Razim was chosen by Zeljan Kurst to run operation " ... Julius joins Razim's pain projects and captures Alex for Razim, expressing an interest in joining Scorpia (although Razim ... Three who is the world's foremost expert on pain and torture, having written books about it, a Japanese man named Hideo Mikato ...
"Reliability and Usefulness of the Pressure Pain Threshold Measurement in Patients with Myofascial Pain". Annals of ... Fischer7 reported pressure pain thresholds of 3.7 kg/cm2 and 5.4 kg/cm2 in normal adult females. "Pressure in a Champagne ... 10 kPa - the pressure below 1 m of water "Beaufort Scales (Wind Speed)". How Many? A Dictionary of Units of Measurement. ... Lee, C.; Wei, X.; Kysar, J. W.; Hone, J. (2008). "Measurement of the Elastic Properties and Intrinsic Strength of Monolayer ...
"Spirometry Measurements During an Episode of Exercise-Related Transient Abdominal Pain". International Journal of Sports ... and the medical term is exercise-related transient abdominal pain (ETAP). It sometimes extends to shoulder tip pain, and ... If the pain is present only when exercising and is completely absent at rest, in an otherwise healthy person, it does not ... A side stitch is an intense stabbing abdominal pain under the lower edge of the ribcage that occurs during exercise. It is also ...
Johnston's research focused on the measurement and non-pharmacological management of pain in preterm neonates. She completed a ... Premature infant pain profile: development and initial validation. The Clinical journal of pain, 12(1), 13-22. Johnston, C., ... Johnston was previously the past-President of the Canadian Pain Society, and in 2021 was appointed as an Officer of the Order ... Johnston, C. C., & Stevens, B. J. (1996). Experience in a neonatal intensive care unit affects pain response. Pediatrics, 98(5 ...
"A Conceptual Model of Pain: Measurement and Diagnosis". Practical Pain Management. Remedy Health Media. Retrieved 20 November ... "A Conceptual Model of Pain: Measurement and Diagnosis". Practical Pain Management. Remedy Health Media. Retrieved 20 November ... As a result, an addition to the theory has been proposed that the pain may be stimulated by the generation of an electric ... In response to this movement, mechanoreceptors on the pulp nerves trigger the acute, temporary pain of dentine hypersensitivity ...
The Randall-Selitto test or paw pressure test is a technique for the measurement of the pain response in animals. It is used in ... Pain is deemed to be present if the animal starts to exhibit the flight or struggle response. Randall and Selitto exploited the ... v t e (CS1: long volume value, Pain scales, Animal testing, Laboratory techniques, All stub articles, Bioinformatics stubs). ... basic pain research and to test the effectiveness of analgetics by observing the reaction to gradually increasing pressure on ...
"Skin conductance measurements as pain assessment in newborn infants born at 22-27weeks gestational age at different postnatal ... Measurement. 46 (9): 2993-3001. Bibcode:2013Meas...46.2993O. doi:10.1016/j.measurement.2013.06.024. "What is GSR". iMotions A/S ... Pain. 152 (3): 592-598. doi:10.1016/j.pain.2010.11.032. PMID 21215519. S2CID 15779956. (Webarchive template wayback links, CS1 ... is a custom EDA measurement device. External factors such as temperature and humidity affect EDA measurements, which can lead ...
She has appeared on radio and podcasts to talk about measurement and understanding of infant pain, including Radio 4 pieces " ... She is an advocate for neuroimaging tools for objective measurement of infant pain, and has demonstrated that brain activity ... Her research focuses on infant pain, using non-invasive neuroimaging techniques to improve understanding and measurement of ... "Stroking babies 'provides pain relief'". BBC News. 18 December 2018. Costandi, Moheb. "Is the Baby in Pain? Brain Scans Can ...
The use of the FACS has been proposed for use in the analysis of depression, and the measurement of pain in patients unable to ... Pain Medicine. 8 (8): 678-89. doi:10.1111/j.1526-4637.2007.00358.x. PMID 18028046. Rosenberg EL. "Example and web site of one ... "A psychophysical investigation of the facial action coding system as an index of pain variability among older adults with and ... A Technique for the Measurement of Facial Movement. Palo Alto: Consulting Psychologists Press. Ekman P, Friesen WV, Hager JC ( ...
Insulin normally increases after feeding, as well as secondary to cortisol (stress) and epinephrine (pain), so measurement ... Measurement of fasting insulin concentration involves giving a horse a single flake of hay, low in non-structural carbohydrates ... Actively laminitic horses should therefore not undergo testing until their pain and stress have been adequately controlled. ... and echocardiographic measurements in healthy adult horses". American Journal of Veterinary Research. 69 (1): 68-75. doi: ...
... as is done routinely for the measurement of pain in non-verbal humans. Observers score the presence or prominence of "facial ... From the described pain face, The Equine Pain Scale has been developed. Another pain scale has been described (EQUUS-FAP) which ... "mTORC1 inhibition induces pain via IRS-1-dependent feedback activation of ERK". Pain. 154 (7): 1080-1091. doi:10.1016/j.pain. ... "Supraspinal TRPV1 modulates the emotional expression of abdominal pain" (PDF). Pain. 155 (10): 2153-2160. doi:10.1016/j.pain. ...
... and Pain in Health and Disease: Mechanisms and Assessments: a Wenner-Gren Center International Symposium, 1st Edn, eds J. ... Physiological Measurement. 37 (7): 1074-1088. Bibcode:2016PhyM...37.1074E. doi:10.1088/0967-3334/37/7/1074. ISSN 1361-6579. ... and inter-observer reliability of a novel protocol for two-point discrimination in individuals with chronic low back pain". ...
Systematic process of pain assessment, measurement, and re-assessment (re-evaluation), enhances the healthcare teams' ability ... Assessment of a patient's experience of pain is a crucial component in providing effective pain management. Pain is not a ... "Pediatric Pain Assessment In the Emergency Department: A Nursing Evidence-Based Practice Protocol." Pediatric Nursing 41, no. 4 ... Pain is assessed for its provocative and palliative associations; quality, region/radiation, severity (numerical scale or ...
... depends upon applying to pleasures and pains a "science of measurement". The School of Cyrene provided one of the first ... It was one of the first to advance a systematic view on the role of pleasure and pain in human life. The Cyrenaics argued that ... Whereas negative emotions, such as anger and fear, multiplied pain. Towards the end of Plato's Protagoras it is reasoned that ...
Aboriginal Australians were subject to medical experiments on how they experienced pain and where body measurements and blood ... and as such are considered as examples of medical torture since the participants had to endure mass amounts of pain. At ... severe abdominal pain, and cervical cancer. Therefore, radiation treatment became the favored choice of sterilization. Specific ...
The FLACC scale or Face, Legs, Activity, Cry, Consolability scale is a measurement used to assess pain for children between the ... The FLACC scale offered the same evaluation of pain as did the Checklist of Nonverbal Pain Indicators (CNPI) scale which is ... The scale is scored in a range of 0-10 with 0 representing no pain. The scale has five criteria, which are each assigned a ... A behavioral scale for scoring postoperative pain in young children, by S Merkel and others, 1997, Pediatr Nurse 23(3), p. 293- ...
She attempts to escape, and nearly succeeds, but Razim is merely using her for his "measurement of pain" experiment, and has ... Alex's grief is enough to cause him to black out, and Razim "may even have to create a second scale of measurement" for the ... amount of emotional pain Alex felt. However, Jack is revealed to be alive in the following novel Never Say Die, as her death ...
... may refer to: Pain Suffering The unit of measurement in utilitarianism, see Felicific calculus#Hedons and dolors Dolor ( ...
"The Measurement of Pain in the Laboratory Rodent", The Oxford Handbook of the Neurobiology of Pain, Oxford University Press, pp ... For the past century, the measurement of pain in rodent biomedical research was considered complicated and imprecise, and many ... They showed that mice display more pain behavior if they are tested in close proximity to other mice also in pain, but only if ... He is known for his work in the genetics of pain, for being among the first scientists to demonstrate sex differences in pain ...
... pain measurement MeSH E01.370.376.550.650 - reflex MeSH E01.370.376.550.650.650 - reflex, abdominal MeSH E01.370.376.550. ... lung volume measurements MeSH E01.370.386.700.485.750 - total lung capacity MeSH E01.370.386.700.485.750.150 - closing volume ... nuchal translucency measurement MeSH E01.370.350.925 - whole body imaging MeSH E01.370.370.050 - angiography MeSH E01.370. ... nuchal translucency measurement MeSH E01.370.378.850 - ultrasonography, mammary MeSH E01.370.378.860 - uterine monitoring MeSH ...
... were the best adapted pain scales for pain measurement in endometriosis. For research purposes, and for more detailed pain ... VAS is the most common pain scale for quantification of endometriosis-related pain and skin graft donor site-related pain. A ... measurement in clinical practice, the review suggested use of VAS or NRS for each type of typical pain related to endometriosis ... It is a measurement instrument for subjective characteristics or attitudes that cannot be directly measured. When responding to ...
Randall-Selitto test, a technique for the measurement of the pain response in animals Carlo Sellitto, an Italian painter of the ...
... a 2007 Kurdish film A little-used unit of measurement for pain; see pain scale Dolorimeter, pain measuring instrument ...
... intensity changes and on-line measurements on retrospective pain evaluations", Journal of Behavioral Decision Making, 11 (1): ...
... gain and pain sharing, mutual objectives, performance measurement and continuous improvement. In 2019, David Frydlinger, Oliver ...
August 2020). "A machine-vision approach for automated pain measurement at millisecond timescales". eLife. 9: e57258. doi: ... no pain' and 'worst imaginable pain". Cut-offs for pain classification have been recommended as no pain (0-4mm), mild pain (5- ... VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF- ... "Does Opioid Tapering in Chronic Pain Patients Result in Improved Pain or Same Pain vs Increased Pain at Taper Completion? A ...
... s are a necessity to assist with better assessment of pain and patient screening. Pain measurements help determine ... Alder Hey Triage Pain Score Behavioral Pain Scale (BPS) Brief Pain Inventory (BPI) Checklist of Nonverbal Pain Indicators (CNPI ... were the best adapted pain scales for pain measurement in endometriosis. For research purposes, and for more detailed pain ... for measuring pain in children Premature Infant Pain Profile (PIPP) for measuring pain in premature infants Schmidt Sting Pain ...
"Chronic pain and the measurement of personality: do states influence traits?". Pain Medicine. 7 (6): 509-29. doi:10.1111/j.1526 ... Chronic neuropathic pain: pain caused by damage to the somatosensory nervous system. Chronic headache and orofacial pain: pain ... Chronic visceral pain: pain originating in an internal organ. Chronic musculoskeletal pain: pain originating in the bones, ... Chronic pain can contribute to decreased physical activity due to fear of making the pain worse. Pain intensity, pain control, ...
Scerbo, Thomas; Colasurdo, Joseph; Dunn, Sally; Unger, Jacob; Nijs, Jo; Cook, Chad (April 2018). "Measurement Properties of the ... The other two mechanisms are nociceptive pain and neuropathic pain. Widespread pain and increased pain have been suggested as ... Nociplastic pain is a longterm complex pain, one of three mechanisms of pain, defined by the International Association for the ... Nociplastic pain or central sensitisation is a type of pain which is mechanically different from the normal nociceptive pain ...
... this exerts a lot of pain upon the person affected by the disease.[medical citation needed] ... initial diagnosis and classification is done by measurement of protein activity rather than by genetic tests, though genetic ...
... on pain of death.[160][note 7] ... "in good agreement with experimental measurements".[111] *^ Some ...
Upshur RE, VanDenKerkhof EG, Goel V (May 2001). "Meaning and measurement: an inclusive model of evidence in health care". J ...
Measurements indicate that on a rifle, a muzzle brake adds 5 to 10 dB to the normal noise level perceived by the shooter, ... for the threshold of pain.[13] ...
Tuna have bony fins without nerve endings and do not feel pain from cavitation. They are slowed down when cavitation bubbles ... Barnett, S. (1998). "Nonthermal issues: Cavitation-Its nature, detection and measurement;". Ultrasound in Medicine & Biology. ... "New evidence for large negative xylem pressures and their measurement by the pressure chamber technique". Plant Cell Environ. ...
As measurement results will vary by the degree of resistance, two levels of range of motion results are recorded in most cases ... Pain, swelling, and stiffness associated with arthritis can limit the range of motion of a particular joint and impair function ... The goal of these exercises is to gently increase range of motion while decreasing pain, swelling, and stiffness. There are ... Recent technological advances in 3D motion capture technology allow for the measurement of joints concurrently, which can be ...
tas (measurement), vitro (glass) curtain. cortina cushion. cuxin dog. can door. porta ...
Intense emotional pain (e.g., anger, bitterness, sorrow) related to the death ... "Development of the International Prolonged Grief Disorder Scale for the ICD-11: measurement of core symptoms and culture items ... emotional pain, emotional numbness, loneliness, identity disturbance and difficulty in managing interpersonal relationships. ... characterized by longing for the deceased or persistent preoccupation with the deceased accompanied by intense emotional pain. ...
Extreme pain, such as mortification of the flesh[48][better source needed] ... "The measurement of regional cerebral blood flow during the complex cognitive task of meditation: A preliminary SPECT study" ... "Self-inflicted Pain in Religious Experience". www.faithfaq.com. Retrieved July 11, 2006.. ...
DiCarlo, Christopher (2011). How to Become a Really Good Pain in the Ass: A Critical Thinker's Guide to Asking the Right ... McNamara fallacy (quantitative fallacy) - making an argument using only quantitative observations (measurements, statistical or ...
In the late 1450s, Piero copied and illustrated the following works of Archimedes:[18] On the Sphere and Cylinder, Measurement ... You sense an inner agony, noticing her deep-blue robe open to reveal scarlet beneath, symbol of outward passion and pain to ... "On the Sphere and the Cylinder; On the Measurement of the Circle; On Conoids and Spheroids; On Spirals; On the Equilibrium of ...
... setting up a new bicycle using measurements from another, as this is easier to measure. Other methods and calculations are used ... can result in an increased prevalence of pain in the sit bones.[32] ...
In the United Kingdom the HSE has issued a user guidance note on selecting the correct radiation measurement instrument for the ... Elihu Thomson deliberately exposed a finger to an x-ray tube over a period of time and experienced pain, swelling, and ... Practical radiation measurement using calibrated radiation protection instruments is essential in evaluating the effectiveness ... and International Commission on Radiation Units and Measurements (ICRU) publish recommendations and data which is used to ...
See also: Meditation and pain and Mindfulness-based pain management. Meditation has been show to reduce pain perception.[142] ... Measurements of well-being, stress, and perceived workplace support were taken for both groups before the intervention and then ... Kabat-Zinn, Jon (2013). Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness (2nd ... "Psychobiological correlates of improved mental health in patients with musculoskeletal pain after a mindfulness-based pain ...
... which causes pain and severe cramping when walking or exercising. The pain is usually located in the calf muscles of the ... "Measurement and Interpretation of the Ankle-Brachial Index: A Scientific Statement From the American Heart Association" ... Leg pain when walking that resolves with rest, skin ulcers, bluish skin, cold skin[2][3]. ... Grade II, Category 4: rest pain. *Grade III, Category 5: minor tissue loss; ischemic ulceration not exceeding ulcer of the ...
... which is a balanced feeling of sympathetic pain concerning the undeserved pleasures and pains of others.[15] Exactly which ... on the basis of exact measurements of time and distance. Aristotle, on the other hand, bases his science largely on qualitative ...
Stool leukocyte measurements and stool lactoferrin levels also have been proposed as diagnostic tests, but may have limited ... Diarrhea, fever, nausea, abdominal pain[1]. Complications. Pseudomembranous colitis, toxic megacolon, perforation of the colon ... and abdominal pain.[1] It makes up about 20% of cases of antibiotic-associated diarrhea.[1] Antibiotics can contribute to ... abdominal pain, fever (up to 40.5 °C or 105 °F), and a distinctive foul odor to the stool resembling horse manure.[15] In a ...
Sensory input such as pain, bright light, noise, temperatures, or environmental issues such as a lack of control over ... Schlotz W, Yim IS, Zoccola PM, Jansen L, Schulz P (2011). The perceived stress reactivity scale: Measurement invariance, ...
eds.). Global Land Ice Measurements from Space. New York: Springer-Verlag. pp. 465-480. ISBN 978-3540798170. .. ... Despite the supposed meaning in Turkish Ağrı Dağı as "pain mountain" and Kurdish Çiyayê Agirî as "fiery mountain", some ... "pain" or "sorrow".[19][32][36][37] This name has been known since the late Middle Ages.[32] The 17th century explorer Evliya ... The Turkish name for Mt Ararat is Agri Dagi (which means mountain of pain).. ...
... even when the frame incidentally coincides with reality and can be used for measurements. ...
Also, direct measurements of permeability in these models are limited due to the limited perfusion and complex, poorly defined ... pain-free. However, the drug's action in the body can be largely influenced by the first pass effect. The gut, which plays an ... June 2017). "Organs-on-Chips with combined multi-electrode array and transepithelial electrical resistance measurement ... "Skin-on-a-Chip: Transepithelial Electrical Resistance and Extracellular Acidification Measurements through an Automated Air- ...
torture - v. to cause severe pain; n. the act of causing severe pain in order to harm, to punish or to get information from ... temperature - n. the measurement of heat and cold. *temporary - ad. lasting only a short time ... pain - n. a hurt or suffering somewhere in the body. *paint - v. to cover with a liquid color; to make a picture with liquid ... not gentle; causing much pain, sadness or damage. *sex - n. either the male or female group into which all people and animals ...
This can make it even more challenging to complete tasks.[37] Dyspraxics who are undersensitive to pain may injure themselves ... Mandich A, Polatajko HJ (November 2003). "Developmental coordination disorder: mechanisms, measurement and management". Human ...
Performance measurement[edit]. Focusing on software quality metrics is a good way to maintain track of how well a project is ... On the other hand, an academic study by the London School of Economics was at pains to counter the so-called 'myth' that RPA ... "Opinion , Feeling No Pain". The New York Times.. *^ "Union takes action against university on grounds of discrimination ...
"A critical review of controlled clinical trials for peripheral neuropathic pain and complex regional pain syndromes". Pain. 73 ... Significance of measurements of salicylate in blood in cases of acute ingestion". Pediatrics. 26: 800-7. doi:10.1542/peds.26.5. ... PainEdit. Aspirin is an effective analgesic for acute pain, although it is generally considered inferior to ibuprofen because ... "FDA Warns that Using a Type of Pain and Fever Medication in Second Half of Pregnancy Could Lead to Complications". U.S. Food ...
Early: Heartburn, bloating, upper abdominal pain, nausea, belching, loss of appetite.[1]. Later: Weight loss, yellowing of the ... the incidence of gastric cancer has increased from the 1960s measurement of 0.8/100000 to 5.6/100000.[105] Gastric cancer, ... upper abdominal pain, nausea, and loss of appetite.[1] Later signs and symptoms may include weight loss, yellowing of the skin ... abdominal pain in the upper abdomen, nausea and occasional vomiting. Further enlargement may cause weight loss or bleeding with ...
... s are more precise than traditional surgery methods and cause less damage, pain, bleeding, swelling, and scarring. A ... non-contact measurement of parts and 3D scanning, and laser cleaning. ...
A nominal figure for the threshold of pain is 130 decibels ... Some sources quote 120 dB as the pain threshold. ... See Audio system measurements.). *In a transmission system, the ratio of the overload level (the maximum signal power that the ... the threshold for pain is between 120 and 140 dB SPL.. *^ "How The Ear Works". www.soundonsound.com. Archived from the original ... The other end of the dynamic range of measurement is often limited by one or more sources of random noise or uncertainty in ...
The various Mizaj of the day and night are the reasons behind mood swings and pain or discomfort varying during the day and ... While many academics use evidence-based scientific measurements (for example, various studies have been conducted and reported ... Due to their Mizaj, these organs are sensitive to coldness and dryness, and an overabundance of these could cause pain in cold ...
"Headache: The Journal of Head and Face Pain. 62 (5): 634-641. doi:10.1111/head.14306. ISSN 0017-8748. PMID 35524451. S2CID ... These measurements could potentially serve as diagnostic biomarkers for ADHD, but more research is needed to establish their ... It is possible that in untreated patients with CD, neurologic symptoms such as chronic fatigue, inattention, pain, and headache ...
Persisting pain in children package: WHO guidelines on the pharmacological treatment of persisting pain in children with ... Guidelines on the management of chronic pain in children: executive summary  World Health Organization (‎World Health ... Guidelines on the management of chronic pain in children: web annexes A to K  ...
Persisting pain in children package: WHO guidelines on the pharmacological treatment of persisting pain in children with ... Guidelines on the management of chronic pain in children: executive summary  World Health Organization (‎World Health ... Guidelines on the management of chronic pain in children: web annexes A to K  ...
... or guidelines supported by effective analgesic therapies along with education that addresses attitudes that may inhibit pain ... such audits must have access to data obtained from patient self-reporting of pain using a valid and reliable pain measurement ... Measurement of pain in the prehospital setting using a visual analogue scale Prehosp Disaster Med. 2003 Oct-Dec;18(4):353-8. ... Methods: This prospective, observational study used a VAS to record pain severity among patients reporting pain who were ...
Measurement, & Management in Pain Research (R21) PA-13-119. NINR ... Pain Management The prevalence of pain and inadequate pain ... Differences in care for various types of pain, acute postoperative pain, treatment-related pain, cancer pain, or chronic non- ... of pain measurements that can account for or predict the trajectory or course of pain, as well as the changes in pain over time ... Models of Pain. There are many factors responsible for pain experienced by patients. Current animal models of pain have been ...
Rather than pain reduction, the ability to lead a quality life should be prioritized ... Why Clinical Trials Need to Emphasize Function Over Pain Measurement Rather than pain reduction, the ability to lead a quality ... For one person, pain can be a level 10. For another, pain may only be a level three. Additionally, the longer that chronic pain ... In many clinical trials, pain reduction takes precedence, despite the fact that an objective measurement of pain doesnt exist ...
Demand for Clinical measurement of pain.. The "TOP 10 Global Pharma Company" is seeking:. Clinical methodologies for the ... measurement of pain.. They are looking for potential partners with unique innovative technologies to meet changing needs of ... Clinical methodologies for the measurement of pain. ...
... for joint pain) Pain and Inflammation The P.A.M. (Pressure Application Measurement) device is the original tool designed for ... measuring mechanical pain threshold on joint. It was specifically designed and validated for Arthritis research and is ... Category: Pain and Inflammation. The P.A.M. (Pressure Application Measurement) device is the original tool designed for ... PAM Pressure Application Measurement (for joint pain). Product Code:38500/38550. ...
To evaluate the adequacy of pain management in burn care, pain measurement is essential. The visual analogue thermometer (VAT) ... Keywords: Adults, Burns, Cutpoints, Measurement, Nursing, Pain, Self-report, Emergency Medicine, Critical Care and Intensive ... A comparison of self-report instruments for pain measurement in adults with burns. DSpace/Manakin Repository. ... morning and afternoon background pain and 0.51 for procedural pain (p , 0.01). VAT scores were lower than GNRS scores for all ...
However, individuals with chronic low back pain (CLBP) pose specific imaging challenges, such as older age and higher body mass ... Methodological consistency and measurement reliability of transversus abdominis real time ultrasound imaging in chronic low ... Whittle, Connie, Flavell, Carol Ann, and Gordon, Susan Jayne (2017) Methodological consistency and measurement reliability of ... Background: Real time ultrasound imaging (RTUI) is used to measure transversus abdominis (TrA) thickness in low back pain (LBP ...
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Kumar S, Tandon OP, Mathur R. Pain measurement: a formidable task. Indian Journal of Physiology and Pharmacology. 2002 Oct; 46( ... Pain is defined as unpleasant sensory and emotional experience, associated with actual or impending tissue damage. It consists ... It will take some more time and effort to evolve yet other newer and sophisticated techniques to measure all aspects of pain in ... Though the technology has advanced, still it is very difficult to objectively assess all the attributes of pain, including ...
Fabrication Enterprises - 12-1212 - Baseline Measurement Tape, 120 inch Sold by: Each ...
Part II also describes how to develop and implement guidelines for assessing pain and suffering damages. Part III examines why ... Part I explores why present methods for measuring pain and suffering are objectionable. A description of the proposed method ... systems in use in several states to the personal injury context would provide appropriate standards for measuring pain and ... Frederick S. Levin, Pain and Suffering Guidelines: A Cure for Damages Measurement Anomie, 22 U. Mich. J. L. Reform 303 (1989 ...
Measurement of pain in infants and children / editors G. Allen Finley, Patrick J. McGrath. by Finlay, G. Allen , McGrath, ... Persisting pain in children package: WHO guidelines on the pharmacological treatment of persisting pain in children with ... Series: Progress in pain research and management ; v. 10Material type: Text; Format: print Publication details: Seattle : IASP ... Cancer pain / Magdi Hanna, Zbigniew (Ben) Zylicz, editors. by Hanna, Magdi [editor of compilation.] , Zylicz, Zbigniew [editor ...
Machine Learning for Pain Measurement. Pain is a subjective experience commonly measured through patients self reports. ...
CHARRY, Claudia L. E and SILVA, José Aparecido Da. Measurement of remembered pain in school-age children: gender and age ... Future research should consider variables like time interval since the pain event and its measurement in addition to the ... This study aims to examine possible differences in remembered-pain measurement in school-age children, considering gender and ... Keywords : Remembered pain; Children; Differences; Gender; Age. · abstract in Portuguese · text in Portuguese · Portuguese ( ...
measurement of pain by means of an algometer. atmidometry the measurement of evaporation in the air. -atmidometer , n. ... the measurement of extremely low temperatures, by means of a cryometer. cyclometry the measurement of circles. dosimetry the ... the measurement of the plasticity of materials, as with a plastometer. -plastometric , adj. pulmometry the measurement of the ... the measurement of radiant energy by means of a radiometer. -radiometric , adj. rheometry the measurement of electric current, ...
... we discuss issues relevant to the measurement of pain in the out-of-hospital setting, recommended pain measures that require ... we discuss issues relevant to the measurement of pain in the out-of-hospital setting, recommended pain measures that require ... we discuss issues relevant to the measurement of pain in the out-of-hospital setting, recommended pain measures that require ... we discuss issues relevant to the measurement of pain in the out-of-hospital setting, recommended pain measures that require ...
Technique Pain must be assessed using a multidimensional approach, with determination of the following: Chronicity Severity ... Precise and systematic pain assessment is required to make the correct diagnosis and determine the most efficacious treatment ... Pain scales. Pain measurement tools may be categorized as either single-dimensional or multidimensional scales. The measures ... Pain assessment in the elderly. Acute pain and chronic pain are common in the elderly. Pain may be the limiting factor for ...
Comparing N-PASS and NIPS: Improving Pain Measurement in the Neonate. Desai, Amita; Aucott, Susan; Frank, Karen; More ... Development and Implementation of a Neonatal Pain Management Guideline for Minor Surgeries. David, Lebanon; Forest, Sharron ...
... experience significantly reduces the risk of minor injuries and pain compared to a trainer new to the profession, according to ... Measurement of pain sensations. The test subjects were between 15 and 55 years old, mostly men, and included both experienced ... Pain sensation was the key", says Mamunur Rashid.. Participants from 74 gyms. In the group with a trainer with less than one ... Participants were asked daily for a week if they experienced muscle pain. If the answer was yes, they were asked to define in ...
There is a minor increase in the number of departments that use a structured method for pain scoring. Documentation of pain ... The study shows that an unchanging low proportion of neonatal units in Sweden attempt to assess pain. ... Background: A major problem in pain treatment in the newborn is the ability to assess the degree of experienced pain. Several ... There is a minor increase in the number of departments that use a structured method for pain scoring. Documentation of pain ...
Dive into the research topics of Physical methods used in pain measurements: a review. Together they form a unique ...
Measurement invariance of the FPQ-III across gender was also evaluated. In order to examine convergent validity, a further ... medical pain, and minor pain. It actually remains the most studied and internationally used tool even in its short versions. ... The Fear of Pain Questionnaire-III (FPQ-III) is a self-assessment instrument developed specifically to measure fear based on ... A psychometric evaluation of the Italian short version of the Fear of Pain Questionnaire-III: Psychometric properties, ...
... state-specific prevalence of both severe joint pain and physical inactivity were highest in southeastern states. ... state-specific prevalence of both severe joint pain and physical inactivity were highest in southeastern states. ... Strengths include a measurement of joint pain and large sample size that allows analysis of detailed characteristics and ... On a scale of 0 to 10 where 0 is no pain or aching and 10 is pain or aching as bad as it can be, during the past 30 days, how ...
Measurement properties, feasibility and clinical utility of the Doloplus-2 pain scale in older adults with cognitive impairment ... The Doloplus-2 is a pain assessment scale for assessing pain in older adults with cognitive impairment. It ... Rostad+%282017%29+Measurement+properties%2C+feasibility+and+clinical+utility+of+the+Doloplus-2..._+a+systematic+review.pdf ( ... Rostad HM, Utne I, Grov EK, Puts M, Halvorsrud L. Measurement properties, feasibility and clinical utility of the Doloplus-2 ...
2001) Reliability of the visual analog scale for measurement of acute pain. Acad Emerg Med 8:1153-1157. ... 1991) Morphine differentially affects the sensory and affective pain ratings in neurogenic and idiopathic forms of pain. Pain ... Separate regressors were included for each of the following conditions: High Pain Open, High Pain Hidden, Low Pain Open, and ... medium-high pain (VAS rating = 6; M = 44.3°C, SD = 1.60), and high pain (VAS rating = 8; M = 47.25°C, SD = 1.31). The pain ...
Pain prevalence was detected by the Brief Pain Inventory questionnaire. The management of pain episodes was analysed as ... There is evidence of a high prevalence of pain in hospitalized patients and deficiencies in the management of pain episodes by ... 83 patients were included, 73.5% of them reported pain and 67.2% did not know their analgesia regimen. More episodes of pain ... Prevalence, pain management and registration in Internal Medicine units Prevalencia, manejo y registro del dolor en unidades de ...
Pain measurement; Agricultural worker; Ethnic groups; Mexican American; Literacy ... Fifty-five percent of the workers reported pain, with 30% reporting back pain, 21% reporting upper extremity pain, 19% ... reporting lower extremity pain, and 10% reporting neck and shoulder pain. A composite symptom score exhibited acceptable test- ...
Pain Scale, Analog use Pain Measurement Pain Scale, Analogue use Pain Measurement ... Pain Indifference, Congenital use Pain Insensitivity, Congenital Pain Insensitivity with Anhidrosis, Congenital use Hereditary ... Pain Syndrome Type I, Complex Regional use Reflex Sympathetic Dystrophy Pain Syndrome Type I, Regional, Complex use Reflex ... Pain Scale, McGill use Pain Measurement Pain Scales, Analog use Pain Measurement ...
  • Patients used a VAS to score pain severity during the initial patient assessment process (T0), and again at the hospital of destination (Tend). (nih.gov)
  • Effective analgesia requires formal protocols or guidelines supported by effective analgesic therapies along with education that addresses attitudes that may inhibit pain assessment or management by paramedics. (nih.gov)
  • Racial disparities in pain assessment and management have been a longstanding issue that can potentially be improved through shifting focus from pain reduction to regaining function. (healthywomen.org)
  • Precise and systematic pain assessment is required to make the correct diagnosis and determine the most efficacious treatment plan for patients presenting with pain. (medscape.com)
  • Precise and systematic pain assessment is essential to make an accurate diagnosis, and thus establish the most beneficial treatment plan for patients presenting with pain. (medscape.com)
  • Pain assessment depends significantly on self-report. (medscape.com)
  • Pain assessment should be ongoing and documented. (medscape.com)
  • The Fear of Pain Questionnaire -III (FPQ-III) is a self-assessment instrument developed specifically to measure fear based on various pain stimuli converging on three factors severe pain , medical pain , and minor pain . (bvsalud.org)
  • The results provided evidence of the good predictive validity of the FPQ-III and the discriminant assessment demonstrated that the instrument is suitable in detecting changes in fear of pain induced by specific situational conditions. (bvsalud.org)
  • The Doloplus-2 is a pain assessment scale for assessing pain in older adults with cognitive impairment. (oslomet.no)
  • A pain assessment tool for use with cancer patients. (npcrc.org)
  • Factors in pain assessment include physical, emotional, and genetic factors. (nurseslearning.com)
  • Conclusion: It is suggested that the use of occlusal splint contributes to the amendment of pain symptoms after 3 months of treatment, using the NRS and MGPQ scales as method of pain assessment, giving credibility to this type of treatment. (bvsalud.org)
  • This research had as objective studying pain assessment strategies used by nurses in critical ill patients. (bvsalud.org)
  • The results show that the highest frequency of scientific works was consolidated in 2011 and 2013 and the Critical Care Pain Observation Tool (CPOT) scale is the one most widely used by nurses for pain assessment in critically ill patients who are unable of self-report pain, and are under mechanical ventilation. (bvsalud.org)
  • VAT and GNRS, the ability of the scales to differentiate background from procedural pain, and to compare potential cutpoints. (uu.nl)
  • ROC analyses showed that the highest sensitivity was reached for pain score 2 for both scales. (uu.nl)
  • Children assessed the intensity of a recent painful experience using two scales: Faces Pain Scale - Revised (FPS-R) and Coloured Analogue Scale (CAS). (bvsalud.org)
  • Single-dimensional scales - These scales assess a single dimension of pain, typically pain intensity, and through patient self-reporting. (medscape.com)
  • Construct validity of the Patient Reported Outcomes Measurement Information System (PROMISýý) gastrointestinal symptom scales in systemic sclerosis. (nih.gov)
  • Objective: To analyze the effect of the use of acrylic occlusal splint in patients with Temporomandibular Dysfunction (TMD) through three subjective pain scales: Visual Analogue Scale (VAS), Numerical Rating Scale (NRS), and McGill Pain Questionnaire (MGPQ), before and after 3 and 6 months using the device. (bvsalud.org)
  • The subjective pain scales were applied before and after 3 and 6 months of occlusal splint use. (bvsalud.org)
  • The values of pain recorded by each of the scales were analyzed by descriptive statistics in the program SPSS (Statistical Package for Social Sciences, version 18.0). (bvsalud.org)
  • Results: Statistically significant values of improvement in pain symptoms for patients with TMD were found in all scales evaluated, except for the VAS (baseline x 3 months) and MGPQ sensorial subdivision (baseline x 6 months). (bvsalud.org)
  • Scales, questionnaires, tests, and other methods used to assess pain severity and duration in patients or experimental animals to aid in diagnosis, therapy, and physiological studies. (bvsalud.org)
  • Pain was described by the American Pain Society as the 5th vital sign, making it essential to use pain measurement scales. (bvsalud.org)
  • The purpose of this Funding Opportunity Announcement (FOA) is to inform the scientific community of the pain research interests of the various Institutes and Centers (ICs) at the National Institutes of Health (NIH) and to stimulate and foster a wide range of basic, clinical, and translational studies on pain as they relate to the missions of these ICs. (nih.gov)
  • This high degree of variability makes measuring pain on a clinical scale a challenge. (healthywomen.org)
  • In many clinical trials, pain reduction takes precedence, despite the fact that an objective measurement of pain doesn't exist. (healthywomen.org)
  • By pivoting to focus on function, clinical trials can instead measure physical functioning through patient-reported outcomes - how a patient perceives their pain levels - performance-based activities and other objective measures of activity. (healthywomen.org)
  • Aside from shifting gears to address function over pain measurement in clinical trials, we must better understand those at the heart of the discussion: the patients themselves who experience, at times, debilitating pain that can go far beyond physical symptoms and the disparities that exist in our studies of pain. (healthywomen.org)
  • However, this isn't always the case in clinical trials, which tend to focus less on mental and emotional wellness and more on the physical symptoms of pain itself. (healthywomen.org)
  • Demand for Clinical measurement of pain. (farmavita.net)
  • Clinical methodologies for the measurement of pain. (farmavita.net)
  • Rostad+%282017%29+Measurement+properties%2C+feasibility+and+clinical+utility+of+the+Doloplus-2. (oslomet.no)
  • Rostad HM, Utne I, Grov EK, Puts M, Halvorsrud L. Measurement properties, feasibility and clinical utility of the Doloplus-2 pain scale in older adults with cognitive impairment: a systematic review. (oslomet.no)
  • This systematic review synthesizes previous research on the measurement properties, feasibility and clinical utility of the scale. (oslomet.no)
  • Pre-clinical laboratory data have supported that a topical formulation of combined diclofenac and methadone (Diclometh) may alleviate local pain, and potentially the side effect profile should be low. (aau.dk)
  • Comparison of spinal manipulation methods and usual medical care for acute and subacute low back pain: a randomized clinical trial. (activator.com)
  • It's important that patients work with their clinical provider to develop a personalized recovery plan to optimize pain control and reduce unnecessary exposure to opioid medications. (medpagetoday.com)
  • My clinical work has focused on serving underserved and underrepresented individuals with histories of severe mental health issues as well as chronic pain conditions. (ttu.edu)
  • Ecological validity and clinical utility of Patient-Reported Outcomes Measurement Information System (PROMISýý) instruments for detecting premenstrual symptoms of depression, anger, and fatigue. (nih.gov)
  • Those variations also explain why clinical studies concerning Endodontic pain may reach different conclusions. (aae.org)
  • Exacerbation of pain in teeth with vital pulps is often iatrogenic in nature and associated with specific clinical errors. (aae.org)
  • Page 2 of 10 telephone-based self-management support intervention for people with osteoarthritis that yielded modest improvements in pain and some aspects of physical function in a clinical trial (7). (cdc.gov)
  • He has extensive clinical, teaching, and research experience in addiction medicine and opioid use prescribed for non-cancer pain. (cdc.gov)
  • Chest Expansion measurement is a clinical measure to assess limitation of thoracic spine mobility. (cdc.gov)
  • The aim of this study was to use a visual analogue scale (VAS) to measure the adequacy of prehospital pain management. (nih.gov)
  • The visual analogue thermometer (VAT) and graphic numeric rating scale (GNRS) are frequently used self-report instruments for burn pain. (uu.nl)
  • However, subjective methods like Visual Analog Scale rating (VAS) and preliminary objective methods like pain evoked responses, behaviral monitoring and event related evoked potentials for cognition are currently in vogue. (who.int)
  • Faces Pain Rating Scale. (medscape.com)
  • On a scale of 0 to 10 where 0 is no pain or aching and 10 is pain or aching as bad as it can be, during the past 30 days, how bad was your joint pain on average? (cdc.gov)
  • Outcome measures: Oswestry disability questionnaire, a visual analogue pain scale (VAS), as well as left and right lateral lumbar flexion. (chiroindex.org)
  • The results support a larger scale study of static magnetic field application in chronic low back pain. (chiroindex.org)
  • Pain is rated on a scale from 0 to 10. (medpagetoday.com)
  • A visual analog scale to assess pain in pediatric patients. (npcrc.org)
  • This functionality would allow each scene to be classified according to a pain/consequence scale from 0 - Didn't hurt to 10 - Died, including levels for broken limbs, paraplegic and tetraplegic. (halfbakery.com)
  • The patients were assessed before their injections for their pain levels: visual analog scale, presence of lumbar paraspinal and sciatic notch sensitivity, pain with provocative maneuvers, motor weakness, and sensory loss. (elsevier.com)
  • The patients were then reassessed following their injection for their visual analog scale pain levels, percentage improvement, and duration of pain relief. (elsevier.com)
  • Monthly measurements were taken of pain intensity (0-10 scale), bothersomeness (days/month), and pain-related absence (days/month). (cdc.gov)
  • Data were collected using Visual Analogue Scale (VAS) adapted to four criteria: no pain, mild pain, moderate pain and severe pain. (bvsalud.org)
  • Pain intensity was measured using a numeric rating scale of no pain (0), mild (1 or 2), moderate (3-6), and severe (7-10). (who.int)
  • Identifying the best scale according to the patients profile may be a good start to minimize the progress of pain and its consequences for critical patients, but interventions and assessments must be a priority. (bvsalud.org)
  • Peripheral nerves are the source of almost all forms of neuropathic pain. (hindawi.com)
  • Neuropathic pain is a complex syndrome resulting from many different forms of peripheral nerve damage, such as traumatic nerve damage, diabetes, and infections, as well as immune system and metabolic diseases [ 6 ]. (hindawi.com)
  • [ 4 ] Because rapid swings from hypoglycemia to hyperglycemia have been suggested to induce and aggravate neuropathic pain, the stability of glycemic control may be as important as the actual level of control in relieving neuropathic pain. (medscape.com)
  • Many medications are available for the treatment of diabetic neuropathic pain. (medscape.com)
  • According to the 2011 guideline issued by the American Academy of Neurology (AAN), American Academy of Physical Medicine and Rehabilitation (AANEM) and the American Academy of Physical Medicine and Rehabilitation (AAPMR) guideline for the treatment of painful diabetic neuropathy (PDN), pregabalin is recommended for treatment of diabetic neuropathic pain. (medscape.com)
  • According to a Cochrane review evaluating gabapentin for chronic neuropathic pain and fibromyalgia, gabapentin leads to significant pain relief in patients with chronic neuropathic pain when compared with a placebo. (medscape.com)
  • 2) Another study of 652 patients, using a different methodology, determined that pretreatment pain is an important predictor of postoperative pain. (aae.org)
  • A diagnosis of symptomatic apical periodontitis was also a predictor of severe postoperative pain and pain was made worse by stress. (aae.org)
  • For example, there is increasing evidence that genetic factors, previous chronic pain conditions and the patient's level of anxiety and gender may play a role in patients' experience of postoperative pain. (aae.org)
  • Occlusal reduction should prevent postoperative pain in those patients whose teeth initially exhibit pulp vitality, percussion sensitivity, preoperative pain, and/or the absence of a periradicular radiolucency. (aae.org)
  • A psychometric evaluation of the Italian short version of the Fear of Pain Questionnaire-III: Psychometric properties, measurement invariance across gender, convergent, and discriminant validity. (bvsalud.org)
  • The three factors structure of the 13-item version of the questionnaire was confirmed (χ2 = 148.092, CFI = 0.971, TLI = 0.962, RMSEA = 0.046, RMSEA 90% CI = 0.037-0.056) as well as the measurement invariance across gender . (bvsalud.org)
  • A questionnaire incorporating a series of adjectives to describe the characteristics and intensity of pain. (npcrc.org)
  • Timepoint: The experimental group will complete the pain questionnaire one hour after the implementation of the training protocol and the use of ultrasound and 24 hours after that. (who.int)
  • The control group will complete the pain questionnaire one hour after the exercises and 24 hours later. (who.int)
  • Method of measurement: Pain Questionnaire (based on Van Korf). (who.int)
  • Data collection included a Household Interview questionnaire on Inflammatory Back Pain and SpA related conditions (ARQ_F) and also data for the HLA-B27 biomarker (B27_F_R) (Dillon & Hirsch, 2011). (cdc.gov)
  • Placebo treatments and opiate drugs are thought to have common effects on the opioid system and pain-related brain processes. (jneurosci.org)
  • We administered the opioid agonist remifentanil to human subjects during experimental thermal pain and manipulated participants' knowledge of drug delivery using an open-hidden design. (jneurosci.org)
  • These common mechanisms could lead to placebo-drug interactions, or beliefs and opioid analgesics could modulate pain through separate neurobiological processes when combined, leading to additive, dissociable effects. (jneurosci.org)
  • A critical component of this is educating patients about options for pain control and the potential risks of opioid use during and after surgery. (medpagetoday.com)
  • While we cannot entirely eliminate the pain that follows surgery, we can provide pain management that avoids unnecessary opioid exposure, thus reducing the risk for chronic opioid use. (medpagetoday.com)
  • In 2020, the Center of Pain Medicine will fuse with the SPINE ACE. (erasmusmc.nl)
  • Fast Five Quiz: Back and Neck Pain - Medscape - Jun 11, 2020. (medscape.com)
  • Maximum intensity of pain felt in the previous 24h according to sex and nursing records. (elsevier.es)
  • Provides information on the intensity of pain (the sensory dimension) as well as the degree to which pain interferes with function (the reactive dimension). (npcrc.org)
  • Objective: This study examined the effectiveness of a workplace health literacy intervention on pain intensity, bothersomeness of pain, and sickness absence. (cdc.gov)
  • From linear mixed models, pain intensity was reduced by -0.28 [95% confidence interval (CI) -0.52- -0.04] corresponding to a 7% reduction. (cdc.gov)
  • Based on pain intensity measurement, 72.2% of patients reported severe, 17.0% moderate, and 10.8% mild pain. (who.int)
  • Pain intensity and symptom frequency did not differ sig- nificantly by age, sex, and type of cancer. (who.int)
  • In NHANES 2009-2010, Arthritis Body Measurements were obtained as a part of a 2-year data collection effort to obtain U.S. prevalence estimates for certain Spondylarthritis (SpA) related conditions. (cdc.gov)
  • Data for the three arthritis body measurements were collected by the same trained Health Technicians who performed the NHANES anthropometric examinations: the three measures were included in the 2009-2010 NHANES anthropometry protocol because of their similarity to the body measures already being routinely obtained by NHANES. (cdc.gov)
  • In general, however, coresidence patterns accounted for small proportions of variance in pain interference, and the magnitudes of these effects varied widely according to patients' sex, age and diagnosis. (qub.ac.uk)
  • Consequently the individually targeted diagnosis of chronic pain in the peripheral facial nerves is a mostly neglected item in normal dental praxis even though this sensory disturbance in particular has a strong negative impact on the quality of life of those who are affected. (hindawi.com)
  • Tu P. Heel Pain: Diagnosis and Management. (medscape.com)
  • However, children may underreport their pain to avoid future injections or other procedures aimed at alleviating the pain. (medscape.com)
  • Nerve growth factor (NGF) and capsaicin intradermal injections were used as human pain models. (aau.dk)
  • Objective: To evaluate and determine whether demographic, comorbid factors, or physical examination findings may predict the outcome of caudal epidural steroid injections in managing patients with chronic low back pain and radiculopathy Summary of Background Data: The caudal epidural approach is commonly utilized with patients who are on anticoagulation or who have had prior lumbar surgery to treat L5 or S1 radiculopathies. (elsevier.com)
  • Severe joint pain and physical inactivity are common among adults with arthritis and are linked to poor mental and physical health outcomes. (cdc.gov)
  • In 2017, marked state-specific variations in prevalences of arthritis, severe joint pain, and physical inactivity were observed. (cdc.gov)
  • Physical inactivity was more prevalent among persons with severe joint pain than among those with less pain. (cdc.gov)
  • State-specific data support efforts to promote participation in arthritis-appropriate, evidence-based self-management education and physical activity programs, which can reduce pain, increase physical activity and function, and improve mood and quality of life. (cdc.gov)
  • Severe joint pain and physical inactivity are common among adults with arthritis and are linked to adverse mental and physical health effects and limitations ( 2 , 3 ). (cdc.gov)
  • CDC analyzed 2017 Behavioral Risk Factor Surveillance System (BRFSS) data to estimate current state-specific prevalence of arthritis and, among adults with arthritis, the prevalences of severe joint pain and physical inactivity. (cdc.gov)
  • Age-standardized,** state-specific prevalences of arthritis among adults aged ≥18 years, and of severe joint pain and physical inactivity among adults with arthritis, were calculated by selected characteristics. (cdc.gov)
  • The PROMIS Physical Function item bank was calibrated to a standardized metric and shown to improve measurement efficiency. (nih.gov)
  • Regarding physical examination findings, presence of pain with lumbar extension was negatively and significantly related to length of relief duration with a P-value of 0.0124. (elsevier.com)
  • The most of hospice-palliative care services that are often home- common physical or mental symptoms are pain, anorexia, based in nature and relatively limited to the size of fatigue, shortness of breath, anxiety, and nausea and the population" ( 14 ). (who.int)
  • In this study, we elucidate the possible causative role of chronic subclinical inflammation in jawbone of patients with atypical facial pain (AFP) and trigeminal neuralgia (TRN) in the local overexpression of the chemokine regulated on activation and normal T-cell expressed and secreted (RANTES/C-C motif ligand 5 CCL5). (hindawi.com)
  • Pain is also one of the hallmarks of inflammation. (hindawi.com)
  • Most dental procedures consist in eliminating acute inflammation in situations that do not feature typical signs of inflammation like pain and tissue swelling. (hindawi.com)
  • Acute pain usually comes on suddenly, because of a disease, injury, or inflammation. (medlineplus.gov)
  • Inflammation of one or both of these bursae can cause pain in the posterior heel and ankle regions. (medscape.com)
  • Survey results identified attitudes that may affect paramedics' pain management practice. (nih.gov)
  • It's a much-needed discussion that the Pain Management Best Practices Inter-Agency Task Force, a federal advisory committee established by the Comprehension Addiction and Recovery Act of 2016 , pushed for last May. (healthywomen.org)
  • To evaluate the adequacy of pain management in burn care, pain measurement is essential. (uu.nl)
  • Self-management strategies such as maintaining a healthy weight or being physically active can reduce arthritis pain and prevent or delay arthritis-related disability. (cdc.gov)
  • To analyse the prevalence and management of pain episodes, their evaluation and recording in internal medicine hospitalisation units in a third level public hospital of the regional health service of Castilla y León. (elsevier.es)
  • One essential component of ERAS is patient education, specifically on pain management. (medpagetoday.com)
  • It would also help to foster a productive dialogue about pain management and expectations to ensure patients are active participants in their recovery. (medpagetoday.com)
  • Methods: The quasi-experimental stepped-wedge cluster trial evaluated an intervention with two elements: (i) courses for employees and management to organize a joint foundation of knowledge about pain prevention and management with communication tools, and (ii) structured dialogs between employee and supervisor, to develop action plans to prevent and reduce pain. (cdc.gov)
  • Gabapentin and sodium valproate should also be considered for diabetic neuropathy pain management. (medscape.com)
  • Though the technology has advanced, still it is very difficult to objectively assess all the attributes of pain, including alteration in cognitive behaviour. (who.int)
  • The Joint Commission on Accreditation of Healthcare Organization in the United States has requirements for hospitals to have defined criteria to screen, assess, and reassess pain that are individualized with the patient's age, condition, and ability to comprehend. (medscape.com)
  • In non-human species, researchers often rely on changes in behavior to assess distress and pain perception. (vin.com)
  • The objective of this research was to identify online productions that address the strategies used by nurses to assess the pain in critically ill patients. (bvsalud.org)
  • The most powerful prescription pain relievers are opioids. (medlineplus.gov)
  • The rating should combine standard biofeedback measurements from people watching the video with standard measurements that can be mined from the video, (eg: body part x which has a hit point rating of y came into contact with an object that had z dimensions and a q surface and probably weighed w amount, at y miles per hour etc. (halfbakery.com)
  • For example, a biofeedback device may show you measurements of your muscle tension. (medlineplus.gov)
  • Biofeedback may help to control pain, including chronic headaches and back pain. (medlineplus.gov)
  • Patients reported pain severity at two points in time during treatment and transport by ambulance paramedics. (nih.gov)
  • The change in pain score was compared with a benchmark reduction of 20 mm that has been shown to correspond with the minimum clinically significant change in pain perception reported by patients. (nih.gov)
  • This prospective, observational study used a VAS to record pain severity among patients reporting pain who were transported to a hospital by paramedics. (nih.gov)
  • The ability to lead a quality and meaningful life where patients are able to engage in their everyday activities is often more important than managing the pain itself, although the two can undoubtedly impact one another. (healthywomen.org)
  • This can help researchers understand how effective treatments are at helping patients with acute or chronic pain return to their everyday lives, including at home, in their careers and in the general activities that give them joy and meaning. (healthywomen.org)
  • Research has found that 47% of physicians were likely to underestimate the pain of Black patients compared to 35% of physicians when treating non-Black patients. (healthywomen.org)
  • Relative effectiveness and adverse effects of cervical manipulation, mobilisation and the activator instrument in patients with sub-acute non-specific neck pain: results from a stopped randomised trial. (activator.com)
  • DISCUSSION: The findings suggest that fundamental components of patient's home-living environment may be associated with potential costs and benefits related to clinically relevant pain functioning for some subgroups of patients. (qub.ac.uk)
  • CONCLUSION: Further research that incorporates quantitative and qualitative assessments of patient pain functioning is warranted to better understand how objective and subjective characteristics of patients' home-living environment may inform the development of more individualized pain treatment options for patients with differing social circumstances. (qub.ac.uk)
  • The mean length of relief duration is 38.37 weeks for individuals without painful lumbar extension and 14.68 weeks for individuals with painful lumbar extension Conclusions: The mean length of relief following a caudal injection is reduced by 62% in patients who exhibit pain with lumbar extension. (elsevier.com)
  • There are other factors, some of which are less visible, that may also be predispose patients to pain. (aae.org)
  • Patients who received a negative response to a cold test, following a numb lip, were approximately 80% less likely to experience pain during endodontic treatment compared to subjects with soft tissue signs of anesthesia alone. (aae.org)
  • Thus, we hypothesize that the surgical clearing of FDOJ might diminish RANTES signaling pathways in neurons and contribute to resolving chronic neurological pain in AFP/TRN patients. (hindawi.com)
  • Morbidity is associated with progressive pain and limping (antalgic gait) in patients who have not received adequate treatment. (medscape.com)
  • Topical therapy with capsaicin or transdermal lidocaine may be useful in some patients, especially those with more localized pain or those in whom interactions with existing oral medications is a concern. (medscape.com)
  • Comparison of paraspinal cutaneous temperature measurements between subjects with and without chronic low back pain. (activator.com)
  • abstract = "BACKGROUND: Mixed associations have been observed between various aspects of 'social support' and patient pain experiences. (qub.ac.uk)
  • An analysis of 374 single-visit cases determined that the incidence of post-endodontic pain was significantly lower when the treated tooth was not a molar ( P =0.003), demonstrated periapical radiolucencies ( P = 0.003), had no history of previous pain or emergency endodontic treatment ( P =0.045) and had no occlusal contact ( P =0.0001). (aae.org)
  • Occlusal reduction is an evidence-based pain preventive strategy. (aae.org)
  • A recent randomized controlled study evaluated post-treatment endodontic pain following occlusal reduction of mandibular teeth diagnosed with symptomatic irreversible pulpitis and sensitivity to percussion. (aae.org)
  • Changes in pressure pain thresholds and Basal electromyographic activity after instrument-assisted spinal manipulative therapy in asymptomatic participants: a randomized, controlled trial. (activator.com)
  • New advances are needed in every area of pain research, from the micro perspective of molecular sciences to the macro perspective of behavioral and social sciences. (nih.gov)
  • Rohsenow and Marlatt, 1981 ) to test for potential interactions between expectations about treatment (placebo) and remifentanil on pain reports (see Materials and Methods, Behavioral experiment). (jneurosci.org)
  • Nevertheless, there is behavioral evidence of pain perception in invertebrates. (vin.com)
  • The following is a selection of tools for assessing pain and assessing and tracking the level of symptoms (some are patient reported). (npcrc.org)
  • The association between symptoms of mechanical low back pain and imaging results is weak. (medscape.com)
  • No/mild, moderate, and severe joint pain were defined by responses of 0-3, 4-6, and 7-10, respectively, to the question "Please think about the past 30 days, keeping in mind all of your joint pain or aching and whether or not you have taken medication. (cdc.gov)
  • This allowed us to test drug effects, expectancy (knowledge) effects, and their interactions on pain reports and pain-related responses in the brain. (jneurosci.org)
  • Pain involves responses in which both peripheral and central mechanisms contribute to the generation of pain. (aau.dk)
  • Other researchers have found that minority groups, especially older adults, tend to report higher prevalence of pain. (healthywomen.org)
  • Family Strain, Depression, and Somatic Amplification in Adults with Chronic Pain. (ttu.edu)
  • Women are also at higher risk for common chronic pain conditions, such as low back pain , migraine headaches , fibromyalgia and osteoarthritis . (healthywomen.org)
  • Background: Real time ultrasound imaging (RTUI) is used to measure transversus abdominis (TrA) thickness in low back pain (LBP) populations. (edu.au)
  • However, individuals with chronic low back pain (CLBP) pose specific imaging challenges, such as older age and higher body mass index, compared to asymptomatic populations or acute and sub-acute LBP groups. (edu.au)
  • Fifty-five percent of the workers reported pain, with 30% reporting back pain, 21% reporting upper extremity pain, 19% reporting lower extremity pain, and 10% reporting neck and shoulder pain. (cdc.gov)
  • Introduction: Chronic low back pain (CLBP) is one of the most common pain states seen in general medicine today. (chiroindex.org)
  • Inflammatory response following a short-term course of chiropractic treatment in subjects with and without chronic low back pain. (activator.com)
  • however, the principal findings, which are based upon low- to very-low-quality evidence, suggest that SMT does not provide a more clinically beneficial effect compared with sham, passive modalities or any other intervention for treatment of chronic low-back pain. (springer.com)
  • Low-back pain (LBP) is a common and disabling disorder in western society, which represents a great financial burden in the form of direct costs resulting from loss of work and medical expenses, as well as indirect costs [ 28 , 29 , 76 ]. (springer.com)
  • Mechanical low back pain can result from an acute traumatic event, but it may also be caused by cumulative trauma. (medscape.com)
  • Interruption in bowel or bladder function should be a reminder to consider more serious causes of back pain such as major disk herniation, a tumor, infection, or fracture. (medscape.com)
  • Although current back or spinal pain was not a specific exclusion, the Health Technicians used their discretion to obtain the Arthritis Body Measures when a participant had current spinal or back pain. (cdc.gov)
  • In examining pain through a biopsychosocial lens , which looks at how biological, psychological and social factors impact health , illness and treatment, one can see the many elements that impact a patient's personal understanding of pain. (healthywomen.org)
  • During a nerve block, anesthesia clinicians place local anesthesia near specific nerves to decrease pain in a particular region of a patient's body. (medpagetoday.com)
  • This will improve the quality of study methods, reliability of TrA measurement, and improve the applicability and comparibility of research evidence available to clinicians. (edu.au)
  • Future research should consider variables like time interval since the pain event and its measurement in addition to the frequency of the remembered experience. (bvsalud.org)
  • [ 5 ] Much effort has been put forth in evaluating and improving self-report methodology within the field of human pain research. (medscape.com)
  • Under each of the sections below is a selection of measurement and evaluation tools for conducting palliative care research. (npcrc.org)
  • Pain research at the Erasmus MC covers a broad area of epidemiologic research to unravel the pathophysiology of pain, as well as research that focuses on the development and improvement of diagnostics and therapeutics. (erasmusmc.nl)
  • Historically, pain research has been very well developed at the Erasmus MC. (erasmusmc.nl)
  • Although cooperation between individual departments is already well-developed, we expect that this increased cooperation within the Academic Center of Excellence will create benefits by bringing together experts from different fields of pain research within the Erasmus MC, creating a synergistic effect and bringing the pain research to an even higher level. (erasmusmc.nl)
  • Board membership in the International Research Consortium for CRPS (an organization with more than 70 individual members and 40 participating research sites, founded in 2015 to directly and indirectly facilitate and support research on Complex Regional Pain Syndrome). (erasmusmc.nl)
  • Research suggests that acupuncture can help manage certain pain conditions. (medlineplus.gov)
  • When a patient reports their level of pain, which is generally subjective, their concept of pain will likely be impacted by a number of internal and external factors. (healthywomen.org)
  • [ 4 ] Pain is a subjective and unique perceptual experience with multiple dimensions that may not be directly observed by others or measured by physiological tests. (medscape.com)
  • Profound local anesthesia is of prime importance in a pain prevention strategy. (aae.org)
  • activates nerves that cause pain (BROWNING et al. (bvsalud.org)
  • Measurement of pain in infants and children / editors G. Allen Finley, Patrick J. McGrath. (who.int)
  • The probability of experiencing moderate or severe pain was higher in mandibular teeth ( P =0.045) and decreased in males ( P =0.007). (aae.org)
  • Surgery can sometimes be necessary to treat severe pain, especially when it is caused by back problems or serious musculoskeletal injuries. (medlineplus.gov)
  • OBJECTIVE: To explore the possibility that more basic social factors, namely coresidence patterns, may be associated with variability in patient pain experiences. (qub.ac.uk)
  • Interference of pain in everyday activities according to sex and age group. (elsevier.es)
  • RESULTS: After controlling for sex, age and behavioural risks, compared with living alone, coresidence with an intimate affiliate (eg, spouse, relative) predicted greater pain interference (Cohen's d = 0.10 to 1.72), and coresidence with a less intimate type of affiliate (eg, friend, paid help) predicted lower pain interference (Cohen's d = -0.21 to -0.83). (qub.ac.uk)
  • accurate measurement of short intervals of time by means of a chronoscope. (faqs.org)
  • Inaccurate measurement control or failure to maintain an accurate measurement often result in pericementitis and pain. (aae.org)
  • Objectives: This review describes the methodologies and reported reliability for RTUI measurement of TrA specific to CLBP populations. (edu.au)
  • SMBG includes, however, unavoidable pain problems resulting from the repetitive measurements. (spie.org)
  • Acute trigeminal pain is unavoidable given our interaction with dental decay, but it is just the tip of a disease iceberg. (hindawi.com)
  • Although great strides have been made in some areas, such as the identification of neural pathways of pain, the experience of pain and the challenge of treatment have remained uniquely individual and unsolved. (nih.gov)
  • In it, they called for researchers, stakeholders, legislators and other key audiences to strongly consider function when developing effective pain treatment plans. (healthywomen.org)
  • quantify pain, measure treatment response and improve patient outcomes also needs further investigation. (oslomet.no)
  • 1, 2 From a systemic point of view, measurements of lactate and ammonia performed during and after bicycle exercise have shown increased rates of clearance from the blood after exercise 3, 4 as the result of CM treatment, and an effect on acid-base balance has been reported at hepatic and renal levels. (bmj.com)
  • Postexposure prophylactic treatment with a third-generation smallpox vaccine and antiviral agent tecovirimat inhibited local virus spread and alleviated lesion pain. (cdc.gov)
  • In the past, pain was considered synonymous with Endodontic treatment. (aae.org)
  • This is no longer true, as treatment can now be predictably provided without significant intra or post-operative pain. (aae.org)
  • Control of pain and the inflammatory process: Pain treatment should be initiated early and efficiently to gain control. (medscape.com)
  • These challenges potentially increase measurement error and may require different imaging methods. (edu.au)
  • Methods for patient and transducer positioning and muscle measurement were inconsistent between studies. (edu.au)
  • Participants were asked daily for a week if they experienced muscle pain. (hig.se)
  • Participants had better perceived helpfulness ratings than their counterparts if they were nonwhite, had limited health literacy, had no college education, had perceived inadequate income, were older, had a spouse or were living together in a committed relationship, and had greater symptom duration and less pain. (cdc.gov)
  • Measurements were obtained on all participants who were able to stand unassisted, even if only for a short period of time (e.g. those using wheelchairs). (cdc.gov)
  • Of these 10 interventions, 5 (50%) supported symptom monitoring by capturing real-time data using health applications, electronic diaries, or web-based portals to monitor pain or health-related quality of life (HRQoL). (jmir.org)
  • Humans evolved the mechanisms to perceive and respond to pain in order to be aware of and react to injury. (medscape.com)
  • Chronic facial pain can also be related to the temporomandibular joint (TMJ) and can be due to involvement of the cervical plexus [ 3 ]. (hindawi.com)
  • In a biological sense, recent studies determined that women were more likely to report pain than men (at the time of the findings), and that women non-Hispanic white and non-Hispanic Black women were also more likely to report pain that was 'persistent and bothersome. (healthywomen.org)
  • Different terms have been used to describe atypical facial pain (AFP) such as atypical odontalgia (AO, also known phantom tooth pain), psychogenic toothache, and persistent dentoalveolar pain disorder [ 4 ]. (hindawi.com)
  • International associations for the study of pain have adopted the term "persistent idiopathic facial pain" (PIFP) to replace AFP [ 5 ]. (hindawi.com)
  • The mean initial (T0) pain score for the no-analgesia group was 54.5+/-24.7 mm [+/-SD], with the mean value for the change in VAS (T0-Tend) = 10.6 mm (median = 5 mm, 95% CI = 6.4-14.8 mm). (nih.gov)
  • There were no specific medical, safety, or other exclusions for the Arthritis Body Measurement protocol. (cdc.gov)
  • This study aims to examine possible differences in remembered-pain measurement in school-age children, considering gender and age as variables. (bvsalud.org)
  • Regions associated with pain processing showed drug-induced modulation during both Open and Hidden conditions, with no differences in drug effects as a function of expectation. (jneurosci.org)
  • Results: Metabolic variables measured twice before CM ingestion showed no differences, indicating good reproducibility of measurements and no learning effect from repeating the exercise protocol. (bmj.com)
  • The etiology of chronic facial pain is challenging to diagnose and difficult or frustrating to treat. (hindawi.com)