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Journal articles on the topic "Chronic pain Patients":
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Alanazi, Mohammed Jumah, Rayan Abdullah Abdulaziz Al Angari, Nadia Ahmed Abo shreea, Amal Saleem Aldlhan, Sara Dkheel Alenazi, Abdullah Mohammed Albaiz, Amal Hadi Hakmi, et al. "Sleep Quality in Chronic Neck Pain Patients." International Journal Of Pharmaceutical And Bio-Medical Science 02, no. 12 (December 16, 2022): 619–26. http://dx.doi.org/10.47191/ijpbms/v2-i12-08.
Introduction: Neck Pain (NP) is a significant public health issue. Many people's social and economic participation is harmed as a result of NP. Patients with this condition frequently complain of fatigue and pain. Both can disrupt patients' daily lives by affecting their sleep quality, which can lead to psychological issues. However, the prevalence of fatigue and its relationship with pain, sleep quality, and psychological factors in NP patients has not been thoroughly investigated. Aim: To investigate the prevalence of fatigue and its relationship to pain intensity, depression, anxiety, and sleep disturbance in NP patients. Materials and Methods: Between March and November 2019, a cross-sectional study of 296 NP patients with a mean age of 37.2 years (181 males and 115 females) was conducted. It was held at the Physiotherapy Department. To assess fatigue, depression and anxiety, sleep quality, and pain intensity, the Multidimensional Fatigue Inventory (MFI), Hospital Anxiety and Depression Scale (HADS), Pittsburgh Sleep Quality Index (PSQI), and Numeric Pain Rating Scale (NPRS) were used. For analysis, Spearman's rank correlation coefficient and the Mann-Whitney U test were used. Results: The participants' point prevalence of severe fatigue was 39.86%. Pain intensity, psychological factors, and sleep quality were all associated with fatigue (p0.05). In this sample, we also found a significant relationship between sleep quality and psychological factors (p0.05). Conclusion: Fatigue was a significant factor in NP patients, and it was linked to pain intensity, depression, anxiety, and sleep disturbance. Fatigue was more prevalent in the chronic stage of NP than in the acute stage. Identifying these risk factors may aid in the prevention and management of NP and its associated co-morbidities
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Vats, Ashok, and Chandnani Anup S. "Psychosomatic Evaluation of Chronic Pain in Patients with Malignancy and Non Malignant Pain." Indian Journal of Anesthesia and Analgesia 4, no. 2 (Part-2) (2017): 405–8. http://dx.doi.org/10.21088/ijaa.2349.8471.42(pt-ii)17.7.
Dorfman, David, and Marco Pappagallo. "Patients With Chronic Pain." Topics in Pain Management 26, no. 2 (September 2010): 1–6. http://dx.doi.org/10.1097/01.tpm.0000388147.41393.0b.
Salama-Hanna, Joseph, and Grace Chen. "Patients with Chronic Pain." Medical Clinics of North America 97, no. 6 (November 2013): 1201–15. http://dx.doi.org/10.1016/j.mcna.2013.07.005.
Vadher, Dr Ekta Vinubhai. "Role of Magnetic Resonace Imaging in Patients with Chronic Wrist Pain." Journal of Medical Science And clinical Research 05, no. 06 (June 19, 2017): 23570–75. http://dx.doi.org/10.18535/jmscr/v5i6.126.
Barnard, David. "“Camp Pain”: Talking with Chronic Pain Patients." Journal of Health Politics, Policy and Law 26, no. 4 (August 2001): 794–98. http://dx.doi.org/10.1215/03616878-26-4-794.
Dissertations / Theses on the topic "Chronic pain Patients":
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Guy, Lynette M. "The Meanings of Chronic Pain: Chronic Pain as a 'Biographical Disruption'." Thesis, Griffith University, 2006. http://hdl.handle.net/10072/368083.
Understanding the meaning that the patient makes of their pain is critical to the effective management of chronic pain. Not only do individual patients with chronic pain have difficulty coping with changes to their bodies and to their way of living, in many cases they also face a future of uncertainty and increasing disability. Over time, having chronic unrelenting pain can bring about a loss of self-identity and self-esteem, with threats to future vocational or career prospects. This has the potential to disrupt previous biographical plans and aspirations, to create a 'biographical disruption', in sociological terms. Full appreciation of the biological, the psychological and social influences on the patient, the biopsychosocial perspective, is important, therefore, to the successful management of those with chronic pain. In current times, when an aging workforce and increasing numbers of disabled adults are placing increased burden on social structures and insurance schemes, successful management of chronic pain is becoming even more important. This study set out to investigate these factors amongst patients and professionals dealing with this condition. Analysis of data from in-depth interviews with treating practitioners and patients in relation to their perceptions of 'success' in pain management, and 'barriers to success' supported the emergence of three distinct patient groups. Patient outcomes were defined in the form of a patient typology, described as: 'Disempowered': those who were disempowered, depressed and remaining dependent upon social benefits and ongoing health care, with a 'disappearing
biography'; 'Empowered': patients who were socially mobile, able to become empowered and 'reclaiming a biography'; and 'Seeking revenge': those seeking validation of their injury, remaining angry and intent on revenge, seeking to regain their 'stolen biography'. These interpretations were a product of interactions with others, which included treating practitioners, insurance company and rehabilitation personnel. The findings of this qualitative study provide original and significant application and elaboration of the concept of 'biographical disruption' to chronic pain management. Findings from this research suggest that social factors have previously been underestimated as determinants of successful outcomes in relation to pain management. Rather than biological and psychological factors, social factors were identified as playing a major role in the development and maintenance of disability, pain and dysfunction in this population. Thesis (PhD Doctorate) Doctor of Philosophy (PhD) School of Public Health Full Text
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Nippert, Amy Ruth. "The Expression of Chronic Pain: A Multimodal Analysis of Chronic Pain Patients." Thesis, The University of Arizona, 2015. http://hdl.handle.net/10150/579321.
There is currently no viable objective methods to validate a patient is suffering from chronic pain. In order to investigate the face and voice of chronic pain, a pilot analysis was run using publicly available videos from a dental clinic and neurology clinic. The stimuli include patients discussing their pain in addition to segments where the patients discuss how they feel after an efficacious pain-relieving procedure. The patients in the videos suffer from sciatic pain or pain from temporomandibular joint disorder (TMD) and are real patients who have undergone a physical examination. The relevant sections from the clips were coded using a manual FACs, and a pilot stimulus was run using layered vocal analysis (LVA) software provided by Nemesysco. The results of this experiment provide valuable and applicable insight into the expression of chronic pain. This may be helpful in determining true pain patients from drug and attention-seeking individuals. In addition, these methodologies could provide a way to examine pain in individuals that may not be able to express themselves, including patients with mental disorders. The insights from this experiment suggest that these analytic methods may be applicable for additional study and possible implementation in a medical setting.
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McDermid, Ann J. "Generalized hypervigilance in chronic pain patients." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/NQ58407.pdf.
Markham, Jennifer Rose. "Coping styles of chronic pain patients for both acute and chronic pain experiences." Case Western Reserve University School of Graduate Studies / OhioLINK, 1994. http://rave.ohiolink.edu/etdc/view?acc_num=case1057682099.
Wartolowska, Karolina. "Understanding patn processing in chronic pain patients using neuroimaging tools." Thesis, University of Oxford, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.526128.
Mahon, Mary L. "Pain perception in chronic pain patients : a signal detection analysis." Thesis, University of British Columbia, 1991. http://hdl.handle.net/2429/31127.
The purpose of this investigation was to examine the supposition that chronic pain patients (CPPs) have altered pain perception. Two models were examined that led to opposing predictions as to how CPPs would respond to painful stimuli (i.e., the hypervigilance and adaptation-level models). Both predictions have been supported by past research but because of methodological variation and the type of pain disorder studied, it has remained unclear under what circumstances the predictions of these two models may be met.
The responses of pain patients to painful stimuli have been found to vary for patients-with different clinical presentations (i.e. those with and without medically incongruent signs and symptoms). Therefore, the present investigation sought to compare the responses to radiant heat stimuli of sixty CPPs (thirty with and thirty without a medically incongruent pain presentation) to thirty age and sex matched normal control subjects (i.e., pain-tree individuals). Signal detection theory methodology was used in order to separately evaluate sensory sensitivity and the response bias to report sensations as painful. In addition, cognitive and affective factors were assessed in order to identity potential psychological correlates of altered pain perception.
The results of this study indicated that the presence of a medically incongruent pain presentation distinguished patients on their subjective report of disability and to a lesser extent cognitive appraisal and affective distress regarding their pain condition. They did not differ in their responses to painful stimuli. In a post hoc analysis where CPPs were classified into 'organic' and 'functional’ diagnostic groups, significant differences in pain threshold and the response bias to report pain were found. Patients classified as 'organic' had significantly higher pain thresholds compared to normal control subjects and patients classified as 'functional'. Differences in pain threshold were primarily represented by the response' bias to report sensations as painful rather than sensory sensitivity to the stimuli. The 'functional' group had a slightly lower pain threshold than the normal control group but this difference was not significant. The results are discussed in light of the two models of pain perception. The two methods used to classify pain patients are discussed according to their orthogonal characteristics on sensory, cognitive, and affective components. Arts, Faculty of Psychology, Department of Graduate
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Perry, Mark Paul. "Does age moderate self-pain enmeshment in chronic pain patients?" Thesis, University of Leeds, 2013. http://etheses.whiterose.ac.uk/5505/.
Research has demonstrated that chronic pain can compromise identity by becoming enmeshed and centralised with pain. Pain-identity enmeshment and pain-identity centrality are associated with greater affective distress and poorer chronic pain adjustment. However, the literature infers differences between older and younger individuals in terms of pain adjustment, whereby older adults perceive pain as concomitant of aging and experience this as less biographically disruptive and perceive themselves to be younger than their chronological age, which is associated with greater psychological wellbeing. Research has yet to explore the relationship between perceived age and pain-identity enmeshment and adjustment in chronic pain. The purpose of this research was to investigate age in relation to pain-identity enmeshment and centrality and to examine the predictive value of age in pain adjustment. 90 patients with osteoarthritis (OA) and chronic pain were recruited from a musculoskeletal service. Participants completed standardised measures of pain intensity and perceived control (VAS), pain severity and interference (BPI), acceptance (CPAQ), identity (CES, Possible Selves Interviews), affective distress (HADS), and catastrophising (PCS) and provided information regarding their perceived age. Statistical analysis included; correlation, chi square, analysis of variance and linear regression to investigate potential age differences. Chronological age evidenced few significant relationships with variables of pain adjustment and identity. Perceived age evidenced significant relationships with all variables of adjustment and identity, however, did not statistically predict chronic pain adjustment. However, hoped-for proximity and centrality significantly predicted chronic pain adjustment. The CES demonstrated significant relatedness to enmeshment, although effect sizes were small. Therefore, it appears possible that an individual may experience pain becoming central to their identity yet remain un-enmeshed with pain. These findings indicate the necessity to assess hoped-for proximity and centrality in chronic pain populations across all age groups. This research indicates the potential for incorrectly perceiving expectedness and adjustment ease in old age. The implications of these findings are explored, in conjunction with the limitations of this research and potential areas for further research.
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Bonathan, C. J. "How do patients understand chronic orofacial pain?" Thesis, University College London (University of London), 2011. http://discovery.ucl.ac.uk/1329456/.
Part one of this volume presents a review of the literature on the relationship between chronic pain and socioeconomic status. It examines the evidence supporting the association and considers the psychological meaning of the findings. Part two consists of a qualitative empirical paper which samples patients with chronic orofacial pain to explore their understanding of their pain and their beliefs and fears about the causes and maintenance of their pain, both before and after an initial consultation at a specialist pain clinic. The final section is a critical appraisal of conducting this thesis. It contains a personal reflection of conducting both the literature review and empirical paper and describes some of the obstacles encountered during the process.
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Kellen, Rebecca Margaret. "Sleep Patterns and Chronic Pain." Thesis, University of North Texas, 1991. https://digital.library.unt.edu/ark:/67531/metadc500658/.
Sleep, emotions and pain are intimately connected,
physiologically, by their location and utilization of the
same brain centers and neurotransmitters. Sleep disturbances
have been clinically observed in chronic pain populations;
yet, no treatment program has formally addressed this aspect
of patient care. It is hypothesized that a pain population
(PN) will differ significantly from a non-injured workforce
(WF) when reviewing quantitative and qualitative sleep data.
This study strongly supports that sleep disturbances and
socioeconomic decrements exist in chronic pain patients.
Forty-seven variables were surveyed and 13 were found to show
significant differences between the groups and seven were
found to discriminate between the PN and WF groups at less than the .0001 level. A discriminant analysis was performed to determine the smallest model which could efficiently classify cases, according to successive root variables. The major discriminators are pain levels, medication, amount of sleep obtained and number of awakenings.
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Murry, Joe Mitchell. "Ethnicity and Cognitive Complexity of Chronic Pain Patients." Thesis, University of North Texas, 1990. https://digital.library.unt.edu/ark:/67531/metadc332535/.
Sixty subjects divided equally among Anglo-Americans, Black Americans, and Hispanic Americans participated in the study. They were classified as chronic pain patients by medical diagnosis and duration of pain. They were drawing Workers' Compensation and were all blue-collar workers from the Dallas-Fort Worth area. Cognitive complexity is a measure of individuals' ability to construe their feelings, events of their lives, and their world in a meaningful manner. Cognitive complexity appeared to differ among the cultural groups as indicated by significantly different functionally independent construct scores. Anglo-Americans appeared to have a greater internal complexity than did Black Americans and Hispanic Americans.
Darnall, Beth D. Psychological treatment for patients with chronic pain. Washington: American Psychological Association, 2019. http://dx.doi.org/10.1037/0000104-000.
Taylor, Donald R. Managing Patients with Chronic Pain and Opioid Addiction. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-08111-3.
Book chapters on the topic "Chronic pain Patients":
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Derbyshire, Stuart. "Chronic Pain Patients." In Encyclopedia of Behavioral Medicine, 407–9. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4419-1005-9_859.
Derbyshire, Stuart. "Chronic Pain Patients." In Encyclopedia of Behavioral Medicine, 1–3. New York, NY: Springer New York, 2019. http://dx.doi.org/10.1007/978-1-4614-6439-6_859-2.
Dobmeyer, Anne C. "Chronic pain." In Psychological treatment of medical patients in integrated primary care., 121–39. Washington: American Psychological Association, 2018. http://dx.doi.org/10.1037/0000051-009.
Marcus, Dawn A. "Summary of Pain Management Issues: Frequent Concerns in Treating Chronic Pain Patients." In Chronic Pain, 11–13. Totowa, NJ: Humana Press, 2009. http://dx.doi.org/10.1007/978-1-60327-465-4_2.
Thomas, Michael R., and Ranjan Roy. "Families of Chronic Pain Patients." In The Changing Nature of Pain Complaints over the Lifespan, 123–40. Boston, MA: Springer US, 1999. http://dx.doi.org/10.1007/978-1-4899-1890-1_7.
Robinson, Patricia, Rikard K. Wicksell, and Gunnar L. Olsson. "ACT with Chronic Pain Patients." In A Practical Guide to Acceptance and Commitment Therapy, 315–45. Boston, MA: Springer US, 2004. http://dx.doi.org/10.1007/978-0-387-23369-7_13.
Higgins, Lindsay R., Whitney K. Braddy, Michael S. Higgins, and Alan David Kaye. "Chronic Pain in Trauma Patients." In Anesthesia for Trauma, 131–43. New York, NY: Springer New York, 2014. http://dx.doi.org/10.1007/978-1-4939-0909-4_7.
Thillainathan, Vijay, Adam Young, and Asokumar Buvanendran. "Chronic Pain in Geriatric Patients." In Manual of Geriatric Anesthesia, 157–72. New York, NY: Springer New York, 2012. http://dx.doi.org/10.1007/978-1-4614-3888-5_11.
Taylor, Donald R. "Introduction to chronic pain." In Managing Patients with Chronic Pain and Opioid Addiction, 3–17. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-08111-3_2.
Conference papers on the topic "Chronic pain Patients":
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Walid, Feki, Chaabouni Malek, Ketata Wajdi, Moussa Nadia, Bahloul Najla, Msaad Sameh, Kotti Amina, et al. "Chronic pain in patients with chronic obstructive pulmonary disease." In ERS International Congress 2018 abstracts. European Respiratory Society, 2018. http://dx.doi.org/10.1183/13993003.congress-2018.pa4012.
Listik, Clarice, Eduardo Listik, Jorge Dornellys Lapa, Graziele Costa Santos, Fabricio Vianna do Vale, Rubens Gisbert Cury, Manoel Jacobsen Teixeira, et al. "Classifying pain in dystonia: a way to improve pain outcome measure in dystonia." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.250.
Background: Pain is a frequent and incapacitating non-motor symptom in dystonia. Evidence indicates that pain in dystonia is not only of muscular origin, but pain’s descending modulatory systems are impaired in dystonia. There is much to be learned about this topic. Still, we do not have a simple and straightforward way to classify, evaluate pain, and assess its improvement after pharmacological, surgical, and non-invasive treatments. Objective: To improve the classification system for pain in dystonia. Design and setting: This are the preliminary results of a multicentric study that at this moment selects patients in the Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo and in the Hospital Sao Paulo da Universidade Federal de São Paulo. Methods: We evaluated 36 patients with hereditary/idiopathic dystonia of any distribution. These results are preliminary finds of this multicentric assessment. We applied the Burke-Fahn-Marsden (BFM) dystonia scale, two pain scales (Douleur Neuropathique - DN4 and the short-form Brief Pain Inventory - BPI), and our developed classification system. Results: Patients (54.9 ± 14.6 years, 41.7% male) had a BFM motor and disability subscores of 17.6 ± 6.8 and 4.5 ± 5.7, respectively, and 15 patients (41.7%) had chronic pain. Four patients had chronic pain non-related to dystonia, and 11 patients had chronic pain directly related to dystonia. Six patients had a second chronic pain, one of which was aggravated by dystonia, and five were directly associated with dystonia. DN4 was 2.1 ± 1.9, and BPI pain severity 5.2 ± 2.0 interference 5.0 ± 3.2. Conclusions: Chronic pain is prevalent in dystonic patients and is frequently directly related to dystonia.
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Rubins, Uldis, Zbignevs Marcinkevics, Inara Logina, Andris Grabovskis, and Edgars Kviesis-Kipge. "Imaging photoplethysmography for assessment of chronic pain patients." In Optical Diagnostics and Sensing XIX: Toward Point-of-Care Diagnostics, edited by Gerard L. Coté. SPIE, 2019. http://dx.doi.org/10.1117/12.2508393.
Verimli, Arif, Ahmet Türkcan, and Serdar Erdine. "THE PSYCHIATRIC SYMPTOMS IN PATIENTS WITH CHRONIC PAIN." In IX World Congress of Psychiatry. WORLD SCIENTIFIC, 1994. http://dx.doi.org/10.1142/9789814440912_0175.
Gamayanti, Witrin, A. Amalia, and Mursidin Mursidin. "Mindfulness and Pain Catastrophizing on Chronic Disease Patients." In Proceedings of the 1st International Conference on Social Science, Humanities, Education and Society Development, ICONS 2020, 30 November, Tegal, Indonesia. EAI, 2021. http://dx.doi.org/10.4108/eai.30-11-2020.2303767.
Novitasari, Elisa, RB Soemanto, and Hanung Prasetya. "Acupuncture Therapy in Reducing Pain in Patients with Low Back Pain: Meta Analysis." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.05.43.
ABSTRACT Background: With growing evidence of high prevalence in developing countries, LBP is no longer recognized as a disorder confined to high-income nations but is a major health problem globally. The functional limitations and consequent disability create a heavy economic burden on individuals and society. This study aimed to acupuncture therapy in reducing pain in patients with low back pain. Subjects and Method: A meta-analysis and systematic review was conducted by search published articles from PubMed, Google Schoolar, Mendeley, Hindawi, and Clinical key databases. Keywords used “acupuncture low back pain” OR “acupuncture chronic pain” AND “efficacy acupuncture” AND “chronic low back pain” AND “effect acupuncture for low back pain” AND “randomized controlled trial” AND “visual analogue scale”. The inclusion criteria were full text and using randomized controlled trial (RCT) study design. The articles were selected by PRISMA flow chart and the quantitative data were analyzed by Revman 5.3. Results: 7 studies were met criteria. This study showed that acupuncture therapy reduced pain in patients with low back pain (Mean Difference= -0.40; 95% CI= -0.80 to 0.01; p= 0.05) with heterogeneity I2= 83%. Conclusion: Acupuncture therapy reduces pain in patients with low back pain. Keywords: low back pain, acupuncture chronic low back pain, randomized controlled trial. Correspondence: Elisa Novitasari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: elisanovita58@gmail.com. Mobile: 085727851938. DOI: https://doi.org/10.26911/the7thicph.05.43
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Bogdanovych, Anton, and Alwin Chuan. "The Island of Pain: a Virtual Reality Experience for Patients with Chronic Pain." In SA '20: SIGGRAPH Asia 2020. New York, NY, USA: ACM, 2020. http://dx.doi.org/10.1145/3415256.3421493.
Yerosimou, F., E. Papageorgiou, S. Terzi, P. Grigoriadou, and S. Anisoglou. "B365 Association between referral to pain centers and death in chronic pain cancer patients." In ESRA Abstracts, 39th Annual ESRA Congress, 22–25 June 2022. BMJ Publishing Group Ltd, 2022. http://dx.doi.org/10.1136/rapm-2022-esra.441.
Nogueira, Maria Rita, Bruno Patrao, Paulo Menezes, Sergio Carvalho, and Paula Castilho. "ACTwithpain - Building an online platform for helping Chronic Pain Patients." In 2019 5th Experiment Conference (exp.at'19). IEEE, 2019. http://dx.doi.org/10.1109/expat.2019.8876487.
Hussain, Nadia, Amira SA, and Amal H. I. Al Haddad. "Options for Interventional Radiology in Patients Experiencing Neuropathic Chronic Pain." In Presentation Abstracts. Thieme Medical and Scientific Publishers Pvt. Ltd., 2021. http://dx.doi.org/10.1055/s-0041-1740842.
Campbell, Cynthia, Constance Weisner, Andrea Kline-Simon, Sara Adams, Andrea Rubinstein, and Monique Does. Testing a Program to Increase Patient Activation Among Patients Prescribed Opioid Medicine for Chronic Pain. Patient-Centered Outcomes Research Institute® (PCORI), October 2019. http://dx.doi.org/10.25302/10.2019.ihs.131008734.
Spiegel, Brennan, Itai Danovitch, Teresa Dean, Teryl Nuckols, Garth Fuller, Xiaoyu Liu, Taylor Dupuy, et al. Comparing Two Approaches to Help Patients and Doctors Talk about Chronic Pain Treatments -- Voices in Pain Care. Patient-Centered Outcomes Research Institute® (PCORI), April 2022. http://dx.doi.org/10.25302/04.2022.cdr.160234521.
Islam, KM, Apar Kishor Ganti, June Ryan, Mehmet Sitki Copur, Addition Tolentino, Heidi McKean, Irfan Vaziri, Ann Fetrick, Trisari Anggondowati1, and Poppy Deviany1. Evaluating a Program to Lower Prescription Opioid Doses for Patients With Chronic Pain. Patient-Centered Outcomes Research Institute® (PCORI), March 2020. http://dx.doi.org/10.25302/02.2020.ce.12114351.
Von Korff, Michael, Sascha Dublin, Ryan Hansen, Evette Ludman, Michael Parchman, Katie Saunders, Karen Sherman, et al. Evaluating a Program to Lower Prescription Opioid Doses for Patients With Chronic Pain. Patient-Centered Outcomes Research Institute® (PCORI), May 2020. http://dx.doi.org/10.25302/02.2020.ihs.130602198.
Chou, Roger, Rongwei Fu, Tracy Dana, Miranda Pappas, Erica Hart, and Kimberly M. Mauer. Interventional Treatments for Acute and Chronic Pain: Systematic Review. Agency for Healthcare Research and Quality (AHRQ), September 2021. http://dx.doi.org/10.23970/ahrqepccer247.
Objective. To evaluate the benefits and harms of selected interventional procedures for acute and chronic pain that are not currently covered by the Centers for Medicare & Medicaid Services (CMS) but are relevant for and have potential utility for use in the Medicare population, or that are covered by CMS but for which there is important uncertainty or controversy regarding use. Data sources. Electronic databases (Ovid® MEDLINE®, PsycINFO®, the Cochrane Central Register of Controlled Trials, and the Cochrane Database of Systematic Reviews) to April 12, 2021, reference lists, and submissions in response to a Federal Register notice. Review methods. Using predefined criteria and dual review, we selected randomized controlled trials (RCTs) for 10 interventional procedures and conditions that evaluated pain, function, health status, quality of life, medication use, and harms. Random effects meta-analysis was conducted for vertebral compression fracture; otherwise, outcomes were synthesized qualitatively. Effects were classified as small, moderate, or large using previously defined criteria. Results. Thirty-seven randomized trials (in 48 publications) were included. Vertebroplasty (13 trials) is probably more effective at reducing pain and improving function in older (>65 years of age) patients, but benefits are small (less than 1 point on a 10-point pain scale). Benefits appear smaller (but still present) in sham-controlled (5 trials) compared with usual care controlled trials (8 trials) and larger in trials of patients with more acute symptoms; however, testing for subgroup effects was limited by imprecision. Vertebroplasty is probably not associated with increased risk of incident vertebral fracture (10 trials). Kyphoplasty (2 trials) is probably more effective than usual care for pain and function in older patients with vertebral compression fracture at up to 1 month (moderate to large benefits) and may be more effective at >1 month to ≥1 year (small to moderate benefits) but has not been compared against sham therapy. Evidence on kyphoplasty and risk of incident fracture was conflicting. In younger (below age for Medicare eligibility) populations, cooled radiofrequency denervation for sacroiliac pain (2 trials) is probably more effective for pain and function versus sham at 1 and 3 months (moderate to large benefits). Cooled radiofrequency for presumed facet joint pain may be similarly effective versus conventional radiofrequency, and piriformis injection with corticosteroid for piriformis syndrome may be more effective than sham injection for pain. For the other interventional procedures and conditions addressed, evidence was too limited to determine benefits and harms. Conclusions. Vertebroplasty is probably effective at reducing pain and improving function in older patients with vertebral compression fractures; benefits are small but similar to other therapies recommended for pain. Evidence was too limited to separate effects of control type and symptom acuity on effectiveness of vertebroplasty. Kyphoplasty has not been compared against sham but is probably more effective than usual care for vertebral compression fractures in older patients. In younger populations, cooled radiofrequency denervation is probably more effective than sham for sacroiliac pain. Research is needed to determine the benefits and harms of the other interventional procedures and conditions addressed in this review.
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Allen, Andrew. Operative Findings and Demographic Characteristics of Chronic Pelvic Pain Patients in a Military Population. Fort Belvoir, VA: Defense Technical Information Center, May 2009. http://dx.doi.org/10.21236/ada529459.
Liu, Zhen, Zhizhen Lv, Jiao Shi, Yubo Huang, Huazhi Huang, Hongjiao Wu, and Lijiang Lv. A Systematic Review and Meta-Analysis of Randomized Controlled Trials of Manipulative Therapy for Patients with Chronic Neck Pain. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, November 2022. http://dx.doi.org/10.37766/inplasy2022.11.0123.
Review question / Objective: Manipulative therapy has been increasingly applied to alleviate those who suffer from chronic neck pain. This systematic review and meta-analysis of randomized controlled trials (RCTs) aimed to determine the efficacy of manipulative therapy for chronic neck pain. P: Patients with Chronic Neck Pain. I: Manipulative therapy. C: Exercise, rehabilitation, or other physical therapy. O: Pain intensity and Neck disability. S: Randomized controlled trials. Condition being studied: Pain in the neck is a disagreeable sensory and emotional experience associated with the potential or actual damage of tissue that affects the cervical region. Pain in the neck that lasts for a long period is a serious problem for public health that causes a lot of pressure. Manipulative therapy is usually considered an alternative treatment option with the advantages of fewer verse effects and lower treatment costs compared to exercise. Therefore, this study retrieved the relevant randomized controlled trials of manipulative therapy in the treatment of chronic neck pain and conducted a comprehensive quantitative analysis to offer an evidence-based reference for the clinical application of manipulative therapy.
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Liechti, Melanie, Massimo Menegon, Alexander Schurz, Nathanael Lutz, and Jan Taeymans. Association between pain intensity and body composition in adults with chronic low back pain: A Systematic Review and Meta-Analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, December 2022. http://dx.doi.org/10.37766/inplasy2022.12.0064.
Review question / Objective: Is there an association between pain intensity and body composition in chronic low back pain patients? Condition being studied: Evaluation of adults with chronic non-specific low back pain and the association between pain intensity and body composition, including measures of body mass index, waist circumference, waist hip ratio, fat mass, fat distribution or adipose tissue. Information sources: Pubmed, CINAHL, Embase, The Cochrane Library and Web of Science. Google Scholar will be used for grey literature. No trail registers will be screened.
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Jiménez, Esteban Vidal, Vanessa Velasquez Belmar, and Andres Riveros Valdes. Effectiveness of physical rehabilitation methods for pain treatment and disability in patients with Complex Regional Pain Syndrome. A Systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, July 2022. http://dx.doi.org/10.37766/inplasy2022.7.0109.
Review question / Objective: To establish the effectiveness of physiotherapy techniques for pain treatment and functionality in patients with Complex Regional Pain Syndrome. Condition being studied: Complex Regional Pain Syndrome is a chronic condition characterized by causing spontaneous or induced pain described by the patient disproportionally in relation to the inciting event, which leads to lower functionality and disability. Eligibility criteria: The syndrome’s diagnosis should have been made following the Budapest criteria or any other duly validated criteria.All the studies that mentioned the CRPS but their study subject was not its treatment were excluded. In addition, we did not include studies performed with animals, systematic reviews, summaries, thesis, pilot studies, or letters to the editor.
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Vredevelt, Pam. A comparison of the effects of EMG biofeedback and relaxation training on chronic back pain patients. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.5423.
