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Dissertations / Theses on the topic 'Complementary pain management techniques'
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Munkhammar, Emelie, and Susanne Pettersson. "Komplementära behandlingsmetoder och dess effekter på postoperativ smärta." Thesis, Högskolan Väst, Avd för vårdvetenskap på grundnivå, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-5889.
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Carden, Jennifer A. "Complementary therapies for pain management in cancer patients." Honors in the Major Thesis, University of Central Florida, 2010. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/1372.
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This item is only available in print in the UCF Libraries. If this is your Honors Thesis, you can help us make it available online for use by researchers around the world by following the instructions on the distribution consent form at http://library.ucf.edu/Systems/DigitalInitiatives/DigitalCollections/InternetDistributionConsentAgreementForm.pdf You may also contact the project coordinator, Kerri Bottorff, at kerri.bottorff@ucf.edu for more information.Bachelors
Nursing
Nursing
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Arbuah, Nancy. "Nonpharmacological Techniques and Pain Management." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6712.
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The opioid epidemic in the United States continues to be a national health crisis affecting all populations. From 1999 to 2016, more than half a million people died from drug overdose. Nonpharmacological therapies are underused in nursing practice due to the gap in nurses' baseline knowledge and confidence related to nonpharmacological techniques for pain management. The purpose of this scholarly project was to develop and implement an expert-reviewed, evidence-based education program focused on nonpharmacological techniques for pain management. Participants included 18 registered nurses (RNs) from an orthopedic unit in a large academic medical center. A 45-minute educational session was conducted for RNs. A pre/postquestionnaire, including a 5-point Likert scale on nurses' self-perceived knowledge and confidence in using selected nonpharmacological techniques, was the method of data collection. Descriptive statistics were used to analyze the data. The results indicated an increase in nurses' self-perceived knowledge in all nonpharmacological techniques. The most significant increase in knowledge posteducation intervention was guided imagery with an increase of 72% in terms of the response Good. The data analysis indicates that the nurses self-perceived confidence posteducation intervention increased in terms of the response Good by 50 % and response Excellent by 33% demonstrating the efficacy of an evidence- based education program on nonpharmacological techniques. The implications of this project for social change include the empowerment of nurses to provide holistic patient-centered care, opioid sparing in keeping in alignment with patient safety, and the development of an evidence-based program that can be replicated in other settings.
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MacLaren, Jill E. "Training nursing students in evidence-based nonpharmacological pain management techniques." Morgantown, W. Va. : [West Virginia University Libraries], 2006. https://eidr.wvu.edu/etd/documentdata.eTD?documentid=4680.
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Thesis (Ph. D.)--West Virginia University, 2006.Title from document title page. Document formatted into pages; contains vi, 79 p. : ill. Includes abstract. Includes bibliographical references (p. 36-40).
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Konstantinou, Kika. "Mobilisations with movement in low back pain management : current physiotherapy practice and effects on pain and range of spinal movement." Thesis, Coventry University, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.272904.
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Yang, Fan. "Improving Pain Management in Patients with Sickle Cell Disease Using Machine Learning Techniques." Wright State University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=wright1598444312852616.
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Ng, Chik-wai, and 吳植偉. "Design techniques of advanced CMOS building blocks for high-performance power management integrated circuits." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2011. http://hub.hku.hk/bib/B45896926.
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Chizick, Jarett. "Ankylosing Spondylitis & Chronic Pain Syndrome: Bridging the Gap Between Perpetuated Medicine & Holistic Therapies." ScholarWorks @ UVM, 2015. http://scholarworks.uvm.edu/graddis/329.
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Ankylosing Spondylitis (AS) and Chronic Pain Syndrome (CPS) can be treated in many different ways. I found a problem in the balance of healing modalities surrounding diagnosis and care of illness and disease. This struggle is not singular to AS and CPS, but universal to physical and mental concerns. Some effective treatments and therapies are not recognized as such or are just beginning to become so. The scope of my work reflects on the course of my life. It was heavily influenced by the way my medical care was managed from an early age and how it evolved over the years. Through my educational program, I examined the necessity to bridge the gap between treatment paradigms and to expand on a broader, more inclusive, healing rubric. This rubric includes a broader emphasis on skill-based and complementary and alternative medicines. The viability to incorporate holistic health therapies earlier in life is explored through my use of the Scholarly Personal Narrative (SPN) qualitative research method. I chose this methodology because scientific fact could be argued either way for one therapeutic approach over another. By incorporating lived experience through SPN the union and cohesion necessary in all healing modalities, and their positive aspects, can be seen. The truth becomes self-evident.
The results of this examination showed awareness earlier in life toward alternative and holistic treatments being paramount. Parents and educators lack information concerning modern therapeutic approaches. It also showed each situation will vary, but choice in treatment for ailments and illness of all kinds is not only viable, but highly recommended and researched. Access issues such as health insurance remain obstacles with some treatments and therapies, while others are a matter of cost prohibition, such as nutrition therapies. The implications of my work indicate a need for earlier incorporation of holistic healing programs and skill based therapies alongside perpetuated medical models in early childhood development and education.
In conclusion, awareness towards medical concerns and how we as a society treat them can be improved upon by systemically incorporating less harmful therapies earlier in life. Fostering relations between medical providers, care providers and educators for students' wellbeing should be the foreground of any educational policy. Educators and parents alike should be made aware of and take advantage of effective skill-based treatments before a physical or mental condition surfaces or medication only approaches are authoritatively recommended. Integrating programs that build strong mental resilience and focus on youth development and education can reduce the necessity for more invasive treatments or medications should an ailment or illness develop.
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Åsenlöf, Pernilla. "Individually tailored treatment in the management of musculoskeletal pain : development and evaluation of a behavioural medicine intervention in primary health care /." Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-5781.
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Stallard, Derek. "A systematic column performance comparison for the confirmation of opioids used in pain management by LC-MS." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/honors/189.
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In this study, three different chromatographic column chemistries (C18, Pentafluorophenyl (PFP), Hydrophilic Interaction Chromatography (HILIC)) were compared under optimal conditions to determine which stationary performed best in the separation and detection of a mixture of opioids using LC-MS. Furthermore, these stationary phases were examined in three different column technologies – traditional silica, porous shell, and porous polymer (PRP). The PRP column had the best peak shape for all 13 opioids and dominated for later-eluting compounds. In terms of column reproducibility, the Hamilton C18 column had the lowest %RSD values. The Kinetex HILIC produced the most theoretical plates and best resolution for polar compounds as did the Hamilton C18 for nonpolar compounds. Finally, Kinetex PFP and Hamilton PRP both demonstrated themselves as viable alternatives to the C18 column chemistry for analysis of this drug class.
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Close, Ciara. "A feasibility randomised controlled trial investigating reflexology in the management of low back and/ or pelvic pain during pregnancy : the CAM (Complementary and Alternative Medicine) in pregnancy trial." Thesis, Ulster University, 2015. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.674731.
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Two thirds of pregnant women experience low back pain and one fifth experience pelvic pain that can adversely affect women's lives. There is evidence demonstrating benefits of reflexlogy for managing general low back pain. Therefore, this research aimed to investigate the feasibility of conducting a randomised controlled trial (RCT) investigating reflexology in the management of low back and/ or pelvic pain (LBPP) during pregnancy. Overall 90 primiparous women (mean age 30.9 +/- 5.6 years) participated in a feasibility RCT in an inner-city maternity unit. Women were randomised to usual care, a reflexology or footbath intervention. Primary outcome measures were; the Visual Analogue Scale (VAS) for pa in frequency and intensity. Qualitative data on women's experience of the RCT and their experience of LBPP were collected via focus groups after the intervention period. Biochemical physiological and labour data were also collected. In total 64 women completed the study period; retention rates for the reflexology group were 80%, usual care group 83.33% and footbath group 50%. The reflexlogy group demonstrated a Mean Clinically Important Change (MCIC) in VAS pain frequency (1.64cm). Second stage of labour was shorter in the reflexology group (73.56 minutes +/-53.78) compared to the usual care group (117.92minutes +/ -56.15), th is was statistically significant (p=0.045). A lesser increase in cortisol and decrease in beta-endorphin were found in the reflexlogy group. There was a statistically significant reduction in systolic blood pressure (p=0.03) in the reflexology group and a significant increase in diastolic blood pressure (p=O.Ol) in the footbath group. Qualitative data indicate that women perceive health-professional management of pregnancy-LBPP as insufficient. Results indicate it is feasible to conduct an RCT in this area, although a footbath is not suitable sham treatment. Reflexology may be helpful for pregnancy-LBPP; however to confirm this, a fully powered trial is required. Furthermore, management of pregnancy-LBPP needs to be re-evaluated.
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Elias, Ana Catarina de Araujo. "Programa de treinamento sobre a intervenção terapeutica relaxamento, imagens mentais e espiritualidade (RIME) para re-significar a dor espiritual de pacientes terminais." [s.n.], 2005. http://repositorio.unicamp.br/jspui/handle/REPOSIP/310079.
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Orientadores: Joel Sales Giglio, Cibele Andrucioli de Matos Pimenta.Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas
Made available in DSpace on 2018-08-05T19:18:30Z (GMT). No. of bitstreams: 1 Elias_AnaCatarinadeAraujo_D.pdf: 2016555 bytes, checksum: fc9eb54fe87d798e109996a98478e447 (MD5) Previous issue date: 2005
Resumo: Em dissertação de mestrado, desenvolvemos o estudo da Intervenção Terapêutica Relaxamento, Imagens Mentais e Espiritualidade (RIME) para re-significar a Dor Espiritual de pacientes terminais. A continuidade da pesquisa no Doutorado consistiu na operacionalização de um Curso de Capacitação sobre o uso da RIME por profissionais da saúde (Fase 1), na análise da vivência destes profissionais na sua aplicação e na avaliação do uso desta Intervenção junto aos doentes (Fase 2). Os sujeitos foram uma enfermeira, uma médica, três psicólogos e uma terapeuta alternativa voluntária, todos eles experientes ou estudiosos em Cuidados Paliativos, selecionados por convite e que atenderam onze pacientes terminais internados em hospitais públicos das cidades de Campinas, Piracicaba e São Paulo. Este estudo teve como base teórica metodológica a Pesquisa-Ação e a Fenomenologia. Os resultados qualitativos foram colhidos através da Entrevista Semi-Estruturada, do Questionário Estruturado e do Diário, e foram analisados pelo método Análise do Conteúdo através da técnica Análise Temática. Os resultados quantitativos foram analisados pelo método Descritivo através dos dados colhidos pelo instrumento Escala Visual Analógica de Bem-Estar ¿ EVA modelo expressões faciais coloridas, utilizando-se o Teste de Wilcoxon. Na análise da vivência dos profissionais foram encontradas cinco categorias e quinze subcategorias. Na análise da natureza da Dor Espiritual foram encontradas seis categorias e onze subcategorias. Na aplicação da RIME observamos diferença estatisticamente significativa (p<0,0001) isto é, no final das sessões os doentes relataram maior nível de Bem-Estar do que no início da sessão, o que indica que a RIME favoreceu a re-significação da Dor Espiritual dos pacientes terminais. O Programa de Treinamento proposto mostrou-se eficaz para preparar profissionais de saúde para o uso da Intervenção RIME, capacitando-os para o processo de cuidar e para prestar assistência espiritual dentro de uma perspectiva acadêmica
Abstract: In this essay of mastership we developed the study of the Therapeutical Intervention ¿Relaxation, Mental Images and Spirituality¿ (RIME) applied for terminal patients. The continuity for the research in the Doctorship consisted in operating a Course of Capacitance on the RIME Intervention usage by the health area professionals (Phase1) and on the analysis of the living experiences of these professionals in the application and evaluation of the RIME use in the patients (Phase2). The participants were a nurse, a female doctor, three psychologists and an alternative volunteer therapist, all experienced ones or scholars at Palliative Cares, they were selected by invitation and were in charge of caring of eleven terminal outpatients in public hospitals of Campinas, Piracicaba and São Paulo. This study had as a theory methodological base the Action-Research and the Phenomenology. The qualitative results were caught through the Semi-Structured Interview, the Structural Questionnaire and the Diary, and they were analyzed by the Contents Analysis method through the Thematically Analysis techniques. It is descriptive through the data, which were caught by the Analogical Visual Scale instrument of Welfare-AVS, in-color faces model, by using the Wilcoxon test. In the analysis of the professionals experiences were found five categories and fifteen sub-categories. In the analysis of the Spiritual Pain constitution, six categories were found with eleven sub-categories. In the application of the RIME was observed statistically expressive difference (p<0,0001) that is, at the end of each session the patients reported a greater level of welfare than at the beginning, indicating that the RIME favors the re-signification of the Spiritual Pain in the terminal patients. The purposed training program showed itself effective in preparing health area professionals for the use of the RIME Intervention, qualifying them to care and give spiritual assistance inside an academic perspective
Doutorado
Ciencias Biomedicas
Doutor em Ciências Médicas
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Larsson, Britt-Marie, and Maria Crantz. "Det gör ont : Läkemedelsfri smärtlindring med stöd av grindteorin ur ett patientperspektiv." Thesis, Högskolan Kristianstad, Sektionen för hälsa och samhälle, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-10288.
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SYFTE: Syftet är att belysa patienternas upplevelse av läkemedelsfri smärtlindring med stöd av grindteorin. DESIGN: Litteraturstudie BAKGRUND: Kunskap om hur patienterna upplever läkemedelsfri smärtbehandling baserad på grindteorin, kan göra det lättare för den enskilda sjuksköterskan att fatta beslut om användande av dessa metoder. URVAL: Vetenskapliga artiklar med empiriska studier på vuxna publicerade mellan åren 2000-2012. METOD: Databassökningar och manuella sökningar RESULTAT: 14 studier med sammanlagt 1771 deltagarevisar att smärtlindringsmetoderna med stöd av grindteorin hade avsedd effekt på smärta. De gav även patienterna lindring vad avser oro och rädsla. Några av studierna tar även upp att patienterna fick en känsla av att själv kunna påverka smärtan. Metoderna som användes var såväl hudstimulerande, som kognitiva. SLUTSATS: Smärtlindring baserad på grindteorin, såväl hudstimulering som kognitiva metoder, är något som sjuksköterskan bör ha kunskap om och använda för att lindra smärta och oro/rädsla. Metoderna är även ett sätt att låta patienten känna sig delaktig, då speciellt de kognitiva metoderna.PURPOSE: The aim is to illuminate the patients experience of non-pharmacological pain relief with support of the gate-control theory. DESIGN: Literature review/over-view BACKGROUND: Knowledge of how the patients experience non-pharmacological pain treatment based on the gate-control theory can make it easier for the individual nurse to make decisions on the use of these methods. SAMPLE: Scientific studies with empirical studies on adults, published in articles between 2000-2012 METHOD: Database- and manual searches FINDINGS: 14 studies with in total 1771 participants show that the pain relief methods with support of the gate-control theory had the intended effect on pain. They also gave the patients relief with regard to anxiety. Some of the studies also mention that the patients got a feeling of being able to affect the pain themselves. The methods used were skin-stimulating as well as cognitive. CONCLUSIONS: Pain relief based on the gate-control theory, skin-stimulating as well as cognitive methods, is something that the nurse should have knowledge about and use to relieve pain and anxiety. The methods are also a way of letting the patient feel involved, especially the cognitive methods.
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Lagström, Annika, and Cecilia Sköld. "Komplementära smärtlindringsmetoder i palliativ vård. En litteraturstudie." Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-24553.
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Intresset för komplementära smärtlindringsmetoder växer, både hos sjukvårdspersonal och hos patienter. Idag finns det en stark trend mot mer skonsamma alternativa behandlingsmetoder, framförallt vid kroniska sjukdomar där allvarliga biverkningar av konventionell läkemedelsterapi är stor. Syftet med studien var att undersöka vilka smärtlindringsmetoder som sjuksköterskan kan använda sig av inom palliativ vård och dess effekter. Studien bygger på elva vetenskapliga artiklar. Resultatet gav flera olika behandlingsmetoder som kategoriserades under tre rubriker: distansbehandlingar, manuella behandlingar samt fysikaliska behandlingar. Samtliga behandlingsmetoder kan utövas av sjuksköterskan. Komplementära metoder behövs för att på bästa sätt kunna möta patienten på både det fysiska, psykologiska, sociala och existentiella planet behövs. De presenterade komplementära metoderna har visat sig ofarliga och kan även vara kostnadseffektiva om de används rätt.The interest for complementary methods for pain relief is increasing among professionals as well as patients. Today, there is a strong trend towards more merciful complementary therapies, above all at chronical diseases where serious adverse effects from conventional medical therapy are substantial. The purpose with the study is to investigate which complementary pain relieving methods a nurse can use within palliative care and also the effects of the treatments. The study consisted of eleven scientific articles. Several different treatment methods were categorized into three main headings: distant treatments, manual treatments and physical treatments. All of these methods of treatment can be used by the nurse. Complementary methods are needed in the treatment of palliative patients in order to meet he patient in both the physical, psychological, social and existential level. The complementary methods that has been presented are safe to use and they also have the potential to be cost effective if implemented correctly.
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Erasmus, Estelle Annette. "The effect of soft tissue mobilization techniques on the symptoms of chronic posterior compartment syndrome in runners a multiple case study approach /." Thesis, Pretoria : [s.n.], 2008. http://upetd.up.ac.za/thesis/available/etd-09252008-113736.
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Patout, Maxime. "Evaluation des techniques pour la prise en charge diagnostique et thérapeutique de l'insuffisance respiratoire chronique A Randomized controlled trial on the effect of needle gauge on the pain and anxiety experienced during radial arterial puncture Long term survival following initiation of home non-invasive ventilation : a European study Neural respiratory drive predicts long-term outcome following admission for exacerbation of COPD : a post hoc analysis Neural respiratory drive and cardiac function in patients with obesity hypoventilation syndrome following initiation of non-invasive ventilation Polysomnography versus limited respiratory monitoring and nurse-led titration to optimise non-invasive ventilation set-up a pilot randomised clinical trial Chronic ventilator service Step-down from non-invasive ventilation to continuous positive airway pressure : a better phenotyping is required AVAPS-AE versus ST mode : a randomized controlled trial in patients with obesity hypoventilation syndrome Technological advances in home non-invasive ventilation monitoring : reliability of data and effect on patient outcomes Efficacy of a home discharge care bundle after acute exacerbation of COPD Prediction of severe acute exacerbation using changes in breathing pattern of COPD patients on home noninvasive ventilation Charasteristics and outcome of patients set up on high-flow oxygen therapy at home Trial of portable continuous positive airway pressure for the management of tracheobronchomalacia." Thesis, Normandie, 2019. http://www.theses.fr/2019NORMR115.
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L’insuffisance respiratoire chronique est un syndrome défini par une défaillance monoviscéralerespiratoire. Sa principale origine est aujourd’hui le syndrome obésité-hypoventilation qui concerne 4 à 5% des patients obèses. L’IRC est aussi le stade évolutif terminal de la bronchopneumopathie chronique obstructive qui touche 6 à 8% de la population adulte. L’incidence de ces pathologies et donc de l’insuffisance respiratoire est en augmentation constante. Dans cette thèse, nous avons évalué les nouvelles modalités diagnostiques et thérapeutiques qui pourraient améliorer la prise en charge des patients atteints d’insuffisance respiratoire chronique.Concernant la prise en charge diagnostique, nous avons montré que les données fournies par l’électromyographie de surface des muscles intercostaux, outil qui évalue le travail respiratoire, constituent un marqueur pronostique indépendant chez les patients atteints de bronchopneumopathie chronique obstructive. Nous avons également montré leur pertinence pour prédire l’efficacité clinique et l’observance à la ventilation non-invasive à domicile.Concernant la prise en charge thérapeutique, nous avons montré que l’utilisation d’un mode semi-automatisé de ventilation non-invasive a la même efficacité que celle de modes classiques en permettant une mise en place plus rapide du traitement. Nous avons également rapporté l’intérêt de l’oxygénothérapie à haut débit au domicile alors que ce traitement était utilisé jusque-là dans le seul cadre des soins intensifs. Enfin, nous avons rapporté les bénéfices de la pression positive continue au cours de l’effort chez les patients ayant une trachéobronchomalacie. Concernant le suivi des patients, nous avons montré que les données des logiciels de ventilation non invasive permettent de prédire la survenue d’une exacerbation sévère de BPCO mais que l’utilisation de la télémédecine chez les patients insuffisants respiratoires chroniques ne peut être encore pleinement intégrée dans la pratique clinique. Au cours de cette thèse, nous avons identifié de nouveaux outils physiologiques, de nouvelles modalités d’administration des traitements et de nouveaux outils de suivi à domicile, à même d’améliorer la prise en charge des patients insuffisants respiratoires chroniquesSingle-organ respiratory failure defines chronic respiratory failure. Obesity hypoventilation syndrome is the main cause of chronic respiratory failure and occurs in 4 to 5% of obese patients. Chronic respiratory failure is also the end-stage evolution of chronic obstructive pulmonary disease that has a prevalence of 6 to 8% in the adult population. The incidence of these diseases increases so does the incidence of chronic respiratory failure. In this thesis, we will evaluate novel diagnostic and therapeutic modalities that could improve the care of patients with chronic respiratory failure. Regarding diagnostic modalities, we have seen that evaluating the work of breathing with surface parasternal electromyography was an independent prognostic marker in patients with chronic obstructive pulmonary disease. We have also seen that it was a relevant tool to predict the clinicalefficacy and compliance to home non-invasive ventilation. Regarding therapeutic modalities, we have shown that the use of a semi-automatic mode of non-invasive ventilation had the same efficacy of a standard mode with a shorter length of stay for its setup. We have shown the relevance and feasibility of the use of high-flow oxygen therapy in the home setting whilst it was only used in intensive care units. Finally, we have shown the benefits of continuous positive airway pressure during exertion in patients with tracheobronchomalacia. Regarding patients’ follow-up, we have shown that the use of data from built-in software could predict the onset of a severe exacerbation of chronic obstructive pulmonary disease. However, we also show that the implementation of tele-medicine in patients with chronic respiratory failure cannot be included in daily clinical practice yet. In this thesis, we have identified novel physiological tools, novel ways to administer treatments and novel follow-up tools that can improve the management of patients with chronic respiratory failure
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Olmstead, Deborah L. "Individual determinants shaping nurses’ use of distraction techniques in managing children’s acute procedural pain." Master's thesis, 2011. http://hdl.handle.net/10048/1847.
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In order to eliminate the unnecessary suffering of children requiring painful procedures to diagnose and treat their illness, management of this pain must be a priority for nurses. The role nurses assume in the current undermanagement of children's pain requires further examination. In the first paper, a comprehensive review of the available literature on pediatric pain management was conducted in order to provide the context in which this issue is situated. The second paper is a qualitative inquiry seeking nurses' accounts of the individual level factors they identify that influence their choices for distraction to manage children's procedural pain. Nurses described the three key determinants of nursing knowledge, experience and relational capacity as influencing their practice. These descriptions provided an extended understanding on nurses' choices for using distraction to manage children's procedure-related pain. Nurses disclosed using distraction for themselves, as well as for the child experiencing a painful procedure.
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Broome, Richard John. "The therapeutic efficacy of invasive needling techniques in the management of myofascial pain and dysfunction syndrome." Thesis, 1996. http://hdl.handle.net/10321/1967.
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A dissertation submitted in partial compliance with the requirements for a Master's Degree in Technology: Chiropractic, Technikon Natal, 1996.Myofascial trigger points are a frequently overlooked and misunderstood phenomenon in medical curricula, yet with correct diagnosis and appropriate treatment the prognosis is usually excellent. Many effective treatments have been devised for myofascial trigger points, but the problem is that there is very little research to substantiate which of these treatments are the most effective. The aim of this randomised uncontrolled study was to justify the hypotheses which stated that both dry needling and saline injection would prove to be effective in the treatment of myofascial trigger points, with saline injection proving to be the most effective of the two. Patients were obtained for this study by convenience sampling, whereby any patients presenting to the Chiropractic clinic at Technikon Natal with neck,\xB7 upper back or shoulder pains were considered for the study. Of these patients, only those who conformed to the specified delimitations and diagnostic criteria were accepted. The sample size of thirty patients was randomly divided into two treatment groups of fifteen, one of which received saline injection and the other dry needling of active myofascial trigger points. Both groups were educated with regards to the nature and perpetuating factors of the condition, \xB7andwere instructed to follow a specific stretching programme.
M
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McGowan, Patrick Thomas. "The relationship of self-efficacy with depression, pain, and health status in the arthritis self-management program." Thesis, 1996. http://hdl.handle.net/2429/6112.
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Over the past decade results from a series of research studies have contributed to the
development and evaluation of the Arthritis Self-Management Program (ASMP), a volunteer-led
patient education program for persons with arthritis. To date, these studies have primarily
focussed on program effectiveness, process, implementation, and dissemination. In these studies
self-efficacy was identified as an important construct contributing to the program's effectiveness,
however, the exact relationship between self-efficacy and health outcomes has not been
determined. In this dissertation research I investigate the evidence of a causal relationship
between self-efficacy and three program outcomes (a decrease in depression, less pain, and a
higher self-rating of overall health status), and attempt to determine the nature of that
relationship.
The research methodology involved the use of structural equation modeling (SEM) with
two longitudinal samples, one (n=122) of 1991 ASMP participants in British Columbia, the other
(n=189) of 1992 ASMP participants in Ontario. In the analysis self-efficacy was paired
separately with depression, pain and perceived health status.
The results of the SEM failed to confirm a dominant causal relationship from self-efficacy
to depression, or to pain. This may indicate that these variables have a reciprocal or
"spiral" relationship or that both sets of variables may be caused by factors not considered in the analysis. The results of the SEM between self-efficacy and perceived health status did, however,
show that higher self-rated health status leads to higher self-efficacy at a later time. The data did
not show statistical significance for other causal patterns among these variables.
The findings suggest that self-efficacy may play a moderator role in the complex
relationship involving individuals with arthritis, their behaviors, and health outcomes. As well,
the findings have implications for health promotion planning and research in that they reinforce
the complex interplay of psychological and behavioral variables (probably influenced by social
variables) in programs which attempt to give individuals greater control over their health. The
efficacy and effectiveness of the ASMP has been established in previous studies. This study in no
way calls these into question. It does, however, suggest that the mechanism by which these
effective outcomes are achieved warrants further investigation.
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Schocket, Kimberly Gardner. "Presurgical behavioral medicine evaluation for implantable devices for pain management : clinical effectiveness for predicting outcomes." 2005. http://edissertations.library.swmed.edu/pdf/SchocketK081105/SchocketKimberly.pdf.
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Roodt, Maria Louisa Elizabeth. "A comparative study of three different types of manual therapy techniques in the management of chronic mechanical neck pain." Thesis, 2009. http://hdl.handle.net/10321/487.
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Dissertation submitted to the Faculty of Health at the Durban University of Technology in partial compliance with the requirements for the Master‟s Degree in Technology: Chiropractic, 2009.The prevalence of neck pain in musculoskeletal practice is second only to that of low back pain (Vernon et al., 2007). There is a growing interest in neck pain research due to the escalating disability burden and compensation costs associated with neck pain (Côte et al., 2003). Manual therapies are commonly used in the treatment of neck pain (Côte et al., 2003). After an extensive literature review by Haldeman et al. (2008) they found that manual therapy techniques have some benefit but no one technique was clearly superior to the next. Therefore, the purpose of this study is to compare three commonly used manual therapy techniques in the treatment of chronic mechanical neck pain. OBJECTIVES The purpose of this study was to compare three different manual therapy techniques (SMT, MET and PNF) which are commonly used in the treatment of chronic MNP in terms of range of motion, pain and disability. METHOD Forty-five patients with chronic mechanical neck pain were obtained through non-probability convenience sampling and assigned into one of three treatment groups (15 per group) using a computer generated randomized table. The three different treatment groups were: Spinal Manipulative Therapy (SMT), Muscle Energy Technique (MET) and Proprioceptive Neuromuscular Facilitation (PNF). Each group received six treatments over a period of three weeks with a follow-up consultation. Measurements were taken at the first, third and sixth treatment and at the follow-up consultation. SPSS version 15.0 was used to analyse the data. A p value of <0.05 was considered as statistically significant. An intra-group analysis was done using repeated measures ANOVA testing to assess the time effect for each outcome separately. For inter-group analyses the time x group interaction effect was assessed using repeated measures ANOVA testing, and profile plots were used to assess the trend and direction of the effects. RESULTS Intra-group analysis of the results revealed that all three groups improved significantly between the first and the final consultation, for all measures. Inter-group analysis of the data did not show any difference between the three groups by the end of the final consultation. However, extension range of motion appeared to improve slightly faster in the PNF group iv but it was not significant when compared to the other two groups. Therefore, there was no statistical significance between the three groups. CONCLUSION It was concluded that all three treatment groups responded equally to the treatment, thus, suggesting that MET or PNF techniques can be used if SMT is contra-indicated.
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Mackintosh, Carolyn, and Sue Elson. "Chronic pain: clinical features, assessment and treatment." 2008. http://hdl.handle.net/10454/6969.
Full textAbstract:
A significant number of people in the UK experience chronic pain, resulting in high levels of suffering and reduced quality of life. Management of chronic pain is complex, time consuming and not always successful. Good communication between patients and healthcare professionals is essential to ensure realistic treatment plans and outcomes can be negotiated. Accurate assessment is also key, and nurses play a fundamental role in ensuring patients with chronic pain receive the most appropriate care.