Academic literature on the topic 'Numeric pain rating scale (NPRS)'
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Journal articles on the topic "Numeric pain rating scale (NPRS)"
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Michener, Lori A., Alison R. Snyder, and Brian G. Leggin. "Responsiveness of the Numeric Pain Rating Scale in Patients With Shoulder Pain and the Effect of Surgical Status." Journal of Sport Rehabilitation 20, no. 1 (2011): 115–28. http://dx.doi.org/10.1123/jsr.20.1.115.
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Context:The Numeric Pain Rating Scale (NPRS) is commonly used to assess pain. Change in the NPRS across time can be interpreted with responsiveness indices.Objective:To determine the minimal clinically important difference (MCID) of the NPRS.Design:Single-group repeated measures.Setting:Outpatient rehabilitation clinics.Patients:Patients with shoulder pain (N = 136).Main Outcome Measures:At the initial evaluation patients completed the Penn Shoulder Score (PSS), which includes pain, satisfaction, and function sections. Pain was measured using an 11-point NPRS for 3 conditions of pain: at rest, with normal daily activities, and with strenuous activities. The NPRS average was calculated by averaging the NPRS scores for 3 conditions of pain. The final PSS was completed after 3–4 wk of rehabilitation. To determine the MCID for the NPRS average, the minimal detectible change of 8.6 points for the PSS function scale (0–60 points) was used as an external criterion anchor to classify patients as meaningfully improved (≥8.6 point change) or not improved (<8.6-point change). The MCID for the NPRS average was also determined for subgroups of surgical and nonsurgical patients. Cohen’s effect sizes were calculated as a measure of group responsiveness for the NPRS average.Results:Using a receiver-operating-characteristic analysis, the MCID for the average NPRS for all patients was 2.17, and it was 2.17 for both the surgical and nonsurgical subgroup: area-under-the-curve range .74–.76 (95%CI: .55–.95). The effect size for all patients was 1.84, and it was 1.51 and 1.94 for the surgical and nonsurgical groups, respectively.Conclusions:The NPRS average of 3 pain questions demonstrated responsiveness with an MCID of 2.17 in patients with shoulder pain receiving rehabilitation for 3–4 wk. The effect sizes indicated a large effect. However, responsiveness values are not static. Further research is indicated to assess responsiveness of the NPRS average in different types of patients with shoulder pain.
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Sakulsriprasert, Prasert, Roongtiwa Vachalathiti, and Pathaimas Kingcha. "Responsiveness of pain, functional capacity tests, and disability level in individuals with chronic nonspecific low back pain." Hong Kong Physiotherapy Journal 40, no. 01 (2019): 11–17. http://dx.doi.org/10.1142/s101370252050002x.
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Background: Clinical outcomes are very important in clinical assessment, and responsiveness is a component inside the outcome measures that needs to be investigated, particularly in chronic nonspecific low back pain (CNSLBP). Objective: This study aimed to investigate the responsiveness of pain, functional capacity tests, and disability in individuals with CNSLBP. Methods: Twenty subjects were assessed in pain using the following methods: visual analog scale (VAS) and numeric pain rating scale (NPRS), functional capacity tests: functional reach test (FRT), five-time sit-to-stand test (5 TSST), and two-minute step test (2 MST), and disability level: modified Oswestry Disability Questionnaire (MODQ), Thai version before and after 2-week intervention session. For interventions, the subjects received education, spinal manipulative therapy, and individual therapeutic exercise twice a week, for a total of two weeks. The statistics analyzed were change scores, effect size (ES), and standardized response mean (SRM). Results: The most responsive parameter for individuals with CNSLBP was pain as measured by numeric pain rating scale (NPRS) (ES [Formula: see text]0.986, SRM [Formula: see text]0.928) and five-time sit-to-stand test (5 TSST) (SRM [Formula: see text]0.846). Conclusion: This study found that NPRS pain and 5 TSST were responsive in individuals with CNSLBP at two weeks after the beginning of interventions.
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Bernstein, David N., Meghan Kelly, Jeffrey R. Houck, et al. "PROMIS Pain Interference Is Superior vs Numeric Pain Rating Scale for Pain Assessment in Foot and Ankle Patients." Foot & Ankle International 40, no. 2 (2018): 139–44. http://dx.doi.org/10.1177/1071100718803314.
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Background: The Numeric Pain Rating Scale (NPRS) is a popular method to assess pain. Recently, the Patient-Reported Outcomes Measurement Information System (PROMIS) has been suggested to be more accurate in measuring pain. This study aimed to compare NPRS and PROMIS Pain Interference (PI) scores in a population of foot and ankle patients to determine which method demonstrated a stronger correlation with preoperative and postoperative function, as measured by PROMIS Physical Function (PF). Methods: Prospective PROMIS PF and PI and NPRS data were obtained for 8 common elective foot and ankle surgical procedures. Data were collected preoperatively and postoperatively at a follow-up visit at least 6 months after surgery. Spearman correlation coefficients were calculated to determine the relationship among NPRS (0-10) and PROMIS domains (PI, PF) pre- and postoperatively. A total of 500 patients fit our inclusion criteria. Results: PROMIS PF demonstrated a stronger correlation to PROMIS PI in both the pre- and postoperative settings (preoperative: ρ = −0.66; postoperative: ρ = −0.69) compared with the NPRS (preoperative: ρ = −0.32; postoperative:ρ = −0.33). Similar results were found when data were grouped by Current Procedural Terminology (CPT) code. Conclusion: PROMIS PI was a superior tool to gauge a patient’s preoperative level of pain and functional ability. This information may assist surgeons and patients in setting postoperative functional expectations and pain management. Level of Evidence: Level II, prognostic.
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Sable, Neha A., and Nisha Shinde. "Prevalence of Wrist Pain in Young Tabla Players: Observational Study." International Journal of Health Sciences and Research 12, no. 5 (2022): 10–14. http://dx.doi.org/10.52403/ijhsr.20220502.
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Background: The most popularly used percussion instruments in Indian classical music is Tabla. Playing a percussion instrument demands great force & effort, which may make percussionists prone to playing-related musculo skeletal disorders (PRMDs). Method: A Prevalence study using convenience sampling technique was done from the music schools of Pune-Godse & Madhumati Sangeet Vidyalay with 104 subjects. The subjects aged between 11 to 25 yr old Both males & females who plays table atleast from1 yr. Wrist pain was assessed by using Numeric pain rating scale (NPRS) Subjects rated the pain in the scale of 0 No pain to 10 Worst pain at rest and after playing tabla. Result : Prevalence of pain at Rest the average percentage of person experience pain are 28.84% 74 persons out of 104 are not experiencing any pain, the % of no pain is 71.15%. Prevalence of pain after playing tabala. The average % of person experiencing pain after playing is 66.34%. 35 Person out of 104 are not experiencing any pain. The % of no pain after playing table is 33.65%. Conclusion: The prevalence of wrist pain is more in table players after playing table than compared to pain at rest. Key words: Playing related musculoskeletal disorders (PRMDs), NPRS-Numeric pain rating scale, Percussion instrument, Ergonomics, Musculoskeletal.
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Prethipa P, Roland, Jimsha V K, and Jonathan Daniel M. "Evaluation of full cup test and numeric pain rating scale in the assessment of orofacial pain." International Journal of Oral Health Dentistry 7, no. 4 (2021): 292–95. http://dx.doi.org/10.18231/j.ijohd.2021.057.
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Pain intensity is a common outcome domain assessed in pain clinical trials. The patient’s self-report is the gold standard and it appears to be embedded in everyday clinical practice. Most often pain assessment is considered to be the cornerstone for ideal treatment.The aim of this study was to assess the dental patients’ level of pain using Full Cup Test (FCT) and Numeric Pain Rating Scale (NPRS), and to compare and validate the Full Cup Test in the assessment of orofacial pain with Numeric Pain Rating Scale.A total of sixty patients presenting with various forms of orofacial pain were included in this cross-sectional study. Data collected include the patient demographic details and the diagnosis of each case was made after proper history taking, clinical examination and radiographic investigation. Pain assessment was done for each patient using both numeric pain rating scale and full cup test.All the data were analysed using inferential statistics Mann Whitney test and the analysis was carried out with SPSS 17.The comparison of mean pain scores using full cup test and numeric pain rating scale shows there was significant differences between acute and chronic pain with P- value of 0.023 and 0.005 respectively. FCT had shown 83 percent sensitivity and 94 percent specificity.Patients who presented with either acute or chronic dental conditions experienced moderate to severe level of pain. FCT is useful for both evaluating and discerning changes in pain and it can be used as a tool in pain assessment.
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Firdous, Shagufta, Zankhana Mehta, Carlos Fernandez, Bertarnd Behm, and Mellar Davis. "A comparison of Numeric Pain Rating Scale (NPRS) and the Visual Analog Scale (VAS) in patients with chronic cancer-associated pain." Journal of Clinical Oncology 35, no. 31_suppl (2017): 217. http://dx.doi.org/10.1200/jco.2017.35.31_suppl.217.
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217 Background: Though numerical rating scales (NRS) are frequently used, a subset of patients do not understand the abstract nature on NRS and use quality descriptors of severity. We used a visual analog scale (VAS) using descriptors of “good day”, “average day” and “bad day” along a 10-cm line and compared it to a NRS in patients with cancer diagnosis and pain 1 month or longer. Methods: Eligible patients were verbally consented and completed the two scales. We asked patients thoughts about which they felt was the more appropriate scale to gauge their pain. The scales were compared by the distance from the extreme left of the line to the mark the patient placed on the VAS. Additional data included demographic and diagnosis information. The VAS and NRS were compared using two-sample t-tests or Wilcoxon rank-sum tests and Pearson’s chi-square or Fisher’s exact tests, as appropriate. The relationship between the numeric pain scale and the visual analog scale is described using Pearson’s correlation coefficient. Results: Full data was provided from 94 patient surveys who completed surveys. The mean age was 61 years old, 56.4% were female, and 78.0% had metastatic cancer. Numerous cancer types were reported with gastrointestinal and lung cancers being the most common (30.1% and 23.7%, respectively). The mean NRS rating reported by patients was 5.9 and for the VAS 4.9. Sixty patients (63.8%) preferred the NRS, 32 (34.0%) preferred the VAS, and 2 (2.1%) reported no preference. Patients who preferred the NRS reported a higher NRS rating than patients who preferred the VAS (mean NRS of 6.3 compared to 5.2, p = 0.0409). VAS ratings were higher among patients who preferred the NRS but the difference was not statistically significant (mean rating of 5.2 vs. 4.4, p = 0.1894). There were no differences in patient characteristics between the two groups. There was a moderate association between patients’ NRS and VAS ratings. The Pearson correlation coefficient was 0.653 (p < 0.0001). Conclusions: Majority of patients of all ages and both genders prefer NRS. Future studies involving larger number of patients and adding a question about the reason of scale preference may provide better understanding for scale preference.
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Dr., M. Waqas Dr. Khalid Hussain Dr. Muhammad Bilal. "A SELF-STYLED EXPERIMENTAL RESEARCH TO ASSESS THE EFFECTIVENESS OF SPINAL MANUAL MANAGEMENT OF CLBP (CHRONIC LOW BACK PAIN)." INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES 05, no. 11 (2018): 11322–27. https://doi.org/10.5281/zenodo.1477627.
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<em>Objective: M</em><em>ultidisciplinary group method is able to manage chronic low back pain (CLBP) specifically through rehabilitation and physiotherapy. Assessment in the current study was based on the effectiveness of spinal manual therapy (Maitland grade I and II mobilization) for CLBP management.</em> <em>Methodology: </em><em>The design this study is a self-styled experimental held at Allied Hospital, Faisalabad (February to October 2017). In this research study, Maitland grade I and II spinal mobilizations provided for 20 minutes each to every subjected patient. Consecutively for two weeks, an alike frequency of treatment applied and comprised on 03 sessions in a week. Before and after treatment, Numeric pain rating scale (NPRS) was used for the evaluation of levels of pain severity. Records were typically scattered and hence, by using SPSS, variation in pain strength was measured by “t” test.</em> <em>Results: </em><em>The premeditated normal prior to treatment score of pain on Numeric pain rating scale was 3.90 (standard deviation, 0.3038) and 1.65 was after treatment with normal deviancy of 0.8638. The designed t-value was 12.08 (p-value = 0.000). </em> <em>Conclusion: As a result of the current study, it is </em><em>evidently exhibited</em><em> that the Maitland G1 and Maitland G2 spinal mobilization is exploitable as the best treatment option for the chronic low back pain (CLBP).</em> Keywords:<em> Chronic Low Back Pain, Spinal Mobilization and Numeric Pain Rating Scale.</em>
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Ayub, Izza, Sana Zahir, Aqsa Shahid, Rohail Amir Babar, and Amir Mushtaq. "Effectiveness of scapular clock exercises in scapular dyskinesia in post operative cardiac patients: A randomized clinical trial." Rehabilitation Journal 09, no. 02 (2025): 34–40. https://doi.org/10.52567/trehabj.v9i02.98.
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Background: Scapular dyskinesia is a frequent complication after cardiac surgery due to thoracic immobility, pectoral tightness, and muscle imbalances, contributing to persistent shoulder pain and functional deficits. Objective: To evaluate the effectiveness of scapular clock exercises combined with conventional physiotherapy versus conventional physiotherapy alone in reducing pain, improving range of motion (ROM), and enhancing shoulder function in post-operative cardiac patients. Material and Methods: This randomized clinical trial included n=28 post-cardiac surgery patients with scapular dyskinesia, who were allocated to either Group A (scapular clock exercises plus conventional physiotherapy) or Group B (conventional physiotherapy). Both groups were treated thrice weekly for 4 weeks. The primary outcome was the Numeric Pain Rating Scale (NPRS), and secondary outcomes included QuickDASH and shoulder ROM. Statistical analysis was conducted using RM-ANOVA and independent t-tests. Results: The mean age of n=17(60%) male and n=11(40%) female subjects were 55.21±7 years. Both groups significantly improved pain, disability, and ROM over 4 weeks (p<0.05). Group A demonstrated markedly greater improvements in NPRS, QuickDASH, and all ROM directions at 2- and 4-week follow-ups compared to Group B, with large effect sizes. Conclusion: Scapular clock exercises combined with conventional physiotherapy offer superior outcomes for pain, disability, and mobility compared to conventional physiotherapy alone. These findings highlight the importance of incorporating targeted scapular exercises into cardiac rehabilitation to address under-recognized musculoskeletal deficits. Keywords: scapular clock exercises; postoperative rehabilitation; numeric pain rating scale (NPRS); quickdash; resistance training; post sternotomy complications; physiotherapy; upper limb function.
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Abbas, Sanjeela, Rabiya Noor, Muhammad Salman Bashir, and Tehreem Mukhtar Mukhtar. "EFFECTS OF CRANIOCERVICAL FLEXION EXERCISES AND SCAPULAR STABILIZATION EXERCISES IN NECK PAIN AND FORWARD HEAD POSTURE AMONG FEMALES WEARING HEADSCARVES." Pakistan Journal of Rehabilitation 13, no. 1 (2024): 43–50. http://dx.doi.org/10.36283/pjr.zu.13.1/006.
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Background: In neck related problems, limited cervical ranges are considered a major contributor leading to forward head posture and increased disability. Methodology: The study design was a randomized clinical trial. Total of 50 subjects were recruited that fulfilled the selection criteria. Subjects were divided into two groups. Craniocervical flexion exercises group A (n=25) and Scapular stabilization exercises group B (n=25). Numeric Pain Rating Scale (NPRS) and Neck Disability Index (ND1) were subjective while the goniometer and plumb line were used as objective modes of assessment. Baseline and after 4 weeks of treatment values were assessed by using SPSS 21. Results: Both groups showed improvement in plumb line values, forward head posture and cervical spine mobility. NPRS, and NDI score values after the 4-week exercise program showed significant results (p-value<0.05). Outcomes except for plumb line value and NDI score indicated statistically significant improvement in the Craniocervical flexion exercise group than the scapular stabilization exercise group (p-value<0.05). However, in NPRS no statistical difference (p-value>0.05) was found between the two groups. Conclusion: Only females were recruited. Further studies can correlate with spatiotemporal features. The idea and conceptual framework were original. Keywords: Head posture, craniocervical, flexion exercises, scapular stabilization exercises, range of motion, plumb line, neck disability index, goniometer, numeric pain rating scale, craniovertebral angle.
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Chuang, Li-ling, Ching-yi Wu, Keh-chung Lin, and Ching-ju Hsieh. "Relative and Absolute Reliability of a Vertical Numerical Pain Rating Scale Supplemented With a Faces Pain Scale After Stroke." Physical Therapy 94, no. 1 (2014): 129–38. http://dx.doi.org/10.2522/ptj.20120422.
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BackgroundPain is a serious adverse complication after stroke. The combination of a vertical numerical pain rating scale (NPRS) and a faces pain scale (FPS) has been advocated to measure pain after stroke.ObjectiveThis study was conducted to investigate whether an NPRS supplemented with an FPS (NPRS-FPS) would show good test-retest reliability in people with stroke. The relative and absolute reliability of the NPRS-FPS were examined.DesignA test-retest design was used for this study.MethodsFifty people (&gt;3 months after stroke) participating in an outpatient occupational therapy program were recruited through medical centers to rate current pain intensity twice, at a 1-week interval, with the NPRS-FPS (on a scale from 0 to 10). The relative reliability of the NPRS-FPS was analyzed with the intraclass correlation coefficient for determining the degree of consistency and agreement between 2 measures. The standard error of measurement, the smallest real difference, and Bland-Altman limits of agreement were the absolute reliability indexes used to quantify measurement errors and determine systematic biases of repeated measurements.ResultsThe relative reliability of the NPRS-FPS was substantial (intraclass correlation coefficient=.82). The standard error of measurement and the smallest real difference at the 90% confidence interval of the NPRS-FPS were 0.81 and 1.87, respectively. The Bland-Altman analyses revealed no significant systematic bias between repeated measurements for the NPRS-FPS. The range of the limits of agreement for the NPRS-FPS was narrow (−2.50 to 1.90), indicating a high level of stability and little variation over time.LimitationsThe pain intensity of the participants ranged from no pain to a moderate level of pain.ConclusionsThese findings suggest that the NPRS-FPS is a reliable measure of pain in people with stroke, with good relative and absolute reliability.
Dissertations / Theses on the topic "Numeric pain rating scale (NPRS)"
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Nygren, Isak, and Mattias Björklund. "Att förstå patienten : Innebörden av ett värde och en förändring på Numeric Rating Scale – En litteraturstudie." Thesis, Umeå universitet, Institutionen för omvårdnad, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-134458.
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Bakgrund: Smärtintensitet är en viktig del i smärtbedömningen som utförs av hälso- och sjukvårdspersonal. Om smärtintensitet inte bedöms på ett bra sätt riskerar det att leda till en otillräcklig smärtbehandling. Ett av de mest validerade instrumenten för att ta reda på patientens självskattade smärtintensitet är Numeric Rating Scale (NRS). Dagens forskning visar att det finns brister i arbetet med smärtskattningsskalor och behandlingen av smärta inom vården. Syfte: Att beskriva betydelsen av ett värde på Numeric Rating Scale och hur en förändring av värdet ska tolkas, ur ett patientperspektiv. Metod: En litteraturstudie baserad på 8 studier med kvantitativ ansats. Resultat: Resultatet presenterades under tre huvudkategorier och två underkategorier, dessa tre huvudkategorierna var: Vad det numeriska värdet har för innebörd i patientens NRS-skattning, Vad en förändring i patientens NRS skattning innebär samt vad NRS-värdet säger om patientens önskan av smärtlindring. Konklusion: Ett värde på NRS ger inte hela bilden av hur en patient upplever sin smärta. Ett värde på NRS kan vara en god indikator på smärtnärvaro hos patienten. När ett värde på NRS förändras säger det mest om patientens upplevelse när förändringen tolkas procentuellt. Det kan vara problematiskt för sjuksköterskan att bedöma en patients behov av åtgärd på endast ett NRS värde då dess betydelse kan variera stort mellan patienter. Utifrån detta bör hälso-och sjukvårdspersonal alltid föra en dialog om vad ett värde och en förändring på NRS betyder för patienten.
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Castilho, Marcelo de Paula Mendes. "O controle da dor pós-operatória em um hospital terciário." Botucatu, 2018. http://hdl.handle.net/11449/157490.
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Orientador: Fernanda Bono Fukushima<br>Resumo: Introdução: A dor aguda é um fenômeno universal. O tratamento desse evento, entretanto, ainda é visto através de diversos vieses culturais, sociais e econômicos. Em situação de dor aguda pós-operatória estima-se que 40% dos pacientes apresentam controle inadequado da dor (intensidade moderada a intensa). O presente trabalho visa analisar a percepção de pacientes recém operados quanto à analgesia pós-operatória que receberam em um hospital escola terciário de natureza pública, bem como descrever as medidas prescritas e realizadas para analgesia pós-operatória de acordo com seu registro em prontuário. Método: Estudo transversal, descritivo, realizado em pacientes internados, submetidos a procedimentos cirúrgicos cardiovasculares, gastrointestinais, ginecológicos, hemodinâmicos, mastológicos, neurológicos, ortopédicos, torácicos, urológicos ou vasculares no período de junho a dezembro de 2017 no Hospital das Clínicas da Faculdade de Medicina da UNESP, em Botucatu. Os pacientes foram entrevistados no 2º dia pós-operatório (2º PO) sobre sua experiência no 1º dia pós-operatório (1º PO) quanto ao controle da dor. Através de entrevista semiestruturada o paciente foi inquerido quanto a intensidade da sua dor, a satisfação quanto a analgesia recebida, e sua impressão geral do atendimento prestado pela equipe de saúde assistente. Foi realizada revisão dos prontuários e registrados dados quanto a frequência do registro de avaliação da dor, analgesia prescrita e fornecida, bem como sobre ... (Resumo completo, clicar acesso eletrônico abaixo)<br>Abstract: Justifications and Objectives: Acute pain is a universal phenomenon. However, the treatment of this event still has a diversity of cultural, social and economical biases. It is estimated that 40% of patients present inadequate management of pain (moderate to severe intensity) in a situation of acute postoperative pain. The aim of the present study is to analyze the perception of patients, who recently operated, regarding postoperative analgesia in a public tertiary hospital school. In addition, to describe the prescribed and performed postoperative analgesia according to registration in medical records. Methods: A cross-sectional, descriptive study was performed in hospitalized patients submitted to cardiovascular, gastrointestinal, gynecological, hemodynamic, mastological, neurological, orthopedic, thoracic, urological or vascular surgical procedures from June 2017 to December 2017 at Hospital das Clínicas, Faculdade de Medicina da UNESP, Botucatu, Brazil. Patients were interviewed on the second day of the postoperative period about their experience on the first day postoperative as to their pain control. Through a semi-structured interview, patients were asked about the intensity of pain, satisfaction as to the analgesia, and general impression of the process. Medical records were reviewed, and data were recorded as to the frequency of recorded pain, analgesia prescription and its administration, and side effects as well. Results: 159 patients met the criteria established t... (Complete abstract click electronic access below)<br>Mestre
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Stenberg, Märta. "Emergency treatment in teeth with symptomatic apical periodontitis - a randomized clinical study." Thesis, Malmö högskola, Odontologiska fakulteten (OD), 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-19906.
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Syftet med denna masterstudie var att jämföra den smärtlindrande effekten av fullständig utrensning och desinfektion av rotkanalsystemet med enbart utrymning av pulpakavum, utan instrumentering av rotkanalerna, som akutbehandling hos tänder med symtomatisk apikal parodontit. Materialet utgjordes av 16 patienter insamlade på Tandvårdshögskolans jourmottagning. Patienter med svullnad och allmänpåverkan exkluderades. Patienterna valdes slumpmässigt ut till att genomgå någon av behandlingarna. Den preoperativa smärtnivån och ev. analgetikaintag registrerades. Tre till fem dagar efter utförd behandling kontaktades patienterna per telefon och fick då gradera sin postoperativa smärtnivå samt analgetika- och/eller antibiotikaintag. Resultatet visade att 100% av patienterna som behandlades med fullständig utrensning erhöll tillfredställande smärtlindring jämfört med 71% av de patienter som behandlades med enbart utrymning av pulpakavum. Skillnaden var inte statistiskt signifikant. 44% av patienterna som behandlades med fullständig utrensning hade tagit smärtstillande postoperativt medan 29% av patienterna i utrymningsgruppen hade gjort det. Skillnaden var inte signifikant. Ingen av patienterna oavsett behandling hade tagit antibiotika efter behandlingen. Ingen skillnad förelåg i andelen patienter som blev tillräckligt smärtlindrade mellan fullständig utrensning och enbart utrymning av pulpakavum hos tänder med symtomatisk apikal parodontit. Det var inte heller någon skillnad i smärtsänkning mellan de två behandlingarna.<br>The aim was to compare the pain relieving effect of complete chemo mechanical disinfection of the root canal system with removal of necrotic tissue in the pulp chamber without instrumentation of the root canals as emergency treatment in teeth with symptomatic apical periodontitis. The material consisted of 16 patients collected at the emergency clinic at Malmö University. Patients with swelling and/or systemic involvement were excluded. The patients were randomized to either treatment. The preoperative pain level and intake of analgesics was registered. Three till 5 days postoperatively the patients were contacted and asked to grade the current pain level and intake of analgesics and/or antibiotics. The results showed that 100% of the patients treated with complete chemo mechanical disinfection of the root canal system obtained satisfying pain relief compared to 71% for patients treated with removal of necrotic tissue in the pulp chamber. 44% of the patients treated with chemo mechanical disinfection of the root canal system had some kind of analgesics postoperatively compared to 29% for those treated with removal of necrotic tissue in the pulp chamber. No patients in either group reported use of antibiotics postoperatively. The conclusion was that both complete chemo mechanical disinfection and removal of necrotic tissue implied a significant pain relief as emergency treatment in teeth with symptomatic apical periodontitis. There was no difference between the two treatments concerning the number of patients who obtained sufficient pain relief or in pain relieving effect.
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Šulová, Eva. "Efekt konceptu DNS u pacientů s chronickým vertebrogenním syndromem bederní páteře." Master's thesis, 2014. http://www.nusl.cz/ntk/nusl-332019.
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The main aim of the presented diploma thesis was to record objective and subjective changes after therapy with DNS concept in a group of 13 people with LBP. Moiré projection topography was used to record postural changes after 5.5 week therapeutic intervention. It was not clear, whether DNS exercise would help them to achieve visible postural changes and whether this technique is able to record these changes, which would mean that it is a suitable option for objectivisation of therapies focusing on correction of stabilisation and postural functions. Pedoscan was used for further objectivisation of the effect of DNS concept. The chosen correlate of the mentioned objective evaluation was Oswestry disability index, evaluating limitations of common everyday activities resulting from pain in the lower back, and the Numeric pain scale. Patients underwent 5 hour-long physiotherapeutic lessons, the recommended frequency of exercises in the household environment was 3-4 times per day. The probands exercised with the use of DNS concept according to the individual examination findings, especially in the area of the integrated spine stabilisation system. The data were statistically elaborated by Wilcoxon Signed-Rand test, which a non-parametric variant of the pair T-test. It is obvious from the results that...
Book chapters on the topic "Numeric pain rating scale (NPRS)"
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Braw, Yoram, Motti Ratmansky, and Itay Goor-Aryeh. "Integrating the Numerical Pain Rating Scale (NPRS) with an Eye Tracker: Feasibility and Initial Validation." In Pain Management - From Acute to Chronic and Beyond. IntechOpen, 2024. http://dx.doi.org/10.5772/intechopen.111897.
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This chapter details the integration of a Numerical Rating Scale (NPRSETI) with a portable eye tracker, enabling the assessment of pain in conditions in which verbal communication and use of hands are limited (e.g., advanced Amyotrophic lateral sclerosis, ALS). After detailing the construction of the NPRSETI, we describe its validation in an outpatient pain clinic. More specifically, thirty chronic pain patients performed the NPRSETI and filled a conventional NPRS (order was pseudo-randomized). Eye movements, including gaze direction and additional eye movement measures (e.g., saccade rate), were recorded, while participants rated their pain using the NPRSETI. The study’s findings indicated no significant differences in pain severity ratings of the NPRSETI and conventional NPRS. Notably, ratings using the two scales were highly correlated (r = 0.99). NPRSETI’s ratings were also strongly associated with participants’ currently experienced pain rating using the Brief Pain Inventory (BPI). The findings provide initial proof of concept for integrating conventional pain rating scales with an eye tracker and validate the NPRSETI compared with the well-validated and commonly used NPRS. Enhanced usability and decreasing costs of eye trackers will ease the additional research mandated to validate these preliminary findings and hopefully advance their integration into clinical practice.
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Parasher, Prithvi, Akanksha Gaur, Hammad Ahmed Siddiqui, and Sohrab Ahmad Khan. "CORRELATION OF KNEE PAIN WITH ANXIETY AND DEPRESSION IN MIDDLE-AGED KNEE OSTEOARTHRITIS PATIENTS." In Futuristic Trends in Medical Sciences Volume 3 Book 18. Iterative International Publisher, Selfypage Developers Pvt Ltd, 2024. http://dx.doi.org/10.58532/v3bbms18p2ch3.
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Background: Worldwide, osteoarthritis predicted to become the fourth leading root cause of disability. The chronic pain associated with the disease consequently results in a disabling state. The prevalence of mental health problems among pre-elderly age group is approaching closer to the level reported in elderly population. Hence the study aimed to determine the relationship of knee osteoarthritis associated joint pain with mental health impairments i.e. anxiety and depression in middle aged knee osteoarthritis population. Methods: To fulfil the purpose of the prospective, observational study, a sample of hundred participants meeting the eligibility criteria were included in the study. After giving the written informed consent, the individuals were asked to autonomously report their Numeric Pain Rating Scale (NPRS) score and Hospital Anxiety and Depression Scale score to the concerned investigators. Results and Conclusion: The mean (SD) of knee pain, anxiety and depression scores were 6.86 (1.042), 14.52 (3.450) and 14.51 (3.166) respectively. The correlation between knee pain and anxiety was 0.216 whereas the correlation between knee pain and depression was -0.036. The study revealed a weak positive correlation between knee pain and anxiety and weak negative correlation between knee pain and depression. During the management of knee osteoarthritis population, special attention should be made to address anxiety issues and the treatment of disease related joint pain should always include relaxation techniques to impart an effective management of the pain.
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[PT], Dr Aditya Ashok Dandekar. "EFFECT OF MULLIGAN’S MOBILIZATION OVER ROUTINE PHYSIOTHERAPY TREATMENT IN PATIENT DIAGNOSED AS FROZEN SHOULDER." In Futuristic Trends in Physical Sciences Volume 2 Book 14. Iterative International Publishers, Selfypage Developers Pvt Ltd, 2023. http://dx.doi.org/10.58532/v2bs14p1ch3.
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Procedure: After explaining the patient of study an informed consent were obtained from them and were assessed according to assessment proforma and was divided into two groups: Group A: Mulligan’s mobilization along with Mulligan’s self exercise’s in same position that of mobilization and also Ultrasound treatment (Duration -7 min. intensity -0.8 W/cm2 , Intermittent mode). 2. Group B: Ultrasound treatment (Duration -7 min. intensity -0.8 W/cm 2 , intermittent mode) and routine physiotherapy treatment as – Resting in sling, ice application locally, and exercise. Data analysis: Data was analyzed using Numerical Pain Rating scale (NPRS) and ratio of distribution of Frozen shoulder recovery was taken out. Result: Mulligan’s Mobilization + Mulligan’s self exercise technique along with ultrasound treatment was equally effective as regular physiotherapy in the treatment of patients with frozen shoulder. But the pain status in case of Group A is less as compared to Group B. The percentage of male taking treatment in Group A is more than Group B & Vice versa in case of female. Also the result of Oxford shoulder score showed a significant improvement in ADLs. Also according to goniometric results the range of motion of shoulder Flexion, Abduction & rotation has been improved significantly. Conclusion: Study was concluded as Mulligan mobilization + Mulligan’s self exercise program in same position that of mobilization is an effective measure in treatment of Frozen shoulder and can be practice in daily routine physiotherapy treatment
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Yvonne Buowari, Dabota. "Pain Management in Older Persons." In Update in Geriatrics. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.93940.
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Pain is a common symptom in the elderly and it is problematic and distressful especially if the polder person is dependent on a caregiver. Pain keeps the sufferer uncomfortable and can affect the person from carrying out daily activities and tasks especially activities of daily living. Pain in the older person may be acute or chronic. Some of the causes of pain in the elderly are neuralgia, musculoskeletal dysfunction especially osteoarthritis, emotional and mental problems, cancer and several other causes. The assessment of pain in the elderly is done using validated pain assessment tools such as the visual analogue scale, verbal rating scales, numeric rating scales, McGill pain assessment questionnaire, pain attitudes, brief pain inventory, and geriatric pain measure. Management of pain in older persons involves non-pharmacological and pharmacological methods. There are some barriers and challenges of pain management in the elderly and also consequences when pain is not properly managed or not managed at all in an older person.
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Huskisson. "Multidimensional pain scales: Visual Analogue Scale (VAS) For Pain, Numeric Rating Scales (NRS), and other pain scales." In A Compendium of Tests, Scales and Questionnaires. Psychology Press, 2020. http://dx.doi.org/10.4324/9781003076391-100.
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Abdulameer Abdulrasol, Zainab. "Assessment of Primary Dysmenorrhea and Its Effect on the Quality of Life among Female Students at University of Babylon." In Global Women's Health. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.97001.
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Primary dysmenorrhea (PD) is a painful menstrual flow in the absence of any pelvic pathology where pain is spasmodic in character and felt mostly in the lower abdominal area. PD considered as common problem in females at reproductive age, it’s directly affects the quality of life (QoL). The main objective of this study is to find out the relationship between PD and QoL of among female students. Descriptive correlational study design carried out on (145) female students, purposive sampling, and their ages between (18–25) years, participants were selected from four faculties at the University of Babylon. Numeric rating pain scale (11-point scale) was used for assessing pain intensity, QoL has been assessed by the SF-36 health survey (SF-36). Data have been collected by using a structured interview as method of data collection and using questionnaire as study tool. Data were processed and analyzed by using SPSS version (25). The findings of the present study revealed that (62.1%) of respondents reported as severe primary dysmenorrhea. The greatest proportion of female students with fair QoL and (17.9%) with poor QoL. The study’s finding finds out a negative significant correlation between PD intensity and overall QoL scale at P ≤ 0.05 (r = − 0.642, P = 0.000).
Conference papers on the topic "Numeric pain rating scale (NPRS)"
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Negara, Candra Kusuma, and Sri Erliani. "Macaranga Leave Capsule as on Dysmenorrhea as a Complementary Therapy." 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.05.03.
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ABSTRACT Background: Dysmenorrhea is a gynaecological complaint due to an imbalance of the hormone progesterone in the blood, which causes pain. Dysmenorrhea can be treated with non-pharmacological methods, namely by herbal therapy of macaranga (Macaranga triloba) leaves because macaranga leaves contain anti-oxidants which have the effect of reducing dysmenorrhea pain. This study aimed to examine the effect of macaranga leave capsule as on dysmenorrhea as a complementary therapy Subjects and Method: This was an experimental study with pre and posttest study without a control group design. Total of 60 female students were taken by accidental sampling. The dependent variable was dysmenorrhea. The independent variable was macaranga leave capsule. The study instrument used was Sclae Numeric Rating Scale by measuring the dysmenorrhea pain scale before and after being given mcaranga leaf capsule therapy. After 15 minutes, the dysmenorrhea pain scale was measured again. The data were analyzed using Wilcoxon test. Results: The results showed that on the first and second day, 57 respondents experienced a decrease in dysmenorrhea pain and 3 respondents did not experience a decrease in dysmenorrhea pain, and it was statistically significant (p<0.001). Conclusion: Macaranga leave capsule can decrease the pain of dysmenorrhea among female students. Keywords: macaranga, dysmenorrhea, female student Correspondence:Candra Kusuma Negara. Universitas Cahaya Bangsa. Jl. A.yani ST.KM 17 Peat, Banjarmasin, South Kalimantan. Email: Candra14780@yahoo.com. Mobile: 085252852701 DOI: https://doi.org/10.26911/the7thicph.05.03
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Elias, Jonathan. "Wide Awake Local Anesthesia No Tourniquet (WALANT) Is More Effective at Decreasing Pain Compared to Distal Nerve Block With a Tourniquet During Carpal Tunnel Release Surgery: A Systematic Review and Pooled Analysis." In 28th Annual Rowan-Virtua Research Day. Rowan University Libraries, 2024. https://doi.org/10.31986/issn.2689-0690_rdw.stratford_research_day.62_2024.
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Background: Carpal tunnel release (CTR) is one of the most common upper extremity procedures, reaching 400,000 - 600,000 procedures yearly in the United States. With such a common procedure, it is pertinent that every step is as comfortable for the patient as possible. Many patients report discomfort due to the usage of a tourniquet during the anesthesia process. However, a growing number of physicians are beginning to use the wide awake local anesthesia no tourniquet (WALANT) approach. WALANT utilizes a distal nerve block (commonly Ropivacaine), Lidocaine, Epinephrine, but no tourniquet. The more commonly used approach utilizes the same distal nerve block, in combination with a tourniquet. To date, there have been no systematic reviews or meta-analyses evaluating whether the WALANT approach yields lower pain than a distal nerve block with a tourniquet during CTR. Purpose: We conducted a systematic review and pooled analysis comparing the WALANT technique to using a tourniquet with a distal nerve block on the pain experienced by patients during carpal tunnel release. Methods: This systematic review and pooled analysis followed the 2020 PRISMA guidelines. Five online databases (Cochrane, Embase, Scopus, Web of Science, Pubmed) were screened for studies that included intraoperative Visual Analogue Scale (VAS) or Numeric Rating Scale (NRS) scores of patients having CTR with either the WALANT approach or a tourniquet with a distal nerve block. After the screening process, 2 randomized controlled trials (RCTs) were included in the final analysis, yielding a total of 90 distinct patient evaluations. Results: The results portray a strong clinical significance (Cohen’s d = 1.03, 95% CI 0.59-1.47) on pain reduction, in favor of utilizing the WALANT technique. Conclusion: Our systematic review and pooled analysis serves as a preliminary study in the exploration of the WALANT technique, specifically for CTR. The results illustrate that WALANT is a promising method in reducing patient pain during this procedure, portrayed by the large effect size between using a tourniquet with a distal block, and WALANT. Future RCTs are needed to control for the drug and dose of nerve block used, and to increase the sample size.
Reports on the topic "Numeric pain rating scale (NPRS)"
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Homberg, Marloes, Robrecht Knapen, Kobe Jans, et al. Post Procedural Pain Following Percutaneous Thermal Liver Tumor Ablation under Procedural Sedation and Analgesia: A Single Center Retrospective Cohort Study. Science Repository, 2024. http://dx.doi.org/10.31487/j.acr.2024.01.02.sup.
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Background and Objectives: The incidence of post-procedural pain following percutaneous thermal liver ablation under procedural sedation and analgesia (PSA) is yet largely unknown. Only a few small studies investigated tumor and ablation factors on pain, whereas psychological or PSA factors as possible predictors for pain were not investigated. The primary aim of the current study is to measure the prevalence and severity of post-procedural pain based on maximal NRS. Secondary aim of this study is to identify predictors for post procedural pain post liver ablation under PSA. Methods: This single center retrospective cohort study was conducted in a tertiary teaching hospital in the Netherlands from November 2018 until May 2023. It involved adult patients (18 years or older) treated with thermal liver ablation under PSA. Prevalence of pain was based on percentage of patients with post-procedural pain (defined as numeric rating scale (NRS) score ≥4). Results: In total, 170 records of 117 patients were included in the analysis of this study. The prevalence of post- procedural pain after thermal liver ablation was 42.7%. Predictors of post-ablation pain were psychological factors e.g. depression, anxiety disorder or the use of psychopharmacological drugs (β 2.58, 95%CI: 1.44-4.07, p-value<0,001). A background of chronic pain (β 1.23, 95%CI: 0.11-2.36, p-value 0.03), female gender (β 1.09, 95%CI: 0.17-2.01, p-value 0.02) and age (β -0.04 per calendar year, 95%CI: -0.091- -0.006, p-value 0.05) were shown to predict acute ablation pain. Tumor location, distinction between primary and secondary tumors and number of tumors did not predict post-ablation pain. Conclusion: The incidence of post-procedural pain after thermal liver ablation is 42.7%. Predictive factors of post procedural pain after thermal liver ablation under PSA are psychological factors like depression and anxiety as well as the use of psychopharmacological drugs. Tumor characteristics did not predict post-procedural pain after ablation.
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Homberg, Marloes, Robrecht Knapen, Kobe Jans, et al. Post Procedural Pain Following Percutaneous Thermal Liver Tumor Ablation under Procedural Sedation and Analgesia: A Single Center Retrospective Cohort Study. Science Repository, 2024. http://dx.doi.org/10.31487/j.acr.2024.01.02.
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Background and Objectives: The incidence of post-procedural pain following percutaneous thermal liver ablation under procedural sedation and analgesia (PSA) is yet largely unknown. Only a few small studies investigated tumor and ablation factors on pain, whereas psychological or PSA factors as possible predictors for pain were not investigated. The primary aim of the current study is to measure the prevalence and severity of post-procedural pain based on maximal NRS. Secondary aim of this study is to identify predictors for post procedural pain post liver ablation under PSA. Methods: This single center retrospective cohort study was conducted in a tertiary teaching hospital in the Netherlands from November 2018 until May 2023. It involved adult patients (18 years or older) treated with thermal liver ablation under PSA. Prevalence of pain was based on percentage of patients with post-procedural pain (defined as numeric rating scale (NRS) score ≥4). Results: In total, 170 records of 117 patients were included in the analysis of this study. The prevalence of post- procedural pain after thermal liver ablation was 42.7%. Predictors of post-ablation pain were psychological factors e.g. depression, anxiety disorder or the use of psychopharmacological drugs (β 2.58, 95%CI: 1.44-4.07, p-value<0,001). A background of chronic pain (β 1.23, 95%CI: 0.11-2.36, p-value 0.03), female gender (β 1.09, 95%CI: 0.17-2.01, p-value 0.02) and age (β -0.04 per calendar year, 95%CI: -0.091- -0.006, p-value 0.05) were shown to predict acute ablation pain. Tumor location, distinction between primary and secondary tumors and number of tumors did not predict post-ablation pain. Conclusion: The incidence of post-procedural pain after thermal liver ablation is 42.7%. Predictive factors of post procedural pain after thermal liver ablation under PSA are psychological factors like depression and anxiety as well as the use of psychopharmacological drugs. Tumor characteristics did not predict post-procedural pain after ablation.