To see the other types of publications on this topic, follow the link: Numeric Rate Scale.
Journal articles on the topic 'Numeric Rate Scale'
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 journal articles for your research on the topic 'Numeric Rate Scale.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse journal articles on a wide variety of disciplines and organise your bibliography correctly.
1
Shikha, Agrawal, Pandey Pranchil, Agrawal Vaibhav, and Agrawal Ramesh. "Assessment of Post-operative Pain in Rural Patients: A Comparative Study of Numerical and Visual Analog Scales." International Journal of Pharmaceutical and Clinical Research 15, no. 5 (2023): 1944–51. https://doi.org/10.5281/zenodo.12606603.
Full textAbstract:
<strong>Background and Objectives: </strong>Visual analog scales (VAS) and numeric analog scales (NAS) are crucial tools for assessing post-operative pain intensity in the fields of anesthesia and pain medicine. These scales rely on an individual’s cognitive and emotional abilities to provide subjective pain ratings. The documentation of pain scores is essential for comparative and analytical purposes in research articles. This study aimed to investigate the influence of literacy on post-operative pain scores measured by VAS and NAS, and to assess the agreement between these two scales. <strong>Materials & Methods: </strong>This study was conducted in the anesthesia department of a tertiary care hospital, following the appropriate guidelines for research ethics. Pain assessments were carried out using two types of scales, namely the Visual Analog Scale (VAS) and Numeric Analog Scale (NAS), at two specific time points: within five minutes and within 24 hours after the surgical intervention. The collected data from these time points were then subjected to statistical analysis, employing methods such as percentages, chi-square test, and regression analysis. <strong>Results</strong>: In this study, a total of 135 participants were included, with the majority being males (55.5%) and falling within the age group of less than 30 years (40.7%). The mean age was 35.60±16.4 years. About 40.7% of the participants were illiterate. A large proportion of the participants were able to rate their pain using both the Visual Analog Scale (VAS) and the Numeric Analog Scale (NAS), with 78.5% and 77.1% respectively. No significant associations were found between pain ratings and factors such as surgery type, duration, anesthesia nature, as well as age, sex, and literacy levels (p > 0.05). <strong>Conclusion:</strong> Irrespective of the literacy status, both the Visual Analog Scale (VAS) and Numeric Analog Scale (NAS) can serve as interchangeable post-operative pain assessment tools in the context of the Indian rural population.
2
Peltonen-Sainio, Pirjo, and Tiina Pekkala. "Numeric codes for developmental stages of oat apex in the growing conditions of Southern Finland." Agricultural and Food Science 2, no. 4 (1993): 329–36. http://dx.doi.org/10.23986/afsci.72655.
Full textAbstract:
Scales that categorize the development of cereal apex have been introduced by several authors. Daylength markedly affects the rate of apex organogenesis and, hence, numeric codes for developmental stages of apices introduced for lower latitudes cannot be used in Finland without modifying them into a ratio scale. The present study introduces numeric codes that categorize the 22 developmental stages of oat (Avena saliva L.) apex in the growing conditions of Southern Finland. Field experiments, including 14 oat cultivars and six breeding lines that differ in the duration of the period from initiation of double ridges to pollination, were carried out at the Viikki Experimental Farm of the University of Helsinki (60°13’N) for two years. The numeric codes were established by relating them to cumulated degree days (CDD). This study showed that when estimating the developmental stages of oat apex by calculating CDD from sowing, the error of estimation was ±1 stage unit at the most.
3
Song, JaeWoo, HyukHoon Kim, EunJung Park, et al. "Pre-emptive ice cube cryotherapy for reducing pain from local anaesthetic injections for simple lacerations: a randomised controlled trial." Emergency Medicine Journal 35, no. 2 (2017): 103–7. http://dx.doi.org/10.1136/emermed-2017-206585.
Full textAbstract:
ObjectiveSubcutaneous local anaesthetic injection can be painful to patients in the ED. We evaluated the effect of cryotherapy by application of an ice cube to the injection site prior to injection in patients with simple lacerations.MethodsWe conducted a prospective, randomised, controlled trial in consented patients with simple lacerations needing primary repair at a single emergency centre from April to July 2016. We randomly assigned patients undergoing repair for simple lacerations to either the cryotherapy group or the control group (standard care; no cryotherapy or other pretreatment of the injection site). In cryotherapy group subjects, we applied an ice cube (size: 1.5×1.5×1.5 cm) placed inside a sterile glove on the wound at the anticipated subcutaneous lidocaine injection site for 2 min prior to injection. The primary outcome was a subjective numeric rating (0–10 scale) of the perceived pain from the subcutaneous local anaesthetic injections. Secondary outcomes were (a) perceived pain on a numeric scale for cryotherapy itself, that is, pain from contact of the ice cube/glove with the skin and (b) the rate of complications after primary laceration repair.ResultsFifty patients were enrolled, consented and randomised, with 25 in the cryotherapy group and 25 in the control group. The numeric rating scale for subcutaneous anaesthetic injections was median, IQR, 95% CI 2.0 (1 to 3.5), 1.81 to 3.47, respectively, in the cryotherapy group and 5.0 (3 to 7), 3.91 to 6.05 in the control group (Mann-Whitney U=147.50, p=0.001). No wound complications occurred in either group. The numeric rating scale for cryotherapy itself was median, IQR, 95% CI: 2.0 (1 to 3.5), 1.90 to 3.70.ConclusionPre-emptive topical injection site cryotherapy lasting 2 min before subcutaneous local anaesthetic injections can significantly reduce perceived pain from subcutaneous local anaesthetic injections in patients presenting for simple laceration repair.Trial registration numberKCT0001990.
4
Bathina, A. R. Vishal Varma, Rama Krishna Peetani, and Viswa Teja Vaitla. "A prospective randomized controlled trial to study the effect of preoperative and intraoperative magnesium over postoperative ileus and postoperative pain in major non–laparoscopic abdominal surgeries." International Surgery Journal 6, no. 9 (2019): 3182. http://dx.doi.org/10.18203/2349-2902.isj20194048.
Full textAbstract:
Background: The objective of the study were postoperative pain on 1st postoperative hour and 2, 4, 12, 24th postoperative hour as per numeric rating scale (NRS); total dose of postoperative analgesic consumption; postoperatively time of first appearance of bowed sounds; postoperatively time of first passage of flatus.Methods: A randomized controlled study will be performed. Patients of ASA 1 and 2, scheduled for major abdominal (GI) surgery, were divided into magnesium group and control group. Serum magnesium levels are estimated in both groups. Magnesium group receives 40 mg/kg of magnesium sulfate in 100 cc NS 30 minutes before the induction* as Intravenous drip, followed by 10 mg/kg/hr during the intraoperative hours. Control group receives the same volume of isotonic saline solution. Intra-operative hemodynamic parameters are evaluated constantly by recording pulse rate, blood pressure and Spo2. Further, post- operative analgesic will be ensured by epidural top-up using bupivacaine and tramadol when patients complaints of pain or when monitored with numeric rating scale (NRS). Postoperative patient pain is going to be evaluated in post-anesthetic care unit (PACU)/ SICU by numeral rating scale (NRS) during 1st hour, 2nd hour, 4th hour, 12th hour and 1 day, total dose of post-operative analgesic consumption will be recorded.Results: Of the 60 patients studied, 30 belong to magnesium group for which pre-operative and intraoperative intravenous magnesium (cases). Remaining 30 were given equal amounts of preoperative and intraoperative normal saline given (controls).Conclusions: The results of present study suggests that pre and intra operative. Magnesium as an adjunct to epidural analgesia reduces postoperative pain pre-operative and intra operative IV mg reduces post-operative ileus duration.
5
Buchheit, Thomas, Hung-Lun John Hsia, Mary Cooter, et al. "The Impact of Surgical Amputation and Valproic Acid on Pain and Functional Trajectory: Results from the Veterans Integrated Pain Evaluation Research (VIPER) Randomized, Double-Blinded Placebo-Controlled Trial." Pain Medicine 20, no. 10 (2019): 2004–17. http://dx.doi.org/10.1093/pm/pnz067.
Full textAbstract:
Abstract Objective To determine if the perioperative administration of valproic acid reduces the incidence of chronic pain three months after amputation or revision surgery. Design Multicenter, randomized, double-blind, placebo-controlled trial. Setting Academic, military, and veteran medical centers. Subjects One hundred twenty-eight patients undergoing amputation or amputation revision surgery at Duke University Hospital, Walter Reed National Military Medical Center, or the Durham Veterans Affairs Medical Center for either medical disease or trauma. Methods Patients were randomized to placebo or valproic acid for the duration of hospitalization and treated with multimodal analgesic care, including regional anesthetic blockade. Primary outcome was the proportion of patients with chronic pain at three months (average numeric pain score intensity of 3/10 or greater). Secondary outcomes included functional trajectories (assessed with the Brief Pain Inventory short form and the Defense and Veterans Pain Rating Scale). Results The overall rate of chronic pain was 68.2% in the 107 patients who completed the end point assessment. There was no significant effect of perioperative valproic acid administration, with a rate of 65.45% (N = 36) in the treatment group and a rate of 71.15% (N = 37) in the placebo group. Overall, pain scores decreased from baseline to follow-up (median = –2 on the numeric pain scale). Patients additionally experienced improvements in self-perceived function. Conclusions The rate of chronic pain after amputation surgery is not significantly improved with the perioperative administration of valproic acid. In this cohort treated with multimodal perioperative analgesia and regional anesthetic blockade, we observed improvements in both pain severity and function.
6
Silverberg, R. R., S. Hemphill, T. Wagner, et al. "The Ability of Burn Survivors to Rate Hypertrophic Scars Using the Numeric Scar Rating Scale." Journal of Burn Care & Rehabilitation 22 (March 2001): S144. http://dx.doi.org/10.1097/00004630-200103002-00194.
Full text
7
Binfalah, Mohamed, Eman Alghawi, Eslam Shosha, Ali Alhilly, and Moiz Bakhiet. "Sphenopalatine Ganglion Block for the Treatment of Acute Migraine Headache." Pain Research and Treatment 2018 (May 7, 2018): 1–6. http://dx.doi.org/10.1155/2018/2516953.
Full textAbstract:
Transnasal sphenopalatine ganglion block is emerging as is an attractive and effective treatment modality for acute migraine headaches, cluster headache, trigeminal neuralgia, and several other conditions. We assessed the efficacy and safety of this treatment using the Sphenocath® device. 55 patients with acute migraine headaches underwent this procedure, receiving 2 ml of 2% lidocaine in each nostril. Pain numeric rating scale (baseline, 15 minutes, 2 hours, and 24 hours) and patient global impression of change (2 hours and 24 hours after treatment) were recorded. The majority of patients became headache-free at 15 minutes, 2 hours, and 24 hours after procedure (70.9%, 78.2%, and 70.4%, resp.). The rate of headache relief (50% or more reduction in headache intensity) was 27.3% at 15 minutes, 20% at 2 hours, and 22.2% at 24 hours. The mean pain numeric rating scale decreased significantly at 15 minutes, 2 hours, and 24 hours, respectively. Most patients rated the results as very good or good. The procedure was well-tolerated with few adverse events. This treatment is emerging as an effective and safe option for management of acute migraine attacks.
8
Kale, Ahmet, Gulfem Basol, Dogus Navdar Uzun, and Taner Usta. "Sciatic nerve and sacral 2 nerve root decompression by aberrant hypogastric vein branch causing persistent sciatica." Journal of Endometriosis and Pelvic Pain Disorders 10, no. 4 (2018): 224–26. http://dx.doi.org/10.1177/2284026518791893.
Full textAbstract:
Introduction: The aim of this case to present a woman with neurovascular entrapment causing persistent sciatica. We presented the surgical management and the feasibility, safety, and early postoperative outcomes, as well as step-by-step explanation of the surgical technique that it was enriched via original video footage. Case description: A 29-year-old woman has been suffering from chronic pelvic pain and sciatica for 1 year. She had received medical physical treatment for 6 months and did not have any response to pain. Her visual analog scale score was 8/10 points. Neurovascular entrapment was considered as a preliminary diagnosis. The laparoscopic approach showed that an aberrant hypogastric vein branch compressing the sciatic nerve and sacral 2 nerve root. The decompression of these nerves was performed successfully. The total operation time was 50 min. There was no intraoperative and postoperative complication. The visual analog scale score on the postoperative 24th-h was 1/10 point (on 11-point numeric scale). The patient was discharged on the second day postoperatively. In the first-month follow-up, patient’s visual analog scale score was 7/10 point (on 11-point numeric scale). In the 12th-month follow-up, patient’s pelvic pain has decreased dramatically (visual analog scale score rate was 0/10 point) and also had no dyspareunia. Conclusion: A gynecologist should be aware of diagnosis of vascular entrapment in the chronic pelvic pain. Moreover, knowledge of pelvic neuroanatomy and clinical neurology is mandatory for surgeons. The surgical management of neurovascular entrapment is a safe, feasible, and curative option when performed by experienced surgeons.
9
Defrin, Ruth, Tali Benromano, and Chaim G. Pick. "Specific Behavioral Responses Rather Than Autonomic Responses Can Indicate and Quantify Acute Pain among Individuals with Intellectual and Developmental Disabilities." Brain Sciences 11, no. 2 (2021): 253. http://dx.doi.org/10.3390/brainsci11020253.
Full textAbstract:
Individuals with intellectual and developmental disabilities (IDD) are at a high risk of experiencing pain. Pain management requires assessment, a challenging mission considering the impaired communication skills in IDD. We analyzed subjective and objective responses following calibrated experimental stimuli to determine whether they can differentiate between painful and non-painful states, and adequately quantify pain among individuals with IDD. Eighteen adults with IDD and 21 healthy controls (HC) received experimental pressure stimuli (innocuous, mildly noxious, and moderately noxious). Facial expressions (analyzed with the Facial Action Coding System (FACS)) and autonomic function (heart rate, heart rate variability (HRV), pulse, and galvanic skin response (GSR)) were continuously monitored, and self-reports using a pyramid and a numeric scale were obtained. Significant stimulus-response relationships were observed for the FACS and pyramid scores (but not for the numeric scores), and specific action units could differentiate between the noxious levels among the IDD group. FACS scores of the IDD group were higher and steeper than those of HC. HRV was overall lower among the IDD group, and GSR increased during noxious stimulation in both groups. In conclusion, the facial expressions and self-reports seem to reliably detect and quantify pain among individuals with mild-moderate IDD; their enhanced responses may indicate increased pain sensitivity that requires careful clinical consideration.
10
Lakomkin, Nikita, Giorgos Michalopoulos, Andrew Kai-Hong Chan, et al. "471 Using the QOD to Identify Minimum Clinically Important Differences for Patients With Cervical Spondylotic Myelopathy." Neurosurgery 70, Supplement_1 (2024): 144. http://dx.doi.org/10.1227/neu.0000000000002809_471.
Full textAbstract:
INTRODUCTION: Minimum clinically important differences (MCID) for quality-adjusted life years (QALYs) and arm pain patient-reported outcome metrics (PROMs) in cervical spondylotic myelopathy (CSM) have yet to be determined, while data for myelopathy severity, impairment, and neck pain remain limited by small series and low rates of follow-up. METHODS: The CSM database of the QOD Study Group was utilized for this analysis. Patients were prospectively enrolled and followed for 24 months, with a follow-up rate of 85.2%. The MCIDs were computed for five standardized instruments: Neck Disability Index (NDI), five-dimension Euro-QoL (EQ-5D) in QALYs, neck and arm pain numeric rating scale (NRS), and modified Japanese Orthopedic Association score (mJOA) at both 3 and 24-month follow-up. Seven previously validated measures of MCID were compared using the area-under-the-curve (AUC). The North American Spine Society (NASS) satisfaction scale was the anchor, with scores of 1-2 meeting criteria for satisfaction. RESULTS: A total of 1,141 patients underwent surgery for CSM. Improvement of =30% from baseline was the optimal MCID across time points for NDI and neck/arm NRS. At 24 months, 30% improvement for these three instruments resulted in AUCs of 0.73, 0.71, and 0.67, respectively. Numeric cut-offs (0.065 at 3 months and 0.149 at 24 months) were the superior MCIDs for EQ-5D-derived QALYs. For mJOA, a severity-adjusted MCID outperformed the other methods, yielding an AUC of 0.67 at 24 months. CONCLUSIONS: We used the QOD dataset to define previously unknown MCIDs for several outcome measures. A =30% improvement from baseline was a consistent, high-performing MCID in NDI and arm/neck NRS. However, an absolute numeric cut-off (0.149) was the superior MCID for EQ-5D QALYs. mJOA exhibited the lowest predictive capacity for patient satisfaction.
11
Giorgetti, Ana Paula Oliveira, Rafaela de Matos, Renato Corrêa Viana Casarin, Suzana Prese Pimentel, Fabiano Ribeiro Cirano, and Fernanda Vieira Ribeiro. "Preemptive and Postoperative Medication Protocols for Root Coverage Combined with Connective Tissue Graft." Brazilian Dental Journal 29, no. 1 (2018): 23–29. http://dx.doi.org/10.1590/0103-6440201801452.
Full textAbstract:
Abstract This trial evaluated the preemptive and postoperative effect of dexamethasone and ibuprofen on prevention of pain/discomfort, edema and interference in daily life in patients undergoing root coverage combined with subepithelial connective tissue graft (CAF + CTG). Twenty patients were randomly assigned as follows: NSAID Group: 400mg Ibuprofen 60 min preemptive + 400mg Ibuprofen postoperative; or SAID Group: 4mg Dexamethasone 60 min preemptive + 4mg Dexamethasone postoperative. The postoperative medication was administered 8 and 16 h post-surgery. Each patient received questionnaires based on a numeric scale (101-point numeric scale rate [NRS-101]) and multiple choice questions (four-point verbal rating scale [VRS-4]) about trans-operative pain/discomfort, hourly for 8 h after surgery and once a day for three days. A Visual Analogue Scale (VAS) for edema and interference in daily life during the 1st, 2nd, 3rd and 7th day was also answered. The degree of anxiety was rated statistically by the Chi-square test. The Mann-Whitney and Friedman tests were used for the other questionnaires. The surgery time and number of analgesic pills consumed were compared using Student’s t-test. Patients who used dexamethasone presented a trend toward less pain when compared to individuals who ingested ibuprofen, with a significant difference observed 3 h after the procedure (p<0.05). The use of dexamethasone also promoted less edema until the 2nd day and lower interference in daily life on the third day when compared with ibuprofen (p<0.05). We concluded that the use of dexamethasone as a preemptive and postoperative medication was more suitable as a drug therapeutic protocol for CAF + CTG.
12
Titin, Titin, Beti Meilina, Yuliani Yuliani, Titik Setiawati, Elva Sari, and Nopi Anggista Putri. "Pengaruh Mobilisasi Dini terhadap Skala Nyeri Luka pada Ibu dengan Persalinan Cesarean Section di RSUD Alimuddin Umar Liwa." Jurnal Ilmiah Kesehatan Masyarakat : Media Komunikasi Komunitas Kesehatan Masyarakat 16, no. 1 (2024): 33–39. http://dx.doi.org/10.52022/jikm.v16i1.632.
Full textAbstract:
Latar belakang: Sebagian besar ibu memilih persalinan sesar karena merasa lebih cepat tanpa menunggu nyeri persalinan yang cukup lama. Tindakan untuk meredakan nyeri pada ibu nifas antara lain dengan melakukan mobilisasi dini karena jika tidak dilakukan akan menyebabkan kenaikan suhu, perdarahan abnormal, trombosis, involusi lemah, aliran darah tersumbat, nyeri bertambah. Tujuan penelitian menganalisis pengaruh mobilisasi dini terhadap skala nyeri luka pada ibu dengan persalinan Cesarean section (C-section) di RSUD Alimuddin Umar Liwa Lampung Barat Tahun 2023.Metode: Penelitian ini merupakan quasi experiment with control group design pada 91 ibu post C-section di RSUD Alimuddin Umar Liwa dipilih secara purposive sampling. Kelompok intervensi terdiri dari 40 orang dan kontrol 51 orang. Pada kelompok intervensi, pergerakan dilakukan oleh responden setelah sadar dari pembiusan. Pengumpulan data menggunakan lembar observasi pada variabel mobilisasi dini dan lembar observasi Numeric Rate Scale (NRS) pada variabel skala nyeri dan analisis data secara univariat dan bivariat (Mann Whitney). Hasil: Sebanyak 40 responden pada kelompok kontrol memiliki rata-rata skala nyeri sebesar 5 (nyeri sedang) dan sebanyak 51 responden (intervensi) memiliki rata-rata skala nyeri sebesar 3,31 (nyeri ringan). Ditemukan signifikansi mobilisasi dengan skala nyeri luka pada ibu dengan persalinan C-section (p = 0,040).Kesimpulan: Ada pengaruh mobilisasi dini terhadap skala nyeri luka pada ibu dengan persalinan C-section di RSUD Alimuddin Umar Liwa.Kata kunci: Caesarean section, Mobilisasi dini, Nyeri, Persalinan
 Background: Most expecting mothers choose cesarean delivery because they feel that it is a quicker process without the long wait of labor pains. Actions to relieve pain in postpartum women include early mobilization. If this is not practiced, it will cause a rise in temperature, abnormal bleeding, thrombosis, weak involution, blocked blood flow, and increased pain. The research aimed to analyze the effect of early mobilization on the scale of wound pain in mothers with post-cesarean section deliveries at the Alimuddin Umar Liwa Hospital, West Lampung in 2023.Method: This research was a quasi-experiment with a control group design on 91 mothers with a post-cesarean section at Alimuddin Umar Liwa Regional Hospital, selected using purposive sampling. The intervention group consisted of 40 people and the control group consisted of 51 people. In the intervention group, the movements were carried out by the respondents after regaining consciousness from anesthesia. Data were collected using observation sheets on the early mobilization variable and Numeric Rate Scale (NRS) observation sheets on the pain scale variable. The collected data were analyzed by univariate and bivariate (Mann Whitney).Results: A total of 40 respondents in the control group had an average pain scale of 5 (moderate pain) and 51 respondents in the intervention group had an average pain scale of 3.31 (mild pain). It was found that mobilization was significant with the wound pain scale in mothers with post-cesarean section deliveries (p = 0.040).Conclusion: There was an effect of early mobilization on the scale of wound pain in mothers with post-cesarean section deliveries at Alimuddin Umar Liwa Regional Hospital.Keywords: Caesarean section, Childbirth, Early mobilization, Pain
13
Anpuram, Laxminarayana. "Utility of numerical and visual analog scales for evaluating the post-operative pain in rural areas." International Journal of Advances in Medicine 6, no. 2 (2019): 284. http://dx.doi.org/10.18203/2349-3933.ijam20190991.
Full textAbstract:
Background: Under normal circumstances one tries to avoid pain. If incurred, one would like to do something about it, like taking pain killers, seeking medical help or avoiding movements or positions that bring on pain or make it worse. The aim of study was to evaluate the literacy impact on the ability to indicate pain on two rating scales.Methods: This study was a cross sectional study conducted in post-operative patients admitted in tertiary hospital in rural areas of India. This study was conducted between May 2016 to October 2016.Results: In this study, 100 patients were enrolled. illiterate patients were 40 which was the highest and the least was graduate patients which constituted about 8%. Patients who were in upper class was the least which constituted about 6%, patients who were in middle class was the highest which was 65%. P values for age, sex and literacy in VAS scale were 0.642, 0.966 and 0.322 respectively. The P values for age, sex and literacy in NAS scale were 0.711, 0.401 and 0.870 respectively.Conclusions: This study proved that illiterate patients in Indian rural population can easily rate their pain on these scales and thus visual analog scales and numeric analog scales were the simplest tools for assessing the pain.
14
Kim, Byung-Jun, A.-La Park, Man-Suk Hwang, et al. "Comparative Effectiveness and Safety of Concomitant Treatment with Chuna Manual Therapy and Usual Care for Whiplash Injuries: A Multicenter Randomized Controlled Trial." International Journal of Environmental Research and Public Health 19, no. 17 (2022): 10678. http://dx.doi.org/10.3390/ijerph191710678.
Full textAbstract:
Objectives: We aimed to compare the effectiveness and safety of Chuna manual therapy combined with usual care to those of usual care alone for treating whiplash injuries. Design: A two-arm, parallel, assessor-blinded, multicenter pragmatic randomized clinical trial. Setting: Three hospitals in Korea. Participants: Overall, 132 participants between 19 and 70 years of age, involved in traffic accidents and treated at three hospitals in Korea, >2 but <13 weeks prior to enrollment, with neck pain consistent with whiplash-associated disorder grades I and II and a numeric rating scale score ≥5 were included. Interventions: Participants were equally and randomly allocated to the Chuna manual therapy and usual care (n = 66) or usual care (n = 66) groups and underwent corresponding treatment for three weeks. Primary and secondary outcome measures: The primary outcome was the number of days to achieve a 50% pain reduction. Secondary outcomes included areas under the 50% numeric rating scale reduction curve: pain, disability, quality of life, and safety. Results: The Chuna manual therapy + usual care group (23.31 ± 21.36 days; p = 0.01) required significantly fewer days to achieve 50% pain reduction compared to the usual care group (50.41 ± 48.32 days; p = 0.01). Regarding pain severity, functional index, and quality of life index, Chuna manual therapy and usual care were more effective than usual care alone. Safety was acceptable in both groups. Conclusions: In patients with subacute whiplash injury, Chuna manual therapy showed a rapid rate of recovery, high effectiveness, and safety.
15
Manikam, Ratna Hafidah, Risnawati Risnawati, Dwi Ida Puspitasari, and Tuti Meihartati. "The Effect Of Deep Back Massage And Warm Compresses On Labor Pain During Active Phase I." JKM (Jurnal Kebidanan Malahayati) 10, no. 6 (2024): 607–14. http://dx.doi.org/10.33024/jkm.v10i6.14486.
Full textAbstract:
Latar Belakang : Dari data survey study pendahuluan yang dilakukan wawancara singkat ditemukan 12 dari 15 ibu bersalin kala 1 fase aktif mengalami nyeri berat terkontrol dengan menggunakan skala ukur NRS (Numeric Rating Scale) diperoleh data bahwa 3 ibu bersalin mengalami nyeri sedang. ibu bersalin belum mengetahui adanya teknik dalam mengatasi rasa nyeri yang berlebihan dengan harapan dilakukannya penelitian ini dapat mengurangi tingkat rujukan akibat rasa nyeri yang tidak terkontrol. Nyeri pada ibu bersalin juga menyebabkan meningkatnya kadar katekolamin atau hormon stress seperti epinefrin dan kortisol. Peningkatan kadar katekolamin atau hormon stres dapat mengurangi kemampuan tubuh ibu untuk menahan rasa nyeri. Hormon yang produksinya meningkat karena persalinan diantaranya adalah hormon kortisol.Tujuan : Penelitian ini untuk diketahui pengaruh deep back massage dan kompres hangat terhadap nyeri persalinan kala 1 fase aktif di RSUD Akhmad Berahim Kabupaten Tana Tidung.Metode : Penelitian ini menggunakan desain Quasi eksperiment jenis pretest dan posttest. Menggunakan consecutive sampling Jumlah sampel adalah 30 responden yang terdiri dari 15 orang kelompok deep back massage dan 15 orang kelompok kompres hangat. Instrument penelitian ini menggunakan skala nyeri NRS (Numeric Rating Scale) dan SOP.Hasil : Berdasarkan uji wilxocon sign rank menunjukkan nilai P value = 0.001< α (0.05), sehingga Ha diterima.Kesimpulan : Ada pengaruh signifikan hasil pretest dan posttest terhadap nyeri persalinan kala 1 fase aktif. Saran: diharapkan dengan ada penelitian ini dapat dijadikan salah satu referensi metode non farmakologi untuk mengatasi nyeri persalinan Kata Kunci: Deep Back Massage, Kompres Hangat, Nyeri Persalinan ABSTRACT Background: From the preliminary survey study data conducted by short interviews, it was found that 12 out of 15 mothers who gave birth during the 1st active phase experienced controlled severe pain using the NRS (Numeric Rating Scale) measurement scale, data was obtained that 3 mothers gave birth with moderate pain. Maternity mothers are not aware of any techniques for overcoming excessive pain in the hope that this study can reduce the referral rate due to uncontrolled pain. Pain in childbirth also causes increased levels of catecholamines or stress hormones such as epinephrine and cortisol. Increased levels of catecholamins or stress hormones can reduce the mother's body's ability to withstand pain. Hormones whose production increases due to childbirth include the hormone cortisol.Purpose: This study was to determine the effect of deep back massage and warm compresses on labor pain during active phase 1 at Akhmad Berahim Hospital, Tana Tidung Regency.Method: This study uses a Quasi experimental design of pretest and posttest types. Using consecutive sampling, the number of samples was 30 respondents consisting of 15 people in the deep back massage group and 15 people in the warm compress group. This research instrument uses the NRS (Numeric Rating Scale) pain scale and SOP.Results: Based on the wilxocon sign rank test, it shows a P value = 0.001< α (0.05), so Ha is accepted.Conclusion: There is a significant influence of pretest and posttest results on labor pain during active phase 1. Suggestion: it is hoped that this research can be used as a reference for non-pharmacological methods to overcome labor pain Keywords: Deep Back Massage, Warm Compress, Labor Pain
16
Devia Riza Maharani and Hermawati Hermawati. "Penerapan Kompres Hangat Elektrik dan Relaksasi Nafas dalam terhadap Tingkat Nyeri Dismenore pada Remaja Putri di SMK Negeri 1 Sragen." NAJ : Nursing Applied Journal 2, no. 4 (2024): 16–26. http://dx.doi.org/10.57213/naj.v2i4.362.
Full textAbstract:
Background: Dysmenorrhea pain is lower abdominal pain that can spread the lower back, waist, pervis, caused contractions uterine muscles when blood released from the uterus, causing the muscles highten and causing pain and cramps. The incidence rate in Indonesia 64,25% divided primary dysmenorrhea 54,89% and secondary dysmenorrhea 9,36%. Warm compresses have the body’s response heat which causes dilation of blood vassels wich improves blood circulation. Deep breathing relaxation through breathing exercises stimulates body form pain suppression system, wich ultimately can reduce pain intensity. Objective : Describe the results before and after administering warm electric compresses and deep breathing relaxation on the level of dysmenorrhea pain. Method: Case study method by observing pain levels and using the Numeric Rating Scale (NRS) measuring scale. Results: There was reduction dysmenorrhea pain both respondents after giving warm compresses electric and deep breathing relaxtion to Nn. R a scale of 6 to 4 and Nn. A a scale of 8 to 5. Conslusion: Applying warm compresses and deep breathing relaxation young women with dysmenorrhea pain can reduce the level of pain.
17
Lam, Kenneth C., Katie M. Harrington, Kenneth L. Cameron, and Alison R. Snyder Valier. "Use of Patient-Reported Outcome Measures in Athletic Training: Common Measures, Selection Considerations, and Practical Barriers." Journal of Athletic Training 54, no. 4 (2019): 449–58. http://dx.doi.org/10.4085/1062-6050-108-17.
Full textAbstract:
Context Current evidence suggests that a low percentage of athletic trainers (ATs) routinely use patient-reported outcome measures (PROMs). An understanding of the perceptions of ATs who use (AT-USE) and who do not use (AT-NON) PROMs as well as any differences due to demographic characteristics (eg, use for patient care or research, job setting, highest education level) may help facilitate the use of PROMs in athletic training. Objective To describe commonly used PROMs by AT-USE, the criteria by which AT-USE select PROMs, and reasons for non-use by AT-NON. Design Cross-sectional study. Setting Online survey. Patients or Other Participants A convenience sample of 1784 ATs (response rate = 10.7% [1784/17972]; completion rate = 92.2% [1784/1935]) who worked in a variety of settings. Main Outcome Measure(s) Participants completed an anonymous electronic online survey. Descriptive statistics were used to describe commonly used PROMs, PROM selection criteria, and reasons for PROM non-use. Results Participants were classified as AT-USE (n = 370, 20.7%) or AT-NON (n = 1414, 79.3%). For the AT-USE group, the most common type of PROMs used were specific (eg, region, joint; n = 328, 88.6%), followed by single-item (n = 258, 69.7%) and generic (n = 232, 62.7%). Overall, the PROMs most frequently endorsed by the AT-USE group were the Numeric Pain Rating Scale (n = 128, 34.6%); Lower Extremity Functional Scale (n = 108, 29.2%); Disability of the Arm, Shoulder and Hand (n = 96, 25.9%); Owestry Disability Index (n = 80, 21.6%); and Foot and Ankle Ability Measure (n = 78, 21.1%). The most important criteria reported by AT-USE for selecting PROMs were that the measure was valid and reliable, easy for patients to understand, and easy for clinicians to understand and interpret. Common reasons for non-use were that PROMs were too time consuming for the clinician, too time consuming for the patient, and more effort than they were worth. Conclusions The Numeric Pain Rating Scale; Lower Extremity Functional Scale; Disability of the Arm, Shoulder and Hand; Owestry Disability Index; and Foot and Ankle Ability Measure were the PROMs most commonly endorsed by AT-USE and should be considered for athletic training use. To further facilitate the use of PROMs in athletic training, future authors should identify strategies to address organizational and time-constraint obstacles. Interpretation of our study findings may require caution due to a relatively low response rate and because “routine use” was not operationalized.
18
Tan, Juquan, and Jingwen Chen. "Generating context-specific sports training plans by combining generative adversarial networks." PLOS ONE 20, no. 1 (2025): e0318321. https://doi.org/10.1371/journal.pone.0318321.
Full textAbstract:
Personalized sports training plans are essential for addressing individual athlete needs, but traditional methods often need to integrate diverse data types, limiting adaptability and effectiveness. Existing machine learning (ML) and rule-based approaches cannot dynamically generate context-specific training programs, reducing their applicability in real-world scenarios. This study aims to develop a Generative Adversarial Network (GAN)- based framework to create context-specific training plans by integrating numeric attributes (e.g., age, heart rate) and motion features from video data. The research focuses on improving context-specific efficiency and real-time adaptability while addressing the limitations of traditional methods. The proposed GAN framework combines numeric and motion features using a generator-discriminator architecture to produce tailored training plans. The model is evaluated quantitatively through metrics like mean square error (MSE) and generation time and qualitatively through subjective ratings from athletes and coaches using a five-point Likert scale for context-specific, scientificity, applicability, and feasibility. Statistical significance is analyzed using ANOVA testing. The proposed GAN model outperforms traditional ML and rule-based methods, achieving a 22% reduction in MSE and a 45% improvement in generation time. Subjective evaluations reveal significant improvements in context-specific and applicability, with ratings averaging 4.8/5 compared to 3.9/5 for baseline models. The GAN framework effectively integrates multimodal data, demonstrating dynamic adaptability and high efficiency suitable for real-world applications. The proposed GAN-based framework advances the generation of personalized sports training plans by integrating numeric and motion data, achieving superior adaptability and efficiency. These results highlight the model’s potential for practical deployment in athletic coaching systems, addressing critical gaps in existing methodologies and offering scalable solutions for individualized training.
19
Vanelderen, Pascal, Jan Van Zundert, Tamás Kozicz, et al. "Effect of Minocycline on Lumbar Radicular Neuropathic Pain." Anesthesiology 122, no. 2 (2015): 399–406. http://dx.doi.org/10.1097/aln.0000000000000508.
Full textAbstract:
Abstract Background: Less than 50% of patients experience sufficient pain relief with current drug therapy for neuropathic pain. Minocycline shows promising results in rodent models of neuropathic pain but was not studied in humans with regard to the treatment of neuropathic pain. Methods: In this randomized, double-blind, placebo-controlled clinical trial, patients with subacute lumbar radicular pain received placebo, amitriptyline 25 mg, or minocycline 100 mg once a day (n = 20 per group) for 14 days. Primary outcome measure was the pain intensity in the leg as measured by a numeric rating scale ranging from 0 to 10 on days 7 and 14. Secondary outcome measures were the reduction of neuropathic pain symptoms in the leg as determined with a neuropathic pain questionnaire, consumption of rescue medication, and adverse events on days 7 and 14. Results: Sixty patients were randomized and included in an intention-to-treat analysis. After 14 days, patients in the minocycline and amitriptyline groups reported a reduction of 1.47 (95% confidence interval, 0.16–2.83; P = 0.035) and 1.41 (95% confidence interval, 0.05–2.78; P = 0.043), respectively, in the numeric rating scale compared to the placebo group. No differences were seen in the neuropathic pain questionnaire values at any time point during treatment between the three groups. The rate of adverse events in the amitriptyline group was 10% versus none in the minocycline and placebo groups. No differences were noted in the consumption of rescue medication. Conclusions: Although both groups differed from placebo, their effect size was small and therefore not likely to be clinically meaningful.
20
Sasaki, Yuka, Nobuhiro Tanaka, Hideki Matsuura, et al. "Effect of opioid titration protocol using nociception monitors in gynecologic laparoscopic surgery with total hysterectomy: A randomized controlled trial (OPTIMIST-h study)." Medicine: Case Reports and Study Protocols 6, no. 2 (2025): e00354. https://doi.org/10.1097/md9.0000000000000354.
Full textAbstract:
Study objective: This study aims to assess the importance of administering opioids appropriately based on nociceptive monitoring. Design: Randomized controlled trial. Setting: Single center, operating room. Patients: The study will include 75 patients scheduled to undergo a robot-assisted or total laparoscopic hysterectomy (TLH). Interventions: Patients will be allocated randomly to receive nociception level-directed intraoperative opioid management, high-frequency variability index-directed management, or conventional intraoperative analgesic management (control group). Measurements: The primary outcome will be the mean intraoperative remifentanil infusion flow rate (intraoperative remifentanil usage [μg] divided by ideal body weight [kg] and operation time [min]). The secondary outcomes will be the plasma concentrations of 3 perioperative inflammatory biomarkers (interleukin-6, C-reactive protein, and cortisol), Quality of Recovery-15 scores (preoperative and postoperative days 1 and 2), postoperative fentanyl consumption, postoperative pain (numeric rating scale) scores (2 hours postoperatively and on postoperative days 1, 2, and 3), and presence of chronic postsurgical pain. Main results: We expect that the patients in the intervention groups will have reduced intraoperative remifentanil usage without worsening inflammatory markers, numeric rating scale scores, or Quality of Recovery-15 scores compared with those in the control group. The results of this study may provide important insights into analgesic dose-adjustment strategies using nociception monitors in TLH. Conclusion: This trial will evaluate the effects of nociception monitor-directed opioid management and investigate perioperative levels of interleukin-6, cortisol, and C-reactive protein. In addition, this study is expected to compare monitors, including sedation monitors combined with nociception monitors, in TLH.
21
Mathew A, Ashish, S. F. Mariyam Farzana, Suresh T N, Arvind M, and Prithiha V. "Analysis of Forehand and Backhand Stroke Accuracy and Lateral Epicondylitis Pain among Recreational Tennis Players." International Journal of Engineering, Science and Information Technology 5, no. 3 (2025): 435–40. https://doi.org/10.52088/ijesty.v5i3.1134.
Full textAbstract:
The tennis matches require short explosive bursts of energy per match or practice session, and an average tennis match lasts less than one hour or as long as five hours. Tennis players most prominently use the primary ground strokes, such as forehand and backhand strokes. The forehand and backhand strokes are simultaneously activated by a complex sequence of muscle activity that incorporates smooth trunk and lower extremities coordination patterns. Accuracy of the forehand and backhand stroke plays a dominant role in the tennis matches, because accurate movement leads to high-performance skills. The contraption of this study promotes the knowledge on the influence of lateral elbow pain, which affects the players' accuracy in performing the ground strokes during a match, significantly decreasing the players' performance. The participants were recruited according to the inclusion and exclusion criteria. The participants' lateral epicondylitis was assessed using the Cozens test, pain was evaluated using the Numeric pain rating scale, and the ground stroke accuracy was assessed using the Wiebe tennis performance test. During the forehand stroke, the participants reported a visual analogue scale with a mean value of 2.46 and an accuracy rate of 65.71. During the backhand stroke, the participants reported a visual analogue scale with a mean value of 5.66 and an accuracy rate of 37.93. This study concludes that the pain score significantly increased in double and single backhanded strokes, with a decreased accuracy rate. This study also concludes that at least a positive correlation exists between pain intensity and the accuracy rate in the backhand stroke.
22
An, Jianxiong. "Long-Term Outcomes of Epidurals with Lidocaine With or Without Steroids for Lumbar Disc Herniation and Spinal Stenosis: A Meta-Analysis." Pain Physician 4;23, no. 7;4 (2020): 365–73. http://dx.doi.org/10.36076/ppj.2020/23/365.
Full textAbstract:
Background: Previous meta-analyses examined only the short-term differences between lidocaine and steroids vs lidocaine alone in treating lumbar degenerative diseases. Long-term outcomes (1-2 years) in patients with lumbar disc herniation (LDH) and lumbar central spinal stenosis (LCSS) have not yet been systematically evaluated. Objective: The objective of our study was to assess quantitatively the difference in efficacy at 1 to 2 years between lidocaine alone vs lidocaine and steroids for the management of LDH or LCSS. Study Design: We conducted a meta-analysis. Methods: PubMed, EMBASE, and the Cochrane library were electronically searched up to July 22, 2016, for randomized controlled trials comparing lidocaine alone vs in combination with steroids for the treatment of LDH and LCSS. Effective pain relief (EPR), Numeric Rating Scale (NRS-11), Oswestry Disability Index (ODI), opioid intake (OI), and total employed increased rate (TEIR) were the endpoints. Risk ratios (RRs) or weighted mean difference (WMD) with 95% confidence intervals (CIs) were calculated, and the pooled analysis was conducted using RevMan 5.2. Results: Seven trials were included. EPR was not significantly different at 1 and 2 years, with RR = 1.08 (95% CI, 0.90-1.30; P = .39) and RR = 1.04 (95% CI, 0.92-1.18; P = .51), respectively, in patients treated with lidocaine alone vs in combination with steroids. The NRS11 was also similar at 1 and 2 years. ODI and OI were not significantly different at 1 and 2 years. A similar TEIR effect was also observed for the 2 treatments. Limitations: This meta-analysis relied on a small sample size of trials. Significant heterogeneity among studies was observed. Several significant differences in terms of age of the patients were reported in one included trial. Conclusion: This meta-analysis confirmed the similar effects associated with lidocaine alone vs in combination with steroids for the management of LDH and LCSS. Studies with longer follow-up periods are still recommended. Key words: Effective pain relief, lidocaine, long-term, lumbar central spinal stenosis, lumbar disc herniation, Numeric Rating Scale, opioid intake, Oswestry Disability Index, steroids, total employed increased rate
23
Green, Clare K., John P. Scanaliato, Austin B. Fares, Hunter Czajkowski, John C. Dunn, and Nata Parnes. "Midterm Outcomes After Arthroscopic Repair of Type VIII SLAP Lesions in Active Duty Military Patients Younger Than 35 Years." Orthopaedic Journal of Sports Medicine 10, no. 5 (2022): 232596712210959. http://dx.doi.org/10.1177/23259671221095908.
Full textAbstract:
Background: Superior labrum from anterior to posterior (SLAP) lesions represent a significant cause of shoulder pain and disability among active duty members of the US military. However, few data exist regarding the surgical management of type VIII SLAP lesions. Hypothesis: We hypothesized that arthroscopic repair would decrease pain and increase function at the midterm follow-up and allow for a high rate of maintenance of active duty status. Study Design: Case series; Level of evidence, 4. Methods: Consecutive active duty military patients were identified from January 2011 through June 2015 who underwent arthroscopic repair of type VIII SLAP lesions performed by a single surgeon. Patients were excluded if they underwent glenoid microfracture, other capsulolabral repair, or rotator cuff repair. Outcome measures were completed by patients within 1 week before surgery and at latest follow-up: pain visual analog scale, Single Assessment Numeric Evaluation, American Shoulder and Elbow Surgeons shoulder score, and Rowe instability score. Results: A total of 30 patients met the inclusion criteria for the study. The mean ± SD follow-up was 96.60 ± 10.91 months. At final follow-up, the mean visual analog scale score improved from 8.17 ± 1.6 to 1.63 ± 1.90 ( P < .0001), the Single Assessment Numeric Evaluation score from 41.65 ± 16.78 to 87.63 ± 13.02 ( P < .0001), the American Shoulder and Elbow Surgeons score from 36.47 ± 10.26 to 88.07 ± 13.94 ( P < .0001), and the Rowe score from 35.33 ± 6.56 to 90.00 ± 14.68 ( P < .0001). Three patients reported postoperative complications, and 1 progressed to further surgery. Overall, 90% of patients remained on active duty military service and were able to return to preinjury levels of work and recreational activity. The failure rate, defined as persistent instability or activity-limiting pain, was 10%. Conclusion: The results of this study demonstrated favorable outcomes for the majority of patients after arthroscopic repair of type VIII SLAP lesions at midterm follow-up, supporting repair as a viable treatment option for type VIII SLAP tears in this patient population.
24
Gerbershagen, Hans J., Sanjay Aduckathil, Albert J. M. van Wijck, Linda M. Peelen, Cor J. Kalkman, and Winfried Meissner. "Pain Intensity on the First Day after Surgery." Anesthesiology 118, no. 4 (2013): 934–44. http://dx.doi.org/10.1097/aln.0b013e31828866b3.
Full textAbstract:
Abstract Background: Severe pain after surgery remains a major problem, occurring in 20–40% of patients. Despite numerous published studies, the degree of pain following many types of surgery in everyday clinical practice is unknown. To improve postoperative pain therapy and develop procedure-specific, optimized pain-treatment protocols, types of surgery that may result in severe postoperative pain in everyday practice must first be identified. Methods: This study considered 115,775 patients from 578 surgical wards in 105 German hospitals. A total of 70,764 patients met the inclusion criteria. On the first postoperative day, patients were asked to rate their worst pain intensity since surgery (numeric rating scale, 0–10). All surgical procedures were assigned to 529 well-defined groups. When a group contained fewer than 20 patients, the data were excluded from analysis. Finally, 50,523 patients from 179 surgical groups were compared. Results: The 40 procedures with the highest pain scores (median numeric rating scale, 6–7) included 22 orthopedic/trauma procedures on the extremities. Patients reported high pain scores after many “minor” surgical procedures, including appendectomy, cholecystectomy, hemorrhoidectomy, and tonsillectomy, which ranked among the 25 procedures with highest pain intensities. A number of “major” abdominal surgeries resulted in comparatively low pain scores, often because of sufficient epidural analgesia. Conclusions: Several common minor- to medium-level surgical procedures, including some with laparoscopic approaches, resulted in unexpectedly high levels of postoperative pain. To reduce the number of patients suffering from severe pain, patients undergoing so-called minor surgery should be monitored more closely, and postsurgical pain treatment needs to comply with existing procedure-specific pain-treatment recommendations.
25
Carroll, Paul, and Eeva Aarrevaara. "Review of Potential Risk Factors of Cultural Heritage Sites and Initial Modelling for Adaptation to Climate Change." Geosciences 8, no. 9 (2018): 322. http://dx.doi.org/10.3390/geosciences8090322.
Full textAbstract:
There are a range of local weather- and climate-related factors that contribute to the degradation of cultural heritage buildings, structures, and sites over time. Some of these factors are influenced by changes in climate and some of these changes manifest themselves through a speeding up of the rate of degradation. It is the intention of this paper to review this situation with special reference to the Nordic Countries, where typical trends resulting from climate change are shorter winters and increased precipitation all year round. An attempt is made to initially draw up a classification of materials and structures relevant to cultural heritage that are affected, with a proposed numeric scale for the urgency to act. The intention is to provide information on where best to concentrate cultural heritage site preservation resources in the future.
26
Reis, Michel Silva, João Luiz Quagliotti Durigan, Ross Arena, Bruno Rafael Orsini Rossi, Renata Gonçalves Mendes, and Audrey Borghi-Silva. "Effects of Posteroanterior Thoracic Mobilization on Heart Rate Variability and Pain in Women with Fibromyalgia." Rehabilitation Research and Practice 2014 (2014): 1–6. http://dx.doi.org/10.1155/2014/898763.
Full textAbstract:
Fibromyalgia (FM) has been associated with cardiac autonomic abnormalities and pain. Heart rate variability (HRV) is reduced in FM with autonomic tone dominated by sympathetic activity. The purpose of this study was to evaluate the effects of one session of a posteroanterior glide technique on both autonomic modulation and pain in woman with FM. This was a controlled trial with immediate followup; twenty premenopausal women were allocated into 2 groups: (i) women diagnosed with FM(n=10)and (ii) healthy women(n=10). Both groups received one session of Maitland mobilization grade III posteroanterior central pressure glide, at 2 Hz for 60 s at each vertebral segment. Autonomic modulation was assessed by HRV and pain by a numeric pain scale before and after the intervention. For HRV analyses, heart rate and RR intervals were recorded for 10 minutes. FM subjects demonstrated reduced HRV compared to controls. Although the mobilization technique did not significantly reduce pain, it was able to improve HRV quantified by an increase in rMSSD and SD1 indices, reflecting an improved autonomic profile through increased vagal activity. In conclusion, women with FM presented with impaired cardiac autonomic modulation. One session of Maitland spine mobilization was able to acutely improve HRV.
27
Altaş, Zeynep Meva, SEYHAN Hıdıroğlu, Ceyda Solmaz, et al. "The association between Electronic Health Literacy and Self-care Management in Adults with Type-2 Diabetes." Progress in Health Sciences 12, no. 2 (2022): 14–19. http://dx.doi.org/10.5604/01.3001.0016.1734.
Full textAbstract:
Purpose: E-health illiteracy has disadvantages including misevaluation of medical information displayed on the internet. Both effective self care management and e-health literacy are important terms in order to control of the chronic diseases. The aim of this study is to determine the relationship between e-health literacy and the self-care management of patients with Type-2 diabetes. Materials and Methods: The type of the study is descriptive. A questionnaire was applied to individuals who have been diagnosed with Type-2 diabetes in the endocrine policlinic of the internal medicine clinic of a tertiary state hospital in Istanbul, Turkey. The sample size was calculated as 384 by accepting the adequate e-health literacy rate among Type-2 diabetes patients as 50%, the margin of error 5%, and the confidence level as 95%. In addition to sociodemographical questions; our questionnaire contains two scales: Self-Care Management Protection scale and the E-health Literacy Scale. Number (n) and percentage (%) values were used in the expression of descriptive data. Mean, standard deviation, median and minimum, maximum values were given. For data comparison; Mann-Whitney U test was used for non-normally distributed variables. The Spearman correlation used to measure the linear relation between two numeric variables. Significance level has been accepted as p<0.05. Results: Totally 330 patients were included our study by a participation rate of 85.9 %. The mean age of the participants was 57.74±13.83 and 52.4% were female. A positive correlation was observed between scores of e-health literacy scale and self-care management scale (r=0.235, p<0.001) and self- protection subscale of self-care management scale (r= 0.345, p<0.001). A negative correlation exists between age and e-health literacy (r= -0.419, p<0.001). Conclusions: The results support the claim that individuals with a higher e-health literacy can better able to control their disease through self- management.
28
Alshami, Ali Muteb. "A single session of education for a patient with negative beliefs about low back pain: A case report of 16-month follow-up." Journal of Medicine and Life 16, no. 2 (2023): 325–28. http://dx.doi.org/10.25122/jml-2022-0248.
Full textAbstract:
The effectiveness of education in patients with low back pain (LBP) remains controversial and inconclusive. This case report describes the long-term effects of a single educational session on the rehabilitation of a patient with chronic LBP (CLBP). A 57-year-old woman presented with the main complaint of LBP and inability to prostrate for several years. The intervention consisted of a single session of patient-specific education that targeted negative cognitive beliefs. This education included instructions about the obtained findings, spinal anatomy, patient reassurance, the relationship between imaging findings and patient symptoms, proposed treatment, and a home exercise program. The patient was able to independently complete the prostration task immediately after the session without pain. This improvement was maintained for at least 16 months, as demonstrated by the Numeric Pain Rate Scale, Patient-Specific Functional Scale, Fear Avoidance Belief Questionnaire, and the Keele STarT Back Screening Tool. In conclusion, a single session of patient-specific education was effective, both immediately and over the long term, in addressing pain and function in patients with CLBP.
29
Lentini, Matylda, Joseph Scalia, Frédérike Berger Lebel, et al. "Association Between Pain Catastrophizing and Pain and Cardiovascular Changes During a Cold-Pressor Test in Athletes." Journal of Athletic Training 56, no. 5 (2021): 473–83. http://dx.doi.org/10.4085/1062-6050-016-20.
Full textAbstract:
Context Athletes are often exposed to pain due to injury and competition. Using preliminary evidence, researchers have shown that cardiovascular measures could be an objective measure of pain, but the cardiovascular response can be influenced by psychological factors, such as catastrophizing. Objective To use a painful cold-pressor test (CPT) to measure the relationship among catastrophizing, pain, and cardiovascular variables in athletes. Design Cohort study. Setting Laboratory. Patients or Other Participants A total of 36 male rugby athletes (age = 24.0 ± 4.6 years, height = 180.0 ± 6.1 cm, mass = 90.5 ± 13.8 kg). Main Outcome Measure(s) We measured catastrophizing using the Pain Catastrophizing Scale and pain using a numeric pain rating scale. Cardiovascular measures were heart rate, systolic and diastolic blood pressure, and heart rate variability. Results During the CPT, participants experienced increases in pain (from 0 to 4.1 ± 2.2), systolic blood pressure (from 126.7 ± 16.5 to 149.7 ± 23.4 mm Hg), diastolic blood pressure (from 76.9 ± 8.3 to 91.9 ± 11.5 mm Hg), and heart rate variability (from 0.0164 ± 0.0121 to 0.0400 ± 0.0323 milliseconds; all P values &lt; .001). In addition, we observed a decrease in heart rate after the CPT (P = .04). We found a correlation between athletes' pain catastrophizing and both pain intensity and change in heart rate during the CPT (P = .02 and P = .003, respectively). Linear regression indicated that pain and catastrophizing explained 29% of the variance in the change in heart rate (P = .003). Conclusions Athletes who had catastrophizing thoughts were more likely to experience higher levels of pain and a greater cardiovascular response during a painful stimulus. The change in cardiovascular variables may be a good objective measure of pain in athletes in the future.
30
Gomes, Viviane Horta, Eduardo Raposo Monteiro, Raquel Sartori Dias, Renato Leão Sá de Oliveira, Marta Fernanda Albuquerque da Silva, and Karina Coelho. "Comparison of the sedative effects of morphine, meperidine or fentanyl, in combination with acepromazine, in dogs." Ciência Rural 41, no. 8 (2011): 1411–16. http://dx.doi.org/10.1590/s0103-84782011005000102.
Full textAbstract:
This study aimed to compare the sedative effects of morphine, meperidine and fentanyl, in combination with acepromazine (ACP) and their effects on physiologic values in dogs. Six healthy beagle dogs were randomly assigned to four treatments with 7-day washout intervals. In three treatments, ACP (0.05mg kg-1) was administered and 20 minutes later, the dogs received administration of 0.5mg kg-1 of morphine (ACPMOR), 5mg kg-1 of meperidine (ACPMEP) or 5µg kg-1 of fentanyl (ACPFEN). In treatment ACP HD MOR, 0.1mg kg-1 of ACP was administered in combination with 0.5mg kg-1 of morphine. All drugs were administered intravenously. Sedation scores were evaluated by a numeric descriptive scale (NDS: 0-3) and a simple numeric scale (SNS: 0-10). All variables were evaluated for 120 minutes. The administration of ACP caused mild to moderate sedation. Sedation was improved in all treatments after opioid administration, but significant differences were detected only in ACPMOR and ACP HD MOR. More dogs presented intense sedation (NDS=3.0) after administration of morphine (3/6 and 4/6 dogs in ACPMOR and ACP HD MOR versus 1/6 in other treatments). Duration of sedation was longer in ACPMOR and ACP HD MOR. Mild to moderate decreases in blood pressure, respiratory rate and temperature were observed in all treatments but decreased HR was observed only in ACPMOR and ACP HD MOR. No significant differences were observed in the aforementioned variables when twice the dose of ACP was used (treatment ACP HD MOR). Under the conditions of this study, administration of morphine, in combination with ACP, results in greater and longer sedation than meperidine and fentanyl. Increasing the dose of ACP, in combination with morphine, does not improve the degree of sedation. All combinations used were considered to be safe for healthy dogs.
31
Kalstad, Ante Matti, Rainer Günter Knobloch, and Vilhjalmur Finsen. "The treatment of coccydynia in adolescents." Bone & Joint Open 1, no. 5 (2020): 115–20. http://dx.doi.org/10.1302/2046-3758.15.bjo-2020-0017.
Full textAbstract:
Aims To determine if the results of treatment of adolescents with coccydynia are similar to those found in adults. Adult patients with coccydynia may benefit from injection therapy or operative treatment. There is little data evaluating treatment results in adolescents. We have treated adolescent patients similarly to adults and compared the outcomes. Methods Overall, 32 adolescents with coccydynia were treated at our institution during a seven-year period; 28 responded to final follow-up questionnaires after a minimum of one year, 14 had been treated with only injection therapy, and 14 had been operated with coccygectomy. We collected data with regards to pain while sitting, leaning forward, rising from a sitting position, during defecation, while walking or jogging, and while travelling in trains, planes, or automobiles. Pain at follow-up was registered on a numeric pain scale. Each adolescent was then matched to adult patients, and results compared in a case control fashion. The treatment was considered successful if respondents were either completely well or much better at final follow-up after one to seven years. Results Out of the 28 treated adolescents, 14 were regarded as successfully treated. Seven were somewhat better, and the remaining seven were unchanged. In the adult control group the corresponding number was 15 successfully treated, eight patients were somewhat better, and five were unchanged. Six of the 14 successfully treated adolescents had been operated. There were no significant differences between the groups in the various registered domains, or on numeric pain scale. Conclusion Treatment results in adolescent patients seem similar to those in adults. The long-term success rate of injection therapy is low. In case of injection treatment failure, operation may be considered, also in adolescents.
32
Kalstad, Ante Matti, Rainer Günter Knobloch, and Vilhjalmur Finsen. "The treatment of coccydynia in adolescents." Bone & Joint Open 1, no. 5 (2020): 115–20. http://dx.doi.org/10.1302/2633-1462.15.bjo-2020-0017.
Full textAbstract:
Aims To determine if the results of treatment of adolescents with coccydynia are similar to those found in adults. Adult patients with coccydynia may benefit from injection therapy or operative treatment. There is little data evaluating treatment results in adolescents. We have treated adolescent patients similarly to adults and compared the outcomes. Methods Overall, 32 adolescents with coccydynia were treated at our institution during a seven-year period; 28 responded to final follow-up questionnaires after a minimum of one year, 14 had been treated with only injection therapy, and 14 had been operated with coccygectomy. We collected data with regards to pain while sitting, leaning forward, rising from a sitting position, during defecation, while walking or jogging, and while travelling in trains, planes, or automobiles. Pain at follow-up was registered on a numeric pain scale. Each adolescent was then matched to adult patients, and results compared in a case control fashion. The treatment was considered successful if respondents were either completely well or much better at final follow-up after one to seven years. Results Out of the 28 treated adolescents, 14 were regarded as successfully treated. Seven were somewhat better, and the remaining seven were unchanged. In the adult control group the corresponding number was 15 successfully treated, eight patients were somewhat better, and five were unchanged. Six of the 14 successfully treated adolescents had been operated. There were no significant differences between the groups in the various registered domains, or on numeric pain scale. Conclusion Treatment results in adolescent patients seem similar to those in adults. The long-term success rate of injection therapy is low. In case of injection treatment failure, operation may be considered, also in adolescents.
33
Vints, Wouter, Giovanni Matricali, Eric Geusens, Stefaan Nijs, and Harm Hoekstra. "Long-Term Outcome After Operative Management of Talus Fractures." Foot & Ankle International 39, no. 12 (2018): 1432–43. http://dx.doi.org/10.1177/1071100718790242.
Full textAbstract:
Background: Controversies remain regarding the preferred treatment strategy for talus fractures. The primary goal of this study was to evaluate the long-term outcome after operative management of talus fractures. Secondarily, we identified those factors that affected the outcome and defined strategies to improve the outcome. Methods: This is a retrospective outcome study of 84 patients with an average follow-up time of 9.1 years. We assessed the functional results, return to daily activities, and general health status using the Foot Function Index-5pt, a numeric rating scale for pain, and the Short Form-36 Health Survey. Furthermore, we conducted a correlation analysis between the outcomes and 14 demographic, clinical, and radiologic variables. Results: We found moderate mean Foot Function Index pain and disability scores of 30.2 and 28.7, respectively. The mean numeric rating scale score was 3.2. Of all responders, 41% (27/66) did not return to their daily activities. We reported low physical, but good mental, Short Form-36 component summary scores of 42.7 and 48.3, respectively. We recorded a complication rate of 56%. Osteoarthritis, articular incongruence and talus body fractures correlated significantly with a poorer functional outcome. Delayed surgery after trauma was associated with better outcome measures. Conclusions: Talus fractures have a major long-term impact on ankle and hindfoot function and on physical health. Success of operative treatment depends on the occurrence of osteoarthritis postoperatively, type of fracture, and quality of fracture reduction. Because only the latter is modifiable, efforts should be made to restore articular congruence in order to improve the outcome. Therefore, we recommend reviewing the quality of the reduction postoperatively on CT. Furthermore, talus fractures should not be considered operative emergencies, but rather treated after recovery of the soft-tissues. Level of Evidence: Level III, comparative study.
34
Verma Amita. "Does Dark Chocolate Relieve Menstrual Pain in Adult Women?: A Study Among Indian Population." International Journal of Physiology 7, no. 4 (2019): 16–21. http://dx.doi.org/10.37506/ijop.v7i4.48.
Full textAbstract:
Introduction
 Premenstrual pain (PMS) and Dysmenorrhea or painful menstruation is defined as a severe, painful, cramping sensation in the lower abdomen that is often accompanied by other symptoms, such as sweating, headaches, nausea, etc all occurring just before or during the menses1. A variety of drugs, predominantly non steroidal anti-inflammatory drugs (NSAIDS) are used to provide analgesia during the period. The present study was undertaken to evaluate the claims of Dark chocolate as an alternative to NSAIDS.
 Methodology
 90 selected students were divided into 3groups and were provided 120gms/day of dark chocolate, milk chocolate and no chocolate based on their group. Numeric Rate Scale (NRS) was used to measure pain before and after intervention.
 Result
 Pre menstrual pain and menstrual pain was significantly reduced after the consumption of Dark chocolate.
35
Xiao, Min, Lizhou Liu, Steve Tumilty, et al. "Efficacy and safety of Chinese herbal footbaths for the treatment of dysmenorrhea: Protocol for a systematic review and meta-analysis." PLOS ONE 16, no. 5 (2021): e0250685. http://dx.doi.org/10.1371/journal.pone.0250685.
Full textAbstract:
Background Chinese herbal footbaths are an external therapy of traditional Chinese medicine that has been widely used to treat dysmenorrhea. This review aims to systematically evaluate its efficacy and safety for the treatment of dysmenorrhea. Methods Databases of PubMed, EMBASE, Cochrane Library, CIHAHL, Web of Science, Chinese National Knowledge Infrastructure(CNKI), Chinese Scientific Journals Database (VIP), Wanfang Database, China Biomedical Literature Database(CBM), and Chinese Biomedical Literature Service System (SinoMed) will be searched from the inception to September 30, 2020. The eligible randomized controlled trials (RCTs) will be identified and included. The primary outcomes include pain intensity measured by validated scales of visual analog scale, numeric rating scale, and response rate of symptom reduction. The secondary outcomes are scores on validated pain questionnaires, quality of life measured by SF-36 or other validated scales, and adverse events. Study selection, data extraction, and assessment of bias risk will be conducted by two reviewers independently. RevMan software (V.5.3.5) will be utilized to perform data synthesis. Subgroup and sensitivity analysis will be performed when necessary. The strength of the evidence will be evaluated with the Grading of Recommendations Assessment, Development and Evaluation System. Results A high-quality synthesis of current evidence of Chinese herbal footbaths for patients with dysmenorrhea will be provided in this study. Conclusion This systematic review will provide evidence of whether Chinese herbal footbaths are an effective and safe intervention for the treatment of dysmenorrhea. Systematic review registration PROSPERO CRD42020188256.
36
Murgoci, Nicolae. "Comparative study on the efficiency of motor rehabilitation of the lower limbs using a stationary horizontal bicycle versus a standard therapeutic program." Balneo and PRM Research Journal 13, Vol.13, no.4 (2022): 524. http://dx.doi.org/10.12680/balneo.2022.524.
Full textAbstract:
Abstract: The purpose of the present study is to compare the efficiency of two physiother-apeutic programs for rehabilitation of the lower limbs, one using a stationary bicycle and the other one being a standard program, targeting muscle imbalance deficit. Subjects are outpatients - the control group (C n=5), 58.67 ± 11.67 years, received a standard rehabilita-tion program, and the experimental group (E n=5), 56.67 ± 12.14 years, received a pro-posed rehabilitation program implying a stationary bicycle. Equipment used is for muscle imbalances – sensor attached to bicycle pedals, for joint testing – goniometer, for heart rate smart watch, pain assessment – VAS numeric scale, and for perceived effort Borg scale. The rehabilitation program including the stationary horizontal bicycle obtained better re-sults in terms of pain control (T-Test p C/E=.004/.001 and Wilcoxon p C/E=.039/.041) and the correction of muscular imbalances (T-Test p C/E=.003/.000, r= .990/.997) related to the lower limbs, with the mention that both programs recorded statistically significant results regarding functionality. HR values for the control group and experimental group < THR values, aerobic conditioning with the submaximal effort being essential for rehabilitation. Both programs maintained the same perceived level of effort with an average of 3.6 Borg- moderate effort, respectively mild-moderate dyspnea. Keywords: rehabilitation; lower limbs; stationary bicycle; muscle imbalance; pedal sensor; ana-log value; heart rate (HR); target heart rate (THR).
37
Lewinson, Rebecca Elizabeth, and Joel D. Katz. "Influencing Pain Inferences Using Random Numerical Anchoring: Randomized Controlled Trial." JMIR Human Factors 7, no. 1 (2020): e17533. http://dx.doi.org/10.2196/17533.
Full textAbstract:
Background Numerical anchoring occurs when exposure to a numeric quantity influences a person’s subsequent judgment involving other quantities. This could be applicable to the evaluation of pain, where exposure to an unrelated number before the evaluation of pain could influence pain ratings. Objective This study aimed to determine whether exposure to a random numeric anchor influences subsequent pain intensity ratings of a hypothetical patient. Methods In this study, 385 participants read a vignette describing a patient with chronic pain before being randomly assigned to one of four groups. Groups 1 and 2 spun an 11-wedge number wheel (0-10), which was, unbeknown to the participants, programmed to stop on a high number (8) or a low number (2), respectively. Group 3 spun a similar letter wheel (A-K), which was programmed to stop on either the letter C or I (control 1). Group 4 did not spin a wheel (control 2). Participants were then asked to rate the patient’s pain intensity using a 0 to 10 numeric rating scale. Results The high-number group rated the patient’s pain (median 8, IQR 2) significantly higher than the letter wheel control (median 7, IQR 2; P=.02) and the low-number group (median 6, IQR 2; P<.001). The low-number group rated the pain significantly lower than controls 1 and 2 (median 7, IQR 2; both P=.045). Conclusions Pain ratings were influenced by prior exposure to a random number with no relevant information about the patient’s pain, indicating anchoring had occurred. However, contrary to the traditional definition of anchoring where anchoring occurs even when participants are unaware of the anchor’s influence, in this study, the anchoring effect was seen only in participants who believed that the anchor had influenced them. This suggests that anchoring effects could potentially occur among health care providers tasked with evaluating a patient’s pain and should be evaluated further.
38
Sibilia, Maria Chiara, Federica Danuzzo, Francesca Spinelli, et al. "Prognostic Factors and Clinical Outcomes of Surgical Treatment of Major Thoracic Trauma." Healthcare 12, no. 11 (2024): 1147. http://dx.doi.org/10.3390/healthcare12111147.
Full textAbstract:
Background: Major thoracic trauma represents a life-threatening condition, requiring a prompt multidisciplinary approach and appropriate pathways for effective recovery. While acute morbidity and mortality are well-known outcomes in thoracic-traumatized patients, long-term quality of life in patients surviving surgical treatment has not been widely investigated before. Methods: Between November 2016 and November 2023, thirty-two consecutive patients were operated on because of thoracic trauma. Age, sex, comorbidities, location and extent of thoracic trauma, Injury Severity Score (ISS), Abbreviated Injury Scale (AIS), Organ Injury Scale (OIS), intra and extrathoracic organ involvement, mechanism of injury, type of surgical procedure, postoperative complications, ICU and total length of stay, immediate clinical outcomes and long-term quality of life—by using the EQ-5D-3L scale and Numeric Rate Pain Score (NPRS)—were collected for each patient Results: Results indicated no significant difference in EQOL.5D3L among patients with thoracic trauma based on AIS (p = 0.55), but a significant difference was observed in relation to ISS (p = 0.000011). Conclusions: ISS is correlated with the EQOL.5D3L questionnaire on long-term quality of life, representing the best prognostic factor—in terms of long-term quality of life—in patients surviving major thoracic trauma surgical treatment.
39
Puspitasari, Monika Rini, and Agung Waluyo. "Aplikasi Teori Katharine Kolbaca Pada Kasus Kanker Kolon Pasca Laparatomi Dengan Musik." JURNAL MEDIKA USADA 4, no. 1 (2021): 1–6. http://dx.doi.org/10.54107/medikausada.v4i1.86.
Full textAbstract:
Colorectal cancer is a malignancy that originates in the tissue of the colon and is the second leading cause of death worldwide. Laparatomy is one of the most commonly performed types of surgery. Pain can appear after the laparotomy due to the severity of body tissues. Writing this case study to identify the use of music therapy in interventions to reduce pain after laparotomy surgery in the case of Mr.S. Assessment of the pain scale uses the NRS (Numeric Rate Scale) while the patient's condition is through observation and intervention. The results of the observation found data if Mr.S said that the pain during activities was on the part of the laparotomy incision in the abdomen with an NRS 6 scale. The main nursing diagnosis in Mr. S's case was pain. The intervention given uses an approach based on nursing theoryKatharine Kolbaca is the theory of comfort. Management to manage pain can be done with pharmacological and non-pharmacological therapies. The non-pharmacological therapy given to Mr. S. was in the form of music therapy that was selected independently by Mr. S. and carried out for 4 sessions in 2 days. The findings of this study were that the administration of music therapy had the effect of reducing the pain scale compared to the beginning of the assessment.
40
Trame, Cathy D., Erin Greene, Gail Moddeman, et al. "Correlation of Pain Scores, Analgesic Use, and Beck Anxiety Inventory Scores During Hospitalization in Lower Extremity Amputees." Open Orthopaedics Journal 2, no. 1 (2008): 145–50. http://dx.doi.org/10.2174/1874325000802010145.
Full textAbstract:
Post amputation pain can be debilitating for patients and families. Chronic pain is a common phenomenon after lower extremity amputation, occurring in up to 80% of this population. The purpose of this pilot study was to correlate post amputation pain scores to opioid analgesic consumption and Beck Anxiety Inventory (BAI) scores. Twenty-three patients with lower extremity amputation at an 827-bed acute care inner-city hospital were surveyed pre-operatively and post-operatively to determine if there was a significant correlation between anxiety and pain. A numeric scale was utilized by patients to rate their pain level, while the BAI was utilized to measure their anxiety levels.A significant correlation was found between the pre-operative BAI levels and the BAI levels identified at time of discharge. Patients were found to have a higher than normal level of anxiety pre-operatively. No significant correlations were found between anxiety and pain.
41
Nasir, Nayyab, Nasir Ahmad, Maaz Iqbal, Abid Ali, Muhammad Bin Afsar Jan, and Sarmad Saeed Khattak. "Effectiveness of Lateral Shoe Wedging along with Quadriceps Strengthening and Life Style Modification in Knee Osteoarthritis." Journal of Health and Rehabilitation Research 3, no. 2 (2023): 555–60. http://dx.doi.org/10.61919/jhrr.v3i2.161.
Full textAbstract:
Background: Knee osteoarthritis (OA), a common degenerative joint disorder, significantly impairs quality of life due to pain and functional limitations. Non-surgical interventions like lateral shoe wedging and quadriceps strengthening exercises are increasingly considered viable options for managing OA symptoms. Objective: To assess the efficacy of lateral shoe wedges, both alone and in combination with quadriceps strengthening exercises, in treating medial knee OA. Methods: In this randomized controlled trial, 60 adults with medial knee OA were assigned to one of three groups: Group A received only lateral shoe wedges; Group B received lateral shoe wedges and quadriceps strengthening exercises; Group C received lateral shoe wedges with lifestyle modifications. Measurements for pain, stiffness, and physical function were taken using the Numeric Pain Scale and WOMAC scale at baseline, 8 weeks, and 16 weeks. Results: By Week 16, Group A (wedge only) reported a 70% compliance rate, with no significant changes in WOMAC stiffness and physical function scores. Group B (wedge & exercise) showed an 80% compliance rate, with pain scores reducing from 2.50±0.945 to 1.40±1.231 and significant improvements in WOMAC stiffness (1.40±1.231) and physical function (1.50±1.147). Group C (wedge & lifestyle modification) achieved a 100% compliance rate, with moderate improvements in all measured parameters. Conclusion: The study concludes that the combination of lateral shoe wedging and quadriceps strengthening exercises (Group B) was most effective in alleviating pain and improving physical function in patients with medial knee OA. This suggests that a multimodal approach may be superior to singular interventions for managing OA symptoms.
42
Rukmana, Nova Mega, and Mariyo Mariyo. "Efectiveness Of Deep Breath Relaxation And Hand Massage Towards A Decrease In Pain Scale Post-Caesarean Patients." JKM (Jurnal Kebidanan Malahayati) 10, no. 5 (2024): 533–42. http://dx.doi.org/10.33024/jkm.v10i5.15270.
Full textAbstract:
Latar Belakang: Angka persalinan SC di provinsi Lampung menurut Riskesdas tahun 2018 adalah 4,5%, angka kejadian SC di kota Bandar Lampung adalah 3.401 dari 170.000 persalinan (20%) dari seluruh persalinan.Pada pembedahan SC, rasa nyeri biasanya dirasakan pasca melahirkan karena hilangnya pengaruh pembiusan. Pengaruh obat bius biasanya akan menghilang sekitar 2 jam setelah proses persalinan selesai, rasa nyeri pada bagian perut mulai terasa karena luka yang terdapat pada bagian perut. Nyeri pasca bedah akan menimbulkan reaksi fisik dan psikologi pada ibu postpartum seperti mobilisasi terganggu, malas beraktifitas, sulit tidur, tidak nafsu makan, tidak mau merawat bayi sehingga perlu adanya cara untuk mengontrol nyeri agar dapat beradaptasi dengan nyeri post operasi SC dan mempercepat masa nifas.Tujuan : Mengetahui efektivitas relaksasi nafas dalam dan pijat tangan terhadap penurunan skala nyeri pasien post operasi sectio caesarea di Ruang Cempaka Rumah Sakit X.Metode: Jenis penelitian ini adalah penelitian kuasi eksperimen, dengan two group pre test post test design. Penelitian ini dilakukan di Ruang Cempaka Rumah Sakit X pada 1-30 Juli 2021. Populasi dalam penelitian ini adalah seluruh ibu bersalin dengan rata-rata jumlah per bulan adalah 70 orang dengan jumlah sampel pada masing-masing kelompok adalah 30 orang. Variabel bebas (independent) yaitu relaksasi nafas dalam dan pijat tangan, sedangkan variabel terikat (dependent) yaitu skala nyeri pasca operasi sectio caesarea. Kuesioner pengukuran nyeri menggunakan Numeric Rating Scale. Analisis data menggunakan uji Wilcoxon.Hasil: Pada kelompok relaksasi nafas dalam, nilai rata-rata skala nyeri sebelum dan sesudah dilakukan intervensi adalah 6,53 dan 5,37. Sedangkan Pada kelompok pijat tangan, nilai rata-rata skala nyeri sebelum dan sesudah dilakukan intervensi adalah 6,27 dan 4,07. Nilai p-value sebesar 0,000 yang berarti bahwa ada perbedaan nilai rata-rata skala nyeri sebelum dan sesudah intervensi relaksasi nafas dalam. Intervensi pijat tangan dan relasasi nafas dalam sama-sama efektif dalam menurunkan skala nyeri persalinan sectio sesarea.Kesimpulan: Ada perbedaan nilai rata-rata skala nyeri sebelum dan sesudah intervensi relaksasi nafas dalam. Intervensi pijat tangan dan relasasi nafas dalam sama-sama efektif dalam menurunkan skala nyeri persalinan sectio sesarea.Saran: Dapat di lakukan Intervensi pijat tangan dan relasasi nafas dalam dalam menurunkan skala nyeri persalinan sectio sesarea. Kata Kunci : Nafas dalam,Nyeri, Pijat tangan,Post SC ABSTRACT Background: The SC birth rate in Lampung province according to Riskesdas in 2018 was 4.5%, the SC birth rate in Bandar Lampung city was 3,401 out of 170,000 deliveries (20%) of all births.In SC surgery, pain is usually felt after delivery because the anesthesia disappears. The effect of the anesthetic will usually disappear around 2 hours after the birth process is complete, pain in the stomach will begin to be felt due to the wound in the stomach. Post-surgical pain will cause physical and psychological reactions in postpartum mothers, such as impaired mobility, laziness in activities, difficulty sleeping, no appetite, unwillingness to care for the baby, so there needs to be a way to control pain so that they can adapt to post-SC surgery pain and speed up the postpartum period.Objective: To determine the effectiveness of deep breathing relaxation and hand massage in reducing the pain scale of patients post caesarean section surgery in the Cempaka Room, Hospital.Method: This type of research is quasi-experimental research, with a two group pre test post test design. This research was conducted in the Cempaka Room, Hospital The independent variable is deep breathing relaxation and hand massage, while the dependent variable is the pain scale after caesarean section surgery. The pain measurement questionnaire uses the Numeric Rating Scale. Data analysis used the Wilcoxon test.Results: In the deep breathing relaxation group, the average pain scale scores before and after the intervention were 6.53 and 5.37. Meanwhile, in the hand massage group, the average pain scale scores before and after the intervention were 6.27 and 4.07. The p-value is 0.000, which means that there is a difference in the average value of the pain scale before and after the deep breathing relaxation intervention. Hand massage and deep breathing interventions are both effective in reducing the pain scale of caesarean section labor.Conclusion: There is a difference in the average value of the pain scale before and after deep breathing relaxation intervention. Hand massage and deep breathing interventions are both effective in reducing the pain scale of caesarean section labor.Suggestion: You can intervene with hand massage and deep breathing to reduce the pain scale of caesarean section labor. Keywords: Deep breathing, Pain, Hand massage, Post SC
43
Hasdemir, Pınar Solmaz, Tevfik Guvenal, Hasan Tayfun Ozcakir, et al. "Comparison of Subcuticular Suture Materials in Cesarean Skin Closure." Surgery Research and Practice 2015 (2015): 1–5. http://dx.doi.org/10.1155/2015/141203.
Full textAbstract:
Aim.Comparison of the rate of wound complications, pain, and patient satisfaction based on used subcuticular suture material.Methods.A total of 250 consecutive women undergoing primary and repeat cesarean section with low transverse incision were prospectively included. The primary outcome was wound complication rate including infection, dehiscence, hematoma, and hypertrophic scar formation within a 6-week period after operation. Secondary outcomes were skin closure time, the need for use of additional analgesic agent, pain score on numeric rating scale, cosmetic score, and patient scar satisfaction scale.Results.Absorbable polyglactin was used in 108 patients and nonabsorbable polypropylene was used in 142 patients. Wound complication rates were similar in primary and repeat cesarean groups based on the type of suture material. Skin closure time is longer in nonabsorbable suture material group in both primary and repeat cesarean groups. There was no difference between groups in terms of postoperative pain, need for additional analgesic use, late phase pain, and itching at the scar. Although the cosmetic results tended to be better in the nonabsorbable group in primary surgery patients, there was no significant difference in the visual satisfaction of the patients.Conclusions.Absorbable and nonabsorbable suture materials are comparable in cesarean section operation skin closure.
44
Lee, Hyeong-Jin, Jin-Sung Kim, and Kyeong-Sik Ryu. "Minimally Invasive TLIF Using Unilateral Approach and Single Cage at Single Level in Patients over 65." BioMed Research International 2016 (2016): 1–10. http://dx.doi.org/10.1155/2016/4679865.
Full textAbstract:
Background. Minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) is a widely accepted surgical procedure. But there are only a few reports of MIS-TLIF using the unilateral approach and single cage in elderly patients. Objective. The study investigated the clinical and radiological outcomes of MIS-TLIF using the unilateral approach and single cage in the patients over 65 years of age. Methods. Thirty-eight patients were followed for a mean of 15.5±11.61 months. Radiological data include fusion rate, change of disc height, and central canal area. The numeric rating scale (NRS) and Oswestry disability index (ODI) were used to assess clinical outcomes. Results. The mean age of these patients at operation was 71.82±4.71 years (range, 65–82 years). Evidence of fusion was observed radiologically in 64.71% at 6 months and 87.5% at 12 months after surgery, giving a final fusion rate of 100%. The mean NRS scores for back and leg pain and ODI scores improved significantly at the final follow-up. Conclusions. Clinical and radiologic outcomes of MIS-TLIF using unilateral approach and single cage in elderly patients indicate an acceptable method for the treatment of various kinds of lumbar spinal diseases.
45
Amin, Abd Samad. "Stellate Ganglion Block as Pain Management in Post Herpetic Neuralgia: A Case Report." Journal of Anesthesiology and Clinical Research 3, no. 2 (2022): 332–35. http://dx.doi.org/10.37275/jacr.v3i2.254.
Full textAbstract:
Introduction: Stellate ganglion block (SGB) has been used in various conditions. Medical conditions include complex regional pain syndrome and peripheral vascular disease. This study aims to describe the use of stellate ganglion block for pain management in post-herpetic neuralgia.
 Case presentation: A 68-year-old man came with a complaint of severe headache. Complaints of severe headache since 1 month ago, pain until tears come out. This complaint is accompanied by red blisters, pain on the left side of the face, weakness, and decreased appetite. Physical examination showed compos mentis consciousness, appeared moderately ill, blood pressure 160/90 mmHg, heart rate 112x/minute, respiratory rate 20x/minute, temperature 37.2oC, numeric rating scale 7/10. In the head region, there was cicatricial, paresis of N VII, positive hypersensibility, positive allodynia, spasm neck muscles, right joint shoulder stiffness, and stiffness in the m. right rotator cuff. The patient was given intervention in the form of a stellate ganglion block (SGB). Follow-up 1 day after the GBS procedure showed that the headache and left facial pain were greatly reduced.
 Conclusion: Ultrasonographic-guided stellate ganglion block can reduce post-herpetic neuralgia symptoms with minimal complications.
46
Abou-Hamde, Ahmad, Lauren Philippi, Eric Jones, et al. "Using Physiological Markers to Assess Comfort during Neuromuscular Electrical Stimulation Induced Muscle Contraction in a Virtually Guided Environment: Pilot Study for a Path toward Combating ICU-Acquired Weakness." Sensors 24, no. 11 (2024): 3599. http://dx.doi.org/10.3390/s24113599.
Full textAbstract:
We assessed the feasibility of implementing a virtually guided Neuromuscular Electrical Stimulation (NMES) protocol over the tibialis anterior (TA) muscle while collecting heart rate (HR), Numeric Pain Rating Scale (NPRS), and quality of contraction (QoC) data. We investigated if HR, NPRS, and QoC differ ON and OFF the TA motor point and explored potential relationships between heart rate variability (HRV) and the NPRS. Twelve healthy adults participated in this cross-sectional study. Three NMES trials were delivered ON and OFF the TA motor point. HR, QoC, and NPRS data were collected. There was no significant difference in HRV ON and OFF the motor point (p > 0.05). The NPRS was significantly greater OFF the motor point (p < 0.05). The QoC was significantly different between motor point configurations (p < 0.05). There was no correlation between the NPRS and HRV (p > 0.05, r = −0.129). We recommend non-electrical methods of measuring muscle activity for future studies. The NPRS and QoC can be administered virtually. Time-domain HRV measures could increase the validity of the protocol. The variables should be explored further virtually to enhance the protocol before eventual ICU studies.
47
Vossen, Helen G. M., Gerard J. P. van Breukelen, Jim van Os, Hermie J. Hermens, and Richel Lousberg. "Association Between Event-Related Potentials and Pain Ratings." Journal of Psychophysiology 25, no. 1 (2011): 18–25. http://dx.doi.org/10.1027/0269-8803/a000028.
Full textAbstract:
The association between event-related potentials (ERP) and ratings of pain has frequently been demonstrated, usually through bivariate correlations. However, the use of bivariate correlations precludes studying or correcting for confounding factors. The current study reinvestigated the association between ERP and the subjective experience of pain, using the more extensive statistical approach of multilevel analysis. Using this technique, it was possible to investigate and correct for effects of intensity and habituation. Eighty-five healthy subjects received intracutaneous electrical pain stimuli with simultaneous EEG registration. Each subject was asked to rate the intensity of each stimulus on a numeric rating scale (NRS). The multilevel analyses revealed a within-subject association between the ERP measures (especially P1 and P3) and the NRS score. Furthermore, this association was moderated by intensity of the stimulus and habituation. These results suggest that a direct translation from the pain ERP to subjective experience is delicate and that factors such as stimulus intensity and habituation must be taken into account.
48
Shin, Jiwon, Hyewon Kim, Dong Jun Kim, et al. "P86: Effect of Virtual Reality on Stress Reduction and Change of Physiological Parameters Including Heart Rate Variability in People With High Stress: An Open Randomized Crossover Trial." International Psychogeriatrics 35, S1 (2023): 129–30. http://dx.doi.org/10.1017/s1041610223002600.
Full textAbstract:
Introduction:Although, attempts to apply virtual reality (VR) in mental healthcare are rapidly increasing, it is still unclear whether VR relaxation can reduce stress more than conventional biofeedback.Methods:Participants consisted of 83 healthy adult volunteers with high stress, which was defined as a score of 20 or more on the Perceived Stress Scale-10 (PSS-10). This study used an open, randomized, crossover design with baseline, stress, and relaxation phases. During the stress phase, participants experienced an intentionally generated shaking VR and serial-7 subtraction. For the relaxation phase, participants underwent a randomly assigned relaxation session on day 1 among VR relaxation and biofeedack, and the other type of relaxation session was applied on day 2. We compared the StateTrait Anxiety Inventory-X1 (STAI-X1), STAI-X2, the Numeric Rating Scale (NRS), and physiological parameters including heart rate variability (HRV) indexes in the stress and relaxation phases.Results:A total of 74 participants were included in the analyses. The median age of participants was 39 years, STAI-X1 was 47.27 (SD = 9.92), and NRS was 55.51 (SD = 24.48) at baseline. VR and biofeedback significantly decreased STAI-X1 and NRS from the stress phase to the relaxation phase, while the difference of effect between VR and biofeedback was not significant. However, there was a significant difference in electromyography, LF/HF ratio, LF total, and NN50 between VR relaxation and biofeedbackConclusion:VR relaxation was effective in reducing subjectively reported stress in individuals with high stress.
49
Susyanti, Susan, and Windi Windi. "Analysis Intervention Giving Warm Compress with Boiled Ginger in the Elderly who Sufferer Osteoarthritis: Case Study." Nursing Case Insight Journal 2, no. 1 (2024): 18–21. https://doi.org/10.63166/2bfav584.
Full textAbstract:
The incidence rate of osteoarthritis in Indonesia is very high that is with incidence is 5% in age not enough of 40 years, 30% occur at the age of 40-60 years, and 65% occur at the age more from 61 years. Handling non - pharmacologically can become alternative management of the elderly with Osteoarthritis, among others giving compress warm stew ginger. Case study This aim for analyze intervention care nursing with giving compress warm stew ginger for lower-level pain in the elderly Osteoarthritis sufferers. Data collection method with history taking, observation and examination physical, done analysis with compare theory with practice-based evidence (Evidence Based Practice). Participants in the study case are a elderly Osteoarthritis sufferers and instruments For measure scale painful using the Numeric Rating Scale (NRS). Intervention care nursing who has done with giving compress warm stew ginger proven can lower scale pain in someone elderly people suffering from deep osteoarthritis relative time fast. This is because ginger own Gingerol content contains cyclooxygenase that can hinder the formation of prostaglandins as pain mediators. Gingerol content and the warm feeling it creates from giving compress warm stew ginger This make vessels blood open and smooth circulation blood, so supply food and oxygen better and painful joints become reduce. Therefore that's a gift compress warm stew ginger can used as one of the alternative possible non - pharmacological treatment lower scale pain in osteoarthritis sufferers.
50
Yurdakul, Ozan Volkan, Mert Kara, Bugra Ince, et al. "Raftlin – a potential biomarker for axial spondyloarthritis and psoriatic arthritis: An observational study." Medicine 103, no. 26 (2024): e38770. http://dx.doi.org/10.1097/md.0000000000038770.
Full textAbstract:
Our aim is to evaluate serum Raftlin levels as a biomarker for diagnosing and monitoring disease activity in patients with axial spondyloarthritis (axSpA) and Psoriatic arthritis (PsA). This trial included 40 axSpA patients, 40 PsA patients, and 40 healthy participants as the control group. Disease activity was assessed with Ankylosing Spondylitis Disease Activity Score for axSpA patients and The Disease Activity Index for Psoriatic Arthritis for PsA patients. The Spondyloarthritis Research Consortium of Canada index, health assessment questionnaire-disability index, and numeric rating scale were used to evaluate the enthesitis severity, disability, and pain status of all patients. Serum Raftlin levels were determined using the ELISA method. The 3 groups had no statistical differences regarding gender, age, weight, height, BMI, educational status, and exercise habits. The axSpA group had higher Raftlin levels than the PsA and control groups, and Raftlin levels were statistically significant in predicting the likelihood of axSpA. We found no statistically significant differences between the PsA and control groups. We found no statistically significant difference in Raftlin levels in HLA-B27 positive versus HLA-B27 negative patients in both axSpA and PsA groups. Our results also did not detect any correlation of Raftlin levels with Ankylosing Spondylitis Disease Activity Score, C-reactive protein, erythrocyte sedimentation rate, health assessment questionnaire-disability index, numeric rating scale, and Spondyloarthritis Research Consortium of Canada index in axSpA patients. Receiver operating characteristic analysis determined that Raftlin level ≥ 6.31 ng/mL discriminates axSpA from normal individuals with 92.5% sensitivity, 59% specificity, and an area under the curve of 0.738. Our results demonstrate that although serum Raftlin levels are elevated in axSpA patients, Raftlin cannot be used as an alone diagnostic marker for axSpA. Furthermore, it was not found to be related to the monitoring of disease activity, the level of pain, disability, or severity of enthesitis. This study is prospectively registered at www.clinicaltrials.gov (ID: NCT05771389).