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1

Hurley, Deirdre A. "Acute low back pain : effectiveness of manipulative therapy and interferential therapy." Thesis, University of Ulster, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.365382.

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2

Xu, Daquan 1965. "Epidemiology of pain and pain management after knee surgery : arthroplasty and arthroscopy." Thesis, McGill University, 2003. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=80899.

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Background. Pain after knee surgery has been reported as a common problem. It is highly ranked in terms of intensity and has important consequences on both quality of life and psychological well-being. However, assessment and management of postoperative pain remain a key clinical problem.
Objectives. To describe the occurrence of pain after total knee arthroplasty (TKA) and knee arthroscopy; identify the predictors of postoperative pain and evaluate the consequences of pain on quality of life and on depression status.
Methods. Patients were recruited from nine university and regional hospitals in the province of Quebec and were followed for three months after knee surgery. Time points of postoperative day 7 and month 3 were our prime interest. We used a prospective cohort design to investigate characteristics of postoperative pain and a case-control design to identify the impact of postoperative pain on quality of life and on depression. Both logistic regression and multiple linear regression models were used to analyze postoperative pain intensity and the impact of postoperative pain respectively. (Abstract shortened by UMI.)
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3

Brown, Shona Lynsey. "Cognitive behavioural therapy for non-cardiac chest pain." Thesis, University of Edinburgh, 2013. http://hdl.handle.net/1842/9722.

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Objectives: This thesis aims to explore evidence for the effectiveness of cognitive behavioural therapy (CBT) for non-cardiac chest pain (NCCP). Design: The systematic review aimed to evaluate evidence for CBT as an effective intervention for anxiety in the NCCP population. Study one describes the chest pain characteristics, illness beliefs and prevalence of anxiety in a NCCP sample in a cross-sectional design. Study two explores the acceptability and clinical effectiveness of a CBT-based self-help intervention for NCCP patients, using a between subjects, repeated measures design. Methods: A systematic review was completed via a comprehensive literature search for comparative studies examining CBT-based interventions for NCCP including a measure of anxiety. In the empirical study, participants completed measures of anxiety, illness beliefs and indices of chest pain (self-reported frequency, severity and impact on activities) at baseline. Comparisons between illness beliefs and anxiety were undertaken using descriptive statistics and Pearson correlations. Participants were randomised to receive a CBT-based self-help intervention booklet or treatment as usual, with questionnaires re-administered at three-month follow-up. ANOVAs were used to evaluate whether the intervention led to improvements in anxiety levels, or increased belief in participants’ personal control of symptoms. Results: Ten studies met inclusion criteria for the systematic review, with four studies showing evidence regarding the effectiveness of CBT for anxiety. Approximately two thirds of the thesis research sample reported on-going pain following clinic attendance, for the majority this was ‘very mild’ or ‘mild’ pain. Almost half (47%) reported experiencing clinically significant anxiety. Stress was the most common causal attribution advocated by the sample to explain their chest pain. Anxiety scores were significantly associated with psychological attribution scores, but not with personal control or illness coherence beliefs. In study two, 87 participants completed the study and ITT analyses were completed on 119. There were no significant differences between the groups in terms of reduced anxiety or self-reported belief in personal control of symptoms. The intervention booklet was evaluated largely positively by those who reported reading it. Conclusions: CBT-based self-help appears an acceptable intervention for those diagnosed with NCCP. Further research is needed to identify those who are most likely to benefit from such self-help intervention.
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4

Cullen, Lisa Marie. "Assessment of pain perception and pressure threshold for pain changes during the premenstrual phase of the menstrual cycle." FIU Digital Commons, 1996. http://digitalcommons.fiu.edu/etd/2687.

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This study examined the differences in pain perception and pain pressure threshold between the premenstrual phase of the menstrual cycle and the days of the cycle which are not menstrual or premenstrual. Over 2 complete menstrual cycles, 20 volunteer subjects with no known disabilities or illness reported pain assessed by visual analogue scale (VAS) and pressure threshold measures collected 5 times (intervals) for each cycle. A two-factor repeated measures analysis of variance (i.e. cycle, interval and the interaction) revealed only a significant difference across interval for both pain perception (VAS) (F = 15.3146, (4,76), p < .01), and pain pressure threshold (F = 12.0367, (4,76), p < .01). The premenstrual VAS mean scores were significantly higher and pain threshold mean scores significantly lower than the means during the remainder of the cycle in Tukey "A" post-test comparisons. Findings indicate therapists should consider pain perception and potential motivational changes of women during the premenstruum when developing or instituting physically demanding protocols.
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5

Purtill, Claire Elizabeth. "Meaningful living with pain : the value of Acceptance and Commitment Therapy in chronic pain." Thesis, Staffordshire University, 2016. http://eprints.staffs.ac.uk/2642/.

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This thesis has been completed to fulfil the academic requirements of the doctorate in clinical psychology. The topic developed from the author’s experience of working therapeutically with individuals with chronic pain in the first year of clinical training. The thesis includes a literature review of studies exploring the process of change with Acceptance and Commitment Therapy (ACT) in chronic pain, an empirical study exploring the value of ACT in chronic pain and a reflective paper of the author’s reflections on this process. The literature review highlighted several factors involved in the process of change, these included the six core processes of ACT; acceptance, values, self as context, present moment, cognitive defusion, and committed action. Increased acceptance and values based activity were associated with improved functioning and quality of life. Social support from peers, normalisation and validation were also found to be helpful. The studies in the review mainly collected data via self-report questionnaires, which are open to respondent biases, confounding variables and overlook the personal value of an intervention. Qualitative approaches, although limited, have captured individual narratives of pain management, which have been helpful in understanding personal experiences. The empirical paper uses Q methodology to understand the value of group based pain management. Ten chronic pain service users completed Q-sorts in which they ranked a range of statements about change processes. Three factors emerged; (1) being believed, accepted and understood (2) the value of self-compassion and empowerment, and (3) a bipolar factor representing the importance of clarity and changing the relationship with pain. The six core processes of ACT were represented in the three factors. Self-as-context, values, and acceptance were found to be particularly relevant to therapeutic change. The reflective paper outlines the author’s reflections on the process, the challenges, limitations, and growth and learning points throughout the journey.
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6

De, Gagné Théo A. "The evolution of chronic pain, adjustment status following treatment for acute low back pain." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/NQ36801.pdf.

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7

Kjellman, Görel. "Neck pain : analysis of prognostic factors and treatment effects /." Linköping : Univ, 2001. http://www.bibl.liu.se/liupubl/disp/disp2001/med662s.pdf.

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8

Lockart, Esther. "Massage Therapy: Mind/Body Effects on Chronic Pain Patients." Thesis, University of North Texas, 1988. https://digital.library.unt.edu/ark:/67531/metadc500701/.

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This study assessed the influence of massage therapy on the psychobiology of chronic pain patients. A pre- and posttest design measured the effects of a one-month treatment program Twenty outpatients and twenty inpatients of two chronic pain treatment programs, were administered several psychological and physiological tests before and after the study. Experimental subjects received massage therapy twice a week for one month in addition to their other therapies. Control subjects continued with their regular treatment modalities for one month. Results showed statistically significant differences (p < .05) on 5 of the 17 psychological variables and on the electromyograph levels. Analysis of Holmes-Rahe scores suggested that these differences were not attributable to the artifact effect of differential life stress.
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9

Buhrman, Monica. "Guided Internet-Based Cognitive Behaviour Therapy for Chronic Pain." Doctoral thesis, Uppsala universitet, Institutionen för psykologi, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-183326.

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Chronic pain is a one of the most common causes of disability and sick leave. Psychological factors play a central role in the experience of pain and are important in the management of pain. However, for many people with chronic pain CBT is not available. There is a need to develop alternative ways to deliver treatments that reach more individuals with chronic pain. Internet-based treatments have been shown to be effective for several disorders and recent research suggests that internet-based CBT for chronic pain can be effective. The present thesis included four randomized controlled studies with the aim of evaluating whether guided internet-based treatments based on CBT can help individuals with chronic pain regarding psychological variables. Study I investigated the effects of an internet-based CBT intervention with telephone support for chronic back pain. The study showed reductions in some variables assessed.      Study II investigated the effects of an internet-based CBT intervention for chronic back pain without telephone support and with a live structured interview before inclusion. It was found that the treatment can reduce some of the distress associated with chronic pain. Study III investigated the effects of a guided internet-delivered CBT as a secondary intervention. Participants were patients who had previously completed multidisciplinary treatment at a pain management unit. Results showed that the internet-based treatment can be a feasible option for persons with residual problems after completed pain rehabilitation. Effects remained at six-month follow-up.    Study IV focused on the effect of a guided internet-delivered acceptance and commitment therapy (ACT) for persons with chronic pain. Results suggest that an internet-delivered ACT treatment can help persons with chronic pain. Effects remained at six-month follow-up. In conclusion, guided internet-based CBT can decrease distress associated with chronic pain.
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Archer, Colleen E. "Accommodating pain-free exercise therapy for peripheral arterial disease." [Gainesville, Fla.] : University of Florida, 2006. http://purl.fcla.edu/fcla/etd/UFE0015221.

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Seneca, Michael J. "Meta-Analysis of Herbal Cannabis Therapy for Chronic Pain." UNF Digital Commons, 2014. http://digitalcommons.unf.edu/etd/503.

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Since the first so-called “medical marijuana” legislation was passed in California in 1996, a total of twenty states and the District of Columbia have passed laws permitting limited use of cannabis. Despite the changes in state laws, cannabis remains illegal for any purpose under federal law. Changes in state laws have coincided with a renewed interest in the substance for the treatment of a variety of conditions. There has been a significant increase in published data over the past twenty years examining the efficacy of cannabis as an appetite stimulant, antiemetic agent, and analgesic adjuvant. The purpose of this meta-analysis was to synthesize published data on cannabis use as an analgesic agent. Five studies meeting inclusion criteria were located through searches of online databases, review of reference lists, author correspondence, and review of clinical trials databases. Meta-analysis was conducted using fixed-effects modeling. The overall effect of mean reduction of pain intensity was -4.895 (Z-score) with an associated p value of 0.003. The combined standardized mean difference (SMD) was -0.362 (CI -0.507 to -0.217), indicating on average a moderate significant reduction in pain intensity for patients with chronic pain. As the legal status of the substance evolves, additional research is needed to establish evidence-based clinical recommendations regarding the use of medicinal cannabis in pain management.
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12

Arb, Julie Diann Leeds Glaros Alan G. "Effectiveness of cognitive-behavioral therapy for pain management in a homeless veterans program." Diss., UMK access, 2004.

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Thesis (Ph. D.)--School of Education. University of Missouri--Kansas City, 2004.
"A dissertation in counseling psychology." Advisor: Alan G. Glaros. Typescript. Vita. Title from "catalog record" of the print edition Description based on contents viewed May 30, 2006. Includes bibliographical references (leaves 172-177 ). Online version of the print edition.
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13

Vowles, Kevin E. "Order effects of fear and pain induction." Morgantown, W. Va. : [West Virginia University Libraries], 2001. http://etd.wvu.edu/templates/showETD.cfm?recnum=2198.

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Thesis (M.A.)--West Virginia University, 2001.
Title from document title page. Document formatted into pages; contains ix, 76 p. : ill. Vita. Includes abstract. Includes bibliographical references (p. 32-39).
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14

Dunbar, Ann H. "An Assessment of Pain Responses During Stages of Pregnancy." VCU Scholars Compass, 1987. http://scholarscompass.vcu.edu/etd/4533.

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As physical therapists are becoming more involved with the pregnant population both in traditional patient care as well as in childbirth education, a better understanding of the influence of pregnancy on the pain system is needed. The purpose of this study was to determine if an endogenous analgesia system is present in pregnant humans as has been shown to be present in animals (Ginzler, 1980). Women's affective and intensity responses were measured during late pregnancy, labor and post-partum. Using a repeated measures design, fifteen women responded to thermal stimuli (43-52 degrees C) by marking a visual analogue scale. No significant difference was found to exist demonstrating that stages of pregnancy have no effect on subjects' responses to thermal stimuli. Additional research has shown that levels of endorphins in the cerebrospinal fluid also do not change with stages of pregnancy (Steinbrook et al, 1982). This study provides a behavioral measurement of pain perception that supports the clinical finding that no endogenous analgesia is present in humans during stages of pregnancy. Lastly, by reviewing research examining levels of endorphins present in the plasma and cerebrospinal fluid during stages of pregnancy, this study also supports the growing body of knowledge which suggests that pain mediation by endorphins occurs centrally and not in the periphery.
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Lee, Raymond Y. W. "The biomechanical basis of spinal manual therapy." Thesis, University of Strathclyde, 1995. http://oleg.lib.strath.ac.uk:80/R/?func=dbin-jump-full&object_id=21235.

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16

Cooper, Nicholas A. "Gluteus medius dysfunction in chronic low back pain." Diss., University of Iowa, 2017. https://ir.uiowa.edu/etd/5445.

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Low back pain is a common but severe health problem. Chronic low back pain accounts for the bulk of the burden of low back pain. Exercise interventions are effective in the management of chronic low back pain. Current clinical thinking in physical therapy treats low back pain as a heterogeneous entity seeking to match specific interventions to subpopulations. None of these subgroups assess the role of gluteus medius dysfunction in chronic low back pain. These projects seek to describe the prevalence of gluteus medius weakness in people with chronic low back pain and test the effectiveness of a gluteus medius strengthening exercise intervention in people with chronic low back pain. Gluteus medius strength was assessed in 150 people seeking care for chronic low back pain and 75 healthy people without low back pain. Gluteus medius was found to be weaker on affected sides compared to unaffected sides within people with chronic low back pain and weaker than people without low back pain. Gluteus medius weakness was a strong predictor of the presence of low back pain. A gluteus medius strengthening program was compared with lumbar stabilization exercises in 56 people with chronic low back pain. Although there was a clinically significant improvement in pain in people who performed the gluteus medius strengthening exercise program, this was not significantly different from the stabilization exercise intervention. Adherence to exercise was significantly correlated with reduction in pain and perceived improvement of low back pain. Although gluteus medius weakness is common in people with low back pain and treating this weakness with a targeted exercise intervention is effective, it is not better than a standard stabilization exercise intervention. Doing exercise is likely more important than what exercise is done.
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17

Edwards, Joanne. "Behaviour therapy and cognitive behaviour therapy for chronic low back pain : a single case series." Thesis, University of East Anglia, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.405391.

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Medical interventions have limited success when applied to individuals with chronic low back pain. Psychological interventions have been developed in order to offer a way of managing chronic pain. These are generally based on behavioural or cognitive behavioural theories. Research indicates that both behaviour therapy (BT) and cognitive behaviour therapy (CBT) are effective in the treatment of chronic pain. However, it is unclear whether CBT is effective as a stand-alone treatment or if it has an additive effect following the presentation ofBT. Chronic pain can affect individuals in a number of ways. Depression, disability and pain related anxiety were considered in the present study. Six participants took part in this single case design study, a multiple baseline was implemented followed by either six or 12 weeks of intervention. Three individuals received BT followed by CBT, the remaining three received CBT alone. Findings of the study were mixed. When BT was considered there were no consistent findings. There was no evidence that CBT added anything to BT when disability was considered. There was weak evidence that psychological distress may respond to CBT following the presentation ofBT. CBT showed mixed results regarding the daily measures of negative pain related beliefs. Phase change measures often showed a different picture to daily measures. There was limited evidence that CBT could provide a decrease in disability and psychological distress. While no firm conclusions could be drawn regarding negative pain related thoughts. Methodological and theoretical issues were discussed in relation to the findings. Suggestions for futures research were also presented.
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Noble, James Gareth. "Interferential therapy : assessment of the hypoalgesic and neurophysiological effects." Thesis, University of Ulster, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.314038.

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19

Butler, Robert Walker. "The development of an experimental inventory for the identification of cognitive strategies for coping with acute pain /." The Ohio State University, 1985. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487261553058949.

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20

Konstantinou, Kika. "Mobilisations with movement in low back pain management : current physiotherapy practice and effects on pain and range of spinal movement." Thesis, Coventry University, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.272904.

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21

Gallas, Jonathan. "Risk Factors for Low Back Pain in Recreational Distance Runners." Diss., NSUWorks, 2017. https://nsuworks.nova.edu/hpd_pt_stuetd/59.

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Risk Factors for Low Back Pain in Recreational Distance Runners By Jonathan E. Gallas Purpose. The purpose of this study was to examine differences between runners with and without low back pain and a control group of non-runners in demographic, physical/running, and LBP variables. Subjects. This study included 102 subjects in three groups. Subjects, 18 to 55 years old, were from a running store, sports club, and physical therapy clinics in Rockford, IL. Methods. A pilot study of ten runners with LBP was conducted prior to data collection to assess testers’ reliability. One hundred and twelve runners, with or without LBP, who run 20-30km/wk for at least one year were recruited. Runners with LBP are defined as one with a current episode of LBP for 2 weeks but less than 6 months. Subjects completed the informed consent form and demographic and training variable questionnaire prior to data collection. This study utilized demographic and physical/running variable data. Additional data was obtained on lumbar flexion/extension AROM, Biering-Sorensen test, passive lumbar extension test, right and left side bridge, and the Beighton Scale. An ANOVA test was performed to assess for group differences. T-tests, Mann Whitney U, and Chi square tests were conducted to determine differences among running groups. Results. Significant differences were found in the side bridge test between the control group and both running groups, Biering-Sorensen test between the control and runners without LBP, and BMI between the control and runners with LBP. Group differences were found between runners with and without LBP in days/wk, rest days/wk, years run, and marathons run. Group difference were also found in km/wk of running and age among running groups. Discussion. Further research is needed in runners with LBP to determine why they were able to run more miles, take less rest days, run more marathons, and more years. Future studies should address the characteristics of runners that allowed them to demonstrate greater trunk muscle endurance and core muscle stability and be prospective and longitudinal in nature. Key Words. low back pain, recreational distance runner.
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Lowe, Jamie. "The Effects of Music Therapy on Stress Induced Muscle Pain." Scholarship @ Claremont, 2014. http://scholarship.claremont.edu/scripps_theses/385.

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Stress can be defined as feelings of frustration or anxiety that arise when individuals face challenges that exceed their capabilities or resources. Consequences of stress generally result from a suppressed immune system and include headaches, sleep problems, and muscle pain. Music as an intervention for relieving pain has increased due to its non-invasive nature, ease of administration, low cost, and lack of adverse side effects. While prior research on music therapy and pain has primarily focused on pain related to surgery, disease, or accidents, there have been no studies to date examining the association between music therapy and stress-induced muscle pain. I have designed a study proposal to establish the relationship between music therapy and muscle pain related to stress. The proposed study will compare salivary cortisol levels, pain visual analogue scale (VAS) scores, the number of painkillers consumed, and the number of doctor visits of healthy individuals experiencing the same stressor (MCAT or GRE) over a 3 month period. One group of participants will be randomly assigned to listen to an additional 30 minutes of self-chosen calming music a day, whereas the other will not listen to any additional music. It is hypothesized that the participants that listen to the additional calming music will experience significantly lower levels of stress and therefore lower muscle pain levels than the participants that did not listen to music. This research is potentially useful for students who undergo constant stress due to the demands of college. Future studies could include whether music therapy allows students to study longer by relieving some of the muscle pain caused by stress.
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Howden, Stella. "The pain of rheumatoid arthritis : the different perspectives of patient and rheumatologist." Thesis, Queen Margaret University, 2005. https://eresearch.qmu.ac.uk/handle/20.500.12289/7408.

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The chronic pain associated with rheumatoid arthritis (RA) is identified by patients as a priority for treatment and is said to shape their illness experience. However, review of the literature reveals that little is known about patients' perspectives on pain in RA, with even less being known about how rheumatologists, the clinical experts in patient care, perceive this phenomenon. Increasing knowledge and understanding of patients' and rheumatologists' perspectives on pain can be used to try to influence their action/inactions as well as helping to identify patients' specific concerns and unmet needs. The aims of this study were: To describe patients' and rheumatologists' perspectives on the meaning of pain in RA; To explore how these pain meanings are constructed; and To consider the implications of these constructions for pain management. This interpretive, qualitative study used semi-structured interviews to generate accounts related to respondents' perspectives on pain in RA. Purposive sampling was used to select a heterogeneous group of patients with RA (n=29) and rheumatologists (n=16). Thematic analysis was used inductively to generate findings using a cumulative, constant comparative technique (Strauss and Corbin, 1998). Both patients and rheumatologists presented multiple pain meanings but generally viewed pain as an expected symptom of the disease, both being resigned to the belief that most patients would have some degree of daily pain. Additionally, both groups considered the pain experience to have a pervasive, negative impact on life, potentially threatening the patient's concept of 'self'. In contrast, patients' and rheumatologists' pain meanings regarding clinical topics were not similar. Patients' views of medical responsibility were narrowly difined, rooted in western biomedical conceptions of pain and were influenced by experiences of clinical interactions. Accordingly, patients viewed the rheumatologist to be responsible only for 'legitimate' pain i.e. pain associated with the body and disease processes. Rheumatologists, on the other hand, presented a more comprehensive understanding of pain by incorporating psychological and social theories along with an associated 'ideal' model of care (reflecting a biopsychosocial approach). Consequently, they identified eclectic roles/responsibilities for themselves in patient management. However, rheumatologists viewed this 'ideal' as difficult to attain in the context of their experiences of clinical work where multiple constraints were perceived to exist, such as difficulties in deciphering pain, the perception of limited resources (e.g. time) and organisational barriers. In light of this, their role was often reduced to focusing simply on disease management, thus displacing the 'ideals' of patient-centred care and perpetuating the dominant biomedical discourse of pain in the clinical context. This thesis adds to the body of knowledge about patients' perspectives on pain when they live with a chronically painful condition and patient barriers to reporting pain. New findings are presented regarding the medical experts' conceptions of pain; in particular, those related to complex clinical work. The findings also identify areas of unmet need regarding patients' knowledge of pain, pain management and of the roles and responsibilities of healthcare professionals. Suggestions are made for further work in the areas of investigating patient barriers to reporting pain; exploring patient perspectives on self-management and using alternative research methods to complement and develop the findings from this study.
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Mokhtar, Basim. "Combined phototherapy/low level laser therapy : analgesic and neurophysiological effects." Thesis, University of Ulster, 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.357573.

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Kamau, Peter Waweru. "Patient satisfaction with physiotherapy services for low back pain at selected hospitals in Kenya." Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&amp.

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Patient satisfaction is one of the indicators of the quality of care being given to the users of a service. It can also be used as benchmarks for ensuring the delivery of quality physiotherapy services in health facilities. Physiotherapists have been involved in treatment of persons suffering from low back pain for decades. Treatment approaches are varied, but all have the common goals of pain relief, rehabilitation, and prevention of recurrence of low back pain. The purpose of this study was to investigate the satisfaction of low back pain sufferers with the physiotherapy services they receive. The study was carried out in selected public hospitals in Nairobi and the Central Province in Kenya.
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林德 and Tak Lam. "An evidence-based guideline on yoga in reducing pain among adult patients with chronic low back pain." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193028.

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Low back pain (LBP) is a common complaint and health problem in Hong Kong, particularly among middle-aged individuals. LBP is the main cause of chronic disability which significantly affects the daily life activities of patients. Pain might result in repeated hospital admissions and subsequently increase the burden on health care providers in Hong Kong. LBP has an enormous effect on quality of life and therefore deserves research attention. Growing evidence shows that yoga may help reduce the level of chronic LBP in adult patients. However, no systematic review has been conducted to support the translation of this theory into practice. Therefore, this thesis aims to evaluate the current evidence on the efficacy of yoga in reducing chronic LBP among adult patients to achieve the following objectives: formulate an evidence-based protocol on yoga practice, assess the implementation potential of the formulated protocol, and develop implementation strategies and evaluation plan for the use of this protocol in a local public hospital in Hong Kong. Five databases were used for the systemic review of relevant studies. These databases were those of Cochrane Library, CINAHL Plus, PudMed, British Nursing Index and Medline (Ovid). A total of eight papers (randomized controlled trials) fulfilled the inclusion criteria of this study. The Scottish Intercollegiate Guidelines Network (SIGN) was used to extract the data and evaluate the paper quality. The findings of the selected papers indicated that yoga practice has a significant effect on reducing pain among adult patients with chronic LBP. The innovation is proposed to be conducted in an adult orthopedic and traumatoloy (O&T) ward. Evidence-based yoga guideline is developed to guide nurses in the effective implementation of the protocol. The SIGN grading system is chosen to grade the recommendations in the guideline. Adult patients with persistent LBP longer than three months are the target population. All study participants practice specific yoga postures under the supervision of yoga instructors and trained nurses in the outpatient clinic. These patients continue home practice for 30 minutes daily or at least twice a week. Based on the findings of the reviewed literatures and the adaptation of these findings into the proposed innovation, the feasibility of implementing evidence-based yoga guideline in the local clinical setting in Hong Kong is demonstrated. An effective communication plan is developed to gain support from stakeholders and efficiently implement the innovation. A two-month pilot study is designed to test the feasibility of the guideline. Pain level, which is the primary outcome of the study, is measured by using Pain Numerical Pain Scale (NRS). Evaluation will be completed after the pilot test and at the end of the whole programme and refinement of the protocol will be accomplished according if necessary. Protocol effectiveness will be determined by a decrease in back pain level after practicing yoga. Other outcomes include the knowledge and satisfactory level of the staff with regards to the protocol, as well as and the costs and benefits of program implementation.
published_or_final_version
Nursing Studies
Master
Master of Nursing
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Rooney, Natalie Therese. ""It's just you're battling with yourself" : how pain-related imagery impacts on functioning in chronic pain." Thesis, University of Edinburgh, 2013. http://hdl.handle.net/1842/7908.

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Background: Psychological research has consistently demonstrated the importance of cognitions in the form of thoughts and images on an individual’s wellbeing. Having pain-related verbal cognitions has been shown to lead to poorer outcomes for patients (McCracken & Turk, 2002). Research in other conditions has shown mental images have a more powerful impact on emotion than verbal cognitions (Holmes & Matthews, 2005). To date however, little work has explored the role of mental imagery in adjustment to chronic pain. Methods Fourteen semi-structured interviews were conducted with individuals with chronic pain. Interview transcripts were analysed according to grounded theory methods to construct a substantive theory of the impact spontaneously-invoked images of pain have on functioning. Results Eight participants reported pain-related imagery and three reported mental images associated with related symptoms. In line with previous findings (Gillanders et al., 2012; Gosden, 2008) the frequency and intensity of pain-related images influenced the degree of distress experienced. There was a distinction made between intrusive mental images and visual descriptions or metaphors of pain. The former being conceptualised as a visual cognition and playing a role in the aetiology and maintenance of distress in chronic pain and therefore an adverse impact on functioning. Conclusion Enhancing our understanding of pain related imagery and its impact on functioning could inform the design of interventions in clinical practice. Working systematically with patients’ idiosyncratic pain related images and the beliefs that are associated with them could be a helpful specific target for therapy.
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Jones, Nicola. "Does pain management improve quality of life? : an idiographic approach." Thesis, Bangor University, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.311386.

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Lowe, Andrea Sarah. "Low intensity laser therapy : neurophysiological and hypoalgesic effects." Thesis, University of Ulster, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.240997.

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Gochenour, Lori L. "Cortisol responsivity association with fear and pain related to root canal therapy /." Morgantown, W. Va. : [West Virginia University Libraries], 2003. http://etd.wvu.edu/templates/showETD.cfm?recnum=2946.

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Thesis (M.S.)--West Virginia University, 2003.
Title from document title page. Document formatted into pages; contains ix, 57 p. : ill. (some col.). Vita. Includes abstract. Includes bibliographical references (p. 43-46).
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31

Abbey, Hilary Amanda. "Developing an integrated osteopathy and acceptance-informed pain management course for patients with persistent pain." Thesis, University of Bedfordshire, 2017. http://hdl.handle.net/10547/622497.

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Purpose: This study explored therapeutic processes associated with developing a course for patients with persistent pain which integrated osteopathic treatment with Acceptance and Commitment Therapy (ACT). This 'third wave’ cognitive behavioural approach is effective for a range of physical and psychological problems, including persistent pain, and congruent with osteopathic principles of holism, function and agency, which provided a theoretical basis for developing an integrated intervention to promote resilience and well-being. A qualitative case study was conducted as part of a developmental research programme to explore how ACT could be integrated with osteopathic treatment for individual patients, and with what effects on processes and outcomes. Method: Linguistic ethnography was used to explore links between pain-related discourses, clinical decisions and responses to pain. Treatments were audio-recorded, transcribed, and coded. Extracts referring to discourses about pain experienced during manual therapy were subjected to micro-level conversation analysis, sociolinguistic analysis of participants’ roles, and macro-level analysis of links to broader healthcare discourses. A reflective diary was used to explore experiential learning and integrate auto-ethnographic information. Results: Two distinctive forms of mechanistic and facilitative pain discourse were identified. In predominantly mechanistic discourses, agency and expertise were located with the osteopath, and intention was focused on fixing ‘broken’ parts and relieving pain using ‘familiar’ osteopathic techniques. In facilitative discourses, the osteopath adopted a more collaborative role, focused on developing the patient's body and self-awareness to promote more flexible, active pain responses. Practitioner challenges included learning how to shift intention between mechanistic and facilitative interventions, a process that was enabled by mindfulness and willingness to tolerate uncertainty. Conclusions: In this study, ACT-informed osteopathy involved facilitative discourses, associated with increased patient agency and flexibility in response to pain. Further research is needed to explore whether this pattern of discourse is robust in other clinical settings; relationships between mechanistic and facilitative discourses and therapeutic outcomes; and effects of ACT training on practitioner mindfulness and attitude towards clinical uncertainty. Findings suggest that this integrated approach could expand the scope of osteopathic care for patients with persistent pain, and is worth further investigation.
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32

Yu, Wei. "Central pain after spinal cord injury : experimental studies with special emphasis on pharmacological treatment /." Stockholm, 1999. http://diss.kib.ki.se/1999/91-628-3156-9/.

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33

Wreje, Ullacarin. "Back pain in primary care : aspects on treatment and the possible influence of oral contraceptives /." Stockholm, 1999. http://diss.kib.ki.se/1999/91-628-3329-4/.

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34

Johnston, Marnie Ruth. "Acceptance and Commitment Therapy for Chronic Pain: An Evaluation of the Self-Help Book, Living Beyond Your Pain." The University of Waikato, 2008. http://hdl.handle.net/10289/2309.

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The current research was a randomised two group (control and treatment) study that evaluated the effectiveness of an ACT-based self-help book for people with chronic pain. Over a 6-week period, 6 participants read the book and completed exercises from it with weekly telephone support while 8 others waited. Five of these others began the intervention after a 6-week control period. Participants completed pre- and post-intervention questionnaires for acceptance, values illness, quality of life, satisfaction with life, depression, anxiety and pain. Initial outcome data were collected for 8 control participants and 6 intervention participants. A total of 11 participants completed pre- and post-intervention measures. Participants' who read the book, rated the content of the book each week according to reading level and usefulness, and their comprehension of the content was also assessed. Original group data showed statistically significant improvement in acceptance and quality of life for those who completed the intervention. Once the data were pooled, statistically significant improvements in acceptance, quality of life, satisfaction with life, and values illness were found. In general, using the self-help book did not result in reduced pain, depression or anxiety, although for some individuals gains were made in these areas. Individual perceptions of the book components were varied but findings suggest that cognitive defusion and mindfulness were parts of the book that participants found hard. The current findings support the hypothesis that using the self-help book would add value to the lives of people who experience chronic pain. Thus, the book may be a useful tool for people who experience chronic pain.
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Mehrvarz, Iraj. "Impact of a group therapy program on depression and pain perception of adults with chronic low back pain." DigitalCommons@Robert W. Woodruff Library, Atlanta University Center, 1991. http://digitalcommons.auctr.edu/dissertations/3413.

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The main purpose of this study was to determine if there was a statistically significant difference in depression and pain perception between those adults with chronic low back pain who participated in a specific group therapy program and those who did not. The Beck Depression Inventory (BDI) and the Visual Analogue Scales (VAS) were administered to fifty-four adults with chronic low back pain. The subject pool consisted of fifteen males and thirty-nine females who sought treatment at the Pain Treatment Center of a major university school of medicine in the southeastern United States. Volunteers who scored sixteen or higher on the BDI participated in the study. Subjects for the study were randomly assigned to an experimental and a control group with twelve persons in each. Both groups underwent pretesting and posttesting using the BDI and VAS. The experimental group participated in a four-week group intervention program developed by the researcher. The data were analyzed using the t_ test and the Pearson Correlation Coefficient with a significance level of .05. The results of this study suggest that the group therapy program alleviated depression among the adults with chronic low back pain. The results did not show that this intervention had any significant effect on their pain perception. Further, there was no relationship between the age of the adults with chronic low back pain and their depression. There was no relationship between the age of the adults with chronic low back pain and their pain perception.
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Chern, Hughes Betty. "THE EFFECT OF MUSIC ON LABOR ANALOGUE PAIN." Thesis, The University of Arizona, 1985. http://hdl.handle.net/10150/275446.

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Elden, Helen. "Treatment modalities for pelvic girdle pain in pregnant women /." Göteborg : University of Gothenburg, Perinatal Center, Dept. of Obstetrics & Gynecology, Institute of Clinical Sciences, Sahlgrenska Academy, Göteborg, 2008. http://hdl.handle.net/2077/9882.

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38

Souvlis, Tina. "Characteristics of spinal manual therapy induced hypoalgesia /." St. Lucia, Qld, 2003. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe17338.pdf.

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Prasanna, Shreya. "The influence of music on movement speed in chronic pain." Thesis, McGill University, 2010. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=86955.

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Movement slowing among individuals with fibromyalgia (FM) adds to the burden of the condition. Music is known to influence movement speed in healthy individuals and it is plausible that it can be used to counteract slow movements in individuals with FM. Study objectives were to estimate a) whether walking to music of different tempi alters the gait speed in individuals with FM; b) whether music alters the mood, pain intensity, pain affect and perceived exertion in these individuals. A single subject research design was used. Eight women with FM walked under two different music conditions (fast and slow music) and a control (no music) condition. Outcome measures included gait speed, pain intensity, affect, mood and perceived exertion. Results showed that four subjects walked faster with fast music. No change was noted in the clinical measures. Music may be useful to improve gait speed in people with FM.
Le ralentissement du mouvement chez les personnes atteintes de fibromyalgie (FM) constitue un fardeau qui s'ajoute aux symptômes de cette maladie. Il est reconnu que la musique peut influencer la vitesse du mouvement chez les individus en bonne santé ; il est plausible qu'elle puisse aussi être utilisée pour contrecarrer le ralentissement des mouvements chez les individus atteints de FM. Les objectifs de cette étude consistaient à estimer a) si marcher en écoutant de la musique à différents tempi modifie la vitesse de marche chez les personnes atteintes de FM; b) si la musique modifie l'humeur, l'intensité de la douleur, l'émotion liée à la douleur et l'effort perçu par ces individus pendant leur marche. Une étude prospective à protocoles individuels (single subject research design) a été réalisée. Huit femmes atteintes de FM ont marché sous deux conditions musicalement différentes (musique lente ou rapide) et sous une condition contrôle (pas de musique). Les variables d'intérêts mesurées comprenaient la vitesse de marche, l'intensité de la douleur, l'émotion liée à la douleur, l'humeur et l'effort perçu. Les résultats ont montré que quatre sujets ont marché plus rapidement lorsqu'ils écoutaient la musique rapide. Aucun changement n'a été noté dans les mesures cliniques. Ces résultats indiquent que la musique pourrait être utilisée afin d'améliorer la vitesse de marche chez les personnes atteintes de FM.
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40

Moore, Stephen H. "The effectiveness of rofecoxib on post-endodontic pain." Morgantown, W. Va. : [West Virginia University Libraries], 2002. http://etd.wvu.edu/templates/showETD.cfm?recnum=2308.

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Thesis (M.S.)--West Virginia University, 2002.
Title from document title page. Document formatted into pages; contains viii, 51 p. : ill. Includes abstract. Includes bibliographical references (p. 39-42).
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41

Lundberg, Mari. "Kinesiophobia : various aspects of moving with musculoskeletal pain /." Göteborg : Department of Orthopaedics, Institute of Clinical Sciences, The Sahlgrenska Academy at Göteborg University, 2006. http://hdl.handle.net/2077/317.

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42

Bates, Deborah. "The Effects of Pre-Transplant Music Therapy on Distress, Quality of Life, Pain, Anxiety, Mood, and Pain Medication Use for Patients Undergoing Hematopoietic Stem Cell Transplant." Diss., Temple University Libraries, 2019. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/567925.

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Music Therapy
Ph.D.
The purpose of this randomized controlled trial was to determine the effects of pre-transplant music therapy on distress, pain, anxiety, mood, quality of life (QOL), and pain medication use during the preparation period for hematopoietic stem cell transplant (HSCT). Distress, the primary outcome, was measured via the Distress Thermometer. QOL was assessed with the Functional Assessment of Cancer Therapy – General 7 (FACT-G7). Participants self-rated pain and anxiety on Numeric Rating Scales (NRS) and mood on the Rogers Happy/Sad Faces Scale. Participants randomized to the experimental group received three music therapy sessions prior to stem cell infusion day. Repeated measures analysis of variance (RMANOVA) was employed to detect differences between groups for distress and QOL, and t-tests were used to detect differences between groups for pain, anxiety, and mood. Data collection is ongoing and will conclude when 50 patients have been accrued. This report presents interim data analysis, with complete data available for 23 participants. The experimental group had higher distress that was statistically significant at baseline and on Day -1. Music therapy did not affect distress but showed other limited beneficial effects. There were no differences between groups at any individual time point for pain, anxiety, or mood. At all three time points, decreases in anxiety from pre-session to post-session assessment were statistically significant in the experimental group. In the first and third music therapy session, differences between pre- and post-session mood scores were statistically significant in a positive direction. Differences in pain medication use could not be calculated because too few participants required pain medication. Although music therapy did not affect the primary outcome of distress, the positive short-term effects on anxiety and limited positive effects on mood are important to acknowledge. The small sample size likely contributed to the lack of findings on distress, although the longitudinal assessment of this outcome may have also been a factor. This study provides an initial understanding of how music therapy may be effective on distress and other variables during the pre-transplant hospitalization period for patients undergoing allogeneic HSCT, as it is the first research study to examine this treatment phase. There are few music therapy research studies with patients undergoing HSCT, which leaves many options for future research. It would be worthwhile to explore any short-term effects of music therapy on distress and QOL, as well as longitudinal effects on anxiety and mood. Optimal music therapy session duration and frequency during the pre-transplant hospitalization period remains unknown. Research opportunities exist during other phases of HSCT treatment, such as the out-patient pre-transplant period, duration of hospitalization, or post-transplant follow up. Understanding the effects of music therapy for patients suffering from Graft-Versus-Host Disease could also be beneficial as this is often debilitating and can be life-threatening. Finally, there is a need for qualitative music therapy studies with this patient population, as none currently exist but could provide additional insight for future research studies as well as clinical practice.
Temple University--Theses
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43

Huang, Xiuying. "Pain and symptom experiences of persons with nasopharyngeal carcinoma over the course of radiation therapy in Taiwan /." Thesis, Connect to this title online; UW restricted, 1998. http://hdl.handle.net/1773/7262.

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44

Skillgate, Eva. "Back and neck pain : epidemiological studies on some risk factors and treatments, including naprapathic manual therapy /." Stockholm, 2007. http://diss.kib.ki.se/2007/978-91-7357-405-1/.

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45

Buck, Ernestina S. "Worldviews and health care choices among people with chronic pain." Diss., The University of Arizona, 2002. http://hdl.handle.net/10150/280133.

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The purpose of this study was to examine whether or not there was a relationship between the worldviews of people with chronic pain and the health care choices that they make. The background of the study included evidence of a cultural shift toward integration of complementary and alternative medicine (CAM) with conventional health care practices. The justification for the study was established with regard to previous research indicating that people with chronic health conditions, demographic predictors, and philosophical differences might contribute to characteristics associated with CAM use. In the literature review, two premises were established: (1) that healing is the psychophysiological response to underlying beliefs, and (2) that Pepper's worldviews (Pepper, 1942) characterize beliefs and expectancies underlying cognitive processes. The study involved a survey packet mailed to prospective subjects who were clients at a traditional teaching hospital clinic specializing in pain management. The survey packet included a list of demographic characteristics, the Health Care Choice List, and the World Hypotheses Scale as measurement of Pepperian worldviews. The data were analyzed by using multiple linear regression, correlation coefficients, and Chi-square Crosstabs procedure. Overall, results of the present study indicated that the combination of age and formistic (categorical) worldview were statistically significant predictors of conventional health care choices by participants in this study. Subjects who were older were less likely to use CAM; and subjects who identified with formism as a dominant worldview were less likely to use CAM. Although formistic worldview was the only statistically significant predictor of health care choices among the worldview categories, there were directional trends of health care choices in relation to worldviews. Subjects endorsing formistic (categorical) and mechanistic (cause and effect) worldviews were more likely to use conventional methods, and subjects with contextualistic (cause and effect relative to context), organismic (interactive whole) worldviews, and equal scores in two worldview categories, were more likely to use CAM methods.
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Lela, Mukaruzima. "The relationship between physical activity and low back pain among nurses in Kanombe Military Hospital." Thesis, University of the Western Cape, 2010. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_3554_1307534535.

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The aim of the current study was to determine the relationship between low back pain and physical activity levels among nurses in Kanombe Military Hospital (KMH), as well as other confounding factors leading to low back pain. A quantitative, cross-sectional and descriptive design was used to conduct the study. The study population and sample included all clinical nurses in all the departments/wards at KMH (excluding three nurses doing administrative work only and the four who participated in the pilot study). A total of 133 nurses participated in the study and data was collected using three self administered questionnaires. The first one requested socio-demographic data, followed by the International Physical Activity Questionnaire (IPAQ) which examined the physical activity levels of nurses, and lastly the Nordic Musculoskeletal Disorder Questionnaire which examined low back pain prevalence. A response rate of 122 (92%) was obtained.

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Fernandez, Ricardo A. "Lower extremity dynamic alignment in female subjects with patellofemoral pain syndrome versus female controls." NSUWorks, 2006. http://nsuworks.nova.edu/hpd_pt_stuetd/30.

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48

Martin, Claes. "Pain and sensory function in HIV-infection : with and without antiretroviral therapy /." Stockholm, 2000. http://diss.kib.ki.se/2000/91-628-4238-2/.

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49

Boulanger, Karen Therese. "Factors related to satisfaction, pain and affect outcomes in massage therapy clients." Thesis, The University of Iowa, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3711080.

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Massage therapy is often used to treat musculoskeletal symptoms and to promote wellness. While evidence regarding its effectiveness is increasing, research related to actual practice and studies seeking to understand the mechanisms of massage therapy are needed. The purpose of this research was to describe the characteristics of massage therapists and their clients and to understand the role of communication in massage therapy outcomes. The first study examined the outcome expectations, expectancies, and behaviors of a random sample of massage therapists in Iowa (n=151) using a cross-sectional survey. The second study used a practice-based research design incorporating two samples of massage therapy clients (n=320 and n=321) to develop and validate a measure of client expectations of massage, the Client Expectations of Massage Scale (CEMS). The third study examined the influence of client expectations and massage therapists' interpersonal attractiveness on pain and satisfaction following massage. Social Cognitive Theory and Expectancy Violation Theory were used as frameworks to demonstrate how health behavior and communication theories can provide insight to massage therapy research. Results indicated that massage therapists had high expectations regarding the benefits of massage therapy and engaged in a variety of behaviors that reflect the clinical, educational, and interpersonal nature of massage therapy. In addition to using a variety of manual therapies, the massage therapists educated their clients in areas such as diet, stress management, and exercise to improve client health. Similarly, clients had positive expectations as measured by the outcome, clinical, educational, and interpersonal subscales of the CEMS. Positive outcome expectations predicted significant improvements in pain and serenity. High interpersonal expectations were related to negative changes in serenity. The third study revealed that high satisfaction was influenced by positive interpersonal attractiveness but more research is needed to understand the influence of client expectations being met on satisfaction. Initially high educational expectations, exceeded educational expectations, violated interpersonal expectations, and positive interpersonal attractiveness were related to less pain following massage. In conclusion, this research demonstrated that client expectations and massage therapist interpersonal attractiveness are important constructs to consider when evaluating the effects of massage therapy.

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Buchrieser, Tanya Brigitte. "Massage Therapy Effects on Pain and Distress/Anxiety in Breast Cancer Patients." ScholarWorks, 2015. http://scholarworks.waldenu.edu/dissertations/1493.

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Pain and distress/anxiety are likely to result from breast cancer and/or the medical treatment associated with this illness. Breast cancer researchers have focused on massage therapy and its influence on pain and distress in breast cancer patients; however, these research efforts were limited by small sample sizes, homogeneous populations, and small to medium effect sizes. This study explores the effectiveness of massage therapy for decreasing pain and distress in a larger, heterogeneous population of breast cancer patients and across all durations and frequencies of treatment by pooling the findings of former studies. The gate control theory which relates to the experience of pain, the psychotherapy theory which suggests massage acts much like psychotherapy, and the physical touch theory all suggest that massage may decrease pain and distress/anxiety. In order to be included in the meta-analysis, the study needed to be printed in English between the years 2004 and 2012, use the same variables and same method of treatment, and report an effect size or statistics that allowed for effect size calculation. The meta-analysis was quantitative and the effect sizes for each study were calculated using Comprehensive Meta-Analysis (CMA) software. CMA also calculated the overall pooled effect size. Findings indicated that individual studies showed some improvements in pain and distress after receiving treatment; however, when pooled, the results indicated that massage therapy did not significantly improve levels of pain and distress in breast cancer patients. Although findings were non significant, the use of massage therapy improved symptoms of pain and distress in breast cancer patients.
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