To see the other types of publications on this topic, follow the link: Visual analogue scale (VAS).
Dissertations / Theses on the topic 'Visual analogue scale (VAS)'
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 39 dissertations / theses for your research on the topic 'Visual analogue scale (VAS).'
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 dissertations / theses on a wide variety of disciplines and organise your bibliography correctly.
1
Skorniakova, Oxana G. "Sensitivity to sub-phonemic variation: Evidence from a Visual Analogue Scale (VAS) goodness-rating task." The Ohio State University, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=osu1290127664.
Full text
2
Bacci, Adriana do Vale Ferreira. ""Comparação da escala CR10 de Borg com a escala analógica visual (VAS) na avaliação da dor em pacientes com disfunções temporomandibulares"." Universidade de São Paulo, 2004. http://www.teses.usp.br/teses/disponiveis/59/59137/tde-25042006-155158/.
Full textAbstract:
A Visual Analogue Scale (VAS) e a escala Category-Ratio (CR10) foram aplicadas para mensurar a dor em pacientes com Disfunções Temporomandibulares (DTMs) em dois estudos. No primeiro estudo, em 35 pacientes (Grupo I) foram aplicadas uma versão modificada da escala CR10 em português e a VAS para mensurar a dor espontânea, durante função orofacial e durante palpação antes e após tratamento odontológico. A modificação na CR10 consistiu em um desmembramento das categorias verbais e da escala numérica apresentadas cada uma delas em única coluna em mesma folha. Os coeficientes de correlação de Pearson entre as pontuações da VAS e da CR10 foram 0,85 antes do tratamento odontológico e 0,9 após o tratamento, indicando alta validade de critério. A associação entre os valores numéricos e as categorias verbais da Escala CR10 Modificada mostrou diferenças em relação ao que é proposto na escala original. As categorias: Moderado, Forte e Muito Forte foram associadas a valores superiores aos originais. O segundo estudo foi planejado para investigar se essas discrepâncias nas associações das categorias com os seus valores numéricos eram replicáveis e verificar se não dependiam da forma de apresentação da escala CR10 modificada. Para isso, as escalas foram aplicadas para medir dor em duas novas amostras de pacientes com DTMs antes do tratamento odontológico. A CR10 com nova modificação e a VAS foram aplicadas à primeira amostra (Grupo II , n=23 pacientes). A modificação na CR10 consistiu na apresentação primeiro da escala numérica em uma coluna seguida pela apresentação das categorias verbais em três colunas. A CR10 original e a VAS foram aplicadas à segunda amostra (Grupo III, n=17 pacientes). Os coeficientes de correlação de Pearson foram 0,9 para o Grupo II e 0,8 para o Grupo III, indicando também alta validade de critério. Assim como no primeiro estudo, na escala CR10, as categorias verbais: Moderado, Forte e Muito Forte foram associadas na escala numérica a valores superiores aos propostos na escala original Em ambos estudos, a escala CR10 foi a mais bem avaliada pelos pacientes, segundo a facilidade de compreensão das instruções e a adequação para o registro da dor. Evidencia-se a necessidade de mais estudos para validar a escala CR10 para a língua portuguesa para determinar com precisão a associação das categorias verbais aos valores numéricos.Visual Analogue Scale (VAS) and Category-Ratio Scale (CR10) were applied to measure pain in patients with Temporomandibular Disorders (TMDs). In the first study, a modified version of CR10 translated to Portuguese and VAS were applied to measure spontaneous pain, functional pain and pain by touch after and before dentistry treatment in 35 patients (Group I). The CR10 modification consisted of presenting the verbal categories and the numerical scale in separated columns in a sheet. Coefficients of Pearsons correlation between VAS and CR10 scores were .85 and .90 respectively before and after treatment, indicating a high criterion validation. The association of numerical values and verbal categories of Modified CR10 scale were different from the original CR10. The verbal expressions moderate, strong and very strong were attached to higher values. In the second study we investigated if these discrepancies in attaching the verbal categories to the numerical scale were replicable and if they were not an artifact of the way of presenting the modified CR10 scale. To check these topics, the scales were applied to measure pain in two new samples of patients with TMD before dentistry treatment. A new modified version of the CR10 scale and the VAS were applied to the first sample (Group II, n=23 patients). This modification in CR10 scale consisted of presenting first the numerical scale in separate column, and then the verbal categories distributed in three columns. The original CR10 and VAS were applied to the second sample (Group III, n=17 patients). Coefficients of Pearsons correlation between CR10 and VAS were .9 for Group II and .8 for Group III, indicating also high criterion validation. As indicated in the first study, some verbal categories were attached to the numerical scale at higher values than those ones in the original scale. In both studies,, most patients judged the CR10 easier to be understood and more adequate to measure pain than VAS. There is evidence of the necessity of more studies to validate CR10 to Portuguese to determine with precision the association of the verbal categories to the numeric values.
3
Ramachandran, Sulabha. "Equivalence of Paper and Touch Screen Versions of the EQ-5D Visual Analog Scale (EQ-VAS)." Diss., Tucson, Arizona : University of Arizona, 2005. http://etd.library.arizona.edu/etd/GetFileServlet?file=file:///data1/pdf/etd/azu%5Fetd%5F1381%5F1%5Fm.pdf&type=application/pdf.
Full text
4
Alfonsin, Mariane Meirelles. "Correlação da algometria, escala análogo visual, escala numérica de avaliação da dor em mulheres com dor pélvica crônica." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2013. http://hdl.handle.net/10183/97200.
Full textAbstract:
Introdução: A Dor Pélvica Crônica (DPC) é um problema social, com alta prevalência, acometendo mulheres na idade reprodutiva. Cada vez mais salientamos a importância de investigar instrumentos apropriados para avaliação da dor, facilitando na prática clínica a escolha do melhor método que torne mais completa a avaliação de aspectos da intensidade na mensuração da dor crônica. Portanto, o objetivo deste estudo é correlacionar diferentes instrumentos de avaliação da intensidade dolorosa, a escala numérica (EN), escala visual analógica (EVA) e a algometria de pressão, nas mulheres com DPC, a fim de identificar o instrumento que melhor expressa o quadro doloroso. Métodos: foram avaliadas pelo ginecologista oitenta mulheres encaminhadas ao ambulatório do serviço de Ginecologia e Obstetrícia do Hospital de Clínicas de Porto Alegre (HCPA), trinta e três mulheres apresentaram algum aspecto dos nossos critérios de não inclusão. Selecionamos para participar do estudo quarenta e sete pacientes com DPC, sendo que vinte pacientes apresentavam endometriose diagnosticada por videolaparoscopia e vinte e sete pacientes apresentavam outras causas ginecológicas. Utilizamos no estudo um roteiro para anamnese cujos dados relacionados com a DPC foram coletados, tais como diagnóstico, tratamento, sintomatologia e locais da dor. Escores de dor foram classificados de acordo com a intensidade, através das escalas de dor (EN e EVA), instrumentos baseados no autorrelato do indivíduo e algometria de pressão, para verificar o limiar de dor à pressão das pacientes. Na análise dos dados, a concordância entre as escalas foi avaliada pelo coeficiente de correlação intraclasse (ICC) e a associação entre as escalas com o algômetro foi avaliada pelo coeficiente de correlação de Spearman, o nível de significância adotado foi de 5% (P<0,05). Resultados: As participantes do estudo tinham idade média de 38,3 ± 7,6 anos. Utilizamos o ICC para análise da correlação entre os instrumentos de relato da percepção dolorosa, ou seja, entre as EN e EVA, em relação à dor (0,992), na dismenorreia (1,00) e na dispareunia (0,996), e encontramos excelente concordância entre as escalas, com P<0,01. As associações da algometria com as escalas foram moderadas e inversas, apresentando diferenças estatisticamente significativas, quanto maior a pontuação nas escalas EN e EVA em relação à dispareunia, menores os valores no algômetro, exceto nos pontos LA1 e LA2 em ambos os lados. Também houve associação inversa das escalas EN e EVA na dismenorréia, no ponto LAB2 lado direito e associação inversa no ponto PS lado direito com a escala EVA de dor, com diferenças estatisticamente significativas. Conclusão: As escalas são instrumentos eficientes para avaliação da dor, podendo ser utilizada tanto a EN quanto a EVA na avaliação da intensidade dolorosa. Na avaliação das mulheres com DPC devemos utilizar a algometria de pressão associada à EN ou EVA, instrumentos inversamente proporcionais, confiáveis e sensíveis, tornando menos subjetiva a avaliação da dor para melhor expressar o quadro doloroso.Introduction: The Chronic Pelvic Pain (CPP) is a social problem, with high prevalence, affecting women in reproductive age. Increasingly, has been emphasised the importance of investigating appropriate instruments for evaluation of pain in clinical practice, by facilitating the choice of the best method to make more complete the evaluation in measuring intensity aspects of chronic pain. Therefore, the objective of this study is to correlate different painful intensity assessment tools, the numeric scale (NS), visual analogue scale (VAS) and algometry pressure, in women with CPP, in order to identify the instrument that best expresses the pain. Methods: were evaluated by the gynecologist eighty women referred to the Gynecology and Obstetrics service, Clinical Hospital of Porto Alegre (HCPA), thirty three women had some aspect of our criteria for not inclusion. The study included forty seven patients, twenty patients had endometriosis diagnosed by laparoscopy and twenty seven patients had other gynecological causes. For the analyses in this study we used a road map for anamnesis whose data related to the CPP was collected, such as diagnosis, treatment, symptoms and pain locations. In addition, pain scores were classified according to intensity, through the pain scales (NS and VAS), based on self-report instruments of individual and algometry, to verify the pressure pain threshold of the patients. Statistically, the agreement between scales was assessed by intraclass correlation coefficient (ICC) and the association between the scales with the algometer were evaluated by Spearman's rank correlation coefficient, the level of significance adopted was 5% (P<0,05). Results: Study participants had an average age of 38.3 ± 7.6 years old. In the statistical analysis, we used ICC reporting instruments of perception painful I mean, between NS and VAS regarding pain (0,992), in dysmenorrhoea (1.00) and Dyspareunia (0.996), and we found excellent correlation between scales, with P<0,01. The associations of algometria with the scales were moderate and inverses, showing differences statistically significant, the higher the score NS and VAS in relation to Dyspareunia smaller values in algometer, except in points LA1 and LA2 on both sides. Indeed, there were also inverse association of scales NS and VAS on dysmenorrhea, in point LAB2 in the right side and inverse association in point PS in the right side with scale VAS of pain, with statistically significant differences. Conclusion: the scales are effective instruments for evaluation of pain, and may be used both in NS and VAS at painful intensity evaluation. In the evaluation of women with CPP should be used the algometry pressure associated with NS or VAS, instruments inversely proportional, reliable and sensitive, making less subjective pain assessment to better express the pain.
5
Caimmi, Davide. "Contribution of real-life databases of adult patients suffering from allergic rhinitis Validation of the MASK‐rhinitis visual analogue scale on smartphone screens to assess allergic rhinitis control Discriminating severe seasonal allergic rhinitis. Results from a large nation-wide database." Thesis, Sorbonne université, 2019. http://www.theses.fr/2019SORUS510.
Full textAbstract:
La prévalence de la rhinite allergique (RA) est en augmentation dans le monde entier. Malheureusement, cette maladie est souvent considérée comme triviale, et les patients ont une tendance à ne pas consulter un médecin, malgré le fait que la RA a un impact très important sur leur qualité de vie. Les recommandations ARIA conseillent d’évaluer la sévérité de la maladie avant traitement et le contrôle des symptômes au cours du suivi pour optimiser le traitement, améliorer la qualité de vie des patients, et diminuer le coût de la RA. En analysant des bases de données en vie réelle, nous avons détecté un score simple et pratique qui permet aux médecins d’évaluer la sévérité de la RA et nous avons validé un système pour vérifier le contrôle des symptômes par visual analogue scale (VAS) sur l’écran des smartphones. Cette validation se base sur les données recueillies par l’application pour smartphones « MASK-Air® » et a été réalisé selon les recommandations COSMIN, avec évaluation, de la cohérence interne, de la fiabilité, de la sensibilité, et de l’acceptabilité. Le score pour évaluer la sévérité se base sur les résultats de l’étude Pollin’Air, après comparaison de 5 méthodes de classification des patients (deux types d’analyses en cluster, un score à 17 questions, le score ARPhyS à 5 questions et le VAS). L’évaluation de la sévérité et du contrôle de la RA sont essentielles pour bien gérer les patients, leurs symptômes et leur qualité de vie. Grâce à l’analyse de bases de données en vie réelle, nous avons validé des outils faciles à utiliser et à comprendre, et rapides à compléter, et qui peuvent donc être vraiment utilisés dans la pratique cliniqueThe prevalence of allergic rhinitis (AR) is increasing worldwide. Unfortunately, this disease is often considered as trivial, and patients tend not to consult their physician, and even less a specialist, even though AR has a very significant impact on the quality of life of patients, which translates into a risk of absenteeism and impaired presenteeism. ARIA guidelines recommend evaluating the severity of the disease before treatment and the control of symptoms during follow-up to optimize treatment, improve patients’ quality of life, and reduce the direct and indirect cost of AR. By analyzing real-life databases, we detected a simple and practical score that allows physicians to assess AR severity and we validated a system to verify the control of symptoms by a visual analogue scale (VAS) on smartphone screens. This last validation was based on data collected by the “Allergy Diary / MASK-Air®” application for smartphones of the MASK study. It was carried out according to COSMIN criteria, with an evaluation, among other things, of internal consistency, reliability, sensitivity, and acceptability. The score to assess AR severity is based on the results of the Pollin'Air study, after comparison of 5 methods for patients’ classification (two types of cluster analyses, a 17-question score, the 5-question ARPhyS score and the VAS). Assessing both severity and control in AR is essential to properly manage patients, their symptoms and quality of life. Through the analysis of real-life databases, we validated tools that are easy to use and understand, and quick to complete, therefore meet the essential characteristics to be truly used in clinical practice
6
Björklund, Patrik, and Anna Rydin. "Automation Pipelines for Efficient and Robust Experimental Research Within Cognitive Neuroscience." Thesis, Uppsala universitet, Avdelningen för visuell information och interaktion, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-453741.
Full textAbstract:
The current trend towards large-scale research projects with big quantities of data from multiple sources require robust and efficient data handling. This thesis explores techniques for automatizing research data pipelines. Specifically, two tasks related to automation within a long-term research project in cognitive neuroscience are addressed. The first task is to develop a tool for automatic transcribing of paper-based questionnaires using computer vision. Questionnaires containing continuous scales, so called visual analog scales (VASs), are used extensively in e.g. psychology. Despite this, there currently exists no tool for automatic decoding of these types of questionnaires. The resulting computer vision system for automatic questionnaire transcribing we present, called "VASReader", reliably detects VAS marks with an accuracy of 98%, and predicts their position with a mean absolute error of 0.3 mm when compared to manual measurements. The second task addressed in this thesis project is to investigate whether machine learning can be used to detect anomalies in Magnetic Resonance Imaging (MRI) data. An implementation of the unsupervised anomaly detection technique Isolation Forest shows promising results for the detection of anomalous data points. The model is trained on image quality metric (IQM) data extracted from MRI. However, it is concluded that the site of scanning and MRI machine model used affect the IQMs, and that the model is more prone to classify data points originating from machines and institutions that have less support in the database as anomalous. An important conclusion from both tasks is that automation is possible and can be a great asset to researchers, if an appropriate level and type of automation is selected.
7
Parekh, Sanjay M. "The perception of selected aspects of smile esthetics - smile arcs and buccal corridors." Connect to this title online, 2005. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1114721118.
Full textAbstract:
Thesis (M. S.)--Ohio State University, 2005.Title from first page of PDF file. Document formatted into pages; contains x, 80 p.; also includes graphics (some col.). Includes bibliographical references. Available online via OhioLINK's ETD Center
8
Atherton, Penelope. "The use of the visual analogue scale in behavioural and emotional assessment /." Title page, table of contents and abstract only, 1990. http://web4.library.adelaide.edu.au/theses/09ARPS/09arpsa869.pdf.
Full text
9
Craik, Marie Clare. "Physiological and clinical aspects of breathlessness assessed using the visual analogue scale." Thesis, University of Newcastle Upon Tyne, 1988. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.346418.
Full text
10
Mishra, Eleanor Kate. "Assessment and treatment of malignant pleural effusions : visual analogue scale, ultrasound and drainage." Thesis, University of Oxford, 2013. http://ora.ox.ac.uk/objects/uuid:d1121dbf-5568-47a6-bfed-8526a481c6ca.
Full textAbstract:
This thesis consists of 3 studies: 1. Determination of the minimal important difference (MID) of the visual analogue scale for dyspnoea (VASD): Determining the MID of the VASD is essential to interpret the results of trials in patients with malignant pleural effusions (MPEs). Patients undergoing a pleural procedure assessed the change in their VASD and the degree of change in their symptoms on a Likert scale. The mean VASD in patients experiencing a ‘small but just worthwhile’ decrease in their symptoms is the MID for the VASD and was found to be 22mm (95% CI 16 - 27mm). 2. Development of a thoracic ultrasound septation score (TUSS): A TUSS is important for objectively assessing the degree of septation within a pleural effusion. An iterative process was used to demonstrate that degree of septation predicts clinical outcome, to identify candidate factors for inclusion in a TUSS and to determine which factors predicted the degree of septation. The final TUSS consisted of an assessment of the degree of homogeneity of septation distribution and number of septations at the most septated area. 3. Effect of an indwelling pleural catheter (IPC) versus standard care for relieving dyspnoea in patients with MPEs: the TIME2 randomised controlled trial (RCT). The objective of this unblinded RCT was to determine whether IPCs are more effective than chest drains and talc pleurodesis at relieving dyspnoea in patients with MPEs. 106 patients were randomised to either IPC or standard care in a 1:1 ratio. The primary outcome was daily VASD over 42 days post intervention. Dyspnoea improved in both groups with no significant difference in mean dyspnoea in the first 42 days (mean score: IPC 25mm (95% CI 19 – 30), standard care 24mm (95% CI 19 – 29)).
11
Nchoe, Katlego Elaine. "Exploring the suitability of rating scales for measuring bullying among Grade 4 learners." Diss., University of Pretoria, 2017. http://hdl.handle.net/2263/65450.
Full textAbstract:
The purpose of this quantitative study was to investigate which bullying rating scale, between the Likert Scale (LS) and the Visual Analogue Scale (VAS), is more appropriate for Grade 4 learners. Although literature verifies the reliability of these two rating scales used to measure bullying in young children, the validity and the suitability of these instruments for young learners has not been extensively explored in the South African context. The concern with bullying in this study has to do with the need for the accurate assessment/measurement of bullying, since a proper understanding of bullying depends on the accuracy of the instrument used. Against this backdrop, this study employed a survey design, rooted in a post-positivist conceptualisation of bullying, using a bullying questionnaire. The study’s questionnaire consisted of both LS and VAS response options, and was used to measure both the bully and the victims’ response option preferences (LS versus VAS), in addition to assessing the reliability and validity of both response options. A class of Grade 4 learners from one Model C school formed part of the survey and those who were willing to participate completed the Learner Bullying Questionnaire (LBQ). The school was selected using a purposive, non-probability sampling method based on the geographical area, the in addition to the incidence of bullying and diversity of the school population. The quantitative data obtained from the survey design questionnaires were analysed statistically using descriptive statistics as well as the Spearman correlation coefficient to determine the correlation between the VAS and LS responses for each question presented. Using the Wilcoxon tes, the differences between the two response options were determined (i.e. the variances in the preference scores and difficulty scores of the Grade 4 learners for the two response options). The results of the LBQ show no significant difference of scale preference for the Grade 4 learners. However, the learners - in the six scale preference questions included near the end of the LBQ - indicated that they preferred the VAS over the LS.Dissertation (MEd)--University of Pretoria, 2017.
Educational Psychology
MEd
Unrestricted
12
Tucker-Seeley, Kevon R. "The Effects of Using Likert vs. Visual Analogue Scale Response Options on the Outcome of a Web-based Survey of 4th Through 12th Grade Students: Data from a Randomized Experiment." Thesis, Boston College, 2008. http://hdl.handle.net/2345/2624.
Full textAbstract:
Thesis advisor: Michael RussellFor more than a half century surveys and questionnaires with Likert-scaled items have been used extensively by researchers in schools to draw inferences about students; however, to date there has not been a single study that has examined whether alternative item response types on a survey might lead to different results than those obtained with Likert scales in a K-12 setting. This lack of direct comparisons leaves the best method of framing response options in educational survey research unclear. In this study, 4th through 12th grade public school students were administered two versions of the same survey online: one with Likert-scaled response options and the other with visual analogue-scaled response options. A randomized, fixed-effect, between-subjects experimental design was implemented to investigate whether the survey with visual analogue-scaled items yielded results comparable to the survey with Likert-scaled items based on the following four methods and indices: 1) factor structure; 2) internal consistency and test-retest reliability; 3) survey summated scores; and 4) main, interaction, and simple effects. Results of the first three indices suggested that both the Likert scale and visual analogue scale produced similar factor structures, were equally reliable, and yielded summated scores that were not significantly different across all three school levels (elementary, middle, and high school). Results of the factorial ANOVA suggested that only the main effect of school level was statistically significant but that there was no significant interaction between item response type and school level. Results of the post-survey questionnaires suggested that students at all school levels preferred answering questions on the survey with the VAS compared to the LS nearly three to one
Thesis (PhD) — Boston College, 2008
Submitted to: Boston College. Lynch School of Education
Discipline: Educational Research, Measurement, and Evaluation
13
Branco, Carolina Assaf. "Efeito de diferentes protocolos de tratamento por acupuntura nas disfunções temporomandibulares." Universidade de São Paulo, 2012. http://www.teses.usp.br/teses/disponiveis/58/58133/tde-22052012-142553/.
Full textAbstract:
Este trabalho teve por objetivo avaliar os efeitos da acupuntura em dois diferentes grupos de pacientes portadores de Disfunções Temporomandibulares (DTM), um deles com DTM de característica apenas muscular (MUSC), e o outro com DTM muscular associada a desordem articular (ART). Participaram dessa pesquisa 68 pacientes, 32 no grupo MUSC e 36 no grupo ART. Os pacientes de cada grupo foram aleatoriamente subdivididos em dois grupos, que receberam diferentes tratamentos por acupuntura. Um grupo foi tratado com pontos próximos ao local da dor (VG20, VB20, TA21, E6 e E7), e o outro, com pontos à distância (IG4 e YinTang). Foram 6 sessões semanais, cada uma com duração de 20 minutos. Os pacientes foram avaliados por meio de escala visual analógica (VAS), limiar de dor à pressão por algômetro, sensibilidade dolorosa à palpação digital, extensão de movimentos mandibulares, questionário para medir o impacto da dor na qualidade de vida (OHIP-14), questionário de qualidade do sono (SAQ) e questionário para avaliar a percepção dos sinais e sintomas pelo paciente (ProDTMmulti). As avaliações foram feitas em 4 momentos diferentes, o inicial, no primeiro contato com o paciente após o período de triagem, o controle, após 4 semanas sem qualquer intervenção terapêutica, o final, após 6 sessões semanais de acupuntura, e o de acompanhamento, 4 semana após o fim do tratamento, sem que nenhum intervenção fosse feita. Os resultados demonstraram que as melhorias estatisticamente significativas para os grupos experimentais foram observadas de maneira generalizada para a avaliação subjetiva da dor, em que todos os grupos de comportaram de maneira semelhante, apesar de os melhores resultados terem sido observados em ART-PD. Em todos os outros parâmetros de avaliação foi possível observar aspectos de melhoria dos grupos com significância estatística (p<0,05), mas não de maneira generalizada como na VAS. Parâmetros objetivos, como extensão de movimentos mandibulares e algometria, mostraram uma tendência para melhoria, embora sem significância estatística para todos os grupos. A acupuntura foi um tratamento considerado eficiente no controle da dor e dos outros aspectos avaliados em pacientes com DTM muscular associada ou não a alterações articulares.This study aimed to evaluate the effect of acupuncture treatment in two diferent types of temporo-mandibular disorder (TMD) pacients: muscular TMD (MUSC) and a muscular plus articular TMD (ART). Out of 68 patientes, 32 were classified to the MUSC group and the other 36 ones for the ART group. Patientes of each group were randomly assigned into two subgroups according to type of practiced acupuncture. One subgroup were treated with local acupuncture, next (PL) to the pain location (VG20, VB20, TA21, E6 e E7), and the other one were treated with needles inserted distant (PD) to the pain location (IG4 e YinTang). Six weekly 20min treatment sections were performed. The patients were evaluated according to Visual Analogic Scale (VAS), pressure pain thresold by algometer, digital pressure pain sensation, mandibular movements extension, quality of life questionaire (OHIP-14), sleep quality questionaire (SAQ), and signals and simptoms questionaire (ProDTMmulti). Evaluations were performed at for different moments: initially, at the first meeting; control, four weeks after the initial meeting; end, after six acupunture meetings; and follow-up, four weeks after treatment end, without any additional intervention. Results showed that statistical significant better observations for subjective pain evaluation were noted for all groups, in spite of the best results were noted in ART-PD. According to all evaluation methods it was possible to note better results for all groups (p<0,05), but this was not so noticiable as on VAS evaluation. Direct objective parameters, i.e., mandibular movements extension or algomenter measurements, showed a tendecy for better results, but no statistical significant results were found. Acupuncture could be considered an effective treament option for pain relief and also for the other evaluated aspects for patients with muscular TMD with or without articular association.
14
Wilson, Joanne G. "The effect of nurse initiated paracetamol on emergency department patients with pain from low acuity injury." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2008. https://ro.ecu.edu.au/theses/29.
Full textAbstract:
Early identification and management of pain was identified at the commencement of this study as a key area requiring research in emergency departments. Prolonged waiting times for analgesia especially, was highlighted in the National Institute of Clinical Studies emergency department collaborative in 2003. Many barriers exist for a patient to receive analgesia. In Western Australia this is compounded by the legislation which restricts prescribing rights for nurses. Three considerations guided the development of the research project. Firstly, the patient has initial contact with the emergency department from the nurse at triage. Secondly, paracetamol was recognised as a potentially effective analgesic that a nurse could administer in the study hospital without having to first seek a medical prescription. Finally, the group of patients who waited the longest for any pain relief were those with low acuity presentations placed in the waiting room until medical review. Within this group, patients with musculoskeletal injury to limbs were identified as the most likely to gain benefit from determining the effectiveness of paracetamol as a means of pain relief for their injury. No literature was identified at the commencement of the study which examined the effectiveness of paracetamol administered at triage by nurses for patients with recent musculoskeletal injury.
15
Eriksson, Olle. "Studies on Premenstrual Dysphoria." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-5812.
Full text
16
Lesage, François-Xavier Bernard Bertrand. "Evaluation du stress par échelle visuelle analogique dans le cadre de la médecine du travail." Thesis, Reims, 2012. http://www.theses.fr/2012REIML008/document.
Full textAbstract:
Les risques psychosociaux prennent une part de plus en plus prégnante en matière de santé au travail. Le médecin du travail doit pouvoir disposer d'outil permettant d'évaluer l'état de santé des salariés. L'évaluation du stress, conséquence et facteur de risque à la fois est un marqueur particulièrement intéressant pour le médecin du travail. Ce travail vise à éclairer l'utilisateur sur les qualités psychométriques de l'échelle visuelle analogique (EVA) dans l'évaluation du stress, dans le cadre de la médecine du travail. Nous avons étudié la stabilité, la fidélité interjuge, la validité concourante, la sensibilité discriminative, mais aussi les facteurs cognitifs pouvant influencer la réponse à l'EVA tels que la présentation de Soi, la revendication, ou la représentation sociale du stress. Nous proposons aussi des modalités d'utilisation et d'interprétation de l'EVAPsychosocial risk factors are more and more important in the field of occupational health. Occupational physicians must have some useful tools to assess the mental health. Stress assessment may be an interesting marker for the occupational physicians. One way to assess the stress is the visual analogue scale, well known in pain assessment. But what about its psychometric properties? What about the stability, inter judge reliability, fiability, agreement between visual analogue scale and perceived stress scale, discriminative sensitivity? What is the influence of cognitive factors, such as the presentation of self, the claimings, and the social representation of stress? This manuscript is a guideline of stress assessment using a visual analogue scale too
17
Pedroso, Leandro Mendonça. "ESTUDO COMPARATIVO DA DOR PÓS-OPERATÓRIA ENTRE AS TÉCNICAS LICHTENSTEIN E LAPAROSCÓPICA NO TRATAMENTO DA HÉRNIA INGUINAL UNILATERAL NÃO RECIDIVADA." Pontifícia Universidade Católica de Goiás, 2016. http://tede2.pucgoias.edu.br:8080/handle/tede/3620.
Full textAbstract:
Submitted by admin tede (tede@pucgoias.edu.br) on 2017-03-09T19:11:39Z
No. of bitstreams: 1
LEANDRO MENDONÇA PEDROSO.pdf: 1876566 bytes, checksum: b63371b5786d8c8cd2a50ed0068fa40f (MD5)Made available in DSpace on 2017-03-09T19:11:39Z (GMT). No. of bitstreams: 1 LEANDRO MENDONÇA PEDROSO.pdf: 1876566 bytes, checksum: b63371b5786d8c8cd2a50ed0068fa40f (MD5) Previous issue date: 2016-09-01
The surgical treatment of inguinal hernia is one of the most performed medical procedures in many countries, including Brazil. More than 20 million surgeries of inguinal hernia repair are performed annually around the world. Within the many surgical techniques developed to treat inguinal hernia, the most appropriate technique was in the past chosen based on the recurrence rate. However, with the technological advances in the surgical field, the recurrence rate decreased substantially for all surgical procedures. Recently, postoperative pain is one the major problems related to the surgical treatment of inguinal hernia, as it directly affects the quality of life of patients. Besides, despite the high rate of inguinal hernia cases, there are few comparative studies on the postoperative pain, which evaluate pain for a period longer than 48h after the surgical procedure. Therefore, the objective of this study was to compare the postoperative pain levels between the surgical techniques of open Lichtenstein (LC) and the transabdominal pre-peritoneal laparoscopy (TAPP) for the treatment of unilateral primary inguinal hernia. In this clinical study were included 60 patients, of both sexes and with age between 26 and 69 years, of which 30 were operated using the LC technique and 30 using the TAPP technique. Four patients, two of each group, were excluded from the study as they did complete the all the postoperative. The pain levels were evaluated through the analogue visual scale (AVS) on the days 2, 10 and 30 after the surgical procedure. Additionally, the recurrence rate, presence of chronic pain and paresthesia were evaluated 12 months after the surgery. The analysis of the data demonstrated significant differences on the pain levels between the surgical procedures LC and TAPP, with differences also for the postoperative days. For 2 days after the surgery, there were no differences on pain levels. Differently, for the days 10 and 30 after the surgery, the TAPP technique (1,4 and 0,4 respectively) promoted significantly lower pain levels on the AVS compared to the LC technique (2,3 and 1,3 respectively). Despite both surgical techniques presented no recurrent hernias 12 months after the surgery, chronic pain was lower for the group operated through the TAPP technique compared to the LC technique, occurring in 3.6% and 32% respectively. Moreover, the rate of seroma occurrence and analgesic administration was lower for the TAPP technique. In conclusion, this study demonstrated that there are differences between the surgical techniques, with the TAPP procedure promoting significantly lower postoperative pain (10 and 30 days) and chronic pain (12 months) compared to the LC procedure. Thus, this study is of great importance helping surgeons to choose the most efficient and less painful technique for the surgical repair of unilateral primary inguinal hernia.
O tratamento cirúrgico de hérnia inguinal é um dos procedimentos médicos mais realizados em diversos países, incluindo o Brasil. Mais de 20 milhões de cirurgias de reparo de hérnia inguinal são realizadas anualmente em todo o mundo. Entre as diversas técnicas cirúrgicas desenvolvidas para o tratamento de hérnias inguinais, a escolha da técnica mais apropriada era, no passado, baseada na taxa de recidiva. No entanto, com os avanços tecnológicos na área cirúrgica, a taxa de recidiva diminuiu significativamente em diversas técnicas. Atualmente, a dor pós-operatória é um dos maiores problemas relacionados à correção de hérnia inguinal, pois afeta diretamente a qualidade de vida dos pacientes. No entanto, apesar da alta frequência de hérnia inguinal, ainda existem poucos estudos comparativos da dor pós-operatória, que avaliam a dor por período superior à 48h de cirurgia. Assim, o objetivo principal deste estudo foi de comparar o nível de dor pós-operatória entre a técnica aberta de Lichtenstein (LC) e a técnica laparoscópica pré-peritoneal transabdominal (TAPP) no tratamento de hérnia inguinal unilateral não recidivada. Foram incluídos neste estudo 60 pacientes de ambos os sexos com idade entre 26 e 69 anos, dos quais 30 foram operados pela técnica de LC e 30 pela técnica TAPP, sendo que quatro pacientes foram excluídos por não retornarem no pós-operatório. A intensidade da dor foi avaliada por meio da escala visual analógica (EVA) nos dias 2, 10 e 30 de pós-operatório. Além disso, a taxa de recidiva, a presença de dor crônica e parestesia foram avaliadas 12 meses após a cirurgia. A análise dos dados avaliados demonstrou que existem diferenças significativas nos níveis de dor pós-operatória entre as técnicas LC e TAPP, com diferenças no nível de dor entre os dias de pós-operatório. Com 2 dias de pós-operatório, não foram encontradas diferenças no nível de dor entre as técnicas cirúrgicas. Diferentemente, com 10 e 30 dias de pós-operatório, a técnica TAPP (1,4 e 0,4 respectivamente) promoveu um nível de dor significativamente menor na escala EVA, comparado à técnica LC (2,8 e 1,3 respectivamente). Além disso, apesar de ambas as técnicas não promoverem recidiva após 12 meses da cirurgia, a dor crônica foi menor no grupo operado pela técnica TAPP do que no grupo operado pela técnica LC, ocorrendo em 3,6% e 32% dos pacientes, respectivamente. Os pacientes operados pela técnica TAPP também apresentaram uma taxa menor de seroma e de uso de medicamento analgésico. Concluindo, neste estudo foi demonstrado que existem diferenças na dor pós-operatória entre as técnicas cirúrgicas, sendo que a técnica TAPP apresentou um nível de dor pós-operatória (10 e 30 dias) e dor crônica (12 meses) significativamente menor que a técnica LC. Finalmente, este estudo é de grande importância, pois auxiliará cirurgiões na escolha da técnica mais efetiva e menos dolorosa para o reparo da hérnia inguinal não recidivada.
18
Santana, Licia Santos. "Efeito da eletroestimulação nervosa transcutânea no alívio da dor em nulíparas, na fase ativa do trabalho de parto." Universidade de São Paulo, 2011. http://www.teses.usp.br/teses/disponiveis/17/17145/tde-21072016-111251/.
Full textAbstract:
A eletroestimulação nervosa transcutânea (ENT) é um recurso que consiste em administrar impulsos ou estímulos elétricos de frequência variável, assimétricos ou simétricos de correntes bifásicas através de eletrodos superficiais aplicados sobre a região dolorosa. O objetivo deste estudo foi avaliar o efeito da ENT no alívio da dor na fase ativa da dilatação, no trabalho de parto, e constatar o grau de satisfação das parturientes em relação à experiência vivida durante o estudo. Trata-se de um ensaio clínico randomizado e controlado com 46 parturientes, divididas em grupo controle (GC) e grupo de intervenção (GI). Todas as pacientes eram primigestas, com dilatação cervical de 4 cm, em trabalho de parto espontâneo, com contrações regulares para essa fase, sem uso de drogas ocitócicas ao longo do trabalho de parto, de baixo risco gestacional, com membranas ovulares íntegras e feto único. A aplicação da ENT foi feita pela pesquisadora responsável, fixando dois pares de eletrodos nas regiões paravertebrais, um nas raízes nervosas de T10 a L1 e outro par entre S2 e S4. Os parâmetros utilizados na ENT foram: frequência de 100 Hz, largura de pulso de 100 us, intensidade de acordo com a sensibilidade da paciente e duração da aplicação de 30 minutos contínuos. A avaliação da dor foi realizada imediatamente, antes e após a terapêutica, com a escala categórica numérica (ECN), a escala visual analógica (EVA), o diagrama corporal da localização e Questionário McGill na forma reduzida. No puerpério, além dessas avaliações, o grau de satisfação da paciente com relação à intervenção e a presença de um profissional de saúde durante a fase ativa do trabalho de parto foram pesquisados. Os resultados mostraram que houve diferenças estatísticas significantes entre os dois grupos estudados, com relação à intensidade da dor, após a aplicação da ENT, com apenas 34% das pacientes do GI mantendo a classificação da dor como 7 ou mais, em contraste com 83% das pacientes do GC. Por outro lado, não houve diferenças estatísticas em relação à localização da dor, após a aplicação da ENT. As parturientes do GI ficaram mais satisfeitas com a experiência vivida e com o suporte contínuo recebido, durante o período estudado. Os resultados maternos e perinatais foram semelhantes nos dois grupos estudados. Os resultados encontrados demonstram que a aplicação da ENT, no início da fase ativa do trabalho de parto, alivia a dor das parturientes. Além disso, a presença de suporte contínuo exerce efeito positivo sobre as pacientes submetidas a essa intervençãoThe transcutaneous electrical nervous stimulation (TENS) is a resource that consists of administering electrical impulses or stimuli of variable frequency, asymmetric or symmetric of two-phase chains to superficial electrodes applied on the painful region. The objective of this study was to evaluate the effect of TENS for pain relief during the active phase of cervix dilation in labor and to assess the degree of maternal satisfaction related to the experience during the study. This is a randomized controlled trial with 46 pregnant women, divided into control group (CG) and intervention group (IG). All patients were primiparous with cervical dilation of 4 cm in spontaneous labor with regular contractions for this phase without the use of oxytocic drugs during labor, lowrisk pregnant women with intact membranes and a single fetus. The application of the TENS was made by the researcher in charge, setting two pairs of electrodes in the paravertebral regions, at the level of the nerve roots from T10 to L1 and another pair between S2 to S4. The parameters used in TENS were: frequency 100 Hz, pulse width 100 us, intensity according to the sensitivity of the patient and duration of application of 30 continuous minutes. Pain assessment was performed immediately before and after therapy with the numerical categorical scale (ECN), the visual analogue scale (VAS), the body chart for pain location and the reduced form of McGill Questionnaire. In the puerperium, in addition to these assessments, the level of patient satisfaction related to the intervention and the presence of a health professional during the active phase of labor has been searched. The results showed statistically significant differences between the two groups regarding the intensity of pain following the implementation of the TENS, with only 34% of IG patients maintaining the score of pain as 7 or more, in contrast to 83% of CG patients. On the other hand, no statistical differences related to the location of the pain after the application of TENS. The mothers of the IG were more satisfied with the experience and the ongoing support received during the study period. The maternal and perinatal outcomes were similar in both groups. The results show that the application of TENS in the early active phase of labor relieves maternal pain. Moreover, the presence of ongoing support has a positive effect on patients undergoing this intervention
19
Lind, Karin, and Maria Trång. "Effekten av kinesiotejpning på aktivitetsförmåga och smärta hos gravida med pelvic girdle pain – en pilotstudie." Thesis, Uppsala University, Physiotheraphy, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-126701.
Full textAbstract:
Syftet var att undersöka om kinesiotejpning kunde påverka aktivitetsförmåga och smärta hos gravida kvinnor med pelvic girdle pain. Studien var en single subjekt experimentell AB-design. Fyra kvinnor inkluderades i pilotstudien för behandling av pelvic girdle pain. Smärtan skattades och mättes med visuell analog skala. Aktivitetsförmågan mättes med Roland & Morris disability questionnaire.
Resultatet visade att gällande aktivitetsförmåga kunde det med 95 % säkerhet ses en förbättring hos tre av kvinnorna. Gällande smärtskattningen kunde endast hos en kvinna på kvällen och hos en annan kvinna på morgonen och kvällen ses en kliniskt signifikant minskad smärta. Resultaten i studien ger underlag för att en mer omfattande randomiserad och kontrollerad klinisk studie bör genomföras.
20
Lindqvist, Matilda, and Gjöril Reinecke. "Anestesisjuksköterskans smärtskattning jämfört med patientens egenskattade smärta." Thesis, Röda Korsets Högskola, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-31.
Full textAbstract:
Syfte: Syftet med denna pilotstudie var att undersöka om anestesisjuksköterskans skattning av postoperativ smärta skiljer sig fran patientens egenskattade VAS. Bakgrund: Flertalet studier visar att sjuksköterskor underskattar patienters smärta och att VAS inte används i tillräcklig utsträckning vid smärtskattning. Många erfarna sjuksköterskor tenderar att lita mer på sin intuitiva känsla om patientens smärta än på vad patienten säger. Metod: Åtta anestesisjuksköterskor på ett sjukhus i storstadsregionen fick genom ett frågeformulär skatta 44 patienters postoperativa smärta utifrån en beteenderelaterad skala och fysiologiska parametrar. Detta värde jämfördes med patientens egenskattade VAS/NRS. Resultat: Anestesisjuksköterskomas beteendeskattning stämde väl överens med patientens egenskattade VAS. De anestesisjuksköterskor som arbetat länge beteendeskattade närmre patientens VAS än de som arbetat kortare tid som anestesisjuksköterskor. De tre vanligaste fysiologiska parametrar anestesisjuksköterskorna bedömde var ansiktsuttryck, kroppsrörelse och tal. Slutsats: Anestesisjuksköterskomas erfarenhet av att bedöma och behandla patienter som är sövda eller sederade kan kanske förklara den högre samstämmigheten mellan deras och patientens smärtskattning.Aim: The aim of this pilot study was to investigate if the pain assessment made by Swedish nurse anesthetists differ from the patients' own assessed pain, using the visual analogical scale, VAS. Background: Several studies shows that nurses tend to underestimate postoperative pain and that assessment tools seldom is used in pain assessment. Experienced nurses seem to rely more on their own intuitive feeling about patients' pain experience rather than what the patient says. Method: Eight nurse anesthetists in a Swedish hospital answered a questionnaire and made behavior assessments of postoperative pain on 44 patients, using physiological parameters which where compared with the patient's VAS\NRS. Results: Nurse anesthetists' pain assessment using physiological parameters where consistent with the patients' VAS/NRS. More experienced nurses assessed closer to the patient's VAS/NRS than the inexperienced did. The three most common physiological parameters used where facial expression, bodily movements and sounds. Conclusion: The nurse anesthetists' experience of observing patients during anesthesia and sedation might explain the high correlation in pain assessment.
21
Moura, Melissa Luiza. "Efeito neuromuscular das técnicas fisioterapeuticas bandagem funcional e corrente interferencial na síndrome tensional cervical." [s.n.], 2010. http://repositorio.unicamp.br/jspui/handle/REPOSIP/274743.
Full textAbstract:
Orientador: Antonio Carlos de MoraesDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Educação Física
Made available in DSpace on 2018-08-16T13:36:04Z (GMT). No. of bitstreams: 1 Moura_MelissaLuiza_M.pdf: 5391341 bytes, checksum: 1aaa11b5c3366a4040a0fe7a901723f9 (MD5) Previous issue date: 2010
Resumo: A síndrome tensional cervical (STC) é a tensão no músculo trapézio decorrente de atividades repetitivas e aumento da carga muscular estática associados à postura inadequada da cintura escapular. O objetivo deste estudo foi comparar a eficácia da bandagem funcional (BF) e da corrente interferencial (CI) no alívio da dor da STC através da escala visual analógica da dor (EVA) e, confrontar as respostas dos sinais eletromiográficos do músculo trapézio descendente antes e após cada intervenção. 30 voluntárias do sexo feminino, com hipótese diagnóstica de STC foram avaliadas, com média de idade, estatura e massa corpórea de 28,2 anos, 1,61 m e 59,2 kg, respectivamente. Foram divididas em três grupos, com 10 indivíduos cada: Grupo Bandagem Funcional (GBF) - intervenção de 24 horas com bandagem funcional no músculo trapézio superior; Grupo Corrente Interferencial (GCI) - três dias consecutivos (GCI dia 1, 2 e 3) com intervenção de eletroterapia de 30 minutos cada dia; Grupo Controle (GC) - 30 minutos em repouso. Antes e após as intervenções foram mensuradas as respostas subjetivas da dor através da EVA e, as respostas da atividade elétrica da musculatura. Utilizou-se estatística descritiva para caracterização da amostra, apresentando valores referentes às variáveis selecionadas no estudo. Para os valores expressos em RMS e FM foi utilizado o teste de normalidade Shapiro-Wilk. Utilizou-se a análise de variância (ANOVA) one way, para análise entre os tratamentos no momento após. O teste t foi utilizado para análise intragrupos, comparando antes e após de cada grupo, e antes do GCI dia 1 com o após do GCI dia 3. Para a análise da EVA foi utilizado o teste de normalidade Shapiro-Wilk. Para a comparação das variações da EVA (antes e após as intervenções) utilizou-se o teste não paramétrico de Mann Whitney e quando normal, teste t. O nível de significância adotado foi de 5%. Os valores subjetivos da dor indicados pelas voluntárias através da EVA antes de iniciar o teste, com ou sem intervenção, foram maiores do que após o mesmo, indicando um quadro álgico doloroso. A variação percentual entre antes e após a intervenção da dor foi significativamente maior em GBF (70,75%) e GCI dia 3 (81,45%), em relação ao GC (5,83%) (p<0,05), representando diminuição significativa da dor com a intervenção. Já quanto à variação eletromiográfica em RMS e em FM não apresentou diferença estatisticamente significativa em nenhuma intervenção. Os resultados demonstram que a utilização de intervenções como BF e/ou CI em procedimentos fisioterapêuticos são alternativas igualmente eficazes para diminuição da percepção subjetiva da dor. Já através da EMG há aumento no recrutamento muscular para exercer contração isométrica voluntária máxima após intervenção de ambos os recursos avaliados.
Abstract: Cervical tension syndrome (CTS) is the tension in the trapezius muscle due to repetitive activities and increased static muscle load associated with bad posture of the shoulder girdle. The aim of this study was to compare the effectiveness of taping (BF) and interferential current (IC) in relieving the pain of CTS by the visual analogue scale (VAS), and compare the electromyographic responses (EMG) of the upper trapezius muscle before and after each intervention. 30 female volunteers with the diagnosis of CTS were evaluated, mean age, height and body mass index of 28.2 years, 1.61 m and 59.2 kg, respectively. Were divided into three groups, with 10 subjects each: Group Taping (GBF) - 24-hours of taping intervention on upper trapezius muscle, Group Interferential Current (GCI) - three consecutive days (GCI days 1, 2 and 3) with 30 minutes each day of electrotherapy intervention; Control Group (GC) - 30 minutes lying. Before and after the interventions were measured the subjective responses of pain by VAS, and the responses of the electrical activity of muscles. We used descriptive statistics to characterize the sample, with values on the variables selected in this study. The values expressed in EMG was used the normality test Shapiro-Wilk. We used analysis of variance (ANOVA) one way for analysis between treatments at the time after it. The t test was used for intragroup analysis, comparing before and after each group, and before the first day with the GCI with the GCI after the third day. For the analysis of VAS was used the normality test Shapiro-Wilk. For comparison of changes in VAS (before and after the interventions) used the Mann Whitney non parametric test and when normal, t test. The level of significance was 5%. Subjective values of pain indicated by the volunteers through the VAS before starting the test, with or without intervention, were higher than after the same, indicating painful. The percentage change between before and after the intervention of pain was significantly higher in the GBF (70.75%) and GCI day 3 (81.45%) compared to CG (5.83%) (p <0.05), representing a significant decrease in pain with the intervention. For the EMG variation in RMS and FM the statistics were not significant in any intervention. The results demonstrate that the use of interventions such as BF and/or IC in physical therapy procedures are equals effective alternative to reduce the subjective perception of pain. Already there is an increase over the EMG of muscle recruitment to exert maximal voluntary isometric contraction.
Mestrado
Ciencia do Desporto
Mestre em Educação Física
22
Cewers, Ingrid, and Viveka Palmqvist. "Patientens upplevelse av smärtbehandling efter operation av distal radiusfraktur med perifer nervblockad." Thesis, Röda Korsets Högskola, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-101.
Full textAbstract:
Syftet med studien var att utvärdera patientens upplevelse av den postoperativa smärtan och behandlingen av denna när den perifera nervblockadens effekt avtagit efter operation av distal radiusfraktur. Metoden som använts är en empirisk kvantitativ deskriptiv enkätstudie. Tjugo patienter deltog i denna pilotstudie. Demografin stämde väl överens med de statistiska data, som visar att distrala radiusfrakturer är vanligt förekommande hos kvinnor i åldern 55 år och äldre. Resultatet av studien har påvisat att många patienter har upplevt mer smärta än vad de själva varit beredda på. Slutsatsen utifrån visuell analog skala, VAS, visar att smärtan har varit svår för patienterna att behandla hemma trots att de haft tillgång till smärtbehandlade läkemedel. Informationen som patienten erhållit har varit otillräcklig och kan vara en källa till den svårbemästrade smärtan.The aim of the study was to evaluate patient´s experience of the postoperative pain and its treatment after peripheral nerve blockade for operation of a distal radius fracture had ceased. The method used was an empiric, quantitative, descriptive study using enquiries. Twenty patients participated in this pilot study. Demography was according to statistical data, that distal radius fractures are common in women aged 55 or more. The results showed that many patients experienced more severe pain than expected. The conclusion from visual analogue scale, VAS, shows that the pain was difficult to treat at home in spite of prescription of pain killers. The information given to the patient was insufficient, which may have contributed to the difficulty to control pain.
23
Lind, Leili. "Towards Effortless Use of Information Technology in Home Healthcare with a Networked Digital Pen." Doctoral thesis, Linköping : Linköpings universitet, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-7840.
Full text
24
Govender, Yolin. "Is conventional sugar-free chewing gum effective in the management of orthodontic pain associated with fixed appliances? A randomised clinical trial comparing the pain-reducing effects of sugar-free chewing gum versus a placebo medicament." University of the Western Cape, 2020. http://hdl.handle.net/11394/7536.
Full textAbstract:
Magister Scientiae Dentium - MSc(Dent)Background and aim: Managing orthodontic pain traditionally involves the prescription of non-steroidal anti-inflammatory drugs combined with other analgesic medication. Sugar-free chewing gum has been advocated in the control of orthodontic pain due to its mechanical and physiological effects on periodontal tissue; however, the literature is scant. The ‘placebo effect’ that conventional sugar-free chewing gum may have in the relief of orthodontic pain has not been documented. The aim of this study was to compare the effectiveness of conventional sugar-free chewing gum in reducing orthodontic pain associated with fixed appliances with a placebo (sugar-free sweets) medicament. Objectives: The objectives of the study were to determine if there were differences in pain reporting between the sugar-free chewing gum and the placebo, to ascertain whether gender influenced pain scores and to observe any differences in pain reporting between different orthodontic techniques.
25
Allida, Ma Sabine Jane Leonette. "Chewing gum : a potential strategy to relieve thirst in chronic heart failure." Thesis, 2017. http://hdl.handle.net/10453/116903.
Full textAbstract:
University of Technology Sydney. Faculty of Health.Thirst is a common and burdensome symptom of chronic heart failure which adversely affects health related quality of life and compliance to self-care practices such as fluid restriction. Despite this, research on thirst remains scarce and there is no standard approach to identify patients with increased thirst and manage thirst in clinical practice. To date, previous studies have investigated various interventions to help alleviate thirst in chronic heart failure and other patient populations. While the other interventions such as artificial saliva showed differing results, chewing gum demonstrated promising outcomes in relieving thirst. Based on the comprehensive literature review and preliminary Bachelor Honours study, RELIEVE-CHF was developed. RELIEVE-CHF was a novel pilot intervention which sought to investigate the effect of chewing gum in the level of thirst of people with chronic heart failure in a single blind randomised controlled study. A total of 71 individuals with chronic heart failure, aged ≥ 18 years, on oral loop diuretics from the inpatient and outpatient clinic were enrolled in a two-arm trial. Participants were randomised to receive either chewing gum or no chewing gum for two weeks. The primary outcome of the study is the change in the level of thirst at Day 4. Secondary outcomes included changes in the level of thirst at Day 14, weight and health related quality of life. Participants’ level of thirst was measured using the Visual Analogue Scale (VAS) and the Numeric Rating Scale (NRS). The Kansas City Cardiomyopathy Questionnaire was used to assess health related quality of life. Participants were followed up at Day 28. This thesis presents the clinical trial methodology and analysis of 71 participants who completed the trial. All participants’ data were analysed based on the intention to treat principle. The results showed statistical significant improvements in the level of thirst of those in the intervention group compared to the control group at Day 4 (VAS: p=0.04 and NRS: p=0.019) and Day 14 (VAS: p=0.02 and NRS: p=0.021). There was no statistically significant difference observed between the intervention and control group in weight over the study period and health related quality of life at Day 28. The findings indicate that chewing gum provided relief from thirst but did not influence weight or health related quality of life during the study period. Although promising, these findings must be interpreted in light of the limitations encountered in this trial. Nonetheless, RELIEVE-CHF have provided additional data to inform future clinical intervention studies and insights into the challenge of implementing a non-traditional approach in relieving thirst in people with chronic heart failure.
26
ŠEBESTA, Karel. "Měření a vyhodnocení síly paravertebrálních svalů v oblasti bederní páteře a svalů dutiny břišní." Master's thesis, 2006. http://www.nusl.cz/ntk/nusl-45593.
Full textAbstract:
The aim of the work was to measure and evaluate the strength of deep stabilizing system (DSS) in connection with correct body posture and, subsequently, to asses the efficiency of the existing known exercise of the lumbar spine area as well as drawing comparison to the exercise recently introduced by doc. PaedDr. Pavel Kolář. The research was carried out on two sample groups of sixth form boys attending elementary school. It was necessary in the first place to detect, test and document correct body posture and, above all, the functionality of the DSS in members of the respected groups. This was followed by six weeks of active exercise according to exercise programme focusing primarily on the lumber spine area. The control group of ten boys carried out exercises based mainly on general principles of correct exercise whereas the experimental group totalling the same number of boys did exercises of DSS and lumbar spine area according to doc. PaedDr. Pavel Kolář. A muscle dynamometer was used to objectify and check the DSM in lumbar spine area. The measuring was than documented, processed and evaluated by means of charts and graphs. The work also comprises an overview of basic principles of lumbar spine stability as well as a questionnaire designed to assess health and lifestyle.\\
27
Hsiao, Yu-Yu, and 蕭宇佑. "The Comparison of Likert-Type Scale and Visual Analogue Scale for the assessment of Quality of Life: Reliability, Validity and Measurement Invariance." Thesis, 2008. http://ndltd.ncl.edu.tw/handle/19316035537131438270.
Full textAbstract:
碩士國立臺灣大學
心理學研究所
96
Likert-Type Scale and Visual Analogue Scale (VAS) are two common psychometrical methodologies for measuring Quality of Life (QOL). However, these two scales are different from their constructions and rating methods. Besides, whether these different attributes will result in different psychometric properties for Likert-Type Scale and VAS on measuring QOL has not yet been examined. Thus in this present study, the author has compared Likert-Type Scale and VAS for measuring QOL in three aspects: (1) the degree of agreement between these two scales, (2) the evaluation of the Measurement Equivalence/Invariance (ME/I) over these two scales for the assessment of QOL, and (3) the investigation of construct validity of theoretical framework of QOL across these two scales. 496 adult subjects were used in the current study (58.9% female, n= 292; 40.2% male, n=200; mean age=24.64 yrs). Each subject was asked to fill in the WHOQOL-BREF in two different visions, one was measured by Likert-type scale and the other was by VAS. Reliability analyses were applied by using Cronbach’s alpha coefficient and split-half coefficient. Besides, agreement analyses were applied by using Pearson’s r, Intraclass Correlation Coefficient (ICC), Lin’s Concordance Correlation Coefficient (CCC), and Bland-Altman Plot. Finally, a MTMM matrix and Confirmatory Factor Analysis (CFA) were used to examine the validity and ME/I across Likert-type Scale and VAS. The result indicated that both Liker-Type Scale and VAS are easy for subjects to answer, and possessed adequate reliability, although reliability for VAS measures are consistently higher than for Likert-Type measures. The agreements between these two scales were high, indicating adequate reproducibility of test scores across the scales. In ME/I analyses, the result showed that VAS measures and Likert-Type measures did not reflect the same structure; furthermore, the VAS defined a better construct of QOL. In a word, VAS seemed to have better psychometric properties for measuring QOL over Likert-Type Scale. But according to the characteristics of subjects in the current study, the result will be applied to healthy and well-educated subjects, and the generalization on special populations (i.e., elderly and patients) is remained to be further explored.
28
Hsiao, Yu-Yu. "The Comparison of Likert-Type Scale and Visual Analogue Scale for the assessment of Quality of Life: Reliability, Validity and Measurement Invariance." 2008. http://www.cetd.com.tw/ec/thesisdetail.aspx?etdun=U0001-1807200812085900.
Full text
29
Le, Roux Stephanus Christoffel Jacobs. "Concurrent validity of the Afrikaans versions of the Neck Disability Index Questionnaire and the Quadruple Visual Analogue Scale." Thesis, 2016. http://hdl.handle.net/10321/1774.
Full textAbstract:
Submitted in partial compliance with the requirements for the Master’s Degree in Technology: Chiropractic, Durban University of Technology, Durban, South Africa, 2016.Background: Neck pain is a condition that is becoming more common throughout the world and most people can expect to experience some degree of neck pain sometime during their life. There is a need for early diagnosis and follow-up of neck pain to assess a patient’s level of self-rated disability due to the escalating disability burden and compensation costs associated with neck pain. For this reason, disability questionnaires are increasingly used for clinical assessment and as an outcome measurement for the treatment of neck pain. Translation and cross-cultural adaptation of disability questionnaires have thus become increasingly necessary when dealing with different cultural groups. Methods: This is a quantitative validity and reliability assessment study comparing the English versions of the Neck Disability Index (NDI) and the Quadruple Visual Analogue Scale (QVAS) to their translated Afrikaans counterparts. The first step was to translate the questionnaires into Afrikaans. The translated questionnaires were then scrutinised and critiqued by an Expert group, who are fluent in both the Afrikaans and English languages, and back translated to English in order or establish their face validity. A small pilot study was conducted with the original and translated versions of the questionnaires to establish their content validity. The translated and original versions of the NDI and QVAS were given to a study group to complete with a suitable time delay between the completions of the questionnaires. The results from the study group were statistically analysed to establish concurrent validity and reliability. Results: There were 50 participants each completing one English NDI and QVAS and one Afrikaans NDI and QVAS. The results indicate high reliability for both the Afrikaans NDI (α = 0.900) and QVAS (α = 0.883). The Afrikaans NDI and QVAS are deemed reliable compared to their English counterparts. The results indicated a significant level of concurrent validity for both the NDI and the QVAS. Both the Afrikaans versions of the NDI and QVAS were deemed reliable and concurrent validity was established. The NDI and QVAS were successfully translated and the Afrikaans versions can now be used in the Afrikaans population as viable alternatives to the English NDI and QVAS.
M
30
Wang, Hsiao-Chiao. "A comparison of two styles of dyspnea measures the vertical visual analogue scale and the baseline dyspnea index /." 1994. http://catalog.hathitrust.org/api/volumes/oclc/31458239.html.
Full textAbstract:
Thesis (M.S.)--University of Wisconsin-Madison, 1994.Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 85-93).
31
Chin, Ching-Lan, and 經景蘭. "An Application of Confidence Rating for a Non-parametric Adaptive Procedure: A Weighted Up-down Procedure with Visual Analogue Scale." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/52094134207033589273.
Full textAbstract:
碩士國立臺灣大學
心理學研究所
100
In the psychophysical research field, detection or discrimination thresholds can be estimated by non-parametric adaptive procedures. The two-alternative forced-choice paradigm is commonly used for the experiment. In this paradigm, participants have to choose the alternative that contains the target stimulus. Recently, some researchers conducted psychophysical experiments using non-parametric adaptive procedures that incorporate the confidence rating of responses from participants. The efficiency of thresholds and parameters estimations was enhanced by the confidence rating of responses (Kaernbach, 2001; Klein, 2001; Garcia-Perez, 2010). In this thesis, the weighted up-down procedure, a non-parametric adaptive procedure, was used to conduct experiments. Two response tools - keyboard and visual analogue scale — and the confidence rating of two-, three-, and four-response options were used to collect responses, comparing the efficiency of discrimination threshold estimations among different options of the confidence rating. We also used a non-adaptive procedure to measure the thresholds and tested the consistency of threshold estimations between the non-adaptive and weighted up-down procedures. To conclude, threshold estimations by the weighted up-down procedure were biased compared to the estimations by the non-adaptive procedure. And this result was consistent with previous simulation studies. The results in the weighted up-down procedure showed that tasks with three-, and four-response options were more efficient methods on estimating thresholds than the task with the two-response option. Moreover, threshold estimations by the visual analogue scale were inconsistent with those with keyboard, unless the former was incorporated with more response options of confidence rating.
32
Weng, Pi-Ru, and 翁碧茹. "The Effectiveness of “Far-Infrared Ray” Therapy in Perimenopausal Women with Back Pain Evaluated by the Visual Analogue Scale and Meridian’s Conductance." Thesis, 2005. http://ndltd.ncl.edu.tw/handle/98781059625506644956.
Full textAbstract:
碩士國立台北護理學院
中西醫結合護理研究所
93
Abstract Perimenopausal women complained very often for their unspecified back pain. However, there are few studies addressing the effectiveness “Far-Infrared Ray” therapy for women’s back pain. The aim of this study was to investigate the effectiveness of “Far-Infrared Ray” therapy for back pain among perimenopausal women in community. A quasi-experimental, longitudinal, one-group pretest-posttest with time series research design was conducted. Thirty-four perimenopausal women with back pain complaints were recruited and applied “Far-Infrared Ray” 10 minutes by 3 times per week for more than two weeks. The effectiveness was assessed by the changes of visual analogue scale (VAS) and meridian conductance. The results showed that the “Far-Infrared Ray” therapy significantly reduced the degree of back pain in VAS for both immediate and post two weeks therapy. It showed no significant changes in meridian’s conductance in pre and post therapy. However, the score of VAS was negatively correlated with meridian conductance in post-test. “Far-Infrared Ray” therapy provided a non-pharmacologic approach therapy for perimenopausal women in community to relieve their back pain. It also suggested conducting more future studies about the norm and changes of meridian conductance for integrated the assessment of pain.
33
Ramos, Kátia Alexandra Rodrigues. "Perceção do impacto estético na avaliação de alterações na macro e microestética do sorriso por médicos dentistas, estudantes de medicina dentária e leigos." Master's thesis, 2013. http://hdl.handle.net/10400.14/13575.
Full textAbstract:
Introdução: Um sorriso agradável é muito importante na interação psicossocial dos indivíduos, sendo a estética do sorriso, cada vez mais, o principal motivo da procura de tratamento ortodôntico.
Objetivo: Comparar a perceção da estética do sorriso entre médicos dentistas, estudantes de Medicina Dentária e leigos.
Metodologia: Vinte e duas fotografias modificadas digitalmente com alterações da macro e microestética do sorriso (arco do sorriso, corredor bucal, desvio da linha média dentária, diastema interincisivo, microdontia do incisivo lateral, alteração das margens gengivais, sorriso gengival) foram apresentadas a 30 médicos dentistas, 30 estudantes de Medicina Dentária e 30 leigos. Os avaliadores classificaram cada fotografia numa Escala Visual Analógica que variou de 0 (nada estético) a 100 (muito estético).
Resultados: Na avaliação do corredor bucal de 10% e no desvio da linha média de 2mm, os médicos dentistas foram mais críticos que os estudantes e os leigos (p<0,05). Na presença de desvio da linha média de 6mm e na redução de 1mm da margem gengival dos incisivos laterais, verificaram-se diferenças estatisticamente significativas entre os estudantes e os leigos (p<0,05). No sorriso gengival de 2mm e no arco do sorriso côncavo, os médicos dentistas e os estudantes foram mais críticos que os leigos e no sorriso gengival de 4mm verificaram-se diferenças estatísticas entre os médicos dentistas e os leigos (p<0,05). A redução de 1mm da largura dos incisivos laterais e o aumento de 1mm da margem gengival foram as variáveis com médias mais elevadas. A influência do género foi estatisticamente significativa no diastema de 1mm e na redução de 1mm da largura dos incisivos laterais (p<0,05).
Conclusões: À medida que os desvios aumentam, a estética do sorriso diminui. Os leigos foram os mais tolerantes, apresentando médias superiores e, de modo geral, os médicos dentistas foram mais críticos que os estudantes, principalmente nos desvios menores.Introduction: The smile is very important in psychosocial interaction of individuals, and the aesthetics of the smile is, increasingly, the main reason for seeking orthodontic treatment. Aim: Compare the perceptions of dentists, dental students and laypeople to altered smile features. Methods: Twenty-two digital smile photographs with altered features were used. Altered features included the following: smile arc, buccal corridor, maxillary dental midline shift, crown length of the lateral incisors, midline diastema, gingival level of the lateral incisors, and gingival display. The photographs were presented to a sample of 30 dentists, 30 dental students and 30 laypeople. Each participant rated each picture with a Visual Analogue Scale, which ranged from 0 (not esthetic) to 100 (very esthetic). Results: Dentists were more critical than dental students and laypeople when evaluating buccal corridor of 10% and maxillary dental midline shift of 2mm (p<0,05). There significant difference between dental students and laypeople towards alterations in the maxillary dental midline shift of 6mm and reduction in the gingival level of the lateral incisors of 1mm (p<0,05). Dentists and dental students were more critical than laypeople when evaluating gingival display of 2mm and concave smile arc and there significant difference between dentists and laypeople in gingival display of 4mm (p<0,05). The reduction in crown length of the lateral incisors of 1mm and the increased in the gingival level of 1mm were the variables that had the highest mean. There significant gender difference seen in midline diastema of 1mm and in the reduction crown length of the lateral incisor of 1mm (p<0,05). Conclusions: As the deviations increase, the smile aesthetics decreases. The laypeople were the most tolerant of deviations, with higher means and, in general, dentists were more critical that dental students, especially in smaller deviations. Key Words: smile, aesthetics, Orthodontics, Visual Analogue
34
Fricová, Jitka. "Ovlivnění pooperační analgézie typem předoperační a pooperační medikace a její objektivní hodnocení.Experimentální a klinická studie." Doctoral thesis, 2010. http://www.nusl.cz/ntk/nusl-300401.
Full textAbstract:
The aim of our study was to assess the changes of free radicals and other biochemical parameters after nociceptive stimulation in different experimental animal models. In patiens we detected whether preemptive analgesia had a positive effect on acute postoperative pain. Objective evaluation of pain intensity is a long-term problem because the objectification of using electrophysiological and imaging methods is currently difficult and expensive, and therefore in laboratories in the Czech Republic and many other places are used the evaluation by means biochemical methods. We implemented large experimental studies using mechanical, inflammatory and visceral nociception and we found out in particular that nitroxid and hydroxyl free radicals and singlet oxygen increased significantly after nociceptive stimulation. This increase can be suppressed by antioxidants. At the same time, we showed that some parameters of metabolism lipids, carbohydrates and proteins have also been changed. In particular, we measured the free hydroxyl radicals and singlet oxygen by EPR method in the tail of living and anesthetized rats. This method is absolutely a priority and has never been used before. Earlier experimental results were partially clinically verified using different types of acute and chronic pain in humans...
35
Trojanová, Eva. "Srovnání pooperační analgézie na jednotkách intenzivní péče." Master's thesis, 2013. http://www.nusl.cz/ntk/nusl-330044.
Full textAbstract:
The thesis deals with comparing the postoperative analgesia with a focus on pacients after hip replacement surgery at the intensive care units. The quantitative study realized at the Fakultní nemocnice v Motole and Nemocnice Třebíč during November 2012 and February 2013. The main task of the theoretical part is to analyze the current trends in the field of post- operativeanalgesia by the patients undergoing hip joint surgery as well as the explanation the basicconcepts of this issue and overviewing the international postoperative pain treatments. The practical part is an objective comparison the postoperative analgesia byselected patients at the Fakultní nemocnice v Motole and Nemocnice Třebíč determined by questionnaire. The results of the questionnaire are processed into graphical representation and subsequently evaluated. The work serves to clarify the overall issue of post-operative analgesia. The focus is mainly on ensuring the quality of postoperative analgesia, the financial requirements administered analgesics and the possible complications associated with the use of analgesic therapy. Key words: Analgesia, pain, hip surgery, visual analogue scale, analgesics
36
Handt, Philipp. "Untersuchungen zur Magnetfeldtherapie bei Patienten mit chronischen Rückenschmerzen." Doctoral thesis, 2012. http://hdl.handle.net/11858/00-1735-0000-000D-EFA4-D.
Full text
37
Mažárová, Silvia. "Ovlivnění vybraných fyziologických parametrů prostřednictvím definovaných čichových vjemů." Master's thesis, 2013. http://www.nusl.cz/ntk/nusl-324868.
Full textAbstract:
Title: Influence of defined olfactory stimuli to selected physiological parameters Objectives: Comparing the effect of inhibiting and stimulating scents on the chosen physiological parameters during a 20 minute long inhalation. The thesis is searching for the possible affections to cardiovascular system and to reactibility of the neuromuscular system of the aromatherapy. Methods: 10 individuals participated on the trial, 5 females and 5 male. As the inhibiting scent we chose essential oil of Lavandula angustifolia and as the stimulating scent Rosmarinus officinalis. The observed physiological parameters was heart rate, blood pressure, present emotional state using the Visual Analogue Mood Scale by Stern, results of the Petries' test and standing on two scales test. The chosen application form of the essential oils was inhalation. The observed parameters were recorded before the application of scents, in the 10th and 20th minute of the application and 20 minutes after the end of application. We used the method of comparison. With statistical analysis we compared the results of the mentioned tests and diagnostic methods before and after application each of the odors. Results: We consider that Lavandula angustifolia and Rosmarinus officinalis have statistically significant effect to cardiovascular...
38
Koutská, Helena. "Korelace klinických a a elektromyografických nálezů u pacientů se syndromem karpálního tunelu v závislosti na rehabilitační léčbě." Master's thesis, 2007. http://www.nusl.cz/ntk/nusl-274323.
Full textAbstract:
The aim of this study was to evaluate the therapeutic effect of rehabilitation in patients with carpal tunnel syndrome. The study focused on a comparison between electromyographic findings, the findings of physioterapist-led clinical examinations and the patient's subjective feelings, illustrated by a visual analogue scale of pain intensity. These three types of examinations were carried out prior to the commencement of rehabilitation and following 8 rehabilitation sessions (within a period of 2 months) in a cohort of 15 patients, and correlations between them were described. Given the high prevalence of the disease, an effort was made to find objective examination criteria without the need to resort to electromyography. Powered by TCPDF (www.tcpdf.org)
39
Saqqa, Mohammed Maher H. "Porovnání efektu rázové vlny a chirurgické intervence v léčbě tendopatie rotatorové manžety." Master's thesis, 2018. http://www.nusl.cz/ntk/nusl-388624.
Full textAbstract:
Title Comparison between the effectiveness of extracorporeal shockwave therapy (ESWT) and the surgical approach in the treatment of the rotator cuff tendinopathy. Objective The main goal of this research work is comparing the effectiveness of extracorporeal shock wave therapy and the surgical intervention (arthroscopic approach) in the treatment of calcific rotator cuff tendinopathy depending on the outcome measures of the Constant-Murley Score (CMS), and the Visual Analogue Scale (VAS) from the recent scientific publications. Methodology This thesis is systemic (literature) review. The studies which recruited in this research were randomized controlled trials, prospective studies, and retrospective case series studies which written in English language form, and published between the year 2000 to the year 2018. The studies were retrieved from following databases: EMBASE, PubMed, CINAHL, Medline, SpringerLink, ProQuest using different integrations of the key words. The participants in the studies were from both genders and all ages. The type of the pathology which included in this research was chronic calcific rotator cuff tendinopathy. Regarding the intervention types both Radial, and Focused ESWT with low, medium, and high intensities and the arthroscopic interventions were the main types of...