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Clinical Journal of Pain

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https://www.readbyqxmd.com/read/29659375/validity-reliability-feasibility-and-usefulness-of-pain-monitor-a-multidimensional-smartphone-app-for-daily-monitoring-of-adults-with-heterogeneous-chronic-pain
#1
Carlos Suso-Ribera, Diana Castilla, Irene Zaragozá, María Victoria Ribera-Canudas, Cristina Botella, Azucena García-Palacios
OBJECTIVES: Ecological momentary assessment is recommended in the management of chronic pain. Smartphone apps might be a useful tool for that purpose. This study goal was to develop and test a multidimensional smartphone app for adults with chronic pain. A multidisciplinary team developed app content after a series of meetings, considering clinical guidelines for pain measurement. Content included pain intensity and interference, fatigue, mood, perceived health status, activity level, side effects of the medication, use of rescue medication, and pain-related psychological constructs (catastrophizing, acceptance, fear, and coping)...
April 13, 2018: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29642237/association-between-the-2011-fibromyalgia-survey-criteria-and-multisite-pain-sensitivity-in-knee-osteoarthritis
#2
Stephen J Neville, Andrew Clauw, Stephanie E Moser, Andrew Urquhart, Daniel J Clauw, Chad M Brummett, Steven E Harte
OBJECTIVES: The present study evaluated the relationship between the 2011 American College of Rheumatology fibromyalgia (FM) survey criteria and quantitative sensory testing (QST). METHODS: Patients with knee osteoarthritis scheduled to undergo knee arthroplasty completed the FM survey criteria and self-report measures assessing clinical symptoms. Patients also underwent a battery of QST procedures at the surgical knee and remote body sites, including pressure algometry, conditioned pain modulation (CPM), and temporal summation (TS)...
April 10, 2018: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29642236/occupational-and-ergonomic-factors-associated-with-low-back-pain-among-car-patrol-police-officers-findings-from-the-quebec-serve-and-protect-low-back-pain-study
#3
Nabiha Benyamina Douma, Charles Côté, Anaïs Lacasse
OBJECTIVES: Low back pain (LBP) is frequent and burdensome among police officers, but occupational and ergonomic factors associated with LBP and its chronic symptoms have never been studied among these workers using a biopsychosocial model. This study aimed at exploring such factors associated with acute/subacute LBP and chronic low back pain (CLBP) among car-patrol police officers. METHODS: A web-based cross-sectional study was conducted among car-patrol officers working in the province of Quebec (Canada)...
April 10, 2018: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29642235/back-to-living-long-term-functional-status-of-pediatric-patients-who-completed-intensive-interdisciplinary-pain-treatment
#4
Edin T Randall, Kelly R Smith, Caitlin Conroy, Allison M Smith, Navil Sethna, Deirdre E Logan
OBJECTIVES: To provide a descriptive account of long-term functioning (≥five years post-treatment) among youth who completed intensive interdisciplinary pain treatment (IIPT) for pediatric chronic pain conditions. METHODS: 95 patients (mean age at follow-up=20.0▒y) treated at least five years previously at a single IIPT program completed questionnaires assessing pain, functional disability, healthcare utilization, academic/career achievement and quality of life...
April 10, 2018: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29620559/unilateral-lateral-epicondylalgia-demonstrates-a-pro-nociceptive-pain-profile-a-case-control-observational-study
#5
Leanne Bisset, Michelle Carty, Ashley Smith
OBJECTIVE: Lateral epicondylalgia (LE, tennis elbow) is characterised by both local tissue pathology and features indicative of secondary hyperalgesia. The aim of this study was to evaluate endogenous pain modulation characteristics in people with chronic LE, and to investigate the relationship between endogenous pain modulation and clinical characteristics. METHODS: This case control observational study included 25 participants with LE of at least 6 weeks' duration and 15 age-matched (±5▒y) healthy control participants, who were each evaluated in a single session...
April 3, 2018: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29595529/ec50-of-epidural-ropivacaine-combined-with-dexmedetomidine-for-labor-analgesia
#6
Wp Zhang, Cuiling Li
BACKGROUND: It was reported that the optimal concentration of epidural dexmedetomidine for labor analgesia was 0.5▒ug/mL when combined with 0.1% ropivacaine. This study investigated the median effective concentration (EC50) of epidural ropivacaine for labor analgesia when combined with 0.5▒ug/mL dexmedetomidine. METHODS: Sixty full-term primiparas were enrolled and divided into two groups in this prospective study. Group D received 10▒mL solution (ropivacaine + 0...
March 27, 2018: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29595528/effect-of-methylprednisolone-on-pain-management-in-total-knee-or-hip-arthroplasty-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#7
Guoming Liu, Min Gong, Youcui Wang, Zhou Xiang
BACKGROUND: Total joint arthroplasty has been reported to be a successful strategy for patients with advanced osteoarthritis, however, early postoperative pain has become an unresolved issue. Perioperative methylprednisolone administration in total joint arthroplasty is an important and controversial topic. This study was conducted to assess the efficacy and safety of methylprednisolone for pain management after total knee or hip arthroplasty. METHODS: PubMed, Embase and the Cochrane Library were searched for randomized controlled trials comparing methylprednisolone versus placebo for patients undergoing total knee or hip arthroplasty...
March 27, 2018: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29578885/analysis-of-opioid-use-following-curative-cancer-treatment-at-a-large-urban-safety-net-hospital
#8
Amanda S Cass, Joyce T Alese, Chaejin Kim, Marjorie Adams Curry, Jennifer A LaFollette, Zhengjia Chen, Olatunji B Alese
OBJECTIVES: This study examined the pattern of use and factors predicting for prolonged prescription opioid medications among cancer patients following treatment with curative intent. METHODS: Patients diagnosed with cancer over a 3-year period at a large urban safety-net hospital were included. Univariate and multivariate testing was used to identify factors associated with continued opioid use. RESULTS: Of the 199 patients included in the study, 38% continued to receive an opioid prescription well beyond the acute diagnosis and treatment phase...
March 23, 2018: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29570102/evidence-for-somatic-hypersensitivity-in-veterans-with-gulf-war-illness-and-gastrointestinal-symptoms
#9
QiQi Zhou, Meghan L Verne, Buyi Zhang, G Nicholas Verne
INTRODUCTION: Over 25% of Persian Gulf War (PGW) veterans with Gulf War Illness (GWI) (chronic health complaints of undetermined etiology) developed GI symptoms (diarrhea and abdominal pain) and somatic complaints. OBJECTIVES: Our study objective was to determine if veterans with GWI and GI symptoms exhibit heightened patterns of somatic pain perception (hypersensitivity) across nociceptive stimuli modalities. METHODS: Subjects were previously deployed GW Veterans with GWI and GI symptoms (n=53); veterans with GWI without GI symptom (n=47); and veteran controls (n=38)...
March 21, 2018: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29554033/expression-of-pain-behaviors-and-perceived-partner-responses-in-individuals-with-chronic-pain-the-mediating-role-of-partner-burden-and-relationship-quality
#10
Somayyeh Mohammadi, Christine T Chambers, Natalie O Rosen
OBJECTIVE: Expressions of pain by individuals with chronic pain may encourage solicitous and distracting responses from some partners and punishing responses from others. Partners' responses can impact the wellbeing of individuals with chronic pain. Yet information about factors that can explain the link between expression of pain behaviors and different partners' responses is scarce. The objective of this study was to investigate the role of perceived partner burden and relationship quality in the link between expressions of pain behaviors and perceived partner responses (i...
March 16, 2018: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29554032/efficacy-and-safety-of-intravenous-meloxicam-in-subjects-with-moderate-to-severe-pain-following-bunionectomy-a-randomized-double-blind-placebo-controlled-trial
#11
Richard A Pollak, Ira J Gottlieb, Fardin Hakakian, John C Zimmerman, Stewart W McCallum, Randall J Mack, Rosemary Keller, Alex Freyer, Wei Du
OBJECTIVE: To evaluate the analgesic efficacy and safety of a novel intravenous (IV) formulation of meloxicam (30▒mg) in subjects with moderate-to-severe pain following a standardized, unilateral bunionectomy with first metatarsal osteotomy and internal fixation. METHODS: Subjects who met the criteria for moderate-to-severe postoperative pain were randomized to receive bolus injections of meloxicam IV 30▒mg (n=100) or placebo (n=101) administered once daily...
March 16, 2018: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29554031/care-scale-7-development-and-preliminary-validation-of-a-measure-to-assess-factors-impacting-self-care-in-chronic-pain
#12
Maisa Ziadni, Dokyoung Sophia You, Anna C Wilson, Beth D Darnall
OBJECTIVES: Social and interpersonal factors may impact chronic pain self-care and self-management; however, no integrated measure exists to assess the interplay of these factors. We developed and tested a measure designed to assess salient interpersonal factors, including relationship guilt and worry, and difficulty prioritizing self-care in chronic pain. METHODS: We tested self-report items broadly relevant to locus of care, limit-setting capacity, and worry/guilt about relationships in 3 discrete chronic pain samples (total N=1,452): (1) online sample of chronic pain clinic patients (N=729; 21 candidate CARE items, sociodemographics, and measures of psychological and physical functioning)...
March 16, 2018: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29554030/a-systematic-review-and-meta-analysis-of-the-effectiveness-of-psychological-interventions-delivered-by-physiotherapists-on-pain-disability-and-psychological-outcomes-in-musculoskeletal-pain-conditions
#13
Viviana Alma Guerrero Silva, Annick Maujean, Letitia Campbell, Michele Sterling
OBJECTIVE: This systematic review and meta-analysis examined the effectiveness of physiotherapist delivered psychological interventions combined with physiotherapy on pain, disability and psychological outcomes for patients with musculoskeletal pain conditions. METHODS: The review was conducted in accordance with the (PRISMA) guidelines. Five databases were systematically searched for randomised controlled trials from inception to May 2016. Studies were required to compare a psychological intervention delivered by physiotherapists combined with physiotherapy to physiotherapy alone or usual care...
March 16, 2018: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29547407/bioinformatic-analysis-of-potential-biomarkers-for-spinal-cord-injured-patients-with-intractable-neuropathic-pain
#14
Yimin Wang, Fang Ye, Chanyan Huang, Faling Xue, Yingyuan Li, Shaowei Gao, Zeting Qiu, Si Li, Qinchang Chen, Huaqiang Zhou, Yiyan Song, Wenqi Huang, Wulin Tan, Zhongxing Wang
BACKGROUND: Neuropathic pain is one of the common complications after spinal cord injury (SCI), affecting patients' life quality. The molecular mechanism for neuropathic pain after SCI is still unclear. We aimed to discover potential genes and MicroRNAs(miRNAs) related to neuropathic pain by bioinformatics method. METHODS: Microarray data of GSE69901 were obtained from Gene Expression Omnibus (GEO) database. Peripheral blood samples from patients with or without neuropathic pain after spinal cord injury (SCI) were collected...
March 15, 2018: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29538095/three-phase-bone-scintigraphy-can-predict-the-analgesic-efficacy-of-ketamine-therapy-in-crps
#15
Marc Sorel, Jacques-Christian Beatrix, Blanche Locko, Catherine Armessen, Anne-Marie Domec, Otilia Lecompte, Sofiane Boucheneb, Benoit Harache, Jacques Robert, Jean-Pascal Lefaucheur
OBJECTIVES: The efficacy of ketamine in relieving complex regional pain syndrome (CRPS) lacks predictive factors. The value of three-phase bone scintigraphy (TPBS) was assessed or this purpose. METHODS: TPBS was performed in 105 patients with unilateral, focal CRPS of type 1 before 5 days of ketamine infusions. Tracer uptake was measured in the region of interest concerned by CRPS and the contralateral homologous region. For the three scintigraphic phases (vascular, tissular, and bone phases), an asymmetry ratio of fixation was calculated between the affected and the unaffected sides (VPr, TPr, and BPr)...
March 13, 2018: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29528864/fear-avoidance-and-pelvic-floor-muscle-function-are-associated-with-pain-intensity-in-women-with-vulvodynia
#16
Justine Benoit-Piau, Sophie Bergeron, Audrey Brassard, Chantale Dumoulin, Samir Khalifé, Guy Waddell, Mélanie Morin
OBJECTIVE: To investigate the association between fear-avoidance variables, pelvic floor muscle (PFM) function and pain intensity in women with provoked vestibulodynia (PVD) as well as the moderator effect of partner support. METHODS: A total of 173 women diagnosed with PVD participated in the study. Fear-avoidance variables were evaluated with validated self-administered questionnaires: pain catastrophizing (Pain Catastrophizing Scale), pain-related fear (Pain Anxiety Symptoms Scale), and partner support (Partner Support Questionnaire)...
March 9, 2018: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29528863/intraoperative-sedation-with-dexmedetomidine-is-superior-to-propofol-for-elderly-patients-undergoing-hip-arthroplasty-a-prospective-randomized-controlled-study
#17
Bin Mei, Gaige Meng, Guanghong Xu, Xinqi Cheng, Shishou Chen, Ye Zhang, Ming Zhang, Xuesheng Liu, Erwei Gu
BACKGROUND: Peripheral nerve block is a preferable method for elderly patients receiving hip arthroplasty. Sedation with dexmedetomidine may reduce postoperative delirium. The aim of this study was to investigate whether intraoperative sedation with dexmedetomidine, as a supplementary to peripheral nerve block for elderly patients receiving total hip arthroplasty, can decrease the prevalence of postoperative delirium. METHODS: A prospective, randomized controlled study was conducted with patients 65 years of age or older who underwent total hip arthroplasty between June 2016 and June 2017...
March 9, 2018: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29505419/depression-effects-on-long-term-prescription-opioid-use-abuse-and-addiction
#18
Mark Sullivan
OBJECTIVES: Treatment guidelines discourage long-term opioid treatment for patients with chronic pain and major depression, but this treatment occurs commonly, producing higher daily doses, longer duration, and more adverse events. METHODS: Review of prospective cohort, retrospective cohort, and other observational studies of the relation between depression and opioid use, abuse, and addiction. RESULTS: Depressed patients initiate opioid therapy slightly more often than non-depressed patients, but are twice as likely to transition to long-term use...
March 2, 2018: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29505418/reorganised-force-control-in-elbow-pain-patients-during-isometric-wrist-extension
#19
Christian A Mista, Sonia Monterde, Montserrat Inglés, Isabel Salvat, Thomas Graven-Nielsen
INTRODUCTION: Reorganised force control may be an important adaptation following painful traumas. In this study, force control adaptations were assessed in elbow pain patients. Increasing the contraction demand may overcome pain interference on the motor control and as such act as an internal control. It was hypothesized that elbow pain patients compared with control subjects would present greater change in the direction of force when increasing the demand of the motor task. METHODS: Elbow pain patients (n=19) and healthy subjects (n=21) performed isometric wrist extensions at 5-70% of maximum voluntary contraction...
March 2, 2018: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29485536/virtual-reality-as-a-distraction-intervention-to-relieve-pain-and-distress-during-medical-procedures-a-comprehensive-literature-review
#20
Paola Indovina, Daniela Barone, Luigi Gallo, Andrea Chirico, Giuseppe De Pietro, Giordano Antonio
OBJECTIVES: This review aims to provide a framework for evaluating the utility of virtual reality (VR) as a distraction intervention to alleviate pain and distress during medical procedures. We firstly describe the theoretical bases underlying the VR analgesic and anxiolytic effects and define the main factors contributing to its efficacy, which largely emerged from studies on healthy volunteers. Then, we provide a comprehensive overview of the clinical trials using VR distraction during different medical procedures, such as burn injury treatments, chemotherapy, surgery, dental treatment, and other diagnostic and therapeutic procedures...
February 26, 2018: Clinical Journal of Pain
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