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1.
Fisioterapia (Madr., Ed. impr.) ; 42(3): 145-156, mayo-jun. 2020. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-191004

RESUMO

OBJETIVOS: Evaluar la eficacia de las técnicas de energía muscular en el tratamiento de síndromes musculoesqueléticos. ESTRATEGIA DE BÚSQUEDA: Se realizó una búsqueda bibliográfica de artículos publicados hasta noviembre de 2018 en las siguientes bases de datos: Medline (PubMed), Scopus, Web of Science, Cochrane Library y Science Direct. SELECCIÓN DE ESTUDIOS: Se seleccionaron 13 artículos con más de 6 puntos en la escala PEDro. RESULTADOS: Se seleccionaron 13 artículos con una muestra total de 694 sujetos y una media de 7,85 sobre 10 en la escala PEDro. Todos los estudios señalan que las técnicas de energía muscular disminuyen el dolor, aumentan los rangos articulares y también la funcionalidad. Se observaron diferencias significativas al comparar estas técnicas con otras intervenciones, como el concepto Mulligan, inyecciones de corticoesteroides intramusculares o tratamientos pasivos. Aplicar las técnicas de energía muscular junto con la punción seca o el método McKenzie ha demostrado ser más eficaz que su empleo de forma individual. CONCLUSIONES: Las técnicas de energía muscular muestran resultados positivos en la disminución del dolor, el aumento del rango articular y la funcionalidad en pacientes con síndromes musculoesqueléticos


OBJECTIVES: To assess the efficacy of muscle energy techniques in the treatment of musculoskeletal syndromes. SEARCH STRATEGY: A literature search was made for articles published up to November 2018 in the following databases: Medline (PubMed), Scopus, Web of Science, Cochrane Library, and Science Direct. STUDY SELECTION: A total of 13 articles with more than 6 points on the PEDro scale were selected RESULTS: The 13 articles selected had a total sample of 694 subjects, and a mean of 7.85 out of 10 on the PEDro scale. All studies indicated that muscle energy techniques decrease pain and increase ranges of motion, as well as motor function. Significant differences were observed when comparing these techniques with others interventions such as the Mulligan concept, intramuscular corticosteroid injections, or passive treatments. Applying muscle energy techniques in conjunction with dry needling or the McKenzie method has been shown to be more effective than using them individually. CONCLUSIONS: Muscle energy techniques show positive results in pain reduction, increased joint range, and functionality in patients with musculoskeletal síndromes


Assuntos
Humanos , Dor Musculoesquelética/etiologia , Dor Musculoesquelética/terapia , Modalidades de Fisioterapia , Resultado do Tratamento , Dor Musculoesquelética/epidemiologia , Manejo da Dor/instrumentação , Dor Musculoesquelética/reabilitação
2.
Am J Occup Ther ; 74(3): 7403205080p1-7403205080p10, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32365314

RESUMO

IMPORTANCE: Hand osteoarthritis is a musculoskeletal problem that is associated with hand pain, stiffness, functional limitation, decreased grip strength, and reduced quality of life. OBJECTIVE: To evaluate the effectiveness of nighttime orthoses on the second or third finger of the dominant hand in controlling pain in women with symptomatic osteoarthritis (OA) in the interphalangeal joint. DESIGN: Randomized controlled trial. SETTING: Outpatient clinic. PARTICIPANTS: Fifty-two women with symptomatic OA and presence of Heberden's and Bouchard's nodes, allocated randomly to the intervention group or the control group. INTERVENTION: The intervention group used a nighttime orthosis on the second or third finger of the dominant hand. Both groups participated in an educational session. OUTCOMES AND MEASURES: The following parameters were measured: pain (numerical rating scale, Australian/Canadian Osteoarthritis Hand Index), grip and pinch strength, function (Cochin Hand Functional Scale), and manual performance (Moberg Pick Up Test). RESULTS: The intervention group showed a statistically significant improvement in pain (p < .001) and hand function. The improvement in pain correlated with Cochin Hand Functional Scale scores and the absence of Bouchard's nodes in the third finger, which are predictors of the best prognosis for treatment with a nighttime orthosis. CONCLUSIONS AND RELEVANCE: This study demonstrates that nighttime orthoses are effective in reducing pain and lead to improvement in hand function in women with hand OA. They are therefore specifically recommended for nonpharmacological treatment of hand OA. WHAT THIS ARTICLE ADDS: Orthoses can be considered, together with manual exercises and joint protection, as an intervention to reduce symptoms and improve hand function in people with hand OA. This study is an important step in empowering occupational therapists to determine appropriate and effective intervention for clients with OA.


Assuntos
Mãos/fisiopatologia , Aparelhos Ortopédicos , Osteoartrite/terapia , Manejo da Dor/instrumentação , Austrália , Canadá , Feminino , Força da Mão , Humanos , Dor , Qualidade de Vida
3.
Expert Rev Med Devices ; 17(6): 499-505, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32437633

RESUMO

INTRODUCTION: Spinal cord stimulation is becoming an increasingly used modality for the treatment of chronic pain. The Proclaim XR implantable pulse generator (IPG) is a novel device designed to supply low-dose BurstDR stimulation in a primary cell battery guaranteed to last 5-10 years with appropriate programming. AREAS COVERED: BurstDR stimulation involves specifically delivered pockets of electrical energy coupled with a passive recharge mechanism to mimic the body's natural neuronal activity. MEDLINE databases were searched with a date range from 2010 to 2020, and a review of the evidence for low amplitude BurstDR stimulation, which led to FDA approval of the Proclaim XR system, is provided. In addition, we will review the safety and precautionary measures involved with this device. EXPERT OPINION: The Proclaim XR IPG is the newest and most advanced device in SCS technology. It is designed to meet the preferences of patients by providing burst low amplitude intermittent dosing in a recharge-free manner and a guaranteed 5-10 year battery life.


Assuntos
Dor Crônica/terapia , Estimulação da Medula Espinal/efeitos adversos , Estimulação da Medula Espinal/instrumentação , Humanos , Manejo da Dor/instrumentação , Próteses e Implantes , Resultado do Tratamento
4.
JAMA ; 323(18): 1802-1812, 2020 May 12.
Artigo em Inglês | MEDLINE | ID: mdl-32396180

RESUMO

Importance: Individually calibrated biomechanical footwear therapy may improve pain and physical function in people with symptomatic knee osteoarthritis, but the benefits of this therapy are unclear. Objective: To assess the effect of a biomechanical footwear therapy vs control footwear over 24 weeks of follow-up. Design, Setting, and Participants: Randomized clinical trial conducted at a Swiss university hospital. Participants (N = 220) with symptomatic, radiologically confirmed knee osteoarthritis were recruited between April 20, 2015, and January 10, 2017. The last participant visit occurred on August 15, 2017. Interventions: Participants were randomized to biomechanical footwear involving shoes with individually adjustable external convex pods attached to the outsole (n = 111) or to control footwear (n = 109) that had visible outsole pods that were not adjustable and did not create a convex walking surface. Main Outcomes and Measures: The primary outcome was knee pain at 24 weeks of follow-up assessed with the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain subscore standardized to range from 0 (no symptoms) to 10 (extreme symptoms). The secondary outcomes included WOMAC physical function and stiffness subscores and the WOMAC global score, all ranging from 0 (no symptoms) to 10 (extreme symptoms) at 24 weeks of follow-up, and serious adverse events. Results: Among the 220 randomized participants (mean age, 65.2 years [SD, 9.3 years]; 104 women [47.3%]), 219 received the allocated treatment and 213 (96.8%) completed follow-up. At 24 weeks of follow-up, the mean standardized WOMAC pain subscore improved from 4.3 to 1.3 in the biomechanical footwear group and from 4.0 to 2.6 in the control footwear group (between-group difference in scores at 24 weeks of follow-up, -1.3 [95% CI, -1.8 to -0.9]; P < .001). The results were consistent for WOMAC physical function subscore (between-group difference, -1.1 [95% CI, -1.5 to -0.7]), WOMAC stiffness subscore (between-group difference, -1.4 [95% CI, -1.9 to -0.9]), and WOMAC global score (between-group difference, -1.2 [95% CI, -1.6 to -0.8]) at 24 weeks of follow-up. Three serious adverse events occurred in the biomechanical footwear group compared with 9 in the control footwear group (2.7% vs 8.3%, respectively); none were related to treatment. Conclusions and Relevance: Among participants with knee pain from osteoarthritis, use of biomechanical footwear compared with control footwear resulted in an improvement in pain at 24 weeks of follow-up that was statistically significant but of uncertain clinical importance. Further research would be needed to assess long-term efficacy and safety, as well as replication, before reaching conclusions about the clinical value of this device. Trial Registration: ClinicalTrials.gov Identifier: NCT02363712.


Assuntos
Articulação do Joelho/fisiopatologia , Osteoartrite do Joelho/terapia , Manejo da Dor/instrumentação , Sapatos , Adulto , Fenômenos Biomecânicos , Engenharia Biomédica , Desenho de Equipamento , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Osteoartrite do Joelho/complicações , Osteoartrite do Joelho/fisiopatologia , Dor/etiologia , Medição da Dor , Qualidade de Vida , Sapatos/efeitos adversos
5.
J Urol ; 204(5): 1012-1018, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32396409

RESUMO

PURPOSE: We determined if the "bag squeeze" technique decreases pain during flexible cystoscopy in men. MATERIALS AND METHODS: This single center, prospective, double-blind, randomized controlled trial recruited 200 consenting participants who were ambulatory, outpatient males who had undergone prior cystoscopy and were not expected to require any secondary procedures. Men with prior urethral stricture or bladder neck contracture were excluded from study. Once eligibility was assessed and consent obtained, participants were randomized to undergo cystoscopy with the bag squeeze (group A) or the sham bag squeeze procedure (group B). Following cystoscopy, participants completed a pain questionnaire (visual analogue scale). Differences in mean pain score between groups were evaluated using Students' t-test with a 2-sided alpha of 0.05. RESULTS: A total of 200 patients were randomized and underwent flexible cystoscopy. Ten participants were ineligible because they required secondary procedures. Among the 190 eligible patients 97 were randomized to bag squeeze (group A) and 93 to sham bag squeeze (group B) with mean pain scores of 1.91 and 3.39, respectively (p <0.005). CONCLUSIONS: This study demonstrated a clinically meaningful decrease in pain for men undergoing flexible cystoscopy when the irrigation bag squeeze technique was used vs placebo bag squeeze. Accordingly, this useful, simple and free method to improve patient comfort during flexible cystoscopy should be adopted by clinicians.


Assuntos
Cistoscopia/efeitos adversos , Dilatação/métodos , Manejo da Dor/métodos , Dor Processual/prevenção & controle , Solução Salina/administração & dosagem , Adulto , Idoso , Idoso de 80 Anos ou mais , Dilatação/instrumentação , Método Duplo-Cego , Humanos , Masculino , Pessoa de Meia-Idade , Manejo da Dor/instrumentação , Medição da Dor , Dor Processual/diagnóstico , Dor Processual/etiologia , Estudos Prospectivos , Resultado do Tratamento
6.
Medicine (Baltimore) ; 99(12): e19514, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32195952

RESUMO

INTRODUCTION: Low back pain is a chronic recurrent symptom, which can lower the patient's quality of life. With technological development of automated home massage systems, now offers a promising alternative to physiotherapy. However, thus far, the effectiveness of such methods has not been evaluated. We aimed to compare the efficacy and cost-effectiveness of a massage chair with those of conventional physiotherapy for the treatment. METHODS: This was a randomized controlled trial with a two-group parallel design. Following randomization and allocation, 56 participants were enrolled to receive either physiotherapy (n = 25) or mechanical massage using the massage chair (n = 31). Pain severity was measured using a visual analog scale (VAS) and satisfaction assessed with the McGill Pain Questionnaire (MPQ). Quality of life modification was analyzed using the Functional Rating Index (FRI). Cost-effectiveness was analyzed by comparing the sum of physiotherapy fees and monthly rental fees for chair massage. RESULTS: Physiotherapy and massage chair were both effective for pain control as assessed with the VAS (P < .001), satisfaction as assessed by MPQ (P < .001) and life quality improvement as assessed by FRI (P < .001) in both groups. Both VAS and FRI scores were significantly higher for physiotherapy than for massage chair (P = .03 and P = .03, respectively). There was no significant difference in MPQ between the two groups. Massage chair therapy was more cost-effective than physiotherapy, at only 60.17% of the physiotherapy cost (P < .001). CONCLUSIONS: The home massage chair system was cost-effective, but pain control and disability improved more with physiotherapy. However, our results showed that the massage chair is a promising treatment for pain control and quality of life modification, but efficacy is still superior in physiotherapy and the chair is not a replacement for physiotherapy. TRIAL REGISTRATION: Clinical Research Information Service, KCT0003157. Retrospectively registered August 2, 2018.


Assuntos
Dor Lombar/psicologia , Dor Lombar/terapia , Massagem/métodos , Manejo da Dor/economia , Modalidades de Fisioterapia/economia , Adulto , Análise Custo-Benefício , Feminino , Humanos , Dor Lombar/epidemiologia , Masculino , Massagem/instrumentação , Pessoa de Meia-Idade , Manejo da Dor/instrumentação , Medição da Dor , Satisfação do Paciente/estatística & dados numéricos , Modalidades de Fisioterapia/instrumentação , Estudos Prospectivos , Qualidade de Vida , Escala Visual Analógica
7.
Crit Care ; 24(1): 100, 2020 Mar 24.
Artigo em Inglês | MEDLINE | ID: mdl-32204723

RESUMO

This article is one of ten reviews selected from the Annual Update in Intensive Care and Emergency Medicine 2020. Other selected articles can be found online at https://www.biomedcentral.com/collections/annualupdate2020. Further information about the Annual Update in Intensive Care and Emergency Medicine is available from http://www.springer.com/series/8901.


Assuntos
Monitorização Fisiológica/instrumentação , Distúrbios Pupilares/diagnóstico , Encéfalo/diagnóstico por imagem , Estado Terminal/terapia , Medicina de Emergência/instrumentação , Medicina de Emergência/métodos , Humanos , Monitorização Fisiológica/métodos , Monitorização Fisiológica/normas , Manejo da Dor/instrumentação , Medição da Dor/instrumentação , Medição da Dor/métodos , Distúrbios Pupilares/fisiopatologia , Ultrassonografia Doppler Transcraniana/métodos
8.
Crit Care Nurse ; 40(1): 27-35, 2020 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-32006033

RESUMO

BACKGROUND: Impaired sleep is a common complaint among patients undergoing major surgery and may be a contributing factor in postoperative pain. The provision of eye masks to patients after cardiac surgery may reduce postoperative pain through improvements in sleep quality. OBJECTIVE: To examine the effect of nocturnal eye masks on postoperative pain and sleep quality in cardiac surgical patients. METHODS: In this randomized controlled trial, 70 adult patients who had undergone cardiac surgery requiring immediate postoperative care in the intensive care unit were randomly assigned to sleep with or without nocturnal eye masks for the first 3 nights in the unit. A visual analog scale was used to assess pain intensity, and the Arabic version of the Richards-Campbell Sleep Questionnaire was used to assess subjective sleep quality. RESULTS: A total of 66 patients completed the trial. A statistically significant difference was found between groups in mean total Richards-Campbell Sleep Questionnaire score over the 3-day study period (P = .001), with the intervention group reporting better sleep quality. A statistically significant difference was also found between groups in mean pain score on days 1, 2, and 3 (P < .001), with the intervention group having less pain. CONCLUSION: Nocturnal eye masks are a simple, low-risk, low-cost intervention that may contribute to reductions in perceived pain in cardiac surgery patients.


Assuntos
Enfermagem de Cuidados Críticos/métodos , Máscaras , Manejo da Dor/instrumentação , Manejo da Dor/métodos , Dor Pós-Operatória/enfermagem , Sono/fisiologia , Adulto , Procedimentos Cirúrgicos Cardíacos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
9.
J Clin Nurs ; 29(3-4): 437-446, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31738463

RESUMO

BACKGROUND: Interacting with social robots, such as the robotic seal PARO, has been shown to improve mood and acute pain for people with dementia. Little attention has been paid to the effect of PARO on people with dementia and chronic pain. OBJECTIVE: To explore how people with mild to moderate dementia and chronic pain perceive PARO as an alternative intervention to manage their pain and mood. DESIGN: A descriptive qualitative approach nested within a pilot randomised controlled trial. METHODS: Participants with dementia and chronic pain were recruited from three residential aged care facilities. They interacted with PARO for 30 min, 5 days a week over a 6-week period. A sample of 11 participants completed individual semi-structured interviews at the end of the intervention. Data were collected from January 2018-January 2019. Inductive thematic analysis was undertaken. Reporting of findings followed the COREQ checklist. RESULTS: Four themes emerged from the data: (a) perceptions of PARO; (b) therapeutic effects of PARO; (c) limitations of PARO; and (d) programme improvement. Residents with dementia expressed positive attitudes towards the use of PARO and acknowledged the therapeutic benefits of PARO on mood improvement and relaxation for pain relief but also mentioned the limitations of its weight, voice and characteristics. Residents' responses could also fluctuate during the intervention process, and individual preferences need to be considered. CONCLUSIONS: The PARO intervention is a promising intervention to improve positive emotion, and there is some anecdotal evidence that pain may be decreased from the perspectives of people living with chronic pain and dementia. RELEVANCE TO CLINICAL PRACTICE: Long-term care staff may incorporate PARO therapy into daily dementia care. Understanding of individual's preferences may enhance the implementation of PARO for pain management in this group.


Assuntos
Afeto , Dor Crônica/psicologia , Demência/psicologia , Robótica , Idoso , Idoso de 80 Anos ou mais , Dor Crônica/terapia , Demência/terapia , Feminino , Instituição de Longa Permanência para Idosos , Humanos , Masculino , Manejo da Dor/instrumentação , Projetos Piloto , Pesquisa Qualitativa
12.
Compr Child Adolesc Nurs ; 43(1): 22-34, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30412435

RESUMO

The aim in this study was to understand current practice and use of nitrous oxide for management of procedural-related pain and procedural anxiety, to identify perceived barriers to use of nitrous oxide and to develop an understanding of patients, families, and nurse awareness and knowledge of the use of nitrous oxide in an Australian tertiary pediatric oncology/hematology short stay unit. Three online questionnaires (patients, parents, and nursing staff) were developed and completed between September and November 2015. Most children and young people (61%) report receiving nitrous oxide for at least one procedure. Patients, parents, and nurses rated nitrous oxide as highly effective and would like more access to nitrous oxide for the child's pain management. Several barriers to use were reported. These findings suggest that nitrous oxide is effective for pain management; however, its use is inconsistent. Findings can potentially develop standardized processes and improve nurse education and accreditation, which may increase the safety, efficacy, and utilization of nitrous oxide for children's procedural pain management.


Assuntos
Ansiedade/tratamento farmacológico , Óxido Nitroso/uso terapêutico , Dor Processual/tratamento farmacológico , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Adolescente , Anestésicos Inalatórios/uso terapêutico , Ansiedade/psicologia , Austrália , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Manejo da Dor/instrumentação , Manejo da Dor/métodos , Medição da Dor/métodos , Dor Processual/psicologia , Inquéritos e Questionários
13.
J Invest Surg ; 33(4): 375-380, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30644769

RESUMO

Introduction: Due to the continual increase in the number of children engaging in sports today, physicians encounter finger injuries at an increasing frequency. This study sought to investigate the effectiveness of the method of Kinesio taping versus classic finger splint technique on pediatric patients with PIP (proximal interphalangeal) joint sprains of the fingers. Method: This is a retrospective cohort study. Forty-nine pediatric patients with PIP joint sprains were included in the study. The patients were divided into two groups, Group 1 being those treated with Kinesio taping and Group 2, those treated with splints. The area around the PIP joint was measured before and after treatment. Visual analog scale (VAS) evaluation: nighttime pain, numbness, pain at rest, and pain during activity were each separately evaluated before and after treatment. Also, flexion was measured at rest and in active motion before and after treatment. Results: The patients' periarticular measurements of the affected joint were statistically significant in both groups after treatment (p < 0.001). In the comparison between the groups, it was found that the group treated with Kinesio taping displayed a better outcome (p < 0.021). According to the VAS for PIP joint pain, it was observed that in both groups, pain at rest, pain during activity, nighttime pain, and numbness were statistically significant after treatment (p < 0.001). In the comparison of the groups, it was seen that the difference was statistically significant only in terms of nighttime pain (p < 0.013). Conclusions: The study conducted supported the literature that Kinesio taping method does not restrict the function of the extremity to which it is applied and also does not produce the complications reported in other treatment techniques. Kinesio taping was found to have a higher patient compliance and the outcomes were better in terms of edema and joint range of motion as well as night time pain when compared to the group treated with splint.


Assuntos
Fita Atlética , Traumatismos dos Dedos/terapia , Manejo da Dor/instrumentação , Contenções , Entorses e Distensões/terapia , Adolescente , Criança , Feminino , Traumatismos dos Dedos/complicações , Traumatismos dos Dedos/fisiopatologia , Articulações dos Dedos/fisiologia , Humanos , Masculino , Dor/diagnóstico , Dor/etiologia , Manejo da Dor/métodos , Medição da Dor , Cooperação do Paciente , Amplitude de Movimento Articular/fisiologia , Estudos Retrospectivos , Entorses e Distensões/complicações , Entorses e Distensões/fisiopatologia , Resultado do Tratamento
14.
Neurosurgery ; 86(2): 191-202, 2020 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-30799493

RESUMO

BACKGROUND: Deep brain stimulation (DBS) has been considered for patients with intractable pain syndromes since the 1950s. Although there is substantial experience reported in the literature, the indications are contested, especially in the United States where it remains off-label. Historically, the sensory-discriminative pain pathways were targeted. More recently, modulation of the affective sphere of pain has emerged as a plausible alternative. OBJECTIVE: To systematically review the literature from studies that used contemporary DBS technology. Our aim is to summarize the current evidence of this therapy. METHODS: A systematic search was conducted in the MEDLINE, EMBASE, and Cochrane libraries through July 2017 to review all studies using the current DBS technology primarily for pain treatment. Study characteristics including patient demographics, surgical technique, outcomes, and complications were collected. RESULTS: Twenty-two articles were included in this review. In total, 228 patients were implanted with a definitive DBS system for pain. The most common targets used were periaqueductal/periventricular gray matter region, ventral posterior lateral/posterior medial thalamus, or both. Poststroke pain, phantom limb pain, and brachial plexus injury were the most common specific indications for DBS. Outcomes varied between studies and across chronic pain diagnoses. Two different groups of investigators targeting the affective sphere of pain have demonstrated improvements in quality of life measures without significant reductions in pain scores. CONCLUSION: DBS outcomes for chronic pain are heterogeneous thus far. Future studies may focus on specific pain diagnosis rather than multiple syndromes and consider randomized placebo-controlled designs. DBS targeting the affective sphere of pain seems promising and deserves further investigation.


Assuntos
Dor Crônica/terapia , Estimulação Encefálica Profunda/métodos , Neuroestimuladores Implantáveis , Manejo da Dor/métodos , Dor Intratável/terapia , Dor Crônica/diagnóstico , Dor Crônica/psicologia , Estimulação Encefálica Profunda/instrumentação , Estimulação Encefálica Profunda/tendências , Feminino , Humanos , Neuroestimuladores Implantáveis/tendências , Masculino , Manejo da Dor/instrumentação , Dor Intratável/diagnóstico , Dor Intratável/psicologia , Membro Fantasma/diagnóstico , Membro Fantasma/psicologia , Membro Fantasma/terapia , Qualidade de Vida/psicologia , Tálamo/fisiologia
15.
Comput Inform Nurs ; 38(3): 139-147, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31688089

RESUMO

With few existing technology-based programs to support cancer pain management, the need for culturally tailored programs to support ethnic minority cancer survivors has been highlighted. The purpose of this study was to explore the preliminary efficacy of the technology-based CAncer Pain management support Program for Asian American survivors of breast cancer, a technology-based cancer pain management program, in improving the cancer pain experience of Asian American breast cancer survivors. This pilot study adopted a randomized repeated-measures pretest/posttest control group design with a sample of 94 Asian American breast cancer survivors. Study measures included the Brief Pain Inventory-Short Form, Support Care Needs Survey-34 Short Form, and Mishel Uncertainty in Illness Scale-Community. Data were analyzed using descriptive and inferential statistics including repeated-measures analysis of covariance. Although there were no significant differences in pain, there were significant changes in perceived isolation (F = 9.937, P < .01), personal resources (F = 6.612, P < .05), support care need (F = 8.299, P < .01), and degree of uncertainty (F = 8.722, P < .01) in the intervention group from pretest to posttest. These findings support the positive effects of CAncer Pain management support Program for Asian American survivors of breast cancer on the cancer pain experience of Asian American breast cancer survivors.


Assuntos
Americanos Asiáticos/psicologia , Neoplasias da Mama/complicações , Dor do Câncer/terapia , Sobreviventes de Câncer/psicologia , Manejo da Dor/instrumentação , Adulto , Americanos Asiáticos/estatística & dados numéricos , Neoplasias da Mama/psicologia , Sobreviventes de Câncer/estatística & dados numéricos , Feminino , Humanos , Pessoa de Meia-Idade , Manejo da Dor/métodos , Projetos Piloto , Apoio Social , Inquéritos e Questionários
16.
Best Pract Res Clin Anaesthesiol ; 33(4): 465-486, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31791564

RESUMO

Chronic pain management techniques have evolved in recent years. With regard to this, ultrasound (US) technology has become a standard for most acute pain procedures and essential for postsurgical pain relief and enhanced recovery after surgery protocols. This manuscript summarizes clinical studies evaluating US use for chronic pain management and compares efficacy with standard techniques including fluoroscopy (FL). US possesses several unique benefits when compared with FL, including elimination of radiation exposure while providing similar clinical outcomes. In summary, US use for chronic pain procedures is emerging as a viable, safe, and effective modality. Additional studies are needed to best appreciate US and its role in chronic pain management.


Assuntos
Dor Crônica/diagnóstico por imagem , Dor Crônica/terapia , Bloqueio Nervoso/métodos , Manejo da Dor/métodos , Ultrassonografia de Intervenção/métodos , Anestésicos Locais/administração & dosagem , Humanos , Bloqueio Nervoso/instrumentação , Manejo da Dor/instrumentação , Medição da Dor/instrumentação , Medição da Dor/métodos , Ultrassonografia de Intervenção/instrumentação
17.
Complement Ther Med ; 47: 102192, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31779992

RESUMO

This study was conducted in order to examine the effect of "Shotblocker" in relieving pain associated with intramuscular injection. The population of the study consisted of all the patients who were hospitalized in the hospital and received intramuscular diclomec treatment. In order to eliminate the individual pain differences, each patient constituted their own control group. Patient Information Form, Visual Analogue Scale (VAS), and Shotblocker were used to collect the data. Pain level of the patients was measured by using VAS within the first minute after the injection. The pain mean score of the patients was 1.22 ±â€¯0.62 in the experimental group and 2.48 ±â€¯1.12 cm in the control group and the difference between them was statistically significant (p < 0.001). Shotblocker was determined to be effective on relieving pain associated with intramuscular injection.


Assuntos
Injeções Intramusculares/efeitos adversos , Manejo da Dor/instrumentação , Dor/etiologia , Dor/prevenção & controle , Adolescente , Adulto , Desenho de Equipamento , Feminino , Humanos , Ensaios Clínicos Controlados não Aleatórios como Assunto , Manejo da Dor/métodos , Medição da Dor , Adulto Jovem
18.
Pain Manag ; 9(6): 535-541, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31782695

RESUMO

Cluster headache (CH) is a primary headache disorder. The use of neuromodulation in treatment of CH is well documented. The sphenopalatine ganglion (SPG) has long been a target for management of CH. Intervention at the level of the SPG can interrupt the trigemino-autonomic reflex, which mediates CH pain. The Pulsante system is the only device on the market created for SPG stimulation. The Pulsante device consists of the device body, a lead with six stimulating electrodes placed in the pterygopalatine fossa, and a fixation plate to allow anchoring of the device to the maxilla. Stimulation is administered via a patient-controlled handheld remote control held over the cheek. SPG stimulation is an important treatment option for CH patients.


Assuntos
Cefaleia Histamínica/terapia , Terapia por Estimulação Elétrica/instrumentação , Manejo da Dor/instrumentação , Bloqueio do Gânglio Esfenopalatino/instrumentação , Terapia por Estimulação Elétrica/métodos , Humanos , Manejo da Dor/métodos , Bloqueio do Gânglio Esfenopalatino/métodos , Resultado do Tratamento
19.
Acta Biomed ; 90(3): 287-292, 2019 09 06.
Artigo em Inglês | MEDLINE | ID: mdl-31580316

RESUMO

FIT® Lady patch is an easy-to-use class I medical device, developed to relieve pain associate to menstrual period, without pharmacological substances. The patch is based on far infrared (FIR) electromagnetic waves reflection properties that normally are emitted from the body, as a consequence of body heat dispersion between the difference of cutaneous body and ambient temperature. Consequently, infrared (IR) waves are reflected and resorbed at cutaneous level and thermal energy again locally introduced leads to a better microcirculation. Although biological IR waves properties and mechanisms of action are extensively studied, there are still few references on patches based on FIR properties. The aim of this study was the evaluation of FIR technology applied to FIT® Lady patch thought to be used to alleviate pain associated to menstrual period (dysmenorrhea). The FIT® Lady patch medical device (active patch) was evaluated in comparison with a placebo patch, in order to assess its action in reducing pain related to menstrual period in 40 women patients enrolled according to specific inclusion/exclusion criteria. This study confirmed a good tolerability of the product, by demonstrating the ability to significantly reduce inconvenience and feeling of pain. The mineral that was responsible of the reflection activity (titanium dioxide), conveniently entrapped in a patch, was able to work without any active substances in contact with and absorbed from the skin.


Assuntos
Dismenorreia/fisiopatologia , Manejo da Dor/instrumentação , Adulto , Radiação Eletromagnética , Feminino , Humanos , Raios Infravermelhos , Medição da Dor , Titânio/administração & dosagem
20.
Stereotact Funct Neurosurg ; 97(4): 272-277, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31655819

RESUMO

BACKGROUND: Implanted high-frequency spinal cord stimulators at 10 kHz (HF-SCS) have recently acquired conditional approval for magnetic resonance imaging (MRI), including retrospective application to previously implanted devices. Under certain conditions, there are greater specific absorption rate (SAR) scanning restrictions compared to some conventional alternatives. This poses technical challenges to obtain diagnostic quality imaging. OBJECTIVES: To describe our experience with 9 such scans, demonstrating that safe and diagnostically useful images can be obtained despite these restrictions. METHODS: We report a prospective single-centre series of 9 scans within a tertiary neuroscience centre, all obtained within the required SAR limit of ≤0.4 W/kg, and describe the scanning protocol we have developed. We further illustrate this with 2 representative patient cases. RESULTS: The imaging studies were well tolerated without complication. In all cases, the imaging quality was sufficient for the reporting neuroradiologist to answer the clinical question posed. CONCLUSION: Despite technical challenges, MRI is feasible, safe and diagnostically useful in HF-SCS-implanted patients. We would invite other centres that implant these devices to consider the development of their own scanning protocols to avoid the morbidity and inconvenience of explantation or computed tomography myelography. To our knowledge, this is the first reported study of MRI in HF-SCS-implanted patients achieving the requisite SAR limit of ≤0.4 W/kg.


Assuntos
Eletrodos Implantados , Manejo da Dor/métodos , Dor/diagnóstico por imagem , Estimulação da Medula Espinal/métodos , Medula Espinal/diagnóstico por imagem , Eletrodos Implantados/normas , Humanos , Imagem por Ressonância Magnética/métodos , Masculino , Pessoa de Meia-Idade , Manejo da Dor/instrumentação , Manejo da Dor/normas , Estudos Prospectivos , Estudos Retrospectivos , Estimulação da Medula Espinal/instrumentação , Estimulação da Medula Espinal/normas , Tomografia Computadorizada por Raios X/métodos
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