The Clinical journal of pain
-
Comparative Study
Changes in head and neck position have a greater effect on elbow joint position sense in people with whiplash-associated disorders.
It has been shown that perception of elbow joint position is affected by changes in head and neck position. Further, people with whiplash-associated disorders (WAD) present with deficits in upper limb coordination and movement. ⋯ Elbow JPE is affected by movement of the head and neck, with smaller angles of neck rotation in people with WAD than in healthy individuals. This observation may explain deficits in upper limb coordination in people with WAD, which may be due to the presence of pain or reduced range of motion in this population.
-
Randomized Controlled Trial Comparative Study Clinical Trial
Topiramate in treatment of patients with chronic low back pain: a randomized, double-blind, placebo-controlled study.
Chronic low back pain (CLBP) is a widespread ailment. The aim of this study was to assess the efficacy of topiramate in the treatment of CLBP and the changes in anger status and processing, body weight, subjective pain-related disability and health-related quality of life during the course of treatment. ⋯ Topiramate seems to be a relatively safe and effective agent in the treatment of CLBP. Significantly positive changes in pain sensitivity, anger status and processing, subjective disability, health-related quality of life, and loss of weight were observed.
-
Randomized Controlled Trial Comparative Study Clinical Trial
Superior hypogastric block: transdiscal versus classic posterior approach in pelvic cancer pain.
The classic posterior approach of superior hypogastric block has several technical difficulties. The transdiscal approach is a novel and easier approach for superior hypogastric which overcome these technical difficulties. ⋯ The transdiscal approach for superior hypogastric plexus block in pelvic cancer pain is easier, safer, and more effective with less side effects than the classic approach.
-
Comparative Study
Pain Assessment in Noncommunicative Elderly persons--PAINE.
We describe the validation of an informant-based pain assessment for persons suffering from dementia called Pain Assessment in Noncommunicative Elderly persons (PAINE) using 2 different samples. ⋯ PAINE has the advantage of using a comprehensive list of pain symptoms on the basis of systematic questioning of direct caregivers from several institutions. The validity results suggest that this assessment could be a useful tool in detecting pain in persons with dementia.
-
Comparative Study
Adolescent-parent relationships in the context of adolescent chronic pain conditions.
This study explored adolescent-parent relationships in families of adolescents with chronic pain. ⋯ The findings suggest important directions for future research to advance our understanding of the role of adolescent-parent relationships in the pain-disability cycle.