Articles: chronic-pain.
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Eur J Phys Rehabil Med · Apr 2015
Randomized Controlled TrialMobilization versus manipulations versus sustain apophyseal natural glide techniques and interaction with psychological factors for patients with chronic neck pain: randomized controlled trial.
Three different types of manual therapy techniques for patients with neck pain and relationship with psychological factors has not been evaluated. ⋯ The findings provide preliminary evidence to support that three different techniques have similar immediate effects over neck pain and while under high anxiety levels a better outcome is expected after mobilization intervention, under low anxiety levels a better prognosis is expected after manipulation and SNAG intervention.
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Arch Orthop Trauma Surg · Apr 2015
Retrospective lumbar fusion outcomes measured by ODI sub-functions of 100 consecutive procedures.
Low back pain has been quite prevalent in the general population. Chronic low back pain can be defined as back pain lasting for more than 12 weeks. For chronic symptoms, fusion surgeries are the most common surgeries to alleviate the pain. Visual Analog Scale (VAS) is a measurement for subjective characteristics or attitudes that can be difficult to be directly measured. Respondents specify their level of agreement to a statement by indicating a position along a continuous line between two end points. ⋯ Successful outcomes were demonstrated for each of the categories assessed and no statistical differences were seen in the ODI % for any comparison after 5 years on 19% of data reported which may have limited forecast reliability. Our data suggest that post-operative outcome is independent of preoperative condition, procedure to be preformed, age, and BMI. Our data support the continual practice of spinal fusion for the treatment of degenerative disk disease.
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The degree to which shared vulnerability and protective factors for chronic pain and trauma-related symptoms contribute to pain adjustment in chronic pain patients who have experienced a traumatic event remains unclear. ⋯ This study demonstrates the role of a vulnerability pathway (i.e. experiential avoidance) and a protective pathway (i.e. resilience and pain acceptance) in adaptation to pain after a traumatic event.
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Comparative Study
Variability of pudendal and median nerve sensory perception thresholds in healthy persons.
Normative current perception thresholds (CPTs) are used for the evaluation of sensory function in a variety of diseases. ⋯ Both nerves showed deviating values. CPT values with sinusoidal current assessed with 1 week interval, showed a weak intraclass correlation. This finding limits the use of CPT values with this current for longitudinal studies.
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Observational Study
Is the introduction of another variable to the strength-duration curve necessary in neurostimulation?
Neurostimulation is the process and technology derived from the application of electricity with different parameters to activate or inhibit nerve pathways. Pulse width (Pw) is the duration of each electrical impulse and, along with amplitude (I), determines the total energy charge of the stimulation. ⋯ The patient paresthesia coverage was introduced as an extra variable in the chronaxie-rheobase curve, allowing the adjustment of Pw values for optimal programming. The coverage of the patient against the current chronaxie-rheobase formula will be represented on three axes; an extra axis (z) will appear, multiplying each combination of Pw value and amplitude by the percentage of coverage corresponding to those values. Using this new comparison of chronaxie-rheobase curve vs. coverage, maximum Pw values will be obtained different from those obtained by classic methods.