Articles: pain-management.
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Randomized Controlled Trial Clinical Trial
Acupuncture during labor can reduce the use of meperidine: a controlled clinical study.
To evaluate the effectiveness of acupuncture as an analgesic during labor. ⋯ Acupuncture during labor reduced the requirement for other painkillers and has high patient satisfaction in this randomized, unblinded, controlled study.
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Randomized Controlled Trial Clinical Trial
Efficacy of a self-management group intervention for elderly persons with chronic pain.
To assess the efficacy of a self-management group intervention in improving physical functioning, mood, and pain among elderly persons with chronic pain, and to identify factors that may be associated with improvement. ⋯ This study provides preliminary support for the efficacy of a self-management group intervention for older adults with chronic pain and has implications for future studies of such approaches for this and similar populations.
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Beijing Da Xue Xue Bao · Apr 2003
Randomized Controlled Trial[Effect of different methods for postoperative pain management on catecholamine response to abdominal surgery].
To observe the effect of different analgesic methods and the influence of catecholamine response to elective abdominal surgery. ⋯ Postoperative patient-controlled epidural or intravenous analgesia could provide effective analgesia. Epidural anesthesia during operation or epidural analgesia postoperation could depress stress responses, thus it is a more effective analgesic method.
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Behavior modification · Apr 2003
Randomized Controlled Trial Clinical TrialLong-term effects of a brief distraction intervention on children's laboratory pain reactivity.
This 2-year follow-up study examined the effects of a brief behavioral intervention on task-based coping and pain reactivity to the cold pressor task (CPT). In the original study by Fanurik et al. (1993), 64 children (aged 8 to 10) whose coping style was categorized as "attender" or "distracter," based on primary coping strategy during baseline CPT trials, received a 5-minute intervention (attention-focusing, distraction training, or control, randomly assigned). ⋯ The distraction training group also demonstrated greater tolerance at follow-up compared to controls, although pain ratings did not differ by intervention group. Our findings suggest that a brief distraction intervention has long-term effects on task-based coping and experimental pain reactivity.
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Randomized Controlled Trial Multicenter Study Comparative Study Clinical Trial
Automated, patient-interactive, spinal cord stimulator adjustment: a randomized controlled trial.
Programmable, multicontact, implanted stimulation devices represent an important advance in spinal cord stimulation for the management of pain. They facilitate the technical goal of covering areas of pain by stimulation-evoked paresthesiae. Adjustment after implantation requires major investments of time and effort, however, if the capabilities of these devices are to be used to full advantage. The objective of maximizing coverage should be met while using practitioners' time efficiently. ⋯ Automated, patient-interactive adjustment of implanted spinal cord stimulators is significantly more effective and more efficient than traditional manual methods of adjustment. It offers not only improved clinical efficacy but also potential cost savings in extending implanted battery life. It has the additional potential advantages of standardization, quality control, and record keeping, to facilitate clinical research and patient care. It should enhance the clinical application of spinal cord stimulation for the treatment of chronic intractable pain.