scholarly journals What Is the Relationship of Fear Avoidance to Physical Function and Pain Intensity in Injured Athletes?

2018 ◽  
Vol 476 (4) ◽  
pp. 754-763 ◽  
Author(s):  
Stefan F. Fischerauer ◽  
Mojtaba Talaei-Khoei ◽  
Rens Bexkens ◽  
David C. Ring ◽  
Luke S. Oh ◽  
...  
2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Rie Ishikawa ◽  
Masako Iseki ◽  
Rie Koga ◽  
Eiichi Inada

Postherpetic itch (PHI), or herpes zoster itch, is an intractable and poorly understood disease. We targeted 94 herpes zoster patients to investigate their pain and itch intensities at three separate stages of the condition (acute, subacute, and chronic). We used painDETECT questionnaire (PDQ) scores to investigate the correlation between PHI and neuropathic pain. Seventy-six patients were able to complete follow-up surveys. The prevalence of PHI was 47/76 (62%), 28/76 (37%), and 34/76 (45%) at the acute, subacute, and chronic stages, respectively. PHI manifestation times and patterns varied. We investigated the relationship of PHI with neuropathic pain using the visual analog scale (VAS), which is a measure of pain intensity, and the PDQ, which is a questionnaire used to evaluate the elements of neuropathic pain. The VAS and PDQ scores did not differ significantly between PHI-positive and PHI-negative patients. A large neuropathic component was not found for herpes zoster itch, suggesting that neuropathic pain treatments may not able to adequately control the itch. Accordingly, we suggest that a more PHI-focused therapy is required to address this condition.


2019 ◽  
Vol 10 (4) ◽  
pp. 399-405
Author(s):  
Peter G. Passias ◽  
Samantha R. Horn ◽  
Frank A. Segreto ◽  
Cole A. Bortz ◽  
Katherine E. Pierce ◽  
...  

Study Design: Retrospective review of single institution. Objective: To assess the relationship between Patient-Reported Outcomes Measurement Information System (PROMIS) and Oswestry Disability Index (ODI) scores in thoracolumbar patients. Methods: Included: Patients ≥18 years with a thoracolumbar spine condition (spinal stenosis, disc herniation, low back pain, disc degeneration, spondylolysis). Bivariate correlations assessed the linear relationships between ODI and PROMIS (Physical Function, Pain Intensity, and Pain Interference). Correlation cutoffs assessed patients with high and low correlation between ODI and PROMIS. Linear regression predicted the relationship of ODI to PROMIS. Results: A total of 206 patients (age 53.7 ± 16.6 years, 49.5% female) were included. ODI correlated with PROMIS Physical Function ( r = −0.763, P < .001), Pain Interference ( r = 0.800, P < .001), and Pain Intensity ( r = 0.706, P < .001). ODI strongly predicted PROMIS for Physical Function ( R2 = 0.58, P < .001), Pain Intensity ( R2 = 0.50, P < .001), and Pain Interference ( R2 = 0.64, P < .001); however, there is variability in PROMIS that ODI cannot account for. ODI questions about sitting and sleeping were weakly correlated across the 3 PROMIS domains. Linear regression showed overall ODI score as accounting for 58.3% ( R2 = 0.583) of the variance in PROMIS Physical Function, 63.9% ( R2 = 0.639) of the variance in Pain Interference score, and 49.9% ( R2 = 0.499) of the variance in Pain Intensity score. Conclusions: There is a large amount of variability with PROMIS that cannot be accounted for with ODI. ODI questions regarding walking, social life, and lifting ability correlate strongly with PROMIS while sitting, standing, and sleeping do not. These results reinforce the utility of PROMIS as a valid assessment for low back disability, while indicating the need for further evaluation of the factors responsible for variation between PROMIS and ODI.


2015 ◽  
Vol 47 ◽  
pp. 588-589
Author(s):  
Samuel A. Gagnon ◽  
Michelle R. Villa ◽  
Dain P. LaRoche ◽  
Summer B. Cook

2016 ◽  
Vol 65 (2) ◽  
pp. 24-30 ◽  
Author(s):  
Tatiana O Efimenko

Background. The study of the relationship of severity of endometriosis, localization and intensity of pelvic pain is a significant scientific interest. Aim of the study was to determine the structure of pain in women with external genital endometriosis (EGE) varying forms of distribution. Materials and methods. 124 patients were examined. Degree exam proliferation was assessed by endoscopy. Recovered: superficial endometriosis; endometrioid ovarian cysts; infiltrative forms of endometriosis; combined forms of endometriosis. Pain intensity was determined in accordance with a 10-point visual-analogue scale. Pain Detect scale was used to determine the nature of the pain. Statistical analysis of the material was carried out using the Microsoft Excel 2013 (Microsoft Corp., USA) applications and Stastistica 10.0 for Windows. Results. Light degree of pain intensity in patients with superficial forms EGE (92.11 %, 35 cases) is 21 times higher than that in patients with infiltrative forms (4.35 %, 1 case). Severe degree of pain intensity and with the same frequency is found at infiltrative (56.52 %, 13 cases), combined forms of endometriosis (57.14 %, 8 cases) and in patients with bilateral endometrioid cysts (47.37 %, 9 cases). Nociceptive pain is typical for patients with superficial forms EGE (73.68 %, 28 cases). Neuropathic pain occurs 4.5 times more frequently in patients with infiltrative (86.96 %, 20 cases) and combined forms of endometriosis (92.86 %, 13 cases). Conclusions. Light degree of pain intensity corresponds to the surface form of endometriosis, moderate and severe degree of pain equally common in infiltrative forms and endometrioid ovarian cysts, severe degree of intensity of the most common in infiltrative endometriosis and associated forms. By the nature of pain in superficial forms of endometriosis is dominated by complaints typical for nociceptive pain, neuropathic pain is more common in infiltrative endometriosis and associated forms.


Author(s):  
Adesola Christiana Odole ◽  
Michael Opeoluwa Ogunlana ◽  
Babatunde Olusola Adeleke Adegoke ◽  
Faith Ojonima ◽  
Ushotanefe Useh

Background and purpose: Depression has been found to be associated with pain and poor physical function in patients with knee osteoarthritis though it is not sufficiently documented in Nigeria. This study was aimed at investigating the relationship among pain, depression and physical function in patients with knee osteoarthritis in Ibadan. Methods: Eighty individuals diagnosed with knee osteoarthritis were screened for depression using the mood/ depression assessment questionnaire. Depression, physical function and pain were assessed by Becks Depression Inventory, Ibadan Knee Hip Osteoarthritis Outcome Measure and Modified Visual Analogue Scale respectively. Data were analyzed using Pearson’s correlation test and linear regression (alpha level set at 0.05).  Results: Screening for depression was positive in 28.8% of patients aged 62.69 ± 5.96 years. There were significant correlations between physical function and each of pain intensity (r=-0.659) and depression (r = - 0.660) and between pain intensity and depression (r= 0.611). Negative linear relationship exist between physical function and each of pain (R2=0.434), depression (R2=0.436). A positive linear relationship exists between pain intensity and depression (R2=0.374).Conclusion: About a quarter of patients with knee osteoarthritis had depression. Individuals with knee osteoarthritis who had higher levels of pain were more depressed and had lower level of physical function.


Sign in / Sign up

Export Citation Format

Share Document