Unequal gains, prolonged pain: A model of protectionist overshooting and escalation

2021 ◽  
pp. 103559
Author(s):  
Emily Blanchard ◽  
Gerald Willmann
Keyword(s):  
Prolonged Pain

Development and Usability Testing of a Web-Based and Therapist-Assisted Coping Skills Program for Managing Psychosocial Problems in Individuals With Hand and Upper Limb Injuries: Mixed Methods Study (Preprint)

2019 ◽  
Author(s):  
Folarin Omoniyi Babatunde ◽  
Joy MacDermid ◽  
Ruby Grewal ◽  
Luciana Macedo ◽  
Mike Szekeres
Keyword(s):  
Upper Limb ◽  
Coping Skills ◽  
Usability Testing ◽  
Psychosocial Problems ◽  
Skills Training ◽  
Hand Therapy ◽  
Web Based ◽  
Coping Skills Training ◽  
Limb Injuries ◽  
Prolonged Pain

BACKGROUND Ineffective coping has been linked to prolonged pain, distress, anxiety, and depression after a hand and upper limb injury. Evidence shows that interventions based on cognitive behavioral therapy (CBT) may be effective in improving treatment outcomes, but traditional psychological interventions are resource intensive and unrealistic in busy hand therapy practices. Developing web-based, evidence-based psychological interventions specifically for hand therapy may be feasible in clinical practice and at home with reduced training and travel costs. Hand Therapy Online Coping Skills (HOCOS) is a program developed to supplement traditional hand therapy with therapist-assisted coping skills training based on principles from CBT and the Technology Acceptance Model. OBJECTIVE This study aimed to describe the development and assess the usability of HOCOS to support hand therapists in the management of psychosocial problems. METHODS The ADDIE model (Analysis, Design, Development, Implementation, and Evaluation) of system design was applied to create HOCOS. The usability testing of HOCOS involved a 2-stage process. In the first step, heuristic testing with information and communications technology (ICT) experts was completed using two sets of heuristics: Monkman heuristics and the Health Literacy Online (HLO) checklist. The second step involved user testing with hand therapists performing a series of online and face-to-face activities, completing 12 tasks on the website using the think-aloud protocol, completing the system usability scale (SUS) questionnaire, and a semistructured feedback interview in 2 iterative cycles. Descriptive statistics and content analyses were used to organize the data. RESULTS In total, 4 ICT experts and 12 therapists completed usability testing. The heuristic evaluation revealed 15 of 35 violations on the HLO checklist and 5 of 11 violations on the Monkman heuristics. Initially, hand therapists found 5 tasks to be difficult but were able to complete all 12 tasks after the second cycle of testing. The cognitive interview findings were organized into 6 themes: task performance, navigation, design esthetics, content, functionality and features, and desire for future use. Usability issues identified were addressed in two iterative cycles. There was good agreement on all items of the SUS. Overall, therapists found that HOCOS was a detailed and helpful learning resource for therapists and patients. CONCLUSIONS We describe the development and usability testing of HOCOS; a new web-based psychosocial intervention for individuals with a hand and upper limb injuries. HOCOS targets psychosocial problems linked to prolonged pain and disability by increasing access to therapist-guided coping skills training. We actively involved target users in the development and usability evaluation of the website. The final website was modified to meet the needs and preferences of the participants.

Prediction of prolonged pain experiences during orthodontic treatment

2008 ◽  
Vol 133 (3) ◽  
pp. 339.e1-339.e8 ◽  
Author(s):  
Marianne Bergius ◽  
Anders G. Broberg ◽  
Magnus Hakeberg ◽  
Ulf Berggren
Keyword(s):  
Orthodontic Treatment ◽  
Prolonged Pain ◽  
Pain Experiences

Prolonged pain and disability are common after rib fractures

2013 ◽  
Vol 205 (5) ◽  
pp. 511-516 ◽  
Author(s):  
Loic Fabricant ◽  
Bruce Ham ◽  
Richard Mullins ◽  
John Mayberry
Keyword(s):  
Rib Fractures ◽  
Prolonged Pain

Prolonged pain in patients with fragility fractures of the pelvis may be due to fracture progression

2019 ◽  
Author(s):  
Yasuhisa Ueda ◽  
Takahiro Inui ◽  
Yoshiaki Kurata ◽  
Hideki Tsuji ◽  
Jota Saito ◽  
...  
Keyword(s):  
Fragility Fractures ◽  
Prolonged Pain

Prolonged pain perception in subjects with PTSD in response to an intramuscular capsaicin injection

2011 ◽  
Vol 12 (4) ◽  
pp. P40
Author(s):  
T. Moeller-Bertram ◽  
A. Valencerina ◽  
A. Motazedi ◽  
U. Haji ◽  
D. Garcia ◽  
...  
Keyword(s):  
Pain Perception ◽  
Prolonged Pain

scholarly journals Jidabokuippo and Sokeikakketsuto for Prolonged Pain After Bruising : A Case Report

2017 ◽  
Vol 68 (2) ◽  
pp. 148-151
Author(s):  
Toru YONEMITSU
Keyword(s):  
Prolonged Pain

Complications of fractures

2011 ◽  
Author(s):  
James Wilson-MacDonald ◽  
Andrew James
Keyword(s):  
Bone Fractures ◽  
Fat Embolism ◽  
Gas Gangrene ◽  
Long Bone ◽  
Vein Thrombosis ◽  
Embolism Syndrome ◽  
Tissue Removal ◽  
Trophic Changes ◽  
Prolonged Pain ◽  
Deep Vein

♦ Fat embolism syndrome is defined as the presence of globules of fat in the lungs and in other tissues and occurs occasionally in long bone fractures♦ Reflex sympathetic dystrophy is characterized by intense prolonged pain, vasomotor disturbance, delayed functional recovery, and trophic changes♦ Avascular necrosis typically affects intra-articular bone after fracture and can occur in up to 70% of displaced talar neck fractures♦ Immobility associated with recovery from fracture is associated with deep vein thrombosis, which carries a risk of pulmonary embolism, and should be treated with anti-coagulants♦ Gas gangrene is a rapidly-spreading infection of devitalized tissue, removal of the affected area and treatment with penicillin is required♦ Compartment syndrome within a closed compartment can result in tissue ischaemia and necrosis followed by fibrosis and muscle contracture

Painful Ankle Region in Rheumatoid Arthritis

1996 ◽  
Vol 37 (3P2) ◽  
pp. 572-577 ◽  
Author(s):  
A. Lehtinen ◽  
L. Paimela ◽  
J. Kreula ◽  
M. Leirisalo-Repo ◽  
M. Taavitsainen
Keyword(s):  
Rheumatoid Arthritis ◽  
Mr Imaging ◽  
Clinical Features ◽  
High Frequency ◽  
Plain Radiography ◽  
Imaging Method ◽  
Extensor Tendons ◽  
Diagnostic Usefulness ◽  
Prolonged Pain

Purpose: To establish the diagnostic usefulness of ultrasonography (US) and MR imaging in patients with rheumatoid arthritis (RA) suffering from prolonged pain in the ankle region, where plain radiography did not demonstrate any changes. Material and Methods: Seventeen patients were studied with 0.1 T MR imaging and with high-frequency US. Talocrural and subtalar joints (including talonavicular joints), and medial, lateral, and extensor tendons and their synovial sheaths were examined by MR and US. Results: Abnormal findings were found by MR imaging and US in altogether 76% of the patients, by MR alone in 53%, and by US alone in 59%. In 41% of the patients, lesions were demonstrated only by one method. Talocrural and subtalar joints were the most often affected sites (41% each), followed by the peroneus tendon (23%). In the joints, the abnormal findings were interpreted as synovitis; in the tendon areas, mostly as tenosynovitis. MR and US were highly significantly concordant (p<0.0001), but correlation with clinical features was poor. Conclusion: In patients with pain in the ankle region, US and MR imaging can contribute to the diagnosis and localization of the abnormality when the plain radiography is normal. Easily available and inexpensive US can be recommended as the first imaging method after plain radiography. Some divergence seems to exist between US and MR, and in complicated cases both methods are recommended.

scholarly journals Prolonged Pain Research in Mice: Trends in Reference to the 3Rs

2013 ◽  
Vol 16 (1) ◽  
pp. 77-95 ◽  
Author(s):  
Jonathan Balcombe ◽  
Hope Ferdowsian ◽  
Lauren Briese
Keyword(s):  
Pain Research ◽  
Prolonged Pain
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