THE EFFECT OF TENS ON PAIN INTENSITY, PLASMA BETA-ENDORPHIN AND SUBSTANCE P IN CHRONIC BACK PAIN. W.C.V.

1990 ◽  
Vol 70 (Supplement) ◽  
pp. S300
Author(s):  
W. C.V. Parris ◽  
R. Naukam ◽  
Karen Lindsey ◽  
J. R.N. Kambam ◽  
R. B.V. Sastry
Keyword(s):  
Back Pain ◽  
Substance P ◽  
Pain Intensity ◽  
Chronic Back Pain ◽  
Beta Endorphin

Outcomes of a Rehabilitation Programme for Patients with Chronic Back Pain

1995 ◽  
Vol 58 (10) ◽  
pp. 435-438 ◽  
Author(s):  
Monica Moran ◽  
Jenny Strong
Keyword(s):  
Back Pain ◽  
Pain Intensity ◽  
Functional Capacity ◽  
Chronic Back Pain ◽  
Rehabilitation Programme ◽  
Therapeutic Interventions ◽  
Pain Disability ◽  
Perceived Pain ◽  
Disability Questionnaire ◽  
Objective Outcome

In order to evaluate the effectiveness of a rehabilitation programme for patients with chronic back pain, data on the subjective outcomes of perceived pain intensity (as measured by the Visual Analogue Scale Horizontal) and perceived level of disability (as measured by the Oswestry Low Back Pain Disability Questionnaire), and the objective outcome of functional capacity (as measured by the West Standardised Evaluation), were collected on 51 subjects prior to entry into a back pain rehabilitation programme and at discharge. The results at discharge showed a significant reduction in the perceived level of disability and a significant Increase in the functional capacity. The perceived pain intensity did not change significantly. The discussion focuses on the importance of directing therapeutic interventions towards increasing physical function rather than concentrating on the reduction or elimination of pain.

A Dyadic Investigation of Depressed Affect and Interspousal Behavior in Couples With Chronic Back Pain

2021 ◽  
Author(s):  
Kristina M Post ◽  
David A Smith ◽  
John W Burns ◽  
Laura S Porter ◽  
Francis J Keefe
Keyword(s):  
Back Pain ◽  
Pain Intensity ◽  
Hierarchical Linear Modeling ◽  
Chronic Back Pain ◽  
Pain Behavior ◽  
Linear Modeling ◽  
Electronic Diary ◽  
Higher Criticism ◽  
Depressed Affect ◽  
And Behavior

Abstract Background Depression and marital discord are characteristic not only of individuals with chronic low back pain (ICPs) but also of their spouses. Purpose We examined actor–partner interdependence models to evaluate associations among depressed affect and criticism and support of partners at the same time point (concurrent effects) and 3 hr later (lagged effects). Fully dyadic models were used to account for both within-person and cross-spouse associations among depressed affect, criticism, and support for ICPs and spouses. We also examined the direction of the relationships (depressed affect predicting behavior and behavior predicting depressed affect) all while controlling for pain intensity, pain behavior, and the prior dependent variable. Methods ICPs (n = 105) and their spouses completed electronic diary measures of depressed affect and behavior (criticism and support) five times a day for 2 weeks. Hierarchical linear modeling with person-mean centering was used for data analysis. Results Within the same 3 hr epoch, more depressed affect was related to higher criticism and generally less support. Lagged analyses suggested bidirectional relationships between spouse’s own depressed affect and spouse’s own criticism of ICPs. Spouse depressed affect was also associated with decreased support received from ICPs. Pain behavior and pain intensity were also related to depressed affect, criticism, and support especially concurrently. Conclusions Theories and interventions need to address not only ICP depressed affect but also spouse depressed affect, as spouse depressed affect may be a stress generating precursor to criticism and support.

scholarly journals PAIN INTENSITY, DISABILITY, AND WELL-BEING IN PATIENTS WITH CHRONIC BACK PAIN: DOES AGE MATTER?

2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 892-892
Author(s):  
M. Wettstein ◽  
J. Tesarz ◽  
W. Eich
Keyword(s):  
Back Pain ◽  
Pain Intensity ◽  
Chronic Back Pain ◽  
Well Being

F225 SEE WHAT YOU FEEL BEHIND: LOOKING AT THEIR OWN BACK REDUCES EXPERIMENTAL PAIN INTENSITY IN CHRONIC BACK PAIN PATIENTS

2011 ◽  
Vol 5 (S1) ◽  
pp. 132-132
Author(s):  
M. Diers ◽  
W. Zieglgänsberger ◽  
P. Yilmaz ◽  
R. Bekrater-Bodmann ◽  
J. Foell ◽  
...  
Keyword(s):  
Back Pain ◽  
Pain Intensity ◽  
Chronic Back Pain ◽  
Experimental Pain ◽  
Pain Patients

scholarly journals Pain intensity, disability and depression in individuals with chronic back pain

2014 ◽  
Vol 22 (4) ◽  
pp. 569-575 ◽  
Author(s):  
Márcia de Oliveira Sakamoto Silva Garbi ◽  
Priscilla Hortense ◽  
Rodrigo Ramon Falconi Gomez ◽  
Talita de Cássia Raminelli da Silva ◽  
Ana Carolina Ferreira Castanho ◽  
...  
Keyword(s):  
Back Pain ◽  
Pain Intensity ◽  
Chronic Back Pain ◽  
Pain Treatment ◽  
Sao Paulo ◽  
São Paulo ◽  
Arithmetic Means ◽  
Cross Sectional ◽  
Pain Disability ◽  
The University

OBJECTIVES: to measure the pain intensity, identify the disability and depression levels in people with chronic back pain and to correlate these variables. A cross-sectional, descriptive and exploratory study was undertaken at the Pain Treatment Clinic of the University of São Paulo at Ribeirão Preto Hospital das Clínicas, between February and June 2012, after receiving approval from the Ethics Committee at the University of São Paulo at Ribeirão Preto College of Nursing.METHOD: sixty subjects with chronic back pain participated. The instruments used were: the 11-point Numerical Category Scale, the Roland-Morris Disability Questionnaire and the Beck Depression Inventory. To analyze the data, the arithmetic means, standard deviations and Spearman's correlation coefficient were calculated.RESULTS: the findings show that the participants presented high pain, disability and depression levels. The correlation between pain intensity and disability and between pain intensity and depression was positive and weak and, between disability and depression, positive and moderate.CONCLUSION: the study variables showed moderate and weak indices and the mutual correlations were positive.

scholarly journals Cupping therapy and chronic back pain: systematic review and meta-analysis

2018 ◽  
Vol 26 (0) ◽  
Author(s):  
Caroline de Castro Moura ◽  
Érika de Cássia Lopes Chaves ◽  
Ana Carolina Lima Ramos Cardoso ◽  
Denismar Alves Nogueira ◽  
Hérica Pinheiro Corrêa ◽  
...  
Keyword(s):  
Systematic Review ◽  
Back Pain ◽  
Pain Intensity ◽  
Chronic Back Pain ◽  
Meta Analysis ◽  
Treatment Protocol ◽  
Mechanical Stimulus ◽  
Cupping Therapy ◽  
Pain Intensity Score

ABSTRACT Objectives: to evaluate the evidence from the literature regarding the effects of cupping therapy on chronic back pain in adults, the most used outcomes to evaluate this condition, the protocol used to apply the intervention and to investigate the effectiveness of cupping therapy on the intensity of chronic back pain. Method: systematic review and meta-analysis carried out by two independent researchers in national and international databases. Reference lists of systematic reviews were also explored. The quality of evidence was assessed according to the Jadad scale. Results: 611 studies were identified, of which 16 were included in the qualitative analysis and 10 in the quantitative analysis. Cupping therapy has shown positive results on chronic back pain. There is no standardization in the treatment protocol. The main assessed outcomes were pain intensity, physical incapacity, quality of life and nociceptive threshold before the mechanical stimulus. There was a significant reduction in the pain intensity score through the use of cupping therapy (p = 0.001). Conclusion: cupping therapy is a promising method for the treatment of chronic back pain in adults. There is the need to establish standardized application protocols for this intervention.

(161) Differential daily effects of pain intensity, sleep, and mood on physical activity in chronic back pain

2016 ◽  
Vol 17 (4) ◽  
pp. S16
Author(s):  
J. Sturgeon ◽  
S. Middleton ◽  
T. Rico ◽  
S. Mackey ◽  
K. Johnson
Keyword(s):  
Physical Activity ◽  
Back Pain ◽  
Pain Intensity ◽  
Chronic Back Pain

scholarly journals Osteopathic Manipulation Improves Functional Status in Patients With Non-Specific Chronic Back Pain in a Rural Outpatient Setting

2018 ◽  
Vol 28 (2) ◽  
pp. 29-33
Author(s):  
Daniel J. Wilson ◽  
Jennie L. Gorham ◽  
Teri Lamb ◽  
Shanliang Lui ◽  
Todd Daniel
Keyword(s):  
Back Pain ◽  
Pain Intensity ◽  
Functional Ability ◽  
Repeated Measures ◽  
Social Life ◽  
Chronic Back Pain ◽  
Safety Net ◽  
Rural Setting ◽  
Professional Literature ◽  
Safety Net Hospital

Abstract Context Osteopathic manipulative treatment (OMT) is a widely used methodology for the clinical treatment of spine-related pain. Recent reports have been especially positive regarding the use of OMT for chronic back pain. However, published reports have been focused on populations available within large university-based institutions, with rural-based hospitals and their clientele unrepresented within the professional literature Objective The objective of this multi-year study was to examine the effects of OMT on spine-related chronic pain and its effects on dimensions of functional ability in a rural setting served by a safety-net hospital. Methods In this study, 151 participants with chronic (>6 months) spine-related pain (mean age 54.58 ± 11.88 years) completed at least 2 office visits. The Oswestry Disability Index (ODI) was used to assess 10 dimensions (pain intensity, personal care, lifting, walking, sitting, sleeping, standing, sex life, social life, and travel) and a total score of functional ability related to back pain. Results A 2-way mixed-model, repeated-measures analysis of variance (ANOVA) with time (pre- and post-office visit) as the within-participants factor and with sex as the between-participants factor resulted in a significant main effect from pretest to posttest, (F(1,149) = 67.12, P < .001, η2p = .311), but not a significant interaction between time and gender, (F(1,149) = .426, P = .515, η2p = .003). Conclusions The results of this study support the hypothesis that OMT improved measures of functional ability related to pain intensity, unrelated to sex. The rural nature of the clinical setting provided a unique population for this study.

scholarly journals Chronic Pain Patients Exhibit Individually Unique Cortical Signatures of Pain

2020 ◽  
Author(s):  
Astrid Mayr ◽  
Pauline Jahn ◽  
Anne Stankewitz ◽  
Bettina Deak ◽  
Anderson Winkler ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Chronic Back Pain ◽  
Anterior Insula ◽  
Individual Level ◽  
Intensity Changes ◽  
Complex Picture ◽  
The Individual ◽  
Pain Patients

AbstractWe investigated how the trajectory of pain patients’ ongoing and fluctuating pain is encoded in the brain. In repeated fMRI sessions, 20 chronic back pain patients and 20 chronic migraineurs were asked to continuously rate the intensity of their endogenous pain. Linear mixed effects models were used to disentangle cortical processes related to pain intensity and to pain intensity changes. We found that the intensity of pain in chronic back pain patients is encoded in the anterior insula, the frontal operculum, and the pons; the change of pain of chronic back pain and chronic migraine patients is mainly encoded in the anterior insula. At the individual level, we identified a more complex picture where each patient exhibited their own signature of endogenous pain encoding. The diversity of the individual cortical signatures of chronic pain encoding results adds to the understanding of chronic pain as a complex and multifaceted disease.

scholarly journals Association of Acute Postoperative Pain and Cigarette Smoking With Cerebrospinal Fluid Levels of Beta-Endorphin and Substance P

2022 ◽  
Vol 14 ◽  
Author(s):  
Fan Wang ◽  
Hui Li ◽  
Qingshuang Mu ◽  
Ligang Shan ◽  
Yimin Kang ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Postoperative Pain ◽  
Substance P ◽  
Cigarette Smoking ◽  
Pain Intensity ◽  
Pain Perception ◽  
Cruciate Ligament ◽  
Biochemical Alterations ◽  
Beta Endorphin ◽  
Vas Scores

Objectives: Cigarette smoking is associated with postoperative pain perception, which might be mediated by beta-endorphin and substance P. These effects on postoperative pain perception have never been investigated in human cerebrospinal fluid (CSF), which reflects biochemical alterations in the brain. Therefore, we investigated the associations among cigarette smoking, postoperative pain, and levels of beta-endorphin and substance P in human CSF.Methods: We recruited 160 Chinese men (80 active smokers and 80 nonsmokers) who underwent lumbar puncture before anterior cruciate ligament reconstruction, and 5-ml CSF samples were collected. Pain visual analog scale (VAS) scores, post-anesthetic recovery duration (PARD), and smoking variables were obtained. CSF levels of beta-endorphin and substance P were measured.Results: Compared to non-smokers, active smokers had significantly higher pain VAS (2.40 ± 0.67 vs. 1.70 ± 0.86, p < 0.001) and PARD scores (9.13 ± 2.11 vs. 7.27 ± 1.35, p = 0.001), lower CSF beta-endorphin (33.76 ± 1.77 vs. 35.66 ± 2.20, p = 0.001) and higher CSF substance P (2,124.46 ± 217.34 vs. 1,817.65 ± 302.14, p < 0.001) levels. Pain VAS scores correlated with PARD in active smokers (r = 0.443, p = 0.001).Conclusions: Cigarette smoking is associated with increased postoperative pain intensity, shown by delayed pain perception, higher pain VAS scores, and lower beta-endorphin and higher substance P levels in the CSF of active smokers. The more extended postoperative pain perception is delayed, the more pain intensity increases.

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