DIFFERENT MUSCULOSKELETAL PAINS AND SOCIOCULTURAL FEATURES: THE CASE OF PRIVATE NOBEL PHYSICAL THERAPY AND REHABILITATION MEDICAL CENTER

Aim: It was conducted to evaluate the effect of some sociodemographic and cultural characteristics on pain perception and pain intensity in different musculoskeletal pains and to determine some characteristics related to pain. Method: By recording the demographic information and sociocultural characteristics of all participants; Scandinavian Musculoskeletal Questionnaire and McGill Pain Scale Short Form were used to assess pain perception and pain intensity. Results: 544 patients, 372 women and 172 men, with subacute and chronic musculoskeletal pain were included in this study. The average age of the participants was 40.74±14.53 years. When the effect of sociocultural factors on pain intensity and pain perception (sensory and perceptual dimensions) is examined; it was determined that as the education level increased, the severity of pain (p = 0.002) and pain perception decreased (p = 0.0001), and the pain intensity of the participants living in the village was higher (p = 0.014). While the severity of pain and pain perception were higher in female individuals, it was determined that they also increased with age. When the relationship between pain intensity and pain perception of the participants is examined; positive high relationship (r = 0.630, p = 0.0001) was found between the intensity of pain and sensory pain perception, and a moderate relationship (r = 0.597, p = 0.0001) was found between perceptual dimension. A high positive correlation was found between sensory and perceptual pain dimensions (r = 0.658, p = 0.0001) Conclusion: Chronic pain experience and pain perception levels are affected by social and cultural characteristics. Sociocultural characteristics of individuals should also be taken into consideration in pain relief. Studies examining the effects of different sociocultural characteristics such as language, religious belief, family structure, pet feeding or interaction with animals on musculoskeletal pain are also needed.

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The Effect of COVID-19 Pandemic on Pain, Physical Activity, and Anxiety in Individuals with Chronic Musculoskeletal Pain

The Journal of Tepecik Education and Research Hospital ◽

10.5222/terh.2021.23356 ◽

2021 ◽

Author(s):

Gülşah Özsoy ◽

Hayriye Yılmaz ◽

İsmail Özsoy

Keyword(s):

Physical Activity ◽

Pain Intensity ◽

Musculoskeletal Pain ◽

Social Life ◽

Short Form ◽

Activity Level ◽

Chronic Musculoskeletal Pain ◽

Sitting Time ◽

Life Period ◽

Isolation Period

Objective: The COVID-19 pandemic has many features that can potentially trigger and increase chronic pain. The aim of this study was to examine the effects of the pandemic on pain, physical activity and anxiety in individuals with chronic musculoskeletal pain, in both periods of isolation and controlled social life. Methods: Seventy one individuals with chronic musculoskeletal pain were included in the study. Three different periods (pre-pandemic, isolation and controlled social life) were evaluated and analyzed. Pain intensity (Visual Analogue Scale (VAS)), coronavirus anxiety (Coronavirus Anxiety Scale Short Form (CAS-SF)), and physical activity level (International Physical Activity Questionnaire Short Form (IPAQ-SF)) were evaluated. Results: The VAS resting score was significantly higher during the isolation compared to the pre-pandemic period (p = 0.002). The VAS activity score was significantly higher in the isolation period compared to both pre-pandemic (p <0.001) and controlled social life periods (p <0.001). The lowest IPAQ-SF score (p <0.001) and the longest sitting time (p <0.001) were in the isolation period. The CAS-SF scores were significantly higher in the isolation period compared to the controlled social life period (p <0.001). Conclusion: While the measures taken during the isolation period had negative impacts on the severity of pain, physical activity and anxiety levels in individuals with chronic musculoskeletal pain, gradual deconfinement in the controlled social life period led to a decrease in pain intensity and anxiety and an increase in physical activity.

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INFLUENCE OF GENDER ON PAIN, QUALITY OF LIFE, AND PHYSICAL ACTIVITY IN PATIENTS WITH KNEE OSTEOARTHRITIS

Journal of Experimental Biology and Agricultural Sciences ◽

10.18006/2021.9(spl-1-gcsgd_2020).s139.s147 ◽

2021 ◽

Vol 9 (Spl-1- GCSGD_2020) ◽

pp. S139-S147

Author(s):

Tan Xue Min ◽

◽

Vinosh Kumar Purushothaman ◽

Yughdtheswari Muniandy ◽

◽

...

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Knee Osteoarthritis ◽

Pain Intensity ◽

Pain Perception ◽

Short Form ◽

Pearson Correlation ◽

Intensity Level ◽

Increased Risk

Osteoarthritis is the most common cause of knee pain which contributes to adults’ disability. Females have an increased risk of knee osteoarthritis. However, little is known about the gender influence in pain perception, quality of life (QOL), and physical activity. Hence, this study aimed to investigate the influence of gender on pain perception, QOL, and physical activity in patients with knee osteoarthritis. A cross-sectional study design with a total of 186 patients(mean age of 56.64 ± 6.49) with knee osteoarthritis were recruited. Pain intensity, level of physical activity, and QOL of patients were assessed using a visual analog scale (VAS), global physical activity questionnaire (GPAQ), and Short Form-36 (SF-36) questionnaire. Among the studied patients, 52% of patients with knee osteoarthritis had a relatively low level of physical activity with females representing the majority of them. Lower mean was observed in QOL and physical activity whereas pain intensity was higher in females compared to males (p < 0.05). Pearson correlation demonstrated a strong negative correlation between physical activity and pain (r = -0.77, n = 186, p <0.01), and a weak correlation exist between physical activity and all domains of QOL except for the functional capacity and body pain. Majority of female participants with knee osteoarthritis exhibit poor QOL, physical activity, and increased pain intensity as compared to males. Clinicians need to be aware of the influence of gender in treating patients with knee osteoarthritis.

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Limited predictive value of illness perceptions for short-term poor recovery in musculoskeletal pain. A multi-center longitudinal study

BMC Musculoskeletal Disorders ◽

10.1186/s12891-021-04366-7 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

E. J. de Raaij ◽

H. Wittink ◽

J. F. Maissan ◽

P. Westers ◽

R. W. J. G. Ostelo

Keyword(s):

Prognostic Factors ◽

Pain Intensity ◽

Musculoskeletal Pain ◽

Physical Functioning ◽

Predictive Value ◽

Illness Perceptions ◽

Illness Perception ◽

Added Value ◽

Poor Recovery ◽

Significant Difference

Abstract Background Musculoskeletal pain (MSP) is recognized worldwide as a major cause of increased years lived with disability. In addition to known generic prognostic factors, illness perceptions (IPs) may have predictive value for poor recovery in MSP. We were interested in the added predictive value of baseline IPs, over and above the known generic prognostic factors, on clinical recovery from MSP. Also, it is hypothesized there may be overlap between IPs and domains covered by the Four-Dimensional Symptom Questionnaire (4DSQ), measuring distress, depression, anxiety and somatization. The aim of this study is twofold; 1) to assess the added predictive value of IPs for poor recovery and 2) to assess differences in predictive value for poor recovery between the Brief Illness Perception Questionnaire - Dutch Language Version (Brief IPQ-DLV) and the 4DSQ. Methods An eligible sample of 251 patients with musculoskeletal pain attending outpatient physical therapy were included in a multi-center longitudinal cohort study. Pain intensity, physical functioning and Global Perceived Effect were the primary outcomes. Hierarchical logistic regression models were used to assess the added value of baseline IPs for predicting poor recovery. To investigate the performance of the models, the levels of calibration (Hosmer-Lemeshov test) and discrimination (Area under the Curve (AUC)) were assessed. Results Baseline ‘Treatment Control’ added little predictive value for poor recovery in pain intensity [Odds Ratio (OR) 0.80 (Confidence Interval (CI) 0.66–0.97), increase in AUC 2%] and global perceived effect [OR 0.78 (CI 0.65–0.93), increase in AUC 3%]. Baseline ‘Timeline’ added little predictive value for poor recovery in physical functioning [OR 1.16 (CI 1.03–1.30), increase in AUC 2%]. There was a non-significant difference between AUCs in predictive value for poor recovery between the Brief IPQ-DLV and the 4DSQ. Conclusions Based on the findings of this explorative study, assessing baseline IPs, over and above the known generic prognostic factors, does not result in a substantial improvement in the prediction of poor recovery. Also, no recommendations can be given for preferring either the 4DSQ or the Brief IPQ-DLV to assess psychological factors.

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Comparative Analysis of Periodontal Pain According to the Type of Precision Orthodontic Appliances: Vestibular, Lingual and Aligners. A Prospective Clinical Study

Biology ◽

10.3390/biology10050379 ◽

2021 ◽

Vol 10 (5) ◽

pp. 379

Author(s):

Laura Antonio-Zancajo ◽

Javier Montero ◽

Daniele Garcovich ◽

Mario Alvarado-Lorenzo ◽

Alberto Albaladejo ◽

...

Keyword(s):

Clinical Study ◽

Pain Intensity ◽

Short Form ◽

Study Groups ◽

Mcgill Pain Questionnaire ◽

Prospective Clinical Study ◽

Orthodontic Appliances ◽

Low Friction ◽

Different Types ◽

Lower Arch

The objective of this prospective clinical study was to analyze the pain (intensity, location and type) that patients presented after the placement of different types of orthodontic appliances: conventional, low friction, lingual and aligners. The sample consisted of 120 patients divided into four groups: conventional (CON), low friction (LF), lingual (LO) and aligners (INV). The participants were given the Short-Form McGill Pain Questionnaire (Ortho-SF-MPQ), where they had to record the pain intensity (no pain, mild, moderate or intense) and the periodontal location at different time points, from the first 4 h to 7 days after the start of treatment. In all the study groups, the most frequent location was both anterior arches, with maximum values between 56.7% (CON group at 24 h) and 30% (LO group at 4 h). The “whole mouth” and “complete lower arch” locations were indicated only by the patients in the lingual group. Regarding pain intensity, the patients reported a higher percentage of mild–moderate pain during the first 3 days of treatment (96.7% in LO at 4 h, 86.7% in CON, 83.3% in LF and 90% in INV at 24 h); later, the reported pain decreased to no pain/mild pain, especially in the lingual group, until reaching values close to zero at 7 days post-treatment. The most frequent type of pain was acute in the low friction and lingual groups (with maxima of 60% and 46.7% at 24 h, respectively). On the contrary, in the conventional (36.7% at 4 h) and Invisalign (40% at 24 h) groups, the sensitive type was the most frequent. There are differences regarding periodontal pain in its intensity, location and type according to the use of different orthodontic techniques.

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Pain perception in chronic knee osteoarthritis with varying levels of pain inhibitory control: an exploratory study

Scandinavian Journal of Pain ◽

10.1515/sjpain-2020-0016 ◽

2020 ◽

Vol 20 (4) ◽

pp. 651-661

Author(s):

Paulo E. P. Teixeira ◽

Hanan I. Zehry ◽

Swapnali Chaudhari ◽

Laura Dipietro ◽

Felipe Fregni

Keyword(s):

Knee Osteoarthritis ◽

Pain Intensity ◽

Pain Perception ◽

Small Sample Size ◽

Linear Regression Analysis ◽

Small Sample ◽

Pain Modulation ◽

Clinical Variables ◽

Pain Scores ◽

Intensity Perception

AbstractBackground and aimsPain is a disabling symptom in knee osteoarthritis (KOA) and its underlying mechanism remains poorly understood. Dysfunction of descending pain modulatory pathways and reduced pain inhibition enhance pain facilitation in many chronic pain syndromes but do not fully explain pain levels in chronic musculoskeletal conditions. The objective of this study is to explore the association of clinical variables with pain intensity perception in KOA individuals with varying levels of Conditioned Pain Modulation (CPM) response.MethodsThis is a cross-sectional, exploratory analysis using baseline data of a randomized clinical trial investigating the effects of a non-invasive brain stimulation treatment on the perception of pain and functional limitations due to KOA. Sixty-three subjects with KOA were included in this study. Data on pain perception, mood perception, self-reported depression, physical function, quality of life, and quantitative sensory testing was collected. Multiple linear regression analysis was performed to explore the association between the clinical variables with pain perception for individuals with different levels of CPM response.ResultsFor KOA patients with limited CPM response, perception of limitations at work/other activities due to emotional problems and stress scores were statistically significantly associated with pain scores, F(2, 37) = 7.02, p < 0.01. R-squared = 0.275. For KOA patients with normal CPM response, general health perception scores were statistically significantly associated with pain scores, F(1, 21) = 5.60, p < 0.05. R-squared = 0.2104. Limitations of this study include methodology details, small sample size and study design characteristics.ConclusionsPain intensity perception is associated differently with clinical variables according to the individual CPM response. Mechanistic models to explain pain perception in these two subgroups of KOA subjects are discussed.

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The association between pain diagram area, fear-avoidance beliefs, and pain catastrophising

Chiropractic & Manual Therapies ◽

10.1186/2045-709x-22-5 ◽

2014 ◽

Vol 22 (1) ◽

Cited By ~ 5

Author(s):

Bruce F Walker ◽

Christine D Losco ◽

Anthony Armson ◽

Amanda Meyer ◽

Norman J Stomski

Keyword(s):

Pain Intensity ◽

Psychosocial Factors ◽

Scale Score ◽

Short Form ◽

Spinal Pain ◽

Fear Avoidance ◽

Fear Avoidance Beliefs ◽

Pain Catastrophising ◽

Increased Risk ◽

Sf 36

Abstract Background The development of clinical practice guidelines for managing spinal pain have been informed by a biopsychosocial framework which acknowledges that pain arises from a combination of psychosocial and biomechanical factors. There is an extensive body of evidence that has associated various psychosocial factors with an increased risk of experiencing persistent pain. Clinicians require instruments that are brief, easy to administer and score, and capable of validly identifying psychosocial factors. The pain diagram is potentially such an instrument. The aim of our study was to examine the association between pain diagram area and psychosocial factors. Methods 183 adults, aged 20–85, with spinal pain were recruited. We administered a demographic checklist; pain diagram; 11-point Numerical Rating Scale assessing pain intensity; Pain Catastrophising Scale (PCS); MOS 36 Item Short Form Health Survey (SF-36); and the Fear Avoidance Beliefs Questionnaire (FABQ). Open source software, GIMP, was used to calculate the total pixilation area on each pain diagram. Linear regression was used to examine the relationship between pain diagram area and the following variables: age; gender; pain intensity; PCS total score; FABQ-Work scale score; FABQ-Activity scale score; and SF-36 Mental Health scale score. Results There were no significant associations between pain diagram area and any of the clinical variables. Conclusion Our findings showed that that pain diagram area was not a valid measure to identify psychosocial factors. Several limitations constrained our results and further studies are warranted to establish if pain diagram area can be used assess psychosocial factors.

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Shared clinical decision-making experiences in nursing: a qualitative study

BMC Nursing ◽

10.1186/s12912-021-00597-0 ◽

2021 ◽

Vol 20 (1) ◽

Author(s):

Fen-Fang Chung ◽

Pao-Yu Wang ◽

Shu-Chuan Lin ◽

Yu-Hsia Lee ◽

Hon-Yen Wu ◽

...

Keyword(s):

Decision Making ◽

Nursing Education ◽

Nursing Staff ◽

Information Exchange ◽

Clinical Decision Making ◽

Medical Center ◽

Clinical Decision ◽

Sociocultural Factors ◽

Patient Centered ◽

Clinical Nursing

Abstract Background Shared decision making (SDM) is a patient-centered nursing concept that emphasizes the autonomy of patients. SDM is a co-operative process that involves information exchange and communication between medical staff and patients for making treatment decisions. In this study, we explored the experiences of clinical nursing staff participating in SDM. Methods This study adopted a qualitative research design. Semistructured interviews were conducted with 21 nurses at a medical center in northern Taiwan. All interview recordings were transcribed verbatim. Content analysis was performed to analyze the data. Results The findings yielded the following three themes covering seven categories: knowledge regarding SDM, trigger discussion and coordination, and respect of sociocultural factors. Conclusions The results of this study describe the experiences of clinical nursing staff participating in SDM and can be used as a reference for nursing education and nursing administrative supervisors wishing to plan and enhance professional nursing SDM in nursing education.

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Perceived injustice and pain intensity in patients with chronic musculoskeletal pain: crosssectional study

Brazilian Journal Of Pain ◽

10.5935/2595-0118.20210016 ◽

2021 ◽

Author(s):

Mayara Paiva Souza ◽

Pamela Martin Bandeira ◽

Marcella De Souza Marins ◽

Daiane Lopes dos Santos ◽

Leandro Alberto Calazans Nogueira ◽

...

Keyword(s):

Pain Intensity ◽

Musculoskeletal Pain ◽

Chronic Musculoskeletal Pain ◽

Perceived Injustice

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Pain Intensity and Pain Interference in Older Adults: Role of Gender, Obesity and High-Sensitivity C-Reactive Protein

Gerontology ◽

10.1159/000446651 ◽

2016 ◽

Vol 63 (1) ◽

pp. 3-12 ◽

Cited By ~ 16

Author(s):

Vahid Eslami ◽

Mindy J. Katz ◽

Robert S. White ◽

Erin Sundermann ◽

Julie M. Jiang ◽

...

Keyword(s):

Older Adults ◽

Pain Intensity ◽

Short Form ◽

High Sensitivity ◽

Pain Interference ◽

C Reactive Protein ◽

Medical Outcomes ◽

Cross Sectional ◽

Reactive Protein ◽

Aging Study

Background: Among older adults, pain intensity and pain interference are more common in women than men and associated with obesity and inflammatory markers. Objective: We examined whether the obesity and pain relationship is mediated by the high-sensitivity C-reactive protein (hsCRP), a nonspecific marker of systemic inflammation, and whether this relationship differs by sex. Methods: Items from Medical Outcomes Study Short Form-36 were used to measure pain intensity and pain interference in daily life. Ordinal logistic regression was used to assess the cross-sectional association among body mass index (BMI), hsCRP levels, pain intensity and pain interference using gender-stratified models adjusted for demographic variables. Results: Participants included 667 community-residing adults over the age of 70 years, free of dementia, enrolled in the Einstein Aging Study (EAS). In women (n = 410), pain intensity was associated with obesity [BMI ≥30 vs. normal, odds ratio (OR) = 2.29, 95% confidence interval (CI) 1.43-3.68] and higher hsCRP (OR = 1.28, 95% CI 1.08-1.51). In a model with obesity and hsCRP, both remained significant, but the association between hsCRP and pain intensity was somewhat attenuated. Obesity (OR = 3.04, 95% CI 1.81-5.11) and higher hsCRP levels (OR = 1.30, 95% CI 1.08-1.56) were also independently associated with greater pain interference in women. After adjustment for pain intensity and BMI, hsCRP was no longer associated with pain interference in women. Greater pain intensity and being overweight or obese continued to be significantly associated with pain interference in women. In men (n = 257), obesity and hsCRP were not associated with pain intensity or pain interference. Conclusions: In women, the relationship between obesity and higher levels of pain intensity or interference may be accounted for by factors related to hsCRP.

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PainVision® Apparatus for Assessment of Efficacy of Pulsed Radiofrequency Combined with Pharmacological Therapy in the Treatment of Postherpetic Neuralgia and Correlations with Measurements

BioMed Research International ◽

10.1155/2017/5670219 ◽

2017 ◽

Vol 2017 ◽

pp. 1-8 ◽

Cited By ~ 1

Author(s):

Dong Wang ◽

Kai Zhang ◽

ShaoLong Han ◽

LingZhi Yu

Keyword(s):

Pain Intensity ◽

Postherpetic Neuralgia ◽

Breakthrough Pain ◽

Short Form ◽

Persistent Pain ◽

Pharmacological Therapy ◽

Control Group ◽

Mcgill Pain Questionnaire ◽

Pulsed Radiofrequency ◽

Highly Correlated

Objective. PainVision device was a developed application for the evaluation of pain intensity. The objective was to assess the efficacy and safety of pulsed radiofrequency (PRF) combined with pharmacological therapy in the treatment of postherpetic neuralgia (PHN). We also discussed the correlation of the measurements.Method. Forty patients with PHN were randomized for treatment with PRF combined with pharmacological therapy (PRF group,n=20) or pharmacological therapy (control group,n=20) at postoperative 48 hours. The efficacy measure was pain degree (PD) that was assessed by PainVision and visual analog scale (VAS), short form Mcgill pain questionnaire (SF-Mcgill), and numeric rate scale sleep interference score (NRSSIS). Correlations between PD, VAS, SF-Mcgill, and NRSSIS were determined.Results. The PD for persistent pain (PP) and breakthrough pain (BTP) at postoperative 48 hours assessed by PainVision were significantly lower in PRF group than in control group (PD-PP,P<0.01; PD-BTP,P<0.01). PD and VAS were highly correlated for both persistent pain (r=0.453,ρ=0.008) and breakthrough pain (r=0.64,ρ=0.001).Conclusion. PRF was well tolerated and superior to isolated pharmacological therapy in the treatment of PHN. PainVision device showed great value in the evaluation of pain intensity and PD had an excellent correlation with VAS and SF-Mcgill.

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