Comparison of Infrared Thermal Imaging with Two Canine Pain Assessment Tools in Dogs Undergoing Treatment for Chronic Back Pain

Historically, the evaluation and assessment of the clinical response to treatment for canine back pain is subjective and relies on owner and clinician assessment of pain. Sequential infrared thermal images (IRTIs) objectively measure the patient’s physiological response after a prescribed series of photobiomodulation therapy (PBMT) treatments. Qualifying participants had histories of pain and dysfunction associated with spinal osteoarthritis or intervertebral disk disease, or of non-specific uni- or bilateral back pain along the paravertebral epaxial muscles. Each patient was initially IRT imaged prior to PBMT treatment and then received multiple PBMT treatments delivered to the appropriate spinal area on days 1, 2, 3, and 4. Participants were reimaged on day 7. IRT images provided an objective assessment of the physiologic status of each patient after the PBMT regimen. The thermal changes in IRT images correlated with statistically significant changes in Colorado State University Canine Chronic Pain Scale scoring (CSU-CCPS) and owner assessment using the Canine Brief Pain Inventory (CBPI), which includes a Pain Severity Score (CBPI-PS) and Pain Interference Score (CBPI-PI). This proof-of-concept study demonstrates that IRTI provides an objective evaluation of response to PBMT treatment and correlates with observed and measured clinical response.

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Comparison of Infrared Thermal Imaging with Two Canine Pain Assessment Tools in Dogs Undergoing Treatment for Chronic Back Pain

10.20944/preprints202112.0010.v2 ◽

2021 ◽

Author(s):

Emily Freeman ◽

Jennifer F. Johnson ◽

John C. Godbold, Jr ◽

Ronald J. Riegel

Keyword(s):

Back Pain ◽

Thermal Imaging ◽

Chronic Back Pain ◽

Intervertebral Disk ◽

Assessment Tools ◽

Response To Treatment ◽

Imaging Data ◽

Thermal Images ◽

Additional Tool ◽

Monitoring Therapy

Historically, the evaluation and assessment of the clinical response to treatment for canine back pain is subjective and relies on owner and clinician assessment of pain. This study evaluated the use of sequential infrared thermal images as a measure of the response of canine patients with back pain to a prescribed series of photobiomodulation therapy (PBMT) treatments. Qualifying participants had histories of pain and dysfunction associated with spinal osteoarthritis or intervertebral disk disease, or of non-specific uni- or bilateral back pain along the paravertebral epaxial muscles. Each patient was initially thermally imaged prior to PBMT treatment and then received multiple PBMT treatments delivered to the appropriate spinal area on days 1, 2, 3, and 4. Participants were reimaged on day 7. Thermal images provided an objective measure of superficial temperature changes over the area of PBMT treatment of each patient after the PBMT regimen. The temperature correlated with statistically significant changes in Colorado State University Canine Chronic Pain Scale scoring (CPS) and owner assessment using the Canine Brief Pain Inventory (CBPI), which includes a Pain Severity Score (PSS) and Pain Interference Score (PIS). The correlation of objective thermal imaging data with more subjective outcome measures suggests thermal imaging may be a valuable additional tool in monitoring therapy outcome.

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Nonspecific Chronic Back Pain: Sixth Edition Approaches

Guides Newsletter ◽

10.1001/amaguidesnewsletters.2019.sepoct03 ◽

2019 ◽

Vol 24 (5) ◽

pp. 14-15

Author(s):

Jay Blaisdell ◽

James B. Talmage

Keyword(s):

Back Pain ◽

Chronic Back Pain ◽

Intervertebral Disk ◽

Key Factors ◽

Sixth Edition ◽

Whole Person ◽

Class 1 ◽

A Cell ◽

Intervertebral Disk Herniation ◽

The Individual

Abstract Ratings for “non-specific chronic, or chronic reoccurring, back pain” are based on the diagnosis-based impairment method whereby an impairment class, usually representing a range of impairment values within a cell of a grid, is selected by diagnosis and “specific criteria” (key factors). Within the impairment class, the default impairment value then can be modified using non-key factors or “grade modifiers” such as functional history, physical examination, and clinical studies using the net adjustment formula. The diagnosis of “nonspecific chronic, or chronic reoccurring, back pain” can be rated in class 0 and 1; the former has a default value of 0%, and the latter has a default value of 2% before any modifications. The key concept here is that the physician believes that the patient is experiencing pain, yet there are no related objective findings, most notably radiculopathy as distinguished from “nonverifiable radicular complaints.” If the individual is found not to have radiculopathy and the medical record shows that the patient has never had clinically verifiable radiculopathy, then the diagnosis of “intervertebral disk herniation and/or AOMSI [alteration of motion segment integrity] cannot be used.” If the patient is asymptomatic at maximum medical improvement, then impairment Class 0 should be chosen, not Class 1; a final whole person impairment rating of 1% indicates incorrect use of the methodology.

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Sleep Disturbance Predicts Less Improvement in Pain Outcomes: Secondary Analysis of the SPACE Randomized Clinical Trial

Pain Medicine ◽

10.1093/pm/pnz221 ◽

2019 ◽

Vol 21 (6) ◽

pp. 1162-1167 ◽

Cited By ~ 2

Author(s):

Erin Koffel ◽

Allyson M Kats ◽

Kurt Kroenke ◽

Matthew J Bair ◽

Amy Gravely ◽

...

Keyword(s):

Sleep Disturbance ◽

Repeated Measures ◽

Chronic Back Pain ◽

Sleep Problems ◽

Brief Pain Inventory ◽

Opioid Therapy ◽

Response To Treatment ◽

Medication Therapy ◽

Analgesic Regimen ◽

Pain Outcomes

Abstract Objective Sleep disturbance may limit improvement in pain outcomes if not directly addressed in treatment. Moreover, sleep problems may be exacerbated by opioid therapy. This study examined the effects of baseline sleep disturbance on improvement in pain outcomes using data from the Strategies for Prescribing Analgesics Comparative Effectiveness (SPACE) trial, a pragmatic 12-month randomized trial of opioid vs nonopioid medication therapy. Design Participants with chronic back pain or hip or knee osteoarthritis pain were randomized to either opioid therapy (N = 120) or nonopioid medication therapy (N = 120). Methods We used mixed models for repeated measures to 1) test whether baseline sleep disturbance scores modified the effect of opioid vs nonopioid treatment on pain outcomes and 2) test baseline sleep disturbance scores as a predictor of less improvement in pain outcomes across both treatment groups. Results The tests for interaction of sleep disturbance by treatment group were not significant. Higher sleep disturbance scores at baseline predicted less improvement in Brief Pain Inventory (BPI) interference (β = 0.058, P = 0.0002) and BPI severity (β = 0.026, P = 0.0164). Conclusions Baseline sleep disturbance adversely affects pain response to treatment regardless of analgesic regimen. Recognition and treatment of sleep impairments that frequently co-occur with pain may optimize outcomes.

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Present scenario of laryngeal tuberculosis

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20175633 ◽

2017 ◽

Vol 4 (1) ◽

pp. 242

Author(s):

Marina Saldanha ◽

Natashya H. Sima ◽

Vadisha S. Bhat ◽

Shrinath D. Kamath ◽

Rajeshwari Aroor

Keyword(s):

Pulmonary Tuberculosis ◽

Vocal Cord ◽

Objective Assessment ◽

Objective Evaluation ◽

Subjective Assessment ◽

Response To Treatment ◽

Health Care Centre ◽

Ulcerative Lesions ◽

Common Clinical Finding ◽

Laryngeal Tuberculosis

Background: The objectives of the study were to document the presentation of laryngeal tuberculosis, response to anti-tubercular treatment and objective evaluation of larynx during and post anti-tubercular treatment.Methods: A before and after treatment study including 15 subjects with laryngeal tuberculosis treated in our tertiary health care centre during a three year study period. Clinical presentation, management, subjective self-assessment of voice and objective assessment of larynx by videostroboscopy at the beginning, at two months and at six months of anti-tubercular treatment were documented. Results: Two patients had primary laryngeal tuberculosis and thirteen patients had laryngeal tuberculosis associated with pulmonary tuberculosis. Only one patient was immuno-compromised. Most common presenting symptom was hoarseness (93%). Ulcerative lesions were the most common clinical finding (87%) with the vocal cords being the commonest site involved (80%). All patients responded well to anti-tubercular treatment. Videostroboscopy showed an improvement in vocal cord lesions during treatment. Subjective assessment of voice after two months of anti-tubercular treatment showed marked improvement in voice. At completion of treatment, voice was better but all patients had complaints of residual hoarseness.Conclusions: Primary laryngeal tuberculosis is less common in comparison to laryngeal tuberculosis secondary to pulmonary tuberculosis. With early diagnosis, the response to treatment is satisfactory. Videostroboscopy can be used as an effective tool in monitoring vocal cord changes during the follow- up period.

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FUNCTIONAL GAIT PARAMETERS AS OBJECTIVE ASSESSMENT TOOLS IN PATIENTS WITH CHRONIC LOW BACK PAIN: A CASE STUDY

International Journal of Physiotherapy and Research ◽

10.16965/ijpr.2018.202 ◽

2019 ◽

Vol 7 (2) ◽

pp. 2997-3002

Author(s):

Ali A. Bani Ahmed ◽

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Chronic Low Back Pain ◽

Objective Assessment ◽

Assessment Tools ◽

Low Back ◽

Gait Parameters ◽

Functional Gait

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Infrared Thermal Imaging as a Novel Non-Invasive Point-Of-Care Tool to Assess Filarial Lymphoedema

Journal of Clinical Medicine ◽

10.3390/jcm10112301 ◽

2021 ◽

Vol 10 (11) ◽

pp. 2301

Author(s):

Louise A. Kelly-Hope ◽

Mohammad Jahirul Karim ◽

ASM Sultan Sultan Mahmood ◽

Abdullah Al Al Kawsar ◽

Abul Khair ◽

...

Keyword(s):

Thermal Imaging ◽

Health Workers ◽

Point Of Care ◽

Objective Assessment ◽

Assessment Tools ◽

Term Care ◽

Infrared Thermal Imaging ◽

Non Invasive ◽

Progression Of Disease ◽

History Of

Lymphatic filariasis causes disfiguring and disabling lymphoedema, which is commonly and frequently exacerbated by acute dermatolymphangioadenitis (ADLA). Affected people require long-term care and monitoring but health workers lack objective assessment tools. We examine the use of an infrared thermal imaging camera as a novel non-invasive point-of-care tool for filarial lower-limb lymphoedema in 153 affected adults from a highly endemic area of Bangladesh. Temperature differences by lymphoedema stage (mild, moderate, severe) and ADLA history were visualised and quantified using descriptive statistics and regression models. Temperatures were found to increase by severity and captured subclinical differences between no lymphoedema and mild lymphoedema, and differences between moderate and severe stages. Toes and ankle temperatures detected significant differences between all stages other than between mild and moderate stages. Significantly higher temperatures, best captured by heel and calf measures, were found in participants with a history of ADLA, compared to participants who never had ADLA, regardless of the lymphoedema stage. This novel tool has great potential to be used by health workers to detect subclinical cases, predict progression of disease and ADLA status, and monitor pathological tissue changes and stage severity following enhanced care packages or other interventions in people affected by lymphoedema.

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Prolotherapy for Chronic Back Pain

Internal Medicine News ◽

10.1016/s1097-8690(07)71282-9 ◽

2007 ◽

Vol 40 (21) ◽

pp. 14

Author(s):

Nancy Walsh

Keyword(s):

Back Pain ◽

Chronic Back Pain

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Utility of selected MMPI-2 scales in the outcome prediction for patients with chronic back pain.

Psychological Assessment ◽

10.1037/1040-3590.11.3.381 ◽

1999 ◽

Vol 11 (3) ◽

pp. 381-385 ◽

Cited By ~ 25

Author(s):

Alexander A. Vendrig ◽

Jan J. L. Derksen ◽

Hubert R. de Mey

Keyword(s):

Back Pain ◽

Outcome Prediction ◽

Chronic Back Pain

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Evaluation Of The Functional Of Space-Planning Arrangement Of A Building

Promyshlennoe i Grazhdanskoe Stroitel stvo ◽

10.33622/0869-7019.2019.07.04-09 ◽

2019 ◽

pp. 4-9

Keyword(s):

Numerical Simulation ◽

Life Cycle ◽

Initial Data ◽

Objective Assessment ◽

Objective Evaluation ◽

Point Of View ◽

Shopping Centers ◽

Space Planning ◽

Planning Decisions ◽

The Cost

The article focuses on the problem of the lack of objective evaluation of space-planning arrangement of buildings as a creative approach of the architect to the performing of functional tasks by the object. It is proposed to create a methodology for assessing the functional of space-planning solutions of buildings on the basis of numerical simulation of functional processes using the theory of human flows. There is a description of the prospects of using this method, which makes it possible to increase the coefficient of compactness, materials and works saving, more efficient use of space, reduce the cost of the life cycle of the building, save human forces and time to implement the functional of the building. The necessary initial data for modeling on the example of shopping and shopping-entertainment centers are considered. There are three main tasks for algorithmization of the functional of shopping centers. The conclusion is made about necessity of development of a method for objective assessment of buildings from the point of view of ergonomics of space-planning decisions based on the study of human behavior in buildings of different purposes.

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