Quality of Life following Treatment: A Preliminary Study of In- and Outpatients with Chronic Pain

1989 ◽  
Vol 18 (3) ◽  
pp. 271-282 ◽  
Author(s):  
Raymond C. Tait ◽  
Paul N. Duckro ◽  
Ronald B. Margolis ◽  
Richard Wiener
Keyword(s):  
Quality Of Life ◽  
Chronic Pain ◽  
Pain Syndromes ◽  
Before And After ◽  
Patient Groups ◽  
Methodological Problems ◽  
Preliminary Study ◽  
Different Levels ◽  
Chronic Pain Syndromes

Using a combination of standardized and Likert-type measures of health, disability, and psychological adjustment, this study compared the quality of life reported by thirty-seven inpatients and thirty-six outpatients approximately eight months after completing treatment. While both patient groups reported treatment-related changes, inpatients were significantly more dysfunctional than outpatients both before and after treatment. The pattern of perceived improvement among inpatients reflected particular changes in narcotic use and in “up” time. For outpatients, the pattern of change pointed to increased periods of activity. The data are interpreted to reflect the need for treatments that are tailored to meet the differing levels of dysfunction of patients who present with chronic pain syndromes. Methodological problems of this and other clinical studies that compare treatment effects on patients demonstrating different levels of dysfunction are discussed.

Metabolic Therapy and Pain

2016 ◽  
Author(s):  
David N. Ruskin
Keyword(s):  
Chronic Pain ◽  
Pain Syndrome ◽  
Poor Quality ◽  
Fatty Acid Supplementation ◽  
Pain Syndromes ◽  
Drug Treatments ◽  
Dietary Treatments ◽  
Dietary Modifications ◽  
Chronic Pain Syndromes

Chronic pain is associated strongly with poor quality of life. Drug treatments for pain can be problematic; with the understanding that chronic pain syndromes often involve derangement of homeostasis, there is an increased interest in applying nonpharmacological metabolic therapies. This chapter surveys clinical and animal research into the effects of fasting, calorie restriction, ketogenic diet, and polyunsaturated fatty acid supplementation on pain. These dietary treatments can significantly ameliorate pain in inflammatory and neuropathic disorders. The choice among these treatments might depend on the specific pain syndrome and the tolerance of the patient for particular dietary modifications. Several possible mechanisms are discussed, some of which might be in common among these treatments, and some treatments might engage multiple mechanisms. Multiple mechanisms acting together could be ideal for restoring the disordered metabolism underlying some pain syndromes.

scholarly journals KINESIOTAPE METHODOLOGY FOR CHRONIC PAIN SYNDROME IN THE LUMBOSACRAL REGION

2021 ◽  
Vol 27 (3) ◽  
pp. 3950-3954
Author(s):  
Stamenka Mitova ◽  
◽  
Mariya Gramatikova ◽  
Margarita Avramova ◽  
Georgi Stoyanov ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Chronic Pain ◽  
Pain Syndrome ◽  
Control Group ◽  
Life Questionnaire ◽  
Chronic Pain Syndrome ◽  
Lumbosacral Region ◽  
Before And After ◽  
Experimental Group

Purpose: The study aims to evaluate the effect of kinesiotape methodology on chronic pain syndrome in the lumbosacral region. Material and Methods: 42 participants with chronic low back pain were recruited and randomly divided into two groups – control (n=19) and experimental (n=23). Foreword and lateral tilt, Borg and Modified Merld’Aubigne Scale for pain were used for assessment before and after treatment. Roland-Morris Questionnaire was done to assess the quality of life before and three months after treatment. The participants received a specialized kinesitherapy program combined with kinesio tape daily for 15 days with a duration of 40 minutes per procedure. They all received a home kinesitherapy program. Data were analyzed using GraphPad prism 3.02. Results: 42 participants, including 20 women and 22 men, were examined. The mean age (X±SD) of the control group was 45±9.08years, and for experimental was49.13±8.3 years. Median values of the Borg pain scale were as follows: 7.53±0.84 before, and 6.05±0.78 after treatment for the control group and 7.39±0.99 and 4.61±0.78 for the experimental group. Merld’AubigneScaleshows before and after treatment for control group 4.26±065 and 3.12±0.49 respectively, while in experimental was 4.26±0.68 and 2.09±0.44 after treatment. The average of forwarding tilts measured before and after treatment was13.79±3.77cm and 10±3.6cm for the control group and 13.13±3.76 and 7.52±2.25 for the experimental group. Initially, the quality of life questionnaire shows 17.26±1.66 and three months later was 12±1.45 for the control group and 17.35±1.5 before, and descend to 9.00±1.04 for the experimental group. There were statistically significant differences before and after treatment (p <0.05). Conclusions: Treatment significantly reduces pain and muscle spasms after application and improves thefunctionality of the lumbar spine. Kinesiotape not only helps the reduction of pain symptoms in musculoskeletal pathologies but is also a valuable addition to the kinesitherapy procedures.

scholarly journals Quality of Life in Adolescent’s Idiopathic Scoliosis before and after Physical Therapy: A Preliminary Study

Sport Mont ◽  
2018 ◽  
Vol 16 (2) ◽  
pp. 69-72
Author(s):  
Shkurta Rrecaj-Malaj ◽  
◽  
Adem Hykolli ◽  
Shendrit Lumi ◽  
Ardiana Murtezani ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Therapy ◽  
Idiopathic Scoliosis ◽  
Before And After ◽  
Preliminary Study

Cultural Spectrum of Chronic Pain and Somatization Syndromes

2020 ◽  
pp. 371-388
Author(s):  
Geetha Desai ◽  
Santosh K. Chaturvedi ◽  
Dinesh Bhugra
Keyword(s):  
Quality Of Life ◽  
Chronic Pain ◽  
Psychological Distress ◽  
Help Seeking ◽  
Multidisciplinary Approach ◽  
Psychiatric Services ◽  
Sociocultural Factors ◽  
Psychiatric Illnesses ◽  
Pain Syndromes

Chronic pain and somatization are common reasons for consultation in health settings, including psychiatric services, in India. These are often manifestations of underlying psychiatric illnesses such as depression, anxiety, and other stress-related disorders. Assessment of chronic pain and somatization is essential because it may be a means for the patient to communicate psychological distress, arising out of stress and conflicts within the environment. Sociocultural factors have an important role in the manifestations, help-seeking, and management of these chronic pain and somatizing syndromes. Some specific pain syndromes and somatizing syndromes are seen in India, including that syndrome, sinking heart syndrome, and a variety of somatic neuroses. The management of pain and somatizing syndromes requires a multidisciplinary approach, with an aim to reduce distress and enhance quality of life, in an ethical way.

Chronic Musculoskeletal Pain Symposium

1991 ◽  
Vol 69 (5) ◽  
pp. 606-606 ◽  
Author(s):  
James P. Lund ◽  
M. Catherine Bushnell ◽  
C. Elaine Chapman
Keyword(s):  
Quality Of Life ◽  
Chronic Pain ◽  
Musculoskeletal Pain ◽  
Muscle Pain ◽  
Pain Control ◽  
Financial Support ◽  
Unknown Etiology ◽  
Pain Syndromes ◽  
Chronic Pain Conditions

The aim of this year's symposium was to bring together basic and clinical scientists working towards the understanding of several chronic pain conditions of muscles and joints that are of unknown etiology. All of these are difficult to treat and their impact on the quality of life is wide-ranging.The organizers wish to acknowledge the financial support of Sterling-Winthrop, Fonds de la recherche en santé du Québec, Merck Frosst Canada, the Faculté de médecine and the Faculté de médecine dentaire of Université de Montréal, and to thank the following people for their assistance with the local organization: Helene Auzat, Gérald Beauchamp, Suzanne Cabana, Daniel Cyr, Michel Dumas, Giovanni Filosi, Claude Gauthier, and Claire Lamarche.The chairmen of the sessions have provided excellent introductions to the four themes: Basic Mechanisms, Arthritis and Headache, Muscle Pain Syndromes, and Pain Control. We are particularly grateful to our colleague, Dr. Gilles Lavigne, for his assistance and to Dr. Jonathan Dostrovsky, who agreed to help with the task of editing the papers.

A Randomised Comparison of Two Forms of a Brief, Group, Psychoeducational Program for Cancer Patients: Weekly Sessions versus a “Weekend Intensive”

1995 ◽  
Vol 25 (2) ◽  
pp. 173-189 ◽  
Author(s):  
Alastair J. Cunningham ◽  
Claire V. I. Edmonds ◽  
Gwen Jenkins ◽  
Gina A. Lockwood
Keyword(s):  
Quality Of Life ◽  
Cancer Patients ◽  
Statistical Significance ◽  
Standard Format ◽  
Beneficial Effects ◽  
Psychoeducational Program ◽  
Before And After ◽  
Life Improvement ◽  
Patient Groups

There is considerable evidence that brief group psychoeducational programs for cancer patients, offering support and some training in coping skills, may have lasting beneficial effects on mood and quality of life. Objective: to compare two different formats of a brief, group psychoeducational program for cancer patients; a standard format of six weekly two-hour sessions or a “weekend intensive,” involving the same content and contact time compressed into two days. Method: Cancer patients were randomly assigned to either the standard weekly intervention ( n = 77) or the weekend program ( n = 79). Two assessment measures were used: Profile of Mood States (POMS) and Functional Living Index for Cancer (FLIC). Assessments were made before and after each intervention and at a nineteen-week follow-up. Results: While the two formats were found to be equivalent in their overall effects on mood and quality of life, there were some differences. There was a sudden, large improvement in mood by the end of the weekend version of the course (2-day time point) but this did not persist, and by the six-week point and again at nineteen-weeks, mood improvement was the same for both groups. Quality of life improvement seemed to be marginally greater with the six-weekly sessions (reaching statistical significance at the 6-week point). Conclusions: The two formats produced similar improvements in both mood and quality of life. We discuss the need for further studies to find optimal ways of presenting such help for different patient groups.

scholarly journals Efficacy of the SMR protocol in women with fibromyalgia for the improvement of chronic pain, sleep, and quality of life

2021 ◽  
Vol 29 (3) ◽  
pp. 549-560
Author(s):  
Carlos Barbosa-Torres ◽  
Sixto Cubo-Delgado
Keyword(s):  
Quality Of Life ◽  
Chronic Pain ◽  
Somatosensory Cortex ◽  
Pain Scale ◽  
Sf 36 ◽  
Before And After ◽  
The Central Nervous System ◽  
The Brain ◽  
Somatosensory Areas

The objective of the study was to analyze how the brain shaping provided by the sensorimotor rhythm protocol (SMR), applied on somatosensory areas, affects pain, sleep and the quality of life in women with fibromyalgia. Thirty-seven women with fibromyalgia who received an SMR protocol in 20 sessions participated and were evaluated before and after treatment. The data showed an increase in the amplitude of the SMR (p= .026) and a decrease in the amplitude of the theta band (p= .011) in the somatosensory cortex after the application of therapy, which caused an increase in the SMR/theta ratio (p= .048). In addition, the scores on the Chronic Pain Scale (p= .002), the Pittsburgh Sleep Quality Index (p= .001), and the SF-36 Health Survey (p= .000) improved significantly. The SMR protocol applied to the somatosensory cortex favors the shaping of SMRs, which has an impact on stimulating the inhibition of the central nervous system of patients with fibromyalgia, improving symptoms such as pain, sleep, and quality of life.

Lamotrigine in treatment of chronic pain syndromes

2020 ◽  
pp. 5-8
Author(s):  
E. V. Ekusheva
Keyword(s):  
Chronic Pain ◽  
Pharmacological Action ◽  
Significant Degree ◽  
Economic Problem ◽  
First Line ◽  
Pain Syndromes ◽  
Wide Range ◽  
New Generation ◽  
Chronic Pain Syndromes

Chronic pain syndromes represent a significant socio-economic problem for health care and society as a whole due to the insufficient effect of the treatment, a pronounced decrease in the quality of life and a significant degree of maladjustment of this category of patients. Treatment of chronic pain syndromes with first-line drugs from the group of anticonvulsants (gabapentin, pregabalin, carbamazepine, valproic acid and topiramate) does not always give the expected effect, and various side and undesirable effects are often observed. This implies the search for opportunities and prospects for the use of other new generation anticonvulsants, one of which is lamotrigine, as a means of pharmacological action. The article discusses a wide range of effective and safe use of Lamitor for various diseases accompanied by chronic pain.

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