scholarly journals The Effects of VR Use on Pain Experienced During a Tattoo Procedure: A Pilot Study

2021 ◽  
Vol 2 ◽  
Author(s):  
Daniel Pimentel ◽  
Sri Kalyanaraman ◽  
Roger Fillingim ◽  
Shiva Halan
Keyword(s):  
Chronic Pain ◽  
Pain Perception ◽  
Qualitative Interviews ◽  
Body Modification ◽  
Control Group ◽  
Analgesic Effects ◽  
Pain Location ◽  
Pain Ratings ◽  
Site Field ◽  
And Control

One of the most socially impactful applications of virtual reality (VR) is its use as a non-pharmacological remedy for both acute and chronic pain. Yet, despite robust findings establishing the analgesic effects of VR, use cases almost exclusively involve (a) patients with acute/chronic pain, which are often difficult to access and vary widely in terms of pain location/severity, or (b) experimentally induced pain, which can have low lab-to-life generalizability. One understudied pain context that may reconcile these limitations is body modification, specifically tattoo procedures. Examining the use of VR during a tattoo offers several benefits to VR and pain research. First, tattoo recipients as a participant pool are more accessible. Second, tattoo pain is presumably more standardized and uniform as it is administered by a machine at a consistent force. Thus, to test these assumptions and expand the scope of VR applications in this domain, we present a mixed-methods investigation testing the effects of VR on pain experienced during a tattoo. Leveraging qualitative interviews with tattoo artists and customers, a 3-month on-site field experiment at a tattoo parlor was conducted. Customers' self-reported pain ratings (N = 16) were collected during 1-h tattooing sessions and compared between a treatment (VR) and control group. As expected, VR significantly reduced pain ratings during the procedure, and increased pain resilience. By suggesting that the analgesic effects of VR extend to volitional pain during a tattoo, we argue that tattoo pain warrants attention by both VR content developers and researchers interested in studying how immersive content influences real-world pain perception. The study also yields specific guidelines to help designers create and deploy VR experiences for this context. Overall, the results suggest that tattoo sessions present a promising context worthy of further investigation across a variety of VR research programs.

scholarly journals Effect of music therapy intervention in pain reduction during venepuncture in neonates

2019 ◽  
Vol 6 (4) ◽  
pp. 1529
Author(s):  
S. Ragasivamalini ◽  
N. S. Ragupathy
Keyword(s):  
Music Therapy ◽  
Neonatal Intensive Care ◽  
Sampling Method ◽  
Pain Perception ◽  
Pain Reduction ◽  
Control Group ◽  
Therapy Interventions ◽  
And Behavior ◽  
And Control ◽  
Therapy Intervention

Background: Neonates in a neonatal intensive care unit are exposed to a high number of painful procedures. Since repeated and sustained pain can have consequences for the neurological and behavior‐oriented problem in the future. Non‐pharmacological treatment methods are being increasingly discussed with regard to pain prevention and relief during mild or moderate procedures. The aim of this study was to identify effectiveness of music therapy interventions on pain reduction during venipuncture in neonates.Methods: Total of 60 neonates undergoing venepuncture in the postnatal ward was included in this study. They were divided into the music group (n-30) and control group (n-30) by convenient sampling method. The neonates in music group were exposed to pre-recorded lullaby 5 minutes before starting the venepuncture and during the procedure of venepuncture. The NPASS was done 5 minutes before, during and 5 minutes after the procedure.Results: Compared to the control group neonates, music group neonates showed significantly (P <0.05) less pain perception during intravenous needle puncture. The results showed that music group neonates have significantly less score of NPASS than control group neonates (P<0.001) all five domains.Conclusions: Hence for routine painful procedures like venepuncture, music therapy could be helpful in neonates in reducing the pain perception. Further studies are needed to validate our findings in large sample with proper study design in future.

scholarly journals Dialectical Pain Management: Feasibility of a Hybrid Third-Wave Cognitive Behavioral Therapy Approach for Adults Receiving Opioids for Chronic Pain

Pain Medicine ◽  
2020 ◽  
Author(s):  
Deborah Barrett ◽  
Carrie E Brintz ◽  
Amanda M Zaski ◽  
Mark J Edlund
Keyword(s):  
Chronic Pain ◽  
Depressive Symptoms ◽  
Pain Management ◽  
Dialectical Behavior Therapy ◽  
Emotion Dysregulation ◽  
Qualitative Interviews ◽  
Self Report ◽  
Control Group ◽  
Global Rating ◽  
Pain Acceptance

Abstract Objectives This study evaluated the feasibility, acceptability, and potential effectiveness of a hybrid skills-based group intervention, dialectical pain management (DPM), for adults with chronic pain who are receiving long-term opioid therapy. DPM adapts dialectical behavior therapy, a rigorous psychotherapeutic approach to emotion dysregulation, to treat disorders of physiological dysregulation. Methods Individuals with chronic pain (N = 17) participated in one of two 8-week DPM intervention cohorts. At pre-test and post-test, participants completed quantitative self-report assessments measuring pain intensity and interference, depressive symptoms, pain acceptance, beliefs about pain medications, and global rating of change. Within 2 weeks after the intervention, participants completed qualitative interviews to assess participant satisfaction and obtain feedback about specific intervention components. Results Of the 17 enrolled, 15 participants completed the group with 12 (70%) attending six or more sessions. Participants reported high satisfaction with the intervention. Preliminary findings suggested a significant increase in pain acceptance and a significant reduction in depressive symptoms. Participants also reported an improved relationship with their pain conditions and increased flexibility in responding to pain and applying coping skills. Several participants showed a reduction in opioid dosage over the course of the intervention. Discussion Findings support that DPM is a feasible and well-received intervention for individuals with chronic pain. Additional research with a control group is needed to further determine the intervention’s efficacy and impact.

scholarly journals Facilitating Endurance Performance: The Effects of Cognitive Strategies and Analgesic Suggestions

1988 ◽  
Vol 2 (2) ◽  
pp. 97-104 ◽  
Author(s):  
Kevin S. Spink
Keyword(s):  
Cognitive Strategies ◽  
Endurance Performance ◽  
Future Research ◽  
Control Group ◽  
Control Groups ◽  
Research Directions ◽  
Pain Ratings ◽  
Subjective Pain ◽  
Future Research Directions ◽  
And Control

This study examined the effects of a cognitive strategy (dissociation) and an analgesic suggestion on the duration and pain ratings of individuals performing a muscular endurance task. Thirty-six individuals were randomly assigned to one of three experimental groups: dissociation group, dissociation/analgesic group, and a control group. Measures of leg-holding times and subjective pain ratings were obtained twice, once before the treatment and once after the treatment. Results indicated that individuals in the dissociation/analgesic group performed significantly better on the posttest than individuals in the dissociation and control groups. No significant differences in reported pain ratings were found between any of the three groups. The findings are discussed in terms of alternative explanations. Future research directions are also provided.

scholarly journals Stepwise increasing sequential offsets cannot be used to deliver high thermal intensities with little or no perception of pain

2019 ◽  
Vol 122 (2) ◽  
pp. 729-736
Author(s):  
Stuart W. G. Derbyshire ◽  
Victoria Jane En Long ◽  
Christopher L. Asplund
Keyword(s):  
Low Temperature ◽  
Stimulus Intensity ◽  
Pain Perception ◽  
Noxious Heat ◽  
Pain Experience ◽  
Analgesic Effects ◽  
Heat Stimulus ◽  
Long Duration ◽  
Pain Ratings ◽  
Noxious Stimuli

Offset analgesia (OA) is the disproportionate decrease in pain experience following a slight decrease in noxious heat stimulus intensity. We tested whether sequential offsets would allow noxious temperatures to be reached with little or no perception of pain. Forty-eight participants continuously rated their pain experience during trials containing trains of heat stimuli delivered by Peltier thermode. Stimuli were adjusted through either stepwise sequential increases of 2°C and decreases of 1°C or direct step increases of 1°C up to a maximum of 46°C. Step durations (1, 2, 3, or 6 s) varied by trial. Pain ratings generally followed presented temperature, regardless of step condition or duration. For 6-s steps, OA was observed after each decrease, but the overall pain trajectory was unchanged. We found no evidence that sequential offsets could allow for little pain perception during noxious temperature presentation. NEW & NOTEWORTHY Offset analgesia is the disproportionate decrease in pain experience following a slight decrease in noxious heat stimulus intensity. We tested whether sequential offsets would allow noxious temperatures to be reached with little or no perception of pain. We found little evidence of such overall analgesia. In contrast, we observed analgesic effects after each offset with long-duration stimuli, even with relatively low-temperature noxious stimuli.

Efficacy of curcuminoids for reducing postoperative pain after laparoscopic gynecologic surgery: A pilot randomized trial

2019 ◽  
Vol 16 (4) ◽  
Author(s):  
Natacha Phoolcharoen ◽  
Shina Oranratanaphan ◽  
Chai Ariyasriwatana ◽  
Pongkasem Worasethsin
Keyword(s):  
Postoperative Pain ◽  
Statistical Significance ◽  
Intervention Group ◽  
Gynecologic Surgery ◽  
Control Group ◽  
Analgesic Effects ◽  
Good Safety Profile ◽  
The Difference ◽  
Laparoscopic Gynecologic Surgery ◽  
And Control

Abstract Background Curcuminoids, which are substances extracted from turmeric, have been proved to have anti-inflammatory and analgesic effects along with a good safety profile. This study aimed to evaluate the clinical efficacy of curcuminoids for reducing postoperative pain in patients who undergo laparoscopic gynecologic surgery. Methods From November 2016 to December 2017, participants were randomly assigned, by blocks of four, to the intervention and control arms of the study. Altogether, 60 patients who were to undergo laparoscopic gynecologic surgery at our institution were enrolled. Intraoperative findings were not significantly different between the two groups. One tablet of curcuminoid extract 250 mg was given to patients in the intervention group four times a day on postoperative days 1–3. Pain was evaluated at 24 and 72 h postoperatively using a 10-point visual analog scale (VAS). Results The median VAS score 24 h after surgery was 3 (1–6) in the intervention group and 4.5 (3–7) in the control group, with the difference reaching statistical significance (p=0.001). The median VAS at 72 h after surgery was 1 (0–2) in the intervention group and 2 (1–5) in the control group (p<0.001). Conclusion Curcuminoids may be an effective supplement to reduce pain severity postoperatively following laparoscopic gynecologic surgery. Trial Registration TCTR20180215001 www.clinicaltrials.in.th

scholarly journals A PILOT STUDY ON EFFECTIVENESS OF SELECTED INTERVENTIONS ON PAIN PERCEPTION AND PARENTAL SATISFACTION AMONG INFANTS RECEIVING IMMUNIZATIONS AT PUBLIC HEALTH CENTRE, CHENNAI.

2020 ◽  
pp. 1-3
Author(s):  
Semmalar. R ◽  
Jain Vanitha. N. S ◽  
Fabiola M. Dhanraj ◽  
Anitha Rajendra Babu ◽  
Susila Susila
Keyword(s):  
Pain Perception ◽  
Health Centre ◽  
Parental Satisfaction ◽  
Control Group ◽  
Public Health Centre ◽  
Group Iii ◽  
Group I ◽  
Group Ii ◽  
And Control ◽  
Experimental Group

An experimental post test only control design was used to assess the effectiveness of selected interventions on pain perception and parental satisfaction among infants receiving immunizations at Public Health Centre, Chennai. Using simple random sampling method, the total of 40 infants were allocated in four groups where each group had 10 infants. The interventions provided are oral sucrose for Experimental group I, 4 S’s technique for experimental group II, oral sucrose with 4 S’s technique for Experimental group III and routine care for Control group. The data collection tool consists of demographic profile, modified riley pain scale and parental satisfaction likert scale were used to collect data. The result of the study revealed that mean pain perception of experimental group III (3.21) was less than the experimental group I (4.08), experimental group II (3.40) and control group (4.22). There was no statistical difference between experimental group II and experimental group III at the level of 0.693 and also between experimental group I and control group at the level of 1.000 when other groups had statistically significant difference in pain perception. In mean parental satisfaction, the experimental group III (43.20) had high parental satisfaction than the experimental group I (39.80), experimental group II (41.90) and control group (38.60).Hence the pilot study concluded that 4S’s technique was the effective intervention for infant immunizations.

scholarly journals Preoperative Paravertebral Block and Chronic Pain after Breast Cancer Surgery: A Double-blind Randomized Trial

2021 ◽  
Author(s):  
Aline Albi-Feldzer ◽  
Sylvain Dureau ◽  
Abdelmalek Ghimouz ◽  
Julien Raft ◽  
Jean-Luc Soubirou ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Chronic Pain ◽  
Odds Ratio ◽  
Breast Surgery ◽  
Paravertebral Block ◽  
Breast Cancer Surgery ◽  
Control Group ◽  
Control Groups ◽  
Double Blind ◽  
And Control

Background The effectiveness of paravertebral block in preventing chronic pain after breast surgery remains controversial. The primary hypothesis of this study was that paravertebral block reduces the incidence of chronic pain 3 months after breast cancer surgery. Methods In this prospective, multicenter, randomized, double-blind, parallel-group, placebo-controlled study, 380 women undergoing partial or complete mastectomy with or without lymph node dissection were randomized to receive preoperative paravertebral block with either 0.35 ml/kg 0.75% ropivacaine (paravertebral group) or saline (control group). Systemic multimodal analgesia was administered in both groups. The primary endpoint was the incidence of chronic pain with a visual analogue scale (VAS) score greater than or equal to 3 out of 10, 3 months after surgery. The secondary outcomes were acute pain, analgesic consumption, nausea and vomiting, chronic pain at 6 and 12 months, neuropathic pain, pain interference, anxiety, and depression. Results Overall, 178 patients received ropivacaine, and 174 received saline. At 3 months, chronic pain was reported in 93 of 178 (52.2%) and 83 of 174 (47.7%) patients in the paravertebral and control groups, respectively (odds ratio, 1.20 [95% CI, 0.79 to 1.82], P = 0.394). At 6 and 12 months, chronic pain occurred in 104 of 178 (58.4%) versus 79 of 174 (45.4%) and 105 of 178 (59.0%) versus 93 of 174 (53.4%) patients in the paravertebral and control groups, respectively. Greater acute postoperative pain was observed in the control group 0 to 2 h (area under the receiver operating characteristics curve at rest, 4.3 ± 2.8 vs. 2.9 ± 2.8 VAS score units × hours, P &lt; 0.001) and when maximal in this interval (3.8 ± 2.1 vs. 2.5 ± 2.5, P &lt; 0.001) but not during any other interval. Postoperative morphine use was 73% less in the paravertebral group (odds ratio, 0.272 [95% CI, 0.171 to 0.429]; P &lt; 0.001). Conclusions Paravertebral block did not reduce the incidence of chronic pain after breast surgery. Paravertebral block did result in less immediate postoperative pain, but there were no other significant differences in postoperative outcomes. Editor’s Perspective What We Already Know about This Topic What This Article Tells Us That Is New

Roller Massage: Difference in Knee Joint Range of Motion and Pain Perception Among Experienced and Nonexperienced Individuals After Following a Prescribed Program

2020 ◽  
Vol 29 (2) ◽  
pp. 148-155 ◽  
Author(s):  
Scott W. Cheatham ◽  
Kyle R. Stull
Keyword(s):  
Range Of Motion ◽  
Pain Perception ◽  
Group Analysis ◽  
Pressure Pain Threshold ◽  
The Self ◽  
Control Group ◽  
Significant Difference ◽  
Secondary Objective ◽  
Joint Range ◽  
And Control

Context: Roller massage (RM) is a popular myofascial intervention. To date, no research has investigated the effects of RM on experienced and nonexperienced individuals and if there are differences between a prescribed RM program and a self-preferred program. Objective: The main objective was to measure the effects of a prescribed RM program with a foam roller on knee passive range of motion (ROM) and pressure pain threshold (PPT) among experienced and nonexperienced individuals. A secondary objective was to determine if there are differences between a prescribed RM program and a self-preferred program in experienced individuals. Design: Pretest and posttest observational study. Setting: University kinesiology laboratory. Participants: A total of 60 healthy adults (age = 26 [5.3] y) were allocated into 3 groups of 20 subjects: experienced, nonexperienced, and control. The experienced and nonexperienced groups followed a prescribed 2-minute RM intervention. The control group did their own 2-minute self-preferred program. Main Outcome Measures: Knee passive ROM and PPT. Results: For the experienced and nonexperienced, the between-group analysis revealed a statistically significant difference for ROM and PPT (P < .001). Within-group analysis revealed a posttest knee passive ROM increase of 8° for experienced and 7° for the nonexperienced. For PPT, there was a posttest increase of 180 kPa for the experienced and 169 kPa for the nonexperienced. For the prescribed versus self-preferred program, the between-group analysis (experienced vs control) revealed a statistically significant difference (P < .001). The within-group analysis revealed a posttest knee passive ROM increase of 8° for the prescribed and 5° for the self-preferred program. For PPT, there was a posttest increase of 180 kPa for the prescribed program and 137 kPa for the self-preferred program. Conclusion: These findings suggest that experienced and nonexperienced individuals have similar responses to a prescribed RM program. A prescribed RM program may produce better outcomes than a self-preferred program.

scholarly journals Evaluation of the effectiveness of selected intervention in reducing level of pain perception and birth experience among primi gravida mothers

2015 ◽  
Vol 1 (4) ◽  
pp. 183
Author(s):  
Angel Rajakumari G ◽  
Soli T. K ◽  
Malathy D
Keyword(s):  
Pain Perception ◽  
Sampling Technique ◽  
Pharmacological Intervention ◽  
Control Group ◽  
Study Group ◽  
Birth Experience ◽  
Clinical Implementation ◽  
Active Stage ◽  
Significant Difference ◽  
And Control

Aim: To evaluate the effectiveness of birth bal therapy in terms of level of pain perception and birth experience among primi gravida mothers.Participants and setting: The study was conducted in Nirmala Hospital, in Suryapet, Telugana, India in with 700 annual births. The primi gravida mothers were recruited and were allocated by non-probability purposive sampling technique into the two arms of the study, but only 20 in study and 20 in control group participants.Intervention: The study group received birth ball therapy was done using discomfort can often be helped by body positions that allow gravity to speed dilation, such as walking, squatting, kneeling forward on a chair or sitting on the birthing ball. The birth ball therapy was given by investigator for 20 minutes again the same step is repeated in a 10 minutes interval. Measurement and findings: In active stage of labour (3-6 cm of cervical dilatation) the women completed the demographic and obstetrical information and pain was measured by 0- 10 Modified combined numerical categorical pain intensity scale and labour outcome assessed by labour agentry scale(LAS). This study revealed that there was high significant difference found in pain at p<0.001level between study and control group.Conclusion: The study concluded that, clinical implementation of birth ball therapy usage during labour could be an effective non pharmacological intervention in reducing pain perception.

scholarly journals Efficacy of Heel Warming on Pain Response to Heel Stick in Neonates

2021 ◽  
Vol 41 (1) ◽  
pp. 48-53
Author(s):  
Pratima Sharma Sapkota ◽  
Sunita Shah Bhandari ◽  
Basanta Kumar Karn ◽  
Upendra Yadhav
Keyword(s):  
Pain Score ◽  
Subjective Experience ◽  
Pain Perception ◽  
Sampling Technique ◽  
Skin Surface ◽  
Pain Scale ◽  
Control Group ◽  
Heel Prick ◽  
And Control ◽  
Experimental Group

Introduction: Heel prick is one of the commonest procedures carried out in the hospitalised newborns. Pain is a subjective experience for which the neonates, infants and children respond with behavioural reactions. Applying hot pack to the skin surface causes proximal blood vessels to dilate due to the raised temperature which may decrease the pain perception in neonates. We intended to study the effect of heel warming during heel prick in perception of pain in neonates. Method: An experimental study was conducted among neonates admitted in paediatric wards of BPKIHS. Total 92 participants undergoing heel prick/stick were selected by consecutive sampling technique and allocated randomly to experimental group and control group. Warmer was applied to the heel of the baby for three to five minutes which provided the baby’s heel with the warmth of 38°C to 40°C prior to heel stick in experimental group only. Newborn’s pain level was assessed in both experimental and control group through The Neonatal Infant Pain Scale (NIPS). Mann Whitney test was used to compare means of pain score between experimental and control groups. Results: The mean pain score among experimental group was 1.39 and in control group was 2.20. Experimental group showed significantly lower pain (p < 0.001) compared to the control group. Application of warmth before heel stick caused reduction in pain. Conclusions: The findings suggest that heat application prior to heel stick is effective in reducing pain in newborns.

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