scholarly journals A Relationship between Calcium Deposit Size with the Pain Intensity on The Patients with Calcified Tendinitis in The Rotator Cuff

2017 ◽  
Vol 6 (01) ◽  
pp. 18
Author(s):  
Indri Wijayanti ◽  
I Nyoman Murdana ◽  
Tirza Z. Tamin
Keyword(s):  
Rotator Cuff ◽  
Pain Intensity ◽  
Muscle Fibers ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Calcium Deposit ◽  
Cross Sectional ◽  
Rotator Cuff Muscle ◽  
Calcium Deposits

Background: Calcified tendeinitis is a disease characterized by calcification of multifocal cells mediated byliving tissue. Calcified tendeinitis may occur due to the collection of calcium in the pouch of supraspinatustendon or may spread between rotator cuff muscle fibers and bursa. This deposit may or may not cause pain ofdiscomfort. The study aim is to determine the correlation of calcium deposit size to the pain intensity in patientswith calcified tendinotis.Methods: A cross-sectional study, on subjects, were diagnosed with calcified tendinitis rotator cuff bymusculoskeletal ultrasonography examination.Results: The twenty subjects, aged 50-70 years old, No significant correlations were found between calciumdeposit size with the pain intensity using VAS, r=0.238, p=0.32.Conclusion. The size of the calcium deposit has not correlated with the pain intensity in rotator cuff calcifiedtendinitis patients. But further research is needed whether the location and form of calcium deposits affect thepain intensity in calcified tendinitis rotator cuff patients.Keywords: calcified tendinitis; calcium deposit size; pain intensity.

scholarly journals Relationship between Calcium Deposit Size with the Pain Intensity in Patients with Calcified Rotator Cuff Tendinitis

1970 ◽  
Vol 5 (02) ◽  
pp. 9-15
Author(s):  
Indri Wijayanti ◽  
I Nyoman Murdana ◽  
Tirza Z. Tamin
Keyword(s):  
Rotator Cuff ◽  
Pain Intensity ◽  
Supraspinatus Tendon ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Calcium Deposit ◽  
Cross Sectional ◽  
Rotator Cuff Tendinitis ◽  
Calcium Deposits ◽  
Musculoskeletal Ultrasonography

Background: Calcified tendinitis is a disease characterized by calcification of multifocal cells mediated byliving tissue. Calcified tendinitis may occur due to the collection of calcium in the supraspinatus tendon pouchor may be spread between rotator cuff muscle fibers and bursa, it may not cause pain or may cause mild painor discomfort. The aim is to determine the correlation of calcium deposit size to the pain intensity in patientswith calcified tendinitis.Methods: Methods in this study was a cross-sectional study, twenty subjects, aged 50-70 years old, diagnosedwith calcified tendinitis rotator cuff through musculoskeletal ultrasonography examination.Results: No significant correlations were found between calcium deposit size and pain intensity using VAS,r=0.238, p=0.312.Conclusion : The size of the calcium deposit was not correlated with the pain intensity in rotator cuff calcifiedtendinitis patients. But further research is needed whether the location and form of calcium deposits affect thepain intensity in calcified tendinitis rotator cuff patients.Keywords: calcified tendinitis; calcium deposit size; pain intensity.

scholarly journals Sociodemographic, clinical and pharmacological profiles of medication misuse and dependence in hospitalised older patients in Norway: a prospective cross-sectional study

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e031483 ◽  
Author(s):  
Socheat Cheng ◽  
Tahreem Ghazal Siddiqui ◽  
Michael Gossop ◽  
Espen Saxhaug Kristoffersen ◽  
Christofer Lundqvist
Keyword(s):  
Pain Intensity ◽  
Older Patients ◽  
Adverse Drug Events ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medication Misuse ◽  
Factors Associated ◽  
Concurrent Use

ObjectivesTimely recognition of medication misuse and dependence is crucial to avoid both adverse drug events and increasing health expenditure. Yet the detection of these disorders in older people remains challenging due to the paucity of evidence on characteristics of patients at risk. This study investigates sociodemographic, pharmacological and clinical characteristics and factors associated with prolonged medication use, misuse and dependence in hospitalised older patients, focusing on three commonly prescribed central nervous system depressants (CNSDs): opioid analgesics, benzodiazepines and z-hypnotics.DesignA prospective, cross-sectional study complying with the Strengthening the Reporting of Observational Studies in Epidemiology guidelines.SettingSomatic departments of the Akershus University Hospital, Norway.Participants246 patients aged 65–90 were included.Outcome measuresProlonged use was defined as using CNSDs for ≥4 weeks. Misuse and dependence were assessed with the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition criteria for substance abuse and dependence. We used descriptive statistics to report patients’ characteristics and logistic regression to demonstrate factors associated with prolonged use, and misuse or dependence.ResultsForty per cent of participants reported using CNSDs for ≥4 weeks. The odds of prolonged use were higher for patients aged 75–84 (OR=2.32, 95% CI 1.16 to 4.65) and ≥85 (OR=3.33, 95% CI 1.25 to 8.87) vs <75 years, for pain intensity (OR=1.02, 95% CI 1.01 to 1.04), and polypharmacy versus no polypharmacy (OR=5.16, 95% CI 2.13 to 12.55). The odds were lower for patients who completed secondary education (OR=0.33, 95% CI 0.13 to 0.83) compared with those with only basic education. Factors associated with misuse or dependence were pain intensity (OR=1.02, 95% CI 1.01 to 1.04) and concurrent use of ≥2 CNSDs (OR=3.99, 95% CI 1.34 to 11.88).ConclusionCNSD overuse is prevalent among hospitalised older patients, despite clear guidelines and recommendations. Our findings underline a need for stronger focus on responsible prescribing, timely detection and prevention of this issue, with special attention towards older patients, those with enhanced pain, polypharmacy and/or concurrent use of several CNSDs.Trial registration numberNCT03162081.

Are Illness Perceptions Associated with Pain and Disability in Complex Regional Pain Syndrome? A Cross-Sectional Study

Pain Medicine ◽  
2020 ◽  
Author(s):  
Dana R Antunovich ◽  
Juliette C Horne ◽  
Natalie L Tuck ◽  
Debbie J Bean
Keyword(s):  
Pain Intensity ◽  
Complex Regional Pain Syndrome ◽  
Psychological Factors ◽  
Illness Perceptions ◽  
Pain Syndrome ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Pain Disability ◽  
Regulation Model

Abstract Objective Complex regional pain syndrome (CRPS) is a complex and often poorly understood condition, and people with CRPS will have diverse beliefs about their symptoms. According to the self-regulation model, these beliefs (termed “illness perceptions”) influence health behaviors and outcomes. Previous studies have found that psychological factors influence CRPS outcomes, but few studies have investigated CRPS patients’ illness perceptions specifically. The present study examined whether illness perceptions were related to pain intensity and other relevant outcomes in people with CRPS. Methods In this cross-sectional study, 53 patients with CRPS (type 1 and type 2) completed questionnaires assessing illness perceptions, pain, disability, and psychological factors. Multiple regression analyses were used to determine whether illness perceptions were associated with pain intensity, disability, depression, and kinesiophobia, after controlling for possible covariates (including clinical and demographic factors, pain catastrophizing, and negative affect). Results Negative illness perceptions were associated with greater pain, disability, and kinesiophobia, but not depression. Specifically, attributing more symptoms to CRPS (more negative illness identity perceptions) was associated with greater pain intensity, and reporting a poorer understanding of CRPS (lower illness coherence scores) was associated with greater disability and kinesiophobia. Conclusions Patients with CRPS with more negative illness perceptions (particularly perceptions indicating a poor understanding of their condition) also experience greater pain, disability, and kinesiophobia. Future research could investigate whether altering CRPS patients’ illness perceptions influences clinical outcomes.

scholarly journals Anxiety and Pain Severity in Children Based on Self-Report

2021 ◽  
Vol 10 (1) ◽  
pp. 17-23
Author(s):  
Maryam Mirmotalebi ◽  
◽  
Behshid Garrusi ◽  
Mina Danaei
Keyword(s):  
Pain Intensity ◽  
Objective Evaluation ◽  
Cross Sectional Study ◽  
Self Report ◽  
Pain Severity ◽  
Medical Team ◽  
Sectional Study ◽  
Cross Sectional ◽  
Spss Software ◽  
Children's Pain

Background and Objective: Evaluation of the severity of pain in children can help the medical team diagnose the type of disease. In this study, anxiety and pain intensity in children were examined based on self-report. Materials and Methods: This cross-sectional study was performed in 2018 on 300 children aged 3 to 12 years, referring to outpatient treatment centres in Kerman. To measure the severity of pain felt by children, FPS-R was used. The level declared by children was evaluated by the pain intensity estimated by parents and doctors using a visual analogue scale (VAS) and the standard FLACC (Face, Legs, Activity, Cry, Consolability scale) for correlation. The data were analysed using SPSS software version 25. Results: The pain reported by children was obtained by VAS (4.16 ± 3.49), and the estimated pain by the doctor was obtained by FPS-R (2.87±1.68). The pain severity estimated by the doctor using FLACC had the highest correlation with the pain estimated by the doctor using VAS and the lowest correlation with the pain estimated by the mother using VAS. Conclusion: The results of this study showed that FPS-R could be used as a suitable self-report tool in children and, along with the standard FLACC, can help the medical team recognize the severity of children's pain.

A cross-sectional study of demographic and morphologic features of rotator cuff disease in paraplegic patients

2011 ◽  
Vol 20 (7) ◽  
pp. 1108-1113 ◽  
Author(s):  
Michael Akbar ◽  
Manuela Brunner ◽  
Gabriel Balean ◽  
Thomas Grieser ◽  
Thomas Bruckner ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Rotator Cuff Disease ◽  
Cross Sectional

Contrast-Enhanced Ultrasound Determines Supraspinatus Muscle Atrophy After Cuff Repair and Correlates to Functional Shoulder Outcome

2018 ◽  
Vol 46 (11) ◽  
pp. 2735-2742 ◽  
Author(s):  
Christian Fischer ◽  
Sascha Gross ◽  
Felix Zeifang ◽  
Gerhard Schmidmaier ◽  
Marc-André Weber ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Cross Sectional Study ◽  
Contrast Enhanced Ultrasound ◽  
Sectional Study ◽  
Cross Sectional ◽  
Supraspinatus Muscle ◽  
Constant Murley Score ◽  
Contrast Enhanced ◽  
Cuff Repair

Background: Muscle degeneration as a consequence of rotator cuff tears is mainly assessed by magnetic resonance imaging. Contrast-enhanced ultrasound (CEUS) is a new functional imaging method to assess microvascular perfusion as a fundamental parameter of muscle tissue vitality. In this cross-sectional study, the authors evaluated supraspinatus muscle perfusion after cuff repair and analyzed its association with functional shoulder outcome and the grade of echogenicity in B-mode ultrasound indicating fatty infiltration. Hypothesis: The authors expected reduced microperfusion of the operated versus the contralateral supraspinatus muscle and a correlation of the muscular microperfusion with functional shoulder outcome. Study Design: Cross-sectional study; Level of evidence, 3. Methods: Patients who received unilateral repair of the supraspinatus tendon between 2009 and 2014 were invited for a single follow-up examination. Functional scores were assessed, including the Constant-Murley score and American Shoulder and Elbow Surgeons score. CEUS examination was performed bilaterally in an oblique sagittal plane of the supraspinatus fossa. Perfusion was quantified by the parameters wash-in perfusion index (WiPI) and peak enhancement via VueBox quantification software. The results of the Constant-Murley score, American Shoulder and Elbow Surgeons score, and perfusion parameters were referenced to the contralateral shoulder. Echogenicity of the supraspinatus muscle was classified with a 3-point scale as compared with the trapezius muscle. Results: Sixty-seven patients were available, with a mean follow-up of 38.0 ± 18.5 months. Functional assessment showed impaired shoulder function on the operated shoulder as compared with the contralateral side (relative Constant Score [CS], 80% ± 19%). CEUS revealed diminished perfusion on the operated shoulder (WiPI, 55.1% ± 40.2%, P < .001). A strong correlation could be demonstrated between the perfusion deficit and functional impairment (relative WiPI and CS: rs = .644, P < .001). Higher grade of echogenicity in B-mode ultrasound was associated with reduced perfusion. Conclusion: CEUS could visualize impaired supraspinatus muscle perfusion after rotator cuff repair as compared with the contralateral, healthy shoulder. With its ability to quantify microvascular perfusion as a surrogate parameter for muscle vitality and function, CEUS may serve as a quantitative method to evaluate rotator cuff muscles.

Kinesiophobia Is Associated With Pain Intensity and Disability in Chronic Shoulder Pain: A Cross-Sectional Study

2020 ◽  
Vol 43 (8) ◽  
pp. 791-798 ◽  
Author(s):  
Alejandro Luque-Suarez ◽  
Javier Martinez-Calderon ◽  
Santiago Navarro-Ledesma ◽  
Jose Miguel Morales-Asencio ◽  
Mira Meeus ◽  
...  
Keyword(s):  
Pain Intensity ◽  
Shoulder Pain ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Chronic Shoulder Pain
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