Pain Variability Predicts Subjective Function in Individuals with Patellofemoral Pain: A Short Report

Journal of Athletic Training ◽

10.4085/1062-6050-0261.21 ◽

2021 ◽

Author(s):

Neal R. Glaviano ◽

Mikayla M. Simon ◽

David M. Bazett-Jones

Keyword(s):

Pain Scale ◽

Patellofemoral Pain ◽

Short Report ◽

Pain Experience ◽

Functional Activities ◽

Average Pain ◽

Two Measures ◽

Pearson Correlations ◽

Daily Pain

Abstract Individuals with patellofemoral pain (PFP) experience pain during various functional activities. Long-term pain is a common consequence of PFP, yet little is known about daily pain variability. Twenty-five individuals with PFP completed the Anterior Knee Pain Scale (AKPS) and recorded daily pain over 10-days. Pain was evaluated by two measures of intensity (baseline pain, 10-day average pain) and two measures of variability (mean square of successive differences [MSSD], probability of acute change [PAC]). Associations between AKPS and the four pain measures were calculated with Pearson correlations. A linear regression was performed to examine the amount of variance in the AKPS explained by the four pain measures. Greater MSSD values were moderately associated with lesser AKPS scores (r =−.648, p<.001). MSSD and 10-day averaged pain was the strongest predictor of AKPS (R2=.565, p<.001). Pain variability provides a unique perspective in the pain experience and predicts patient-oriented function in individuals with PFP.

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Lasting Improvement of Patient-Reported Outcomes 6 Months After Patellofemoral Pain Rehabilitation

Journal of Sport Rehabilitation ◽

10.1123/jsr.2015-0176 ◽

2017 ◽

Vol 26 (4) ◽

pp. 223-233 ◽

Cited By ~ 8

Author(s):

Karrie L. Hamstra-Wright ◽

Burcu Aydemir ◽

Jennifer Earl-Boehm ◽

Lori Bolgla ◽

Carolyn Emery ◽

...

Keyword(s):

Treatment Success ◽

Pain Scale ◽

Patellofemoral Pain ◽

Rehabilitation Program ◽

Short Term ◽

Muscle Strengthening ◽

Patient Reported ◽

Knee Muscle ◽

And Function

Background/Objective:Hip- and knee-muscle-strengthening programs are effective in improving short-term patient-reported and disease-oriented outcomes in individuals with patellofemoral pain (PFP), but few to no data exist on moderate- to long-term postrehabilitative outcomes. The first purpose of the study was to assess differences in pain, function, strength, and core endurance in individuals with PFP before, after, and 6 mo after successful hip- or knee-muscle-strengthening rehabilitation. The second purpose was to prospectively follow these subjects for PFP recurrence at 6, 12, and 24 mo postrehabilitation.Methods:For 24 mo postrehabilitation, 157 physically active subjects with PFP who reported treatment success were followed. At 6 mo postrehabilitation, pain, function, hip and knee strength, and core endurance were measured. At 6, 12, 18, and 24 mo, PFP recurrence was measured via electronic surveys.Results:Sixty-eight subjects (43%) returned to the laboratory at 6 mo. Regardless of rehabilitation program, subjects experienced significant improvements in pain and function, strength, and core endurance pre- to postrehabilitation and maintained improvements in pain and function 6 mo postrehabilitation (Visual Analog Scale/Pain—pre 5.12 ± 1.33, post 1.28 ± 1.14, 6 mo 1.68 ± 2.16 cm, P < .05; Anterior Knee Pain Scale/Function—pre 76.38 ± 8.42, post 92.77 ± 7.36, 6 mo 90.27 ± 9.46 points, P < .05). Over the 24 mo postrehabilitation, 5.10% of subjects who responded to the surveys reported PFP recurrence.Conclusions:The findings support implementing a hip-or knee-muscle-strengthening program for the treatment of PFP. Both programs improve pain, function, strength, and core endurance in the short term with moderate- and long-term benefits of improved pain and function and low PFP recurrence.

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Comparative Study of effectiveness of mobilization with movement (MWM) and End range mobilization (ERM) techniques in frozen shoulder

Research in Pharmacy and Health Sciences ◽

10.32463/rphs.2018.v04i04.22 ◽

2018 ◽

Vol 4 (4) ◽

pp. 519-522

Author(s):

Jeyakumar S ◽

Jagatheesan Alagesan ◽

T.S. Muthukumar

Keyword(s):

Range Of Motion ◽

Frozen Shoulder ◽

Type I ◽

Mean Values ◽

Functional Activities ◽

Group A ◽

The Mean ◽

Group B

Background: Frozen shoulder is disorder of the connective tissue that limits the normal Range of motion of the shoulder in diabetes, frozen shoulder is thought to be caused by changes to the collagen in the shoulder joint as a result of long term Hypoglycemia. Mobilization is a therapeutic movement of the joint. The goal is to restore normal joint motion and rhythm. The use of mobilization with movement for peripheral joints was developed by mulligan. This technique combines a sustained application of manual technique “gliding” force to the joint with concurrent physiologic motion of joint, either actively or passively. This study aims to find out the effects of mobilization with movement and end range mobilization in frozen shoulder in Type I diabetics. Materials and Methods: 30 subjects both male and female, suffering with shoulder pain and clinically diagnosed with frozen shoulder was recruited for the study and divided into two groups with 15 patients each based on convenient sampling method. Group A patients received mobilization with movement and Group B patients received end range mobilization for three weeks. The outcome measurements were SPADI, Functional hand to back scale, abduction range of motion using goniometer and VAS. Results: The mean values of all parameters showed significant differences in group A as compared to group B in terms of decreased pain, increased abduction range and other outcome measures. Conclusion: Based on the results it has been concluded that treating the type 1 diabetic patient with frozen shoulder, mobilization with movement exercise shows better results than end range mobilization in reducing pain and increase functional activities and mobility in frozen shoulder.

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A prospective cohort register-based study of chronic postsurgical pain and long-term use of pain medication after otorhinolaryngological surgery

Scientific Reports ◽

10.1038/s41598-021-84788-4 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Nina Graf ◽

Katharina Geißler ◽

Winfried Meißner ◽

Orlando Guntinas-Lichius

Keyword(s):

Rating Scale ◽

Numeric Rating Scale ◽

Postsurgical Pain ◽

Average Pain Intensity ◽

Chronic Postsurgical Pain ◽

Average Pain ◽

Patients At Risk ◽

Perioperative Assessment ◽

Numeric Rating

AbstractData on chronic postsurgical pain (CPSP) after otorhinolaryngological surgery are sparse. Adult in-patients treated in 2017 were included into the prospective PAIN OUT registry. Patients’ pain on the first postoperative day (D1), after six months (M6) and 12 months (M12) were evaluated. Determining factor for CPSP was an average pain intensity ≥ 3 (numeric rating scale 0–10) at M6. Risk factors associated with CPSP were evaluated by univariate and multivariate analyses. 10% of 191 included patients (60% male, median age: 52 years; maximal pain at D1: 3.5 ± 2.7), had CPSP. Average pain at M6 was 0.1 ± 0.5 for patients without CPSP and 4.2 ± 1.2 with CPSP. Average pain with CPSP still was 3.7 ± 1.1 at M12. Higher ASA status (Odds ratio [OR] = 4.052; 95% confidence interval [CI] = 1.453–11.189; p = 0.007), and higher minimal pain at D1 (OR = 1.721; CI = 1.189–2.492; p = 0.004) were independent predictors of CPSP at M6. Minimal pain at D1 (OR = 1.443; CI = 1.008–2.064; p = 0.045) and maximal pain at M6 (OR = 1.665; CI = 1.340–2.069; p < 0.001) were independent predictors for CPSP at M12. CPSP is an important issue after otorhinolaryngological surgery. Better instrument for perioperative assessment should be defined to identify patients at risk for CPSP.

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Short report: craniosynostosis, a late complication of nutritional rickets

Journal of Pediatric Endocrinology and Metabolism ◽

10.1515/jpem-2020-0580 ◽

2021 ◽

Vol 0 (0) ◽

Author(s):

Lydia Y. Forestier-Zhang ◽

Paul Arundel ◽

Robyn Gilbey-Cross ◽

Mohammed Zulf Mughal ◽

Amaka C. Offiah ◽

...

Keyword(s):

Early Identification ◽

Late Complication ◽

Psychosocial Problems ◽

Short Report ◽

Delayed Presentation ◽

Brain Growth ◽

Case Presentation ◽

Nutritional Rickets ◽

Potential Association

Abstract Objectives Nutritional rickets may be a preventable cause of craniosynostosis. This potential association is under-recognised. A late diagnosis of craniosynostosis may result in reduced brain growth, raised intracranial pressure and long-term psychosocial problems. Case presentation We present four cases of craniosynostosis associated with nutritional rickets. Those who had delayed presentation underwent emergency craniotomy. Conclusions Treatment of nutritional rickets and early identification of craniosynostosis can reduce morbidity in these children.

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Verbal threat learning does not spare loved ones

Scientific Reports ◽

10.1038/s41598-021-84921-3 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Cristina Morato ◽

Pedro Guerra ◽

Florian Bublatzky

Keyword(s):

Fear Learning ◽

Pain Experience ◽

Trauma Research ◽

Learning History ◽

Beneficial Effects ◽

Electric Shocks ◽

History Of ◽

Threat Cues ◽

Verbal Threat

AbstractSignificant others provide individuals with a sense of safety and security. However, the mechanisms that underlie attachment-induced safety are hardly understood. Recent research has shown beneficial effects when viewing pictures of the romantic partner, leading to reduced pain experience and defensive responding. Building upon this, we examined the inhibitory capacity of loved face pictures on fear learning in an instructed threat paradigm. Pictures of loved familiar or unknown individuals served as signals for either threat of electric shocks or safety, while a broad set of psychophysiological measures was recorded. We assumed that a long-term learning history of beneficial relations interferes with social threat learning. Nevertheless, results yielded a typical pattern of physiological defense activation towards threat cues, regardless of whether threat was signaled by an unknown or a loved face. These findings call into question the notion that pictures of loved individuals are shielded against becoming threat cues, with implications for attachment and trauma research.

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