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High-frequency TENS in post-episiotomy pain relief in primiparous puerpere: A randomized, controlled trial

Rodarti Pitangui, Ana Carolina; de Sousa, Ligia; Gomes, Flavia Azevedo; Jorge Ferreira, Cristine Homsi; Spano Nakano, Ana Marcia
Fonte: WILEY-BLACKWELL; HOBOKEN Publicador: WILEY-BLACKWELL; HOBOKEN
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
35.86%
Aim: We evaluated the effectiveness of high-frequency transcutaneous electrical nerve stimulation (TENS) as a pain relief resource for primiparous puerpere who had experienced natural childbirth with an episiotomy. Methods: A controlled, randomized clinical study was conducted in a Brazilian maternity ward. Forty puerpere were randomly divided into two groups: TENS high frequency and a no treatment control group. Post-episiotomy pain was assessed in the resting and sitting positions and during ambulation. An 11-point numeric rating scale was performed in three separate evaluations (at the beginning of the study, after 60 min and after 120 min). The McGill pain questionnaire was employed at the beginning and 60 min later. TENS with 100 Hz frequency and 75 mu s pulse for 60 min was employed without causing any pain. Four electrodes ware placed in parallel near the episiotomy site, in the area of the pudendal and genitofemoral nerves. Results: An 11-point numeric rating scale and McGill pain questionnaire showed a significant statistical difference in pain reduction in the TENS group, while the control group showed no alteration in the level of discomfort. Hence, high-frequency TENS treatment significantly reduced pain intensity immediately after its use and 60 min later. Conclusion: TENS is a safe and viable non-pharmacological analgesic resource to be employed for pain relief post-episiotomy. The routine use of TENS post-episiotomy is recommended.

Os efeitos da estimulação magnética transcraniana repetitiva (EMTr) aplicada sobre o córtex motor de pacientes com síndrome complexa de dor regional; The effects of repetitive transcranial magnetic stimulation (r-TMS) over the motor cortex on complex regional pain syndrome patients

Picarelli, Helder
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 17/04/2009 PT
Relevância na Pesquisa
45.72%
Introdução e objetivos: Estudos recentes sugerem que a estimulação magnética transcraniana repetitiva (EMTr) aplicada sobre o córtex motor é eficaz no tratamento analgésico de doentes com dor crônica. O objetivo deste estudo foi avaliar os efeitos da aplicação da EMTr sobre o córtex motor, utilizada como co-intervenção terapêutica no tratamento de pacientes com síndrome complexa de dor regional (SCDR) refratária aos tratamentos convencionais. Métodos: Vinte e três doentes com SCDR na mão foram distribuídos aleatoriamente em dois grupos de tratamentos para receberem o tratamento padrão (analgésicos, medicações adjuvantes e terapia física) associado a dez sessões diárias e consecutivas de EMTr rápida ou estimulação magnética placebo (EMTp), aplicadas sobre a região correspondente ao córtex motor da mão acometida. Os grupos foram comparados em relação aos aspectos epidemiológicos, apresentação clínica da doença, intensidade da dor, alterações do humor, qualidade de vida e função do membro acometido até noventa dias após a conclusão do tratamento, utilizando-se de entrevistas estruturadas, da escala visual analógicas de dor (EVA), do questionário de dor de McGuill (QM), do questionário PIQ-6 (Pain Inpact Questionnaire)...

melhorar a qualidade dos cuidados prestados ao doente com dor no serviço de urgência.

Lobato, Sandra Isabel Ramos Contreiras
Fonte: Instituto Politécnico de Setúbal. Escola Superior de Saúde Publicador: Instituto Politécnico de Setúbal. Escola Superior de Saúde
Tipo: Dissertação de Mestrado
Publicado em /12/2013 POR
Relevância na Pesquisa
45.76%
Relatório de Trabalho de Projeto apresentado para cumprimento dos requisitos necessários à obtenção do grau de Mestre em Enfermagem Médico-Cirúrgica.; No âmbito do Mestrado em Enfermagem Médico-Cirúrgica da Escola Superior de Saúde de Setúbal, do Instituto Politécnico de Setúbal, foram realizados três estágios que decorreram no Serviço de Urgência de um Centro Hospitalar da Margem Sul do Tejo. Integrado nos mesmos foram equacionadas duas dimensões, uma direcionada para o desenvolvimento de um Projeto de Intervenção em Serviço (PIS) e outra para o desenvolvimento de um Projeto de Aprendizagem de Competências (PAC), com a finalidade de promover um espaço de aprendizagem que conduzisse ao desenvolvimento de Competências Comuns e Especializadas em Enfermagem Médico-Cirúrgica. O PIS incidiu na formação da equipa de enfermagem relativamente à importância da avaliação e registo da dor, nas escalas instituídas no Serviço de Urgência Geral, na construção de um protocolo de enfermagem de atuação para alívio da dor e na elaboração de um folheto para a equipa de enfermagem alusivo às Intervenções não farmacológicas no alívio da dor. O PAC surgiu, em paralelo com o PIS, como uma forma de organizar e planear os conhecimentos que nos propunha-mos adquirir/desenvolver com base no enquadramento concetual e enunciados descritivos dos Padrões de Qualidade dos Cuidados de Enfermagem da Ordem dos Enfermeiros...

Pain intensity measurements in patients with acute pain receiving afferent stimulation.

Ekblom, A; Hansson, P
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /04/1988 EN
Relevância na Pesquisa
35.98%
Six different pain rating scales, including a "pain relief scale", were compared in 80 patients suffering acute orofacial pain. Pain intensity measurements were made before and after a 30 min period of afferent stimulation (TENS/vibration and placebo). A good correlation was found between pain scores derived from the pain relief scale, visual analogue-, numerical- and graphic rating scales. The verbal rating scale did not perform well. The pain relief scale and the numerical rating scale are interesting alternatives to the established visual analogue scale.

Influence and Stability of Pain Scale Anchors for an Investigation of Cold Pressor Pain Tolerance

Dannecker, Erin A.; George, Steven Z.; Robinson, Michael E.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
35.85%
Variable use of pain scale anchors may influence recalled pain ratings, rating consistency, and agreement between actual rating change and ratings of pain relief. This investigation examined change in events that represent maximal pain scale anchors. Participants (N = 68, 50% women) provided events for maximal anchors of 0-100 pain scales and cold pressor pain was rated using self-selected event/s and an investigator-provided event. Then, participants were allowed to change their self-selected event/s. Then the revised event/s or original events were used to rate a second cold pressor trial. Forty-one percent of participants changed event/s and the new event/s was more likely to involve cold or heat, but the painfulness of events and the pain ratings of the second trial did not change. The cold pressor pain ratings were higher when rated based on self-selected event/s than the investigator- provided event for intensity (M = 80.13, SD = 19.30 & M = 60.81, SD = 27.45) and unpleasantness (M = 80.84, SD = 19.07 & M = 59.07, SD = 27.53), which could be due to the submaximal painfulness of the investigator-provided event. Therefore, the width of numerical scales is stable with maximal events regardless of the actual events.

The effect of a new type of video glasses on the perceived intensity of pain and unpleasantness evoked by a cold pressor test.

Bentsen, B.; Svensson, P.; Wenzel, A.
Fonte: American Dental Society of Anesthesiology Publicador: American Dental Society of Anesthesiology
Tipo: Artigo de Revista Científica
Publicado em //1999 EN
Relevância na Pesquisa
55.8%
The aim of the study was to evaluate whether distraction induced by a new generation of video glasses (I-Glasses, Virtual i-O, Seattle, WA) has an effect on the perceived intensity of pain and unpleasantness. The effects of three-dimensional video, two-dimensional video, and no video glasses (control) were compared in two groups of healthy volunteers (13 males and 11 females) in a randomized, controlled trial. A cold pressor stimulus (1-2 degrees C chilled water) was used to induce experimental pain, and the volunteers rated the intensity of pain and unpleasantness on 100-mm visual analogue scales. The ratings were statistically compared using the Wilcoxon signed-rank test. Between the groups (males and females), there was a significant difference (P < .01) in the rating of unpleasantness in the three-dimensional video condition, while there were no significant differences between the genders in the other conditions (two-dimensional, control). Three-dimensional video provided a significant reduction in both pain and unpleasantness (P < .01) compared with the control condition in the male group. However, in the female group, there was a significant reduction in unpleasantness with two-dimensional video compared with the control (P < .05). This suggests that the use of distraction by means of video glasses is able to reduce the perceived intensity of pain and unpleasantness.

Neck pain and disability due to neck pain: what is the relation?

Fejer, René; Hartvigsen, Jan
Fonte: Springer-Verlag Publicador: Springer-Verlag
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
35.84%
Pain and disability are interrelated, but the relationship between pain and disability is not straightforward. The objective of this study was to investigate the relationship between neck pain (NP) intensity, NP duration, and disability based on the population-based ‘Funen Neck and Chest Pain’ study. Pain intensity was measured using 11-box numerical rating scales, pain duration was measured using the Standardized Nordic Questionnaire, and disability was measured by the Copenhagen Neck Functional Disability Scale. Spearman rank correlation coefficients and logistic regression analyses were used to measure correlations and strength of associations between pain intensity, pain duration, and disability given domain specific characteristics (socioeconomic, health and physical, comorbidity, and variables related to consequences of NP). Neck pain was very common, but mainly mild and did not result in major disability. The correlations between NP intensity and disability were moderate but strongly associated, whereas weaker correlations and almost no associations were found between NP duration and disability. Pain duration is a poor indicator of disability. Given these variations, pain intensity and disability should be considered as two distinct dimensions and measured separately. These results have implications for future clinical and epidemiological studies.

Gender role expectations of pain: relationship to experimental pain perception

Wise, Emily A.; Price, Donald D.; Myers, Cynthia D.; Heft, Marc W.; Robinson, Michael E.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /04/2002 EN
Relevância na Pesquisa
35.79%
The primary purpose of this study was to investigate the influence of an individual’s Gender Role Expectations of Pain (GREP) on experimental pain report. One hundred and forty-eight subjects (87 females and 61 males) subjects underwent thermal testing and were asked to report pain threshold, pain tolerance, VAS ratings of pain intensity and unpleasantness, and a computerized visual analogue scales (VAS) rating of pain intensity during the procedure. Subjects completed the GREP questionnaire to assess sex-related stereotypic attributions of pain sensitivity, pain endurance, and willingness to report pain. Consistent with previous research, significant sex differences emerged for measures of pain threshold, pain tolerance, and pain unpleasantness. After statistically controlling for age, GREP scores were significant predictors of threshold, tolerance, and pain unpleasantness, accounting for an additional 7, 11, and 21% of the variance, respectively. Sex remained a significant predictor of pain tolerance in hierarchical regression analyses after controlling for GREP scores. Results provide support for two competing but not mutually exclusive hypotheses related to the sex differences in experimental pain. Both psychosocial factors and first-order...

Children’s self-reports of pain intensity: Scale selection, limitations and interpretation

von Baeyer, Carl L
Fonte: Pulsus Group Inc Publicador: Pulsus Group Inc
Tipo: Artigo de Revista Científica
Publicado em //2006 EN
Relevância na Pesquisa
35.93%
Most children aged five years and older can provide meaningful self-reports of pain intensity if they are provided with age-appropriate tools and training. Self-reports of pain intensity are an oversimplification of the complexity of the experience of pain, but one that is necessary to evaluate and titrate pain-relieving treatments. There are many sources of bias and error in self-reports of pain, so ratings need to be interpreted in light of information from other sources such as direct observation of behaviour, knowledge of the circumstances of the pain and parents’ reports. The pain intensity scales most commonly used with children – faces scales, numerical rating scales, visual analogue scales and others – are briefly introduced. The selection, limitations and interpretation of self-report scales are discussed.

Do Past Pain Events Systematically Impact Pain Ratings of Healthy Subjects or Fibromyalgia Patients?

Staud, Roland; Robinson, Michael E.; Price, Donald D.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
35.95%
We previously reported that three different electronic visual analogue and numerical pain scales are useful in providing refined capacity to discriminate discrete levels of pain intensity. Using the same subjects and scales, we now investigated whether pain scaling is influenced by past pain events and by recalled memories of these events in the rating of pain. Normal control subjects (NC: 19 male; 30 female) and female fibromyalgia (FM) (n = 17) patients received 5 sec suprathreshold heat stimuli (45 - 49°C) to both forearms. The participants rated these experimental heat stimuli using the previously described electronic pain scales. Subsequently, they were asked to report whether they used any prior pain experiences during the process of rating their pain. Out of 49 NC only 6 females (12.2%) and 7 males (14.3%), and out of 17 FM patients only 3 females (17.6 %) stated to have used past pain experiences during scaling. Notably, pain ratings of experimental heat stimuli did not statistically differ between subjects who used past pain experiences during scaling as compared to those who did not. Furthermore, ratings of their most severe past pains were not significantly correlated with ratings of experimental pain stimuli. These results do not provide support for the strong assertion that pain rating scales are “elastic” i.e. being used differently depending on the severity of past pain events such as childbirth.

Pain relativity in motor control

Kurniawan, I.T.; Seymour, B.; Vlaev, I.; Trommershäuser, J.; Dolan, R. J.; Chater, N.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
55.73%
Motivational theories of pain highlight its role in people’s choices of actions that avoid bodily damage. By contrast, little is known how pain influences action implementation. To explore this less-understood area, we conducted a study in which participants had to rapidly point to a target area to win money while avoiding an overlapping penalty area that would cause pain in their contralateral hand. We found that pain intensity and target-penalty proximity repelled participants’ movement away from pain and that motor execution was influenced not by absolute pain magnitude but by relative pain differences. Our results indicate that the magnitude and probability of pain have a precise role in guiding motor control and that representations of pain that guide action are, at least in part, relative rather than absolute. Additionally, our study shows that the implicit monetary valuation of pain, like many explicit valuations (e.g. patients’ use of rating scales in medical contexts), is unstable, a finding that has implications for pain treatment in clinical contexts.

A non-randomized clinical control trial of Harrison mirror image methods for correcting trunk list (lateral translations of the thoracic cage) in patients with chronic low back pain

Harrison, Deed E.; Cailliet, Rene; Betz, Joseph W.; Harrison, Donald D.; Colloca, Christopher J.; Haas, Jason W.; Janik, Tadeusz J.; Holland, Burt
Fonte: Springer-Verlag Publicador: Springer-Verlag
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
45.76%
Spinal trunk list is a common occurrence in clinical practice, but few conservative methods of spinal rehabilitation have been reported. This study is a non-randomized clinical control trial of 63 consecutive retrospective subjects undergoing spinal rehabilitation and 23 prospective volunteer controls. All subjects presented with lateral thoracic-cage-translation posture (trunk list) and chronic low back pain. Initial and follow-up numerical pain rating scales (NRS) and AP lumbar radiographs were obtained after a mean of 11.5 weeks of care (average of 36 visits) for the treatment group and after a mean of 37.5 weeks for the control group. The radiographs were digitized and analyzed for a horizontal displacement of T12 from the second sacral tubercle, verticality of the lumbar spine at the sacral base, and any dextro/levo angle at mid-lumbar spine. Treatment subjects received the Harrison mirror image postural correction methods, which included an opposite trunk-list exercise and a new method of opposite trunk-list traction. Control subjects did not receive spinal rehabilitation therapy, but rather self-managed their back pain. For the treatment group, there were statistically significant improvements (approximately 50%) in all radiographic measurements and a decrease in pain intensity (NRS: 3.0 to 0.8). For the control group...

Pain intensity among institutionalized elderly: a comparison between numerical scales and verbal descriptors

Pereira,Lílian Varanda; Pereira,Gilberto de Araújo; Moura,Louise Amália de; Fernandes,Rayanne Rodrigues
Fonte: Universidade de São Paulo, Escola de Enfermagem Publicador: Universidade de São Paulo, Escola de Enfermagem
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/10/2015 EN
Relevância na Pesquisa
45.85%
AbstractOBJECTIVECorrelating two unidimensional scales for measurement of self-reported pain intensity for elderly and identifying a preference for one of the scales.METHODA study conducted with 101 elderly people living in Nursing Home who reported any pain and reached ( 13 the scores on the Mini-Mental State Examination. A Numeric Rating Scale - (NRS) of 11 points and a Verbal Descriptor Scale (VDS) of five points were compared in three evaluations: overall, at rest and during movement.RESULTSWomen were more representative (61.4%) and the average age was 77.0±9.1 years. NRS was completed by 94.8% of the elderly while VDS by 100%. The association between the mean scores of NRS with the categories of VDS was significant, indicating convergent validity and a similar metric between the scales.CONCLUSIONPain measurements among institutionalized elderly can be made by NRS and VDS; however, the preferred scale for the elderly was the VDS, regardless of gender.

A functional look at the concept validity of the CAPS's pain and anxiety faces scales

Fernandes, Ananda Maria; Oliveira, Armando Mónica; Batalha, Luís Manuel da Cunha; Grácio, Joana Catarina Gonçalves; Viegas, Ricardo
Fonte: Escola Superior de Enfermagem de Coimbra Publicador: Escola Superior de Enfermagem de Coimbra
Tipo: Conferência ou Objeto de Conferência Formato: application/pdf
Publicado em 19/06/2013 ENG
Relevância na Pesquisa
65.89%
A functional look at the concept validity of the CAPS's pain and anxiety faces scales. Introduction and Aims The CAPS is a set of two face scales, composed of 5 drawn faces each, for evaluating pain intensity and anxiety in children. The goal of the present study was to assess whether the two sets of faces actually address distinct constructs. Rather than looking at convergent validity, it did so by examining the rules whereby the inner features of faces in each set are combined by subjects while issuing pain and anxiety judgments. Methods The study rested upon the methodology of Information Integration Theory. Faces in each set were divided into upper- and lower half-faces (grossly, "eyebrow-eyes" and "nose-mouth"), which were factorially combined to produce 25 pain- and 25 anxiety-faces. Two groups of children (9-11 years old) participated in the main study: children without a regular experience of pain ("pain-free"; n=23), and children undergoing a post-operatory period ("acute-pain"; n=21). Both groups evaluated the pain faces as to pain intensity and the anxiety faces as to anxiety/fear in two separate tasks. The faces were randomly presented on a computer screen and answers given on a 600 pixels horizontal graphical rating scale. An additional group of pain-free children (n=20) took part in an ancillary study...

The relationship between health-related quality of life, pain and coping strategies in juvenile idiopathic arthritis

Sawyer, M.; Whitham, J.; Roberton, D.; Taplin, J.; Varni, J.; Baghurst, P.
Fonte: Oxford Univ Press Publicador: Oxford Univ Press
Tipo: Artigo de Revista Científica
Publicado em //2004 EN
Relevância na Pesquisa
45.83%
OBJECTIVES: To investigate the relationship between health-related quality of life (HRQL), experience of pain and pain coping strategies in children with juvenile idiopathic arthritis (JIA). To compare reports describing these variables obtained from children and their parents. METHODS: Participants were 59 children aged 8 to 18 yr with JIA and their parents. Parents and children completed the PedsQLTM generic core scales and arthritis module, the visual analogue scale of the Varni–Thompson Pediatric Pain Questionnaire, and the Waldron/Varni Pediatric Pain Coping Inventory. Parents rated children's functional disability using the Childhood Health Assessment Questionnaire. RESULTS: Parents reported significantly lower scores (indicating worse HRQL) than children on five of the eight PedsQLTM scales rating children's HRQL. Parents and children reported a significant negative relationship between pain levels and the PedsQLTM scores assessing children's physical, emotional and social functioning. They also reported a significant negative relationship between scores on several pain coping scales and scores on the PedsQLTM scales. However, the pattern of these relationships varied for reports from parents and children. CONCLUSIONS: Pain intensity and pain coping strategies have a significant and independent relationship with several domains that comprise the HRQL of children with JIA. However...

Pain Intensity Recognition Rates via Biopotential Feature Patterns with Support Vector Machines

Gruss, Sascha; Treister, Roi; Werner, Philipp; Traue, Harald C.; Crawcour, Stephen; Andrade, Adriano; Walter, Steffen
Fonte: Public Library of Science Publicador: Public Library of Science
Tipo: Artigo de Revista Científica
EN_US
Relevância na Pesquisa
45.87%
Background: The clinically used methods of pain diagnosis do not allow for objective and robust measurement, and physicians must rely on the patient’s report on the pain sensation. Verbal scales, visual analog scales (VAS) or numeric rating scales (NRS) count among the most common tools, which are restricted to patients with normal mental abilities. There also exist instruments for pain assessment in people with verbal and / or cognitive impairments and instruments for pain assessment in people who are sedated and automated ventilated. However, all these diagnostic methods either have limited reliability and validity or are very time-consuming. In contrast, biopotentials can be automatically analyzed with machine learning algorithms to provide a surrogate measure of pain intensity. Methods: In this context, we created a database of biopotentials to advance an automated pain recognition system, determine its theoretical testing quality, and optimize its performance. Eighty-five participants were subjected to painful heat stimuli (baseline, pain threshold, two intermediate thresholds, and pain tolerance threshold) under controlled conditions and the signals of electromyography, skin conductance level, and electrocardiography were collected. A total of 159 features were extracted from the mathematical groupings of amplitude...

Noninterventional Study of Transdermal Fentanyl (Fentavera) Matrix Patches in Chronic Pain Patients: Analgesic and Quality of Life Effects

Heim, Manuel
Fonte: Hindawi Publishing Corporation Publicador: Hindawi Publishing Corporation
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
35.74%
Fentanyl is considered to be an effective, transdermal treatment of chronic, cancer, and noncancer pain. This noninterventional, clinical practice-based study, on 426 patients attending 42 practices, assessed a proprietary, Aloe vera-containing, transdermal fentanyl matrix patch (Fentavera), for its analgesic effects, patients' quality of life (QoL) effects, tolerability, and adhesiveness. Study outcomes were mean changes from baseline of patient (11-point scales) and physician (5-point scales) ratings. After 1 and 2 months treatment, there were significant (P < 0.0001) decreases in patients' ratings of pain intensity, and impairment of walking, general activity, sleep quality, and QoL. For each parameter, the patient response rate was >30% at 2 months (response = 2-point decrease on 11-point rating scale). In a large majority of patients, the physicians rated the matrix patch as good or very good for analgesic effect, systemic and local tolerance, and adhesiveness. There were 30 adverse events in 4.2% of patients and analgesic comedications were reduced during treatment compared to before treatment. It is concluded, from this population-based data, that the proprietary, transdermal fentanyl matrix patch is effective and safe for chronic pain management in clinical practice...

Patients' versus general practitioners' assessments of pain intensity in primary care patients with non-cancer pain.

Mäntyselkä, P; Kumpusalo, E; Ahonen, R; Takala, J
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /12/2001 EN
Relevância na Pesquisa
55.94%
Pain is a major cause for visiting a primary care physician. There are, however, few studies on the assessment of pain patients at the primary care level. The aim of this cross-sectional study was to investigate the concordance between general practitioners' (GPs') and patients' assessments of pain intensity and whether this assessment is influenced by the duration or intensity of pain. Seven hundred and thirty-eight patients aged 16 to 75 years, who were visiting a GP because of pain, participated. Both the patients and the GPs rated pain intensity using the horizontal 100 mm Visual Analogue Scale (VAS). Means and correlations were calculated using non-parametric tests. The VAS scales were arbitrarily divided into five grades (one unit = 20 mm) to investigate the concordance between GPs' and patients' assessments of pain intensity. Spearman 's correlation coefficient between GPs' and patients' assessments was 0.31 for non-chronic pain (of duration less than six months) and 0.20 for chronic pain. GPs evaluated graded pain intensity at least one unit lower than patients in 37% of the visits. In one-fifth of the visits (20.5%), the GP's rating was at least two units lower than the patient's rating. The more severe the pain as assessed by patients...

COOP-WONCA charts: a suitable functional status screening instrument in acute low back pain?

Andres, E; Temme, M; Raderschatt, B; Szecsenyi, J; Sandholzer, H; Kochen, M M
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /12/1995 EN
Relevância na Pesquisa
35.84%
BACKGROUND: Functional status is considered an important measure of health status in primary care. The COOP-WONCA charts, which comprise six single-item scales, have mainly been used to determine functional ability in chronically ill patients. AIM: A study was carried out to determine whether the charts are able to measure the degree of functional impairment associated with acute illness and the improvement in functional ability accompanying the process of recovery. METHOD: A total of 95 patients presenting with acute low back pain were recruited from 15 single-handed general practices in northern Germany. At presentation and at two-week follow up, these patients completed self-administered questionnaires which included the COOP-WONCA charts. The charts ask patients to use the timescale of the past two weeks when rating their condition. Baseline and follow-up measurements of the charts were compared and correlations of chart scores with patients' measurements of pain intensity on a visual analogue scale, general practitioners' ratings of impairment and patients' measurements of recovery were analysed. RESULTS: Only the chart measuring change in health revealed a deterioration in functional ability associated with the onset of pain and an improvement in functional status at follow up. Two of the other charts indicated a deterioration at follow up. Only the chart measuring change in health was correlated with ratings of pain and impairment at baseline. At follow up...

Pain intensity among institutionalized elderly: a comparison between numerical scales and verbal descriptors; Intensidad del dolor en ancianos institucionalizados: comparación entre la escala numérica y los descriptores verbales; Intensidade da dor em idosos institucionalizados: comparação entre as escalas numérica e de descritores verbais

Pereira, Lílian Varanda; Pereira, Gilberto de Araújo; Moura, Louise Amália de; Fernandes, Rayanne Rodrigues
Fonte: Universidade de São Paulo. Escola de Enfermagem Publicador: Universidade de São Paulo. Escola de Enfermagem
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; Artigo Avaliado pelos Pares Formato: application/pdf; application/pdf
Publicado em 01/10/2015 ENG; POR
Relevância na Pesquisa
35.82%
OBJECTIVECorrelating two unidimensional scales for measurement of self-reported pain intensity for elderly and identifying a preference for one of the scales.METHODA study conducted with 101 elderly people living in Nursing Home who reported any pain and reached ( 13 the scores on the Mini-Mental State Examination. A Numeric Rating Scale - (NRS) of 11 points and a Verbal Descriptor Scale (VDS) of five points were compared in three evaluations: overall, at rest and during movement.RESULTSWomen were more representative (61.4%) and the average age was 77.0±9.1 years. NRS was completed by 94.8% of the elderly while VDS by 100%. The association between the mean scores of NRS with the categories of VDS was significant, indicating convergent validity and a similar metric between the scales.CONCLUSIONPain measurements among institutionalized elderly can be made by NRS and VDS; however, the preferred scale for the elderly was the VDS, regardless of gender.; OBJETIVOCorrelacionar dos escalas unidimensionales de mensuración de la intensidad del dolor autorreferido por ancianos e identificar la preferencia por una de las escalas.MÉTODOEstudio conducido con 101 ancianos residentes en Instituciones de Larga Estancia para Ancianos que relataron algún tipo de dolor y alcanzaron puntajes 13 en la Mini Prueba del Estado Mental. La Escala Numérica (EN) de 11 puntos y la Escala de Descriptores Verbales (EDV)...