Medicine and Health Sciences Commons^™

Does The Application Of Kt Tape Decrease Pain In Chronic Low Back Pain?, Jordan Vitelli

PCOM Physician Assistant Studies Student Scholarship

Objective: The objective of this selective EBM review is to determine “Does the application of KT tape decrease pain in chronic low back pain?”

Study Design: A systematic review of three randomized controlled trials (RCTs) published between 2018 and 2019.

Data Sources: The three RCTs were published in English in peer reviewed journals and obtained from PubMed. The studies were selected based on their relevance to the clinical question.

Outcome Measured: The outcome measured within all three RCTs was pain intensity using the Visual Analog Scale (VAS). The VAS scoring ranges from 0 to 10, defining 0 as no pain …

Does Dance Therapy During Active Labor Reduce Labor Pain?, Sarah E. Naber

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine “Does dance therapy during active labor decrease labor pain?”

STUDY DESIGN: A systematic review of two randomized control trials and a cohort study that were published in English between 2014 and 2020.

DATA SOURCES: Three studies were obtained from PubMed, Alt HealthWatch, and AMED. They were all published in peer-reviewed journals and chosen based on their relevance to the clinical question proposed.

OUTCOMES MEASURED: The main outcome measured in all three studies is pain during active labor. Pain was measured in all studies using the visual analog scale (VAS). …

Is Transcutaneous Electrical Nerve Stimulation (Tens) An Effective Treatment For Pain Caused By Knee Osteoarthritis?, Zuhra Nassery

PCOM Physician Assistant Studies Student Scholarship

Objective: The objective of this selective EBM review is to determine whether or not “is TENS an effective treatment for pain caused by knee osteoarthritis?”.

Study Design: A systematic review of three randomized controlled trials (RCTs) published between 2012 and 2019.

Data Sources: All RCTs were discovered utilizing PubMed. The articles were published in English in peer-reviewed journals and selected based on applicability and pertinence to the clinical question as well as the incorporation of patient-oriented outcomes.

Outcome Measured: Knee pain was the outcome measured using the Visual Analog Scale (VAS), which requires participants to draw a mark between the …

Lumbar Sympathetic Block As A Treatment Modality For Complex Regional Pain Syndrome, Kelci Beardsley, Ronald Lincow

Research Day

Setting: Outpatient Pain Management

Patient: A 28-year-old male with a history of cryptogenic stroke, bilateral lower extremity compartment syndrome, and severe left foot pain secondary to emergent fasciotomy.

Case Description: This patient presented to the office with a chief complaint of left foot pain. Past medical history was significant for cryptogenic stroke and bilateral lower extremity compartment syndrome, status post emergent fasciotomy. Severe left foot pain began after emergent fasciotomy, and he required a walker for ambulation. While hospitalized, several different treatment modalities were utilized in an attempt to alleviate the pain. Previous treatments included tricyclic antidepressants, gabapentin, and saphenous …

A 37-Year-Old Female With Low Back Pain And Acute Lower Extremity Weakness, Kelci Beardsley, Ronald Lincow

Research Day

Setting: Outpatient Pain Management

Patient: A 37-year-old female with no significant past medical history presents with low back pain and unilateral lower extremity weakness two weeks after a motor vehicle accident.

Case Description: This patient presented to the office with a chief complaint of new right sided low back pain and right lower extremity weakness. History revealed that the patient was involved in a motor vehicle accident (MVA) several weeks prior to presentation. She was the restrained driver and was hit from behind by another motorist. The patient noted that she immediately felt stiffness in her low back, but did …

Does Buzzy® Reduce Needlestick Pain In Children Between The Ages 5 And 12 Years Old?, Morgan T. Gilcrest

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or not “Does Buzzy® reduce needlestick pain in children between the ages 5 and 12 years old?”

STUDY DESIGN: A systematic review of three nonblinded, randomized controlled trials (RCTs). All studies were published in English between 2018 and 2019.

DATA SOURCES: Three RCTs were obtained from PubMed and published in peer-reviewed journals. The studies were chosen based on their relevance to the clinical question.

OUTCOMES MEASURED: In all of the articles used for this review, the main outcome measured was pain reduction. The participants’ level of pain was …

Does Administration Of 800 Mg Intravenous Ibuprofen Reduce Post-Surgical Pain Within 24-28 Hours?, Marisa Mazza

PCOM Physician Assistant Studies Student Scholarship

Objective: The objective of this selective EBM review is to determine whether or not administration of 800 mg IV ibuprofen reduces post-surgical pain within 24-28 hours.

Study Design: A systematic review of three randomized, double blind, placebo-controlled studies.

Data Sources: All studies were published in English during or after the year 2010. All articles were obtained from peer reviewed journals and databases using PubMed and CINAHL Plus. Selection was determined based on the relevance to the clinical question.

Outcomes Measured: All three studies aimed to measure the efficacy of IV ibuprofen on the reduction of post-operative pain at rest and …

Restoration Of Penile Sensation After Dorsal Nerve Trauma In Cismen, Kevin M. Klifto, A. Lee Dellon

Research Day

Purpose: Loss of penis sensation or development of a painful penis can occur after injury to the dorsal branch of the pudendal nerve. Attempted relief of this problem through neurolysis of the dorsal nerve in the inferior pubic ramus canal has been reported rarely. While recovery of genital sensibility has been discussed frequently in transmen, this subject has been reported rarely in cismen. The purpose of this report is to review our experience with recovery of sensation after decompression of the dorsal branch of the pudendal nerve.

Methods: A retrospective chart review was carried out from 2014 to …

Is Cannabis Effective In Reducing Muscle Spasticity And Body Pain Amongst Patients With Multiple Sclerosis?, William E. Johnson

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or not cannabis is effective in reducing muscle spasticity and body pain amongst patients with Multiple Sclerosis (MS).

STUDY DESIGN: A systematic review of three peer-reviewed studies published between the years of 2003 and 2012.

DATA SOURCES: Three randomized control trials (RCTs) evaluating if cannabis can reduce muscle spasticity and body pain for patients diagnosed with Multiple Sclerosis. All three sources were selected from PubMed and examined for outcomes that were patient oriented.

OUTCOMES MEASURED: The two primary outcomes measured include: muscle spasticity measured by the Ashworth scale, …

Does Grounding To The Earth Reduce Subjective Experience Of Pain?, Adam Umbro

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or not grounding to the earth reduces subjective experience of pain.

STUDY DESIGN: This paper evaluates one double-blind, randomized placebo-controlled trial, one randomized placebo-controlled trial, and one prospective cohort trial investigating the efficacy of grounding in reducing subjects’ experience of pain.

DATA SOURCES: All articles were published in English language peer-reviewed journals and accessed through PubMed.

OUTCOMES MEASURED: The outcome measured in this review is the subjective experience of pain by study participants. Pain levels are measured using a visual-analog pain scale or pain survey.

RESULTS: Two studies …

Are Cox-2 Inhibitors Such As Celecoxib And Parecoxib Effective In Reducing Post-Tonsillectomy Pain?, Shelby Ginsburg

PCOM Physician Assistant Studies Student Scholarship

Objective: The objective of this selective EBM review is to determine where or not “Are Cox-2 inhibitors such as celecoxib and parecoxib effective in reducing post-tonsillectomy pain?”

Study Design: Review of three double blind randomized controlled trials (RTC). Data Sources: All studies were published in peer-reviewed journals found via the use of PubMed.

Outcomes Measured: Patients were divided into two groups: those who received the Cox-2 inhibitor and those who received the placebo, in order to measure postoperative pain using patient or parent reported journals or diaries, questionnaires, and various pain scales (CHEOPS, and WP24HR with VAS).

Results: Two out …

Does Instrument Assisted Soft Tissue Manipulation Decrease Pain In Patients With Musculoskeletal Complaints?, Jessica Ritegno

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or not instrument assisted soft tissue manipulation (IASTM) is an effective therapy in decreasing patient reported pain originating from musculoskeletal sources.

STUDY DESIGN: Systematic review of three randomized controlled trials published between 2007-2016, all in English language.

DATA SOURCES: Three randomized controlled studies, which studied the effects of IASTM on various musculoskeletal regions of patient reported pain compared to patients who received other forms of treatment, were obtained using PubMed.

OUTCOMES MEASURED: The outcome of each study was a patient reported decrease in pain using a visual analog …

Are Tart Cherry Supplements Effective On Reducing Muscle Soreness And Perception Of Pain In Young, Healthy Males Following High Intensity Resistance Training?, Alyssa Davis

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or not tart cherry supplements are effective at alleviating muscle soreness and pain following high resistance training.

STUDY DESIGN: Review of two double blind randomized control trials, and one crossover randomized control trial. All three studies were published in English between 2006-2015.

DATA SOURCES: Two double blind randomized control trials and one crossover randomized control trial found using Cochrane and PubMed.

OUTCOMES MEASURED: The outcomes measured were muscle soreness and perception of pain. They were measured using a pressure-pain threshold and 10 point pain …

Is Weight Loss An Effective Treatment Of Pain Symptoms Related To Knee Joint Osteoarthritis In Obese Adults?, Samantha Sokol

PCOM Physician Assistant Studies Student Scholarship

Objective: The objective of this selective EBM review is to determine whether or not weight loss is an effective treatment of pain symptoms related to knee joint osteoarthritis in obese adults.

Study Design: Systematic review of 2 randomized-controlled trials and 1 cohort study. All three articles were published in English between 2011-2015.

Data Sources: Two randomized, un-blinded, controlled studies and one cohort found using Pubmed.

Outcomes Measured: Each study evaluated change in pain symptoms related to knee osteoarthritis in obese adults as compared to weight loss.

Results: Studies showed that weight loss lead to a …

Notes For Discussion On Back Aches, Richard S. Koch

Koch Collection, Papers of Richard S Koch, DO

Dr Koch's personal notes on causes and treatment of back ache and his opinons on the subject.

Is Sodium Oxybate A Safe And Effective Treatment For Patients With Fibromyalgia, Britanie A. Grandinette

PCOM Physician Assistant Studies Student Scholarship

Objective: The objective of this systematic review is to determine whether or not Sodium Oxybate is a safe and effective treatment of pain and sleep-related symptoms of fibromyalgia.

Study design: Review of three English language primary randomized controlled trials published between 2003-2010.

Data Sources: Randomized, controlled clinical trials comparing Sodium Oxybate to a placebo group were found using PubMed and Cochrane database.

Outcome Measured: Disease improvement and adverse effects (nausea). Disease improvement was measure using Disease the Tender point index (TPI) (rated 0-4), subjective daily assessments of pain /fatigue, PVAS score (0= no pain, 100= worst possible pain), FVAS score …

Is There A Benefit To Suturing Vs. Stapling In Cesarean Section Closure When Comparing Postoperative Pain And Patient Satisfaction?, Jennifer Pilchman

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE:The objective of this selective EBM review is to determine whether or not there is a benefit to suturing vs stapling in cesarean section closure when comparing postoperative pain and patient satisfaction.

STUDY DESIGN: Review of three English language primary studies published in 2009 and 2010.

DATA SOURCES: Three randomized control trials (RCTs) comparing the surgical closures for cesarean section delivery. All RCTs were found by the author using MEDLINE, PUBMED, and COCHRANE databases. They are all published articles written in English.

OUTCOME MEASURED: Outcomes were measured by assessing patient satisfaction, postoperative pain, cosmetic appearance and wound complications. Rousseau …

Is Kangaroo Care Effective In Reducing Procedural Pain In Neonates?, Sara A. Deringer-Kohorst

PCOM Physician Assistant Studies Student Scholarship

Objective: The objective of this systematic review is to determine whether Kangaroo Care is effective in reducing procedural pain in neonates.

Is A Musical Intervention Effective In The Reduction Of Needle Related Procedural Pain In Children?, Heather B. Good

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE:Trypanophobia, or the fear of needles and needle pain is a very common occurrence in children, one that can have significant impacts into adulthood and on an individual’s lifelong healthcare. The objective of this systematic review is to determine whether or not a musical intervention is effective in the reduction of needle-related procedural pain in children. The author searched OVID Medline and Cochrane databases for peer-reviewed articles and systematic reviews addressing the topic, published in English after 1996. Three randomized controlled trials were selected on the basis of their being POEM’s and not included in previous systematic reviews, the results …