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An Exploratory Study Of Aquatic Walking On Symptoms And Functional Limitations In Persons With Knee Osteoarthritis: Part 1, John M. Coons, Brandon Grubbs, Vaughn W. Barry, Ryan T. Conners, Sandra Stevens

International Journal of Aquatic Research and Education

This paper represents Part 1 of a study that explored the effects of an underwater treadmill (UT) walking program on pain and function in adults with knee osteoarthritis (KOA). The Western Ontario & McMaster Universities Osteoarthritis Index (WOMAC), numerical rating scale (NRS), timed up-and-go (TUG), and 10-m walk were assessed in 6 adults (62.7 ±14.2 years) who participated in an 8-week (3x/wk) UT walking intervention based on the Arthritis Foundation’s Walk With Ease (WWE) program. Walking pace was self-selected, and walking duration of each session was increased from 10 to 45 minutes throughout the study. Knee pain and function were …

Assessment Of Posture, Spinal Mobility And Emg Data In Patients With Spinal Stenosis, Ahu Zileli, Tamer Çankaya

Baltic Journal of Health and Physical Activity

Introduction: This study aims to analyze the difference in muscle activation, posture and vertebral mobility values between healthy individuals and patients with lumbar spinal stenosis. Material and Methods: This study involved 48 lumbar spinal stenosis (LSS) patients of the average age of 55.19 ± 10.41 years and 48 healthy individuals with of the average age of 58.15 ± 8.44 years. Posture and spinal mobility of the participants were measured in the standing position, and the maximum flexion posture with spinal mouse. Muscle activation of rectus femoris, biceps femoris, tibialis anterior and medial head of the gastrocnemius muscle was measured during …

The Role Of Physical Activity In Supporting Treatment Of Coxarthrosis Symptoms In Elderly Patients, Malgorzata Kawa, Malgorzata Kowza-Dzwonkowska, Agnieszka Schenk

Baltic Journal of Health and Physical Activity

Background: Next to degenerative changes of the spine, osteoarthritis of the hip is one of the most common diseases of the musculoskeletal system in people after the age of 65. The purpose of this study is to compare and evaluate the analgesic effectiveness treatments with exercises on a bicycle ergometer in osteoarthritis of the hip in patients. Material/Methods: The study involved 30 persons with degenerative disease of the hip referred to 10-day rehabilitation with a weekend break. In Group A 14 patients were subjected to treatments with local cryotherapy and laser therapy; in Group B 16 this treatment together exercises …

Pain Tolerance In Sport, Ewelina Salwin, Agnieszka Zajac

Baltic Journal of Health and Physical Activity

Pain is an inseparable element of the sports experience, regardless of the chosen discipline. The saying “no pain, no gain” perfectly describes the risk of an injury in sport as well as the expectations of high tolerance of pain. Sociologists note the connection between sport norms and values and the pain and behaviours related to an injury. While competing an athlete is under pressure of the coach, activists and supporters who expect him or her to continue and perform despite pain. However, pain in sport is not always a negative factor as it also plays an informative role indicating physical …

The Use Of Combination Therapy In Rehabilitation Of Patients With Hip Osteoarthritis – Preliminary Report, Magdalena Podczarska-Glowacka, Anna Lysak, Rafal Szulc-Cieplicki

Baltic Journal of Health and Physical Activity

Background: The objective of the study was to assess the effectiveness of a 2-week therapeutic programme consisting of combination therapy and postisometric relaxation and its effect on the mobility of joints and the level of perception of pain in patients with osteoarthritis of hip joints. Material/Methods:The research was carried out on subjects clinically and radiologically diagnosed as patients with osteoarthritis of hip joints. 30 subjects, including 7 men and 23 women (average age of 67.8 yrs), underwent the examinations. The therapy lasted 2 weeks and consisted of 10 treatment sessions. The medical program included a combination therapy and individual exercises, …

The Role Of Myofascial Massage In Spinal Pains In Professionally Active Women, Malgorzata Kawa, Karol Orlowski, Malgorzata Kowza-Dzwonkowska

Baltic Journal of Health and Physical Activity

Background: Pain ailments of the spine are one of the most common diseases of the system of bones and joints. 75% to 85% of the world’s population suffer or will suffer from it, and lumbar pain is the most common cause of disability of persons over 45 years of age. They are usually the beginning of a chronic, often progressing ailments often leading to disability, incapacity to work and restrictions in daily life. Myofascial massage helps reduce pain sensations. Is a specific method of gradual stretching soft tissues and making muscle fibres more elastic. It reduces increased muscle tone, muscle …

Local Cryotherapy In Tennis Elbow (Lateral Epicodylitis), Malgorzata Kawa, Malgorzata Kowza-Dzwonkowska

Baltic Journal of Health and Physical Activity

Background: The study investigated the analgesic effectiveness, the reduction in the intake of painkillers and an improvement in physical activity after local cryotherapy in tennis elbow (TE). Material/Methods: The research group comprised patients of the Physiotherapy Patients diagnosed with so-called tennis elbow were referred to physical therapy treatments by specialist doctors. 34 patients were examined (26 women, 8 men), aged 36-59 years, who were then divided into two groups: Group X (17 persons) – treated with local cryotherapy (10 treatments over 2 weeks), Group Y (17 persons ) – the control group with no therapeutic procedures conducted for a period …

Imagery Use In Rehabilitation After The Knee Joint Arthroscopy, Dominika Wilczynska, Anna Lysak, Magdalena Podczarska-Glowacka

Baltic Journal of Health and Physical Activity

Background: The objective of the study was to assess the efficiency of visualization training based on motivating instructions of a general character in order to increase the knee joint mobility, reduce pain and increase the quadriceps muscle mass of the thigh in patients after the knee joint arthroscopy. Material/Methods: F10 outpatient clinic patients after arthroscopy of the knee joint (average age 35 yrs) were subject to research. Physiotherapeutic treatment comprised an improvement program to increase the range of flexion in the knee joint (full ROM), align limbs circumference and reduce pain. The research group was divided into 2 subgroups. In …

Evaluation Of Analgesic Effectiveness Of Infrared Radiation And Interference Currents In Degenerative Diseases, Malgorzata Kawa, Ewa Muszynska, Malgorzata Kowza-Dzwonkowska

Baltic Journal of Health and Physical Activity

No abstract provided.

Quality Of Life, Duration Of The Disease And The Level Of Pain In Patients With Rheumatoid Arthritis, Ewa Kupcewicz, Agnieszka Drejer

Baltic Journal of Health and Physical Activity

The aim of the present study is to evaluate life quality of people suffering from RA and determine the influence of illness duration and degree of pain intensity on their quality of life. The group of subjects comprised of 189 people: 104 (55.03%) with diagnosed RA and 85 (44.97%) healthy people as control group. Mean age in the group of ill subjects was 57.66 ±11.30 and 68 ±8.99 in the control group. In the research, self-constructed questionnaire, Visual Analogue Scale (VAS) and shortened version of WHOQoL-Bref were used. Assumed significance level was p < 0.05. Patients with RA received statistically significantly lower scores of life quality in all domains as compared with the control group. In the group of ill subjects, social domain (14.91 ±2.40) obtained highest scores whereas physical domain received lowest scores (11.96 ±1.69). The main somatic issue connected with the illness reported by 95.19% of subjects was experienced joint pain. Mean degree of perceived pain in VAS scale reached 7.37 ±1.86 points and it significantly lowered life quality of ill subjects. The results regarding life quality in four life domains (i.e. physical, psychological, social and environmental) were definitely better than in the control group.

The Impact Of Shock Wave Therapy On Reducing Pain In Patients With Plantar Fasciitis, Zaneta Galecka-Szczerba, Malgorzata Kawa, Magdalena Podczarska-Glowacka

Baltic Journal of Health and Physical Activity

Background: The heel spur often accompanied by plantar fascia inflammation is a very troublesome disorder. It causes intense heel and foot pain, disturbs gait, often causing limitation of physical activity. The aim of the work is to evaluate the impact of radial shock therapy patients diagnosed with heel spur on pain and physical activity. Material and methods: The study involved 27 patients - 9 men and 18 women - with a diagnosed spur heel, the average age of the patient is 56 ± SD years. To evaluate the effects of the therapy, two testes were used, the VAS analogue pain …

Deep Tissue Massage And Mobility And Pain In The Thoracic Spine, Anna Srokowska, Malgorzata Bodek, Mikolaj Kurczewski, Grzegorz Srokowski, Marcin Siedlaczek, Andrzej Lewandowski

Baltic Journal of Health and Physical Activity

Background: The aim of the work is to determine the effectiveness of deep tissue massage therapy on mobility and pain of the thoracic spine. Material and methods: The study involved 18 women and men aged 46–63 years doing office work. Functional diagnostics was performed prior to the therapy (study I), after the procedure (study II) and after 30 days (study III). The Otta test for flexion and extension of the spine, pectoralis major muscles length test, chest circumference measurement, and NRS were used. In the statistical analysis mean and standard deviations were determined and the following tests were used: Mann-Whitney …

Can Physical Activity Modulate Pain Perception During Ontogenesis?, Maciej Pawlak, Aleksandra Jazdzewska, Katarzyna Leznicka

Baltic Journal of Health and Physical Activity

The aim of the paper is to emphasise the significance of physical activity as an element directly or indirectly modulating the perception of pain during ontogenesis. Pain is a distinctive sensory sensation and also a subjective criterion of health or disease. In contrast to other modalities (taste, smell, touch), it triggers solely negative emotions and sensations. Pain is a highly individualised sensory phenomenon, involving the physical, cognitive and emotional spheres of human life. Different reactions to pain during ontogeny most often result from the loss of communication skills, a systematic decrease in the functions of all systems and organs, in …

The Effectiveness Of Open Versus Closed Kinetic Chain Exercises On Pain, Function And Range Of Motion In Patients With Knee Osteoarthritis, Babatunde Olusola Adegoke, Arinola Olasumbo Sanya, Samuel Olusegun Ogunlade, Oladapo Michael Olagbegi

Baltic Journal of Health and Physical Activity

Background: The comparative efficacy of open and closed kinetic chain exercises (OKCE and CKCE) on the symptoms of osteoarthritis (OA) has not been exhaustively studied. To evaluate and compare the effectiveness of eight-week open OKCE and CKCE on pain, function and range of motion of patients with knee OA. Material and methods: ‪A quasi-experimental study involved twenty-nine consecutive patients with knee OA allocated to either OKCE or CKCE groups. Participants’ pain intensity (PI), functional score (FS), active range of motion AROM) and knee passive range of motion (PROM) were assessed using the visual analogue scale, the functional index questionnaire and …

Bibliography On Suffering, Simon C. Estok

CLCWeb: Comparative Literature and Culture

No abstract provided.

Chronic Pain Profiles And Past Bullying Experiences, Stephen Ratliff

Electronic Theses and Dissertations

The biopsychosocial model of chronic pain posits that chronic pain is influenced by factors such as depression, somatization, and psychological trauma (Gatchel, Peng, Peters, Fuchs, & Turk, 2007). Being bullied in childhood is one such factor that has been shown to be associated with chronic pain (Sigurdson, Wallander, & Sund, 2014; Voerman et al. 2015). Furthermore, those with chronic pain fit into one of three distinct psychological profiles (Williams, Urban, Keefe, Shutty, & France, 1995). The purpose of the current study was to examine the relationship between chronic pain profiles and reports of past bullying experiences. It was hypothesized that …

Effect Of Cannabis Use In People With Chronic Non-Cancer Pain Prescribed Opioids: Findings From A 4-Year Prospective Cohort Study, Gabrielle Campbell, Wayne Hall, Amy Peacock, Nicholas Lintzeris, Raimondo Bruno, Briony K. Larance, Suzanne Nielsen, Milton Cohen, Gary Chan, Richard P. Mattick, Fiona Blyth, Marian D. Shanahan, Timothy Dobbins, Michael P. Farrell, Louisa Degenhardt

Faculty of Social Sciences - Papers (Archive)

Background Interest in the use of cannabis and cannabinoids to treat chronic non-cancer pain is increasing, because of their potential to reduce opioid dose requirements. We aimed to investigate cannabis use in people living with chronic non-cancer pain who had been prescribed opioids, including their reasons for use and perceived effectiveness of cannabis; associations between amount of cannabis use and pain, mental health, and opioid use; the effect of cannabis use on pain severity and interference over time; and potential opioid-sparing effects of cannabis. Methods The Pain and Opioids IN Treatment study is a prospective, national, observational cohort of people …

Do Insects Feel Pain?, Helen Tiffin

Animal Studies Journal

This paper briefly considers the broad social and scientific background to research into the possibility of insects experiencing pain sensations analogous to our own. There has been increasing use of insects in pain experiments generally, as ethical constraints on the use of other animals increased through the last century. The ways in which scientists have tackled the question of insect pain, particularly in trying to distinguish between nociception and pain are then selectively summarised. These include opioid, hormonal, evolutionary, neurophysiological and behavioural approaches, as well as experiments designed to elucidate the difficult area of insect consciousness, from the 1980s to …

The Pain Of Our Bodies And Souls, Wendolens A. Ruano

Journal of Critical Scholarship on Higher Education and Student Affairs

Students' Critical Reflections on Racial (in)justice

Why Is Pain Still Under-Treated In The Emergency Department? Two New Hypotheses, Drew Carter, Paul Sendzuik, Jaklin Eliott, Annette J. Braunack-Mayer

Faculty of Social Sciences - Papers (Archive)

Across the world, pain is under‐treated in emergency departments (EDs). We canvass the literature testifying to this problem, the reasons why this problem is so important, and then some of the main hypotheses that have been advanced in explanation of the problem. We then argue for the plausibility of two new hypotheses: pain's under‐treatment in the ED is due partly to (1) an epistemic preference for signs over symptoms on the part of some practitioners, and (2) some ED practices that themselves worsen pain by increasing patients' anxiety and fear. Our argument includes the following logic. Some ED practitioners depart …

A Typology Of Predictive Risk Factors For Non-Adherent Medication-Related Behaviors Among Chronic Non-Cancer Pain Patients Prescribed Opioids: A Cohort Study, Amy Peacock, Louisa Degenhardt, Gabrielle Campbell, Briony K. Larance, Suzanne Nielsen, Wayne Hall, Richard P. Mattick, Raimondo Bruno

Faculty of Social Sciences - Papers (Archive)

BACKGROUND: There has been no previous prospective examination of the homogeneity of chronic non-cancer pain (CNCP) patients in risk factors for non-adherent opioid use. OBJECTIVES: To identify whether latent risk classes exist among people with CNCP that predict non-adherence with prescribed opioids. STUDY DESIGN: Prospective cohort study. METHODS: The Pain and Opioids IN Treatment prospective cohort comprises 1,514 people in Australia prescribed pharmaceutical opioids for CNCP interviewed 3 months apart. Risk factors were assessed in wave 1, and non-adherent behaviors in the 3 months prior to wave 1 and wave 2. Latent class analysis was used to examine groups with …

Geographic Variation In Health Service Use And Perceived Access Barriers For Australian Adults With Chronic Non-Cancer Pain Receiving Opioid Therapy, Amy Peacock, Suzanne Nielsen, Raimondo Bruno, Gabrielle Campbell, Briony K. Larance, Louisa Degenhardt

Faculty of Social Sciences - Papers (Archive)

Objective. Rates of chronic non-cancer pain are increasing worldwide, with concerns regarding poorer access to specialist treatment services in remote areas. The current study comprised the first in-depth examination of use and barriers to access of health services in Australia according to remoteness. Methods. A cohort of Australian adults prescribed pharmaceutical opioids for chronic non-cancer pain (n = 1,235) were interviewed between August 2012 and April 2014, and grouped into 'major city' (49%), 'inner regional' (37%), and 'outer regional/remote' (14%) according to the Australian Standard Geographical Classification based on postcode. Multinomial logistic regression analyses were conducted to determine geographical differences …

Learning To Learn And Naming Through Receptive And Expressive Identification, Kelli Perry

Dissertations

Poor or no language skills are typical of most preschool children with autism (American Psychological Association, 2013). Language can be divided into the two components of receptive, or listener, skills and expressive, or speaker, skills. Recommendations for sequencing language instruction vary across the different behavior-analytic instructional models (Lovaas, 1981; Barbara & Rasmussen, 2007; Sundberg & Partington, 1998; Sundberg, 2008). The current study sought to examine those recommendations using young children (three- to four-years-old) with limited vocal repertoires and to explore the acquisition of learning to learn (Harlow, 1949) and naming (Greer & Ross, 2007). This research (1) adds to the …

Factors Associated With The Development Of Depression In Chronic Non-Cancer Pain Patients Following The Onset Of Opioid Treatment For Pain, Kimberley Smith, Richard P. Mattick, Raimondo Bruno, Suzanne Nielsen, Milton Cohen, Gabrielle Campbell, Briony K. Larance, Michael P. Farrell, Louisa Degenhardt

Faculty of Social Sciences - Papers (Archive)

Background and aims Pharmaceutical opioid prescription rates are increasing globally, however knowledge of their long-term effects on mental health, in particular depression remains limited. This study aimed to identify factors associated with the onset of depression post-opioid use that differ to factors associated with depression post-pain. Method Participants (N=1 418) were a national sample prescribed opioids for chronic non-cancer pain. Age at onset of depression, pain and commencement of opioid medications were collected via structured interview. Results Six in 10 (61%) reported lifetime depression; of those, almost half developed depression after pain and after they started opioid medications (48%). Variables …

Benzodiazepine Use Among Chronic Pain Patients Prescribed Opioids: Associations With Pain, Physical And Mental Health, And Health Service Utilization, Suzanne Nielsen, Nicholas Lintzeris, Raimondo Bruno, Gabrielle Campbell, Briony K. Larance, Wayne Hall, Bianca Hoban, Milton Cohen, Louisa Degenhardt

Faculty of Social Sciences - Papers (Archive)

Objective

Benzodiazepines (BZDs) are commonly used by chronic pain patients, despite limited evidence of any long-term benefits and concerns regarding adverse events and drug interactions, particularly in older patients. This article aims to: describe patterns of BZDs use; the demographic, physical, and mental health correlates of BZD use; and examine if negative health outcomes are associated with BZD use after controlling for confounders. Subjects

A national sample of 1,220 chronic noncancer pain (CNCP) patients prescribed long-term opioids. Methods

We report on baseline data from a prospective cohort study comparing four groups based on their current BZD use patterns. General demographics, …

The Use Of Paracetamol (Acetaminophen) Among A Community Sample Of People With Chronic Non‐Cancer Pain Prescribed Opioids, Bianca Hoban, Briony K. Larance, Natasa Gisev, Suzanne Nielsen, Milton Cohen, Raimondo Bruno, Fiona Shand, Nicholas Lintzeris, Wayne Hall, Michael P. Farrell, Louisa Degenhardt

Faculty of Social Sciences - Papers (Archive)

Background

The regular use of simple analgesics in addition to opioids such as paracetamol (or acetaminophen) is recommended for persistent pain to enhance analgesia. Few studies have examined the frequency and doses of paracetamol among people with chronic non‐cancer pain including use above the recommended maximum daily dose.

Aims

To assess (i) the prevalence of paracetamol use among people with chronic non‐cancer pain prescribed opioids, (ii) assess the prevalence of paracetamol use above the recommended maximum daily dose and (iii) assess correlates of people who used paracetamol above the recommended maximum daily dose including: age, gender, income, education, pain severity …

Agreement Between Definitions Of Pharmaceutical Opioid Use Disorders And Dependence In People Taking Opioids For Chronic Non-Cancer Pain (Point): A Cohort Study, Louisa Degenhardt, Raimondo Bruno, Nicholas Lintzeris, Wayne Hall, Suzanne Nielsen, Briony K. Larance, Milton Cohen, Gabrielle Campbell

Faculty of Social Sciences - Papers (Archive)

Background

Methods

Cohort Protocol Paper: The Pain And Opioids In Treatment (Point) Study, Gabrielle Campbell, Richard P. Mattick, Raimondo Bruno, Briony K. Larance, Suzanne Nielsen, Milton Cohen, Nicholas Lintzeris, Fiona Shand, Wayne Hall, Bianca Hoban, Chyanne Kehler, Michael P. Farrell, Louisa Degenhardt

Faculty of Social Sciences - Papers (Archive)

Background Internationally, there is concern about the increased prescribing of pharmaceutical opioids for chronic non-cancer pain (CNCP). In part, this is related to limited knowledge about the long-term benefits and outcomes of opioid use for CNCP. There has also been increased injection of some pharmaceutical opioids by people who inject drugs, and for some patients, the development of problematic and/or dependent use. To date, much of the research on the use of pharmaceutical opioids among people with CNCP, have been clinical trials that have excluded patients with complex needs, and have been of limited duration (i.e. fewer than 12 weeks). …

Associations Between Body Mass Index And Musculoskeletal Pain And Related Symptoms In Different Body Regions Among Workers, Isabel Moreira-Silva, Rute Santos, Sandra Abreu, Jorge Mota

Faculty of Social Sciences - Papers (Archive)

Obesity rates are high among employed adults and have shown a consistent increase over the past few decades. Musculoskeletal disorders related to work are a major cause of disability in working individuals. The objective of this study was to verify the associations between weight status and musculoskeletal pain and related symptoms in different body regions among workers. The sample comprised 203 factory workers. Anthropometric measures were assessed with standardized protocols and body mass index (BMI) was calculated. Participants were classified as nonoverweight (BMI ≤ 24.9 kg/m²) or overweight/obese (BMI ≥ 25 kg/m²). Musculoskeletal pain and related …

Correlates Of Pain In An In‐Treatment Sample Of Opioid‐Dependent People, Suzanne Nielsen, Briony K. Larance, Nicholas Lintzeris, Emma Black, Raimondo Bruno, Bridin Murnion, Adrian Dunlop, Louisa Degenhardt

Faculty of Social Sciences - Papers (Archive)

Introduction and Aims The limited literature on pain in opioid‐treatment samples indicates that it is highly prevalent. Understanding the implications of pain on treatment outcomes is important, particularly in light of ageing opioid‐treatment cohorts. This study explores correlates of pain, including aberrant behaviours related to prescribed opioids. Our hypothesis is that pain may increase aberrant opioid‐related behaviours, including illicit substance use, among opioid‐dependent people. Design and Methods We examined pain in methadone or buprenorphine patients (n = 141) from three treatment services. Measures included basic demographics, Brief Pain Inventory, general mental health, physical health and quality of life measures, pain …