Education Commons^™

Sublingual Sufentanil Attenuates Perceived Pain, But Not Blood Pressure Responses, During A Cold Pressor Test, Caitlin P. Jarrard, Zachary J. Mckenna, Whitley C. Atkins, Josh Foster, Joseph C. Watso, Craig G. Crandall

International Journal of Exercise Science: Conference Proceedings

Sublingual sufentanil was developed to reduce pain following a traumatic injury in the field (e.g., battlefield). However, it is unknown whether an analgesic dose of sufentanil affects cardiovascular responses to a painful stimulus in humans. PURPOSE: We tested the hypothesis that sublingual sufentanil blunts pain perception and the accompanying cardiovascular responses during a cold pressor test (CPT). METHODS: Twenty-nine adults, 15 males and 14 females (age: 29 ± 5 years, body mass: 74 ± 8 kg, body mass index: 25 ± 2 kg/m²) participated in this double-blind, randomized, crossover, placebo-controlled trial. Following sublingual administration of sufentanil (30 µg) …

Challenging The Nuances Of Pain Assessment With Co-Designed Audio-Visual Simulations In Nursing Education: A Descriptive Study, Michelle A. Kelly, Susan Slatyer, Naomi Tutticci, Joanne Ramsbotham, Sandra Johnston, Irene Ngune, Karen A. Theobald

Research outputs 2022 to 2026

Background: Appropriate management of pain remains a challenging issue. Surfacing nurses’ inherent assumptions about pain may lead to better pain management. This study developed and evaluated new audio-visual (AV) simulations for nursing students showcasing patient characteristics that may influence pain assessment. Methods: Descriptive pre/post intervention study informed by the STROBE framework. Participants were drawn from two Australian universities. Three AV simulations were codesigned by clinicians, educators, and health consumers. Data included: demographics, previous experiences of pain assessment; compassion scale, feasibility, and relevance of AV simulations. Quantile regression and content analyses were applied. Results: Full data sets of 491 participants (314 …

Botulinum Toxin Type A Injections For Refractory Abdominal Dystonia: A Case Report, William J. Naber Ii, Jodi M. Wilhelm, Kurt A. Kuhlman, Gabriel Howard

Graduate Medical Education Research Journal

Background: A 58-year-old male with chronic bilateral treatment resistant abdominal spasms secondary complications of ascites/ alcoholic cirrhosis. Spasms would occur 4-5 times/day, lasting minutes to hours despite a 2-year course of therapeutic and pharmacological interventions. Due to treatment refraction, 6 uniformly spaced botulinum toxin type A (BTX-A) injections were placed per side, using electromyography for audible intramuscular syringe placement confirmation, while visual confirmation was made via ultrasound. During the initial trial, 6 evenly spaced injections were performed bilaterally, uniformly distributing 80U/side. Injections began bilaterally just medial to the junction of the inferior rib cage border/ anterior axillary line and progressed …

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 …

Acupressure Modality Effectiveness: Research Results For Pain And Anxiety, Deanna Waggy Otr, Carroll Noel Mozer Otr/L, Marilyn Zurwaski Otr/L

Journal of Transformative Touch

According to recent studies, including Monson et all, JACM, 2019, there is growing evidence for the effective and safe use of acupressure as a non-pharmacological approach to reducing pain and anxiety. Acupressure can quiet the mind, promoting a sense of well-being by decreasing anxiety.

A collaborative retrospective analysis of self-rated pain and anxiety scores before and immediately after administration of a stress release protocol indicate that acupressure is a highly satisfactory complementary therapy. Results were clinically significant for a decrease in self-rated pain and anxiety scores.

Occupational therapy practitioners as well as those who use the Kawa model of reference …

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 …

A Transformative Journey: The Lived Experience Of Healthcare Learners Participating In Pain Management Education, Zoe A. Leyland

Electronic Thesis and Dissertation Repository

There is little emphasis on pain management education for healthcare providers. In September 2019, the Master of Clinical Science (MClSc) program in Advanced Healthcare Practice at Western University in London, Ontario introduced a new, “Interprofessional Pain Management” (IPM) field. The program follows a competency-based framework, and the learners are all practicing healthcare providers with a special interest in pain. Part of the purpose of this thesis is to describe the process of development and implementation. The objective is to provide educators and healthcare providers an in-depth look at how the pain education is experienced. This includes exploring the lived experience …

Isometric Exercises And Stretching Warm-Up Program For University String Musicians: An Intervention Study, Emma Porter

Honors Theses

In this study, the purpose of this investigation was to find the effects of reducing pain through combining isometric and stretching warm-up exercises for stringed instrument musicians. In Lee’s et al. (2013) study, it showed that about 75 % of musicians have work-related musculoskeletal disorders and experience pain because of playing. In this study, they also saw that string players have the highest prevalence of both musculoskeletal disorders and pain while playing (Lee et al., 2013). In Nawrocka’s et al. (2014) journal article, the study showed the correlation of more pain in musicians that did not meet the recommended criteria …

How Does The 2020 Revised Definition Of Pain Impact Nursing Practice?, Olivia Sonneborn, Annie Williams

Journal of Perioperative Nursing

The widely used and acknowledged universal definition of pain developed by the International Association for the Study of Pain (IASP) in 1979 has been revised in 2020. The 2020 IASP definition states pain is ‘an unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage’. The 2020 IASP definition of pain reinforces the importance for nurses to have an understanding of the pathophysiology of pain and highlights the crucial role pain assessment plays in overall pain management, which nurses are pivotal in driving and delivering.

Postpartum Pains, Lakea Youngblood

Capstones

The Academy once again came under fire. This time for banning a commercial that advertised a postpartum support. People all over the country became enraged. The Academy seemed more friendly to movies about murder than postpartum, in alignment with the sexist ideas that have been pervasive in this country since its foundations. This short documentary pushes back against this narrative and the silence around postpartum by showing the realities of it through a woman’s journey.

The film is a personal documentary about myself. After having my first child, I found myself traumatized and scarred by the pains of postpartum. Because …

Bibliography On Suffering, Simon C. Estok

CLCWeb: Comparative Literature and Culture

No abstract provided.

The Relationship Between Acute Pain And Dynamic Postural Stability Indices In Individuals With Patellar Tendinopathy, Adam B. Rosen, Jupil Ko, Cathleen N. Brown

Health and Kinesiology Faculty Publications

Background

Patellar tendinopathy is a common condition resulting in persistent pain, frequently reported during physical activity. The relationship between dynamic postural stability and pain in these individuals is unclear and how it may affect postural stability.

Research Question

Is there a relationship between acute pain and dynamic postural stability indices in individuals with patellar tendinopathy?

Methods

Twenty-two recreationally active individuals with patellar tendinopathy participated. Participants performed a two-legged jump and landed on a single test-limb on a force platform. They completed 100 mm visual analogue scales (VAS) before and after landing trials. Anterior-posterior (APSI), medial-lateral (MLSI), vertical (VSI), and composite …

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 …

The Gift Of Pain With Transformative Possibilities, Richard B. Hovey

Patient Experience Journal

This personal narrative explores the experiences of pain metaphorically as a gift. The intention of this article is to offer alternative ways to reflect on pain, life and taking risks to move from health literacy toward health agency with help. I describe my approach to decision making using the hermeneutic wager which provides a means to imagine possibilities while mindfully assessing risk. Learning to manage pain and learning to live well with pain is a gift that we are not always aware is within our grasp.

Psychological And Physical Response To Neuromuscular Electrical Stimulation, Jennifer A. Jasso M.S., Joni A. Mettler Ph.D, Lindsay E. Kipp Ph.D

International Journal of Exercise Science: Conference Proceedings

Neuromuscular electrical stimulation (NMES) is commonly used to improve muscle function in physical rehabilitation settings. However, reasons for limited use as an alternative to voluntary exercise may be due to lack of familiarity and perceived discomfort during treatment. PURPOSE: The purpose of this study was to determine attitude toward NMES exercise and perceived pain and muscle soreness experienced from NMES exercise with increasing stimulation intensity. METHODS: Thirty healthy adults (age: 23.6 ± 0.5 years) who had not experienced electrical stimulation within the last year completed the study. Repetitive, intermittent stimulation of 10 seconds on and 15 seconds off …

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 …

Management Of Postoperative Pain In The Total Joint Replacement Patient, Angela Washington

Walden Dissertations and Doctoral Studies

Managing postoperative pain continues to be a challenging public health problem. The organization under study was experiencing a prolonged length of hospital stay (LOS) in the post-total knee and hip replacement surgery population that was causing system-wide patient flow issues. The purpose of this quality improvement project was to educate patients through an established education class on pain expectations, strategies on managing pain, discharge planning, and physical therapy expectations with a goal of reducing pain and LOS. The health belief model was used as a guide to incorporate new content into the educational program that addressed patient knowledge on pain, …

Effectiveness Of Tai Chi On Cardiac Autonomic Function And Symptomatology In Women With Fibromyalgia: A Randomized Controlled Trial, Alexei Wong, Arturo Figueroa, Marcos A. Sanchez-Gonzalez, Won-Mok Son, Oksana P. Chernykh, Song-Young Park

Health and Kinesiology Faculty Publications

The present study examined the effects of a 12-week Tai Chi (TC) training regimen on heart rate variability (HRV), symptomatology, muscle fitness and body composition in women with fibromyalgia. Participants were randomly assigned to either a TC training group (n = 18) or a control group (n = 19). HRV, symptomatology, muscle fitness and body composition were measured before and after 12 weeks. There were significant decreases (p < 0.05) in sympathovagal balance (LnLF/LnHF), sympathetic tone (LnLF, nLF), pain, and fatigue, and significant increases (p < 0.05) in parasympathetic tone (LnHF, nHF), strength and flexibility following TC compared with no changes after control. The changes in LnLF and LnLF/LnHF were correlated with changes in pain. There were no significant changes in HR, sleep quality and body composition after TC or control. TC may be an effective therapeutic intervention for improving sympathovagal balance, pain, fatigue, strength and flexibility in women with fibromyalgia.