Engaging in Treatment: Integrative Behavioral Treatment Strategies for Pain Management and Opioid Tapering

2019 ◽  
Author(s):  
Samantha Rafie
Keyword(s):  
Pain Management ◽  
Behavioral Treatment ◽  
Treatment Strategies ◽  
Opioid Tapering

scholarly journals Efficacy Of Robot-assisted Physiotherapy For Pain Management In Neurological Disorders-A Systematic Review

2021 ◽  
Vol 29 (03) ◽  
pp. 126-131
Author(s):  
Okasha Anjum ◽  
Hajra Ameer Shaikh ◽  
Nida Waheed ◽  
Syeda Wajeeha Raza Zaidi
Keyword(s):  
Systematic Review ◽  
Pain Management ◽  
Neurological Disorders ◽  
Spinal Cord Injuries ◽  
Large Body ◽  
Treatment Strategies ◽  
Gait Training ◽  
Training System ◽  
Robot Assisted ◽  
Randomized Controlled

Efficacy Of Robot-assisted Physiotherapy For Pain Management In Neurological Disorders-A Systematic Review Abstract Background: Neurological disorders (ND) are ranked as the leading cause of death and disability around the globe and the escalating burden summons the advancements in the treatment strategies hence this systematic review aimed to fill the knowledge gap regarding the efficacy of robot-assisted physiotherapy (RAPT) for pain management in ND. Methodology: Scientific trials were sought by an extensive search via electronic databases mainly PubMed, PEDro, and Scopus. Randomized controlled trials published from the year 2014 to April 2021, evaluating the potential effects of RAPT for pain management in ND were included in the review. The quality appraisal of the RCTs was analyzed via Cochrane tool for assessing risk of bias. Results: The Majority of the trials reported the effectiveness of RAPT using PARO robot, Armeo spring, Gloreha robot, and robotic Lokomat gait training system in significantly improving pain of ND such as stroke, dementia, phantom syndrome, and spinal cord injuries. Conclusions: Large body of evidence suggested RAPT as a potential solution in improving pain of various ND however further rigorous trials are necessary to draw conclusive recommendations. Keywords: Neurological disorders, pain, physiotherapy management, rehabilitation, robot-assisted physiotherapy, robotics

How Can Speech-Language Pathologists Think About Sensation During Swallowing Evaluation and Intervention?

2021 ◽  
pp. 1-11
Author(s):  
Aarthi Madhavan ◽  
Nicole M. Etter
Keyword(s):  
Behavioral Treatment ◽  
Sensory Information ◽  
Treatment Strategies ◽  
Clinical Importance ◽  
Functional Results ◽  
Future Research ◽  
Speech Language Pathologists ◽  
Swallowing Evaluation ◽  
Assessment And Treatment ◽  
Swallowing Assessment

Purpose Both the enjoyment of foods and safe swallowing revolve around incorporating multiple streams of sensory feedback to form a positive sensory experience; these include information about the taste, smell, texture, temperature, and even the sight of food. Traditional swallowing assessment and treatment paradigms have primarily focused on the motor aspects of swallowing. However, sensory information is vital for not only enjoying foods while eating but also coordinating safe and efficient swallow behaviors. The purpose of this clinical focus article is to discuss the clinical importance of sensation in swallowing evaluation and intervention. Conclusions During their clinical assessments of swallowing, speech-language pathologists are already documenting the functional results of oropharyngeal sensorimotor impairments (e.g., residue). A combination of sensory and motor aspects is already integrated within current behavioral treatment strategies for dysphagia. Focused attention to the salient sensory features of swallowing has the potential to improve swallowing evaluation and intervention efforts. A discussion of potential future research in improved measurement and documentation of altered sensation is provided.

Tapering off long-term methadone: A case study

2019 ◽  
Vol 15 (4) ◽  
pp. 345-348 ◽  
Author(s):  
Kehua Zhou, MD, DPT, LAc ◽  
Leslie Frankish, BS ◽  
Gary G. Wang, MD, PhD
Keyword(s):  
Pain Management ◽  
Patient Education ◽  
Adverse Effects ◽  
Musculoskeletal Pain ◽  
Pain Control ◽  
Opioid Tapering ◽  
One Year ◽  
Good Pain Control

Opioid tapering may be necessary for patients on long-term opioids. Here, the authors presented a patient who had uncontrolled chronic musculoskeletal pain while on chronic methadone. Upon methadone tapering, the patient had been taking methadone for longer than six years and had severe methadone-related adverse effects. Using multidisciplinary interventions of patient education and counseling, physical interventions, and nonopioid medications, patient’s methadone was discontinued after longer than one year tapering with relatively good pain control. The tapering process highlights the importance of pain management during opioid tapering using multidisciplinary interventions to prevent and treat opioid withdrawal and pain relapses.

Reward Circuits and Apathy in Schizophrenia: Neuroimaging and Treatment Strategies

2017 ◽  
Vol 41 (S1) ◽  
pp. S58-S58
Author(s):  
A. Aleman
Keyword(s):  
Behavioral Treatment ◽  
Negative Symptoms ◽  
Meta Analysis ◽  
Critical Role ◽  
Unmet Need ◽  
Treatment Strategies ◽  
Reward Processing ◽  
Motivated Behavior ◽  
Novel Treatment Strategies ◽  
Quantitative Integration

Approximately 50% of patients with schizophrenia shows deficits in motivation and initiation of goal-directed behavior, which are suggestive of reward system dysfunction. We conducted a meta-analysis of neuroimaging studies reporting on the neural correlates of reward processing and negative symptoms in schizophrenia. A significant mean weighted correlation was observerd, revealing deficits in activation of reward neurocircuitry. A more specific findings is comprised activation of the ventral striatum, involved in anticipation of reward, and structures that play a critical role in the ability to represent the value of outcomes and plans. In a study of VTA connectivity in the resting state in a large group of patients with schizophrenia, we found reduced connectivity with lateral prefrontal, temporal and parietal regions to be associated with higher degrees of apathy. Apathy belongs to the most debilitating symptoms of schizophrenia and represents a significant unmet need in its treatment. Quantitative integration of published findings suggests that treatment with noninvasive magnetic brain stimulation can improve negative symptoms. Previous PET-studies have shown that such stimulation may target circuits with dopaminergic innervation. A behavioral treatment approach that may also target reward-related circuits will also be discussed briefly. It can be concluded that recent results regarding reward and motivated behavior in schizophrenia have clinical implications and may help develop novel treatment strategies.Disclosure of interestAA received speaker fees from Lundbeck.

scholarly journals Veteran engagement in opioid tapering research: a mission to optimize pain management

PAIN Reports ◽  
2021 ◽  
Vol 6 (2) ◽  
pp. e932
Author(s):  
Luana Colloca ◽  
Nkaku R. Kisaalita ◽  
Marcel Bizien ◽  
Michelle Medeiros ◽  
Friedhelm Sandbrink ◽  
...  
Keyword(s):  
Pain Management ◽  
Opioid Tapering
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