scholarly journals Discrepancies in Describing Pain: Is There Agreement Between Numeric Rating Scale Scores and Pain Reduction Percentage Reported by Patients with Musculoskeletal Pain After Corticosteroid Injection?

Pain Medicine ◽  
2015 ◽  
Vol 16 (5) ◽  
pp. 870-876 ◽  
Author(s):  
Daniel Cushman ◽  
Zachary McCormick ◽  
Ellen Casey ◽  
Christopher T. Plastaras
Keyword(s):  
Musculoskeletal Pain ◽  
Rating Scale ◽  
Corticosteroid Injection ◽  
Pain Reduction ◽  
Numeric Rating Scale ◽  
Scale Scores ◽  
Reduction Percentage ◽  
Numeric Rating

Limitations of pain numeric rating scale scores collected during usual care: Need for enhanced assessment

2018 ◽  
Vol 19 (3) ◽  
pp. S57-S58
Author(s):  
B. Morasco ◽  
T. Lovejoy ◽  
S. Hyde ◽  
S. Shull ◽  
S. Dobscha
Keyword(s):  
Usual Care ◽  
Rating Scale ◽  
Numeric Rating Scale ◽  
Scale Scores ◽  
Numeric Rating

scholarly journals Contrast Dispersion Pattern and Efficacy of Corticosteroid at the Glenohumeral Joint in Adhesive Capsulitis

2015 ◽  
Vol 5;18 (5;9) ◽  
pp. E787-E794
Author(s):  
Sang Jun Kim
Keyword(s):  
Rating Scale ◽  
Glenohumeral Joint ◽  
External Rotation ◽  
Corticosteroid Injection ◽  
Adhesive Capsulitis ◽  
Numeric Rating Scale ◽  
Dispersion Pattern ◽  
Pathologic Findings ◽  
Pain Improvement ◽  
Numeric Rating

Background: Corticosteroid injection has a wide range of success in adhesive capsulitis but the reason for this has not yet been explained. We hypothesized that this difference might be due to the distribution of the corticosteroids injected into the joint cavity because particulate steroid deposits in the capsule and will not be moved over time by shoulder motion. Objectives: The purpose of this study is to determine whether the therapeutic efficacy of particulate corticosteroid injection into the glenohumeral joint differs according to the dispersion pattern. Study Design: Prospective evaluation. Setting: Outpatient clinics at a tertiary university hospital Methods: Seventy-two patients diagnosed as having adhesive capsulitis received a corticosteroid injection at the glenohumeral joint. The posterior capsule and the subscapular bursa were selected as dispersion sites and the dispersion of contrast dye was expressed as a ratio (%). Two weeks and 3 months after the injection clinical improvement (“not improved,” “slightly improved,” “much improved”), numeric rating scale (NRS), and passive range of motions (PROM) were evaluated. The dispersion of the contrast dye was compared according to the clinical improvements by an analysis of variance test. Pearson correlation test was done to find the relationship between PROM and the dispersion and between change of NRS and the dispersion. Results: The distribution in the subscapular area was 30.0% in the “much improved” group, 22.0% in the “slightly improved” group, and 37.1% in the “no improvement” group which was not significantly different (P = 0.179). Correlations between changes of NRS and the dye distribution were not statistically significant (P = 0.429 at 2 weeks and P = 0.629 at 3 months). The change of passive external rotation 3 months after the injection was significantly correlated with the dye distribution (P = 0.035). Limitations: Because of diverse pathologic findings in adhesive capsulitis, further studies will be needed to address the effect of the dye distribution on the pain improvement according to pathologic findings revealed by magnetic resonance imaging (MRI). Conclusion: External rotation of the shoulder in adhesive capsulitis has greater improvement as the corticosteroid solutions injected into the glenohumeral joint are increasingly dispersed to the subscapularis area. However, this does not affect the pain improvement after the injection. Key words: Adhesive capsulitis, dispersion, contrast dye, subscapularis, glenohumeral joint, corticosteroid, range of motion, numeric rating scale

Palliation of Thirst in Intensive Care Unit Patients: Translating Research Into Practice

2019 ◽  
Vol 39 (5) ◽  
pp. 21-28
Author(s):  
Ann Leemhuis ◽  
Yuriko Shichishima ◽  
Kathleen Puntillo
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Rating Scale ◽  
Family Members ◽  
Numeric Rating Scale ◽  
Video Training ◽  
Level Of Satisfaction ◽  
Scale Scores ◽  
Intensive Care Unit Nurses ◽  
Numeric Rating

Background Thirst is prevalent among patients in intensive care units. A research-based “thirst bundle” was shown to significantly decrease thirst in these patients. Objective To implement a research-based thirst intervention performed by intensive care unit nurses and patients’ family members. Methods Nurses and family members were taught the thirst intervention through video training and project team reinforcement. The intervention was performed by nurses for 123 patients and by family members for 13 patients. Thirst was measured with a numeric rating scale of 0 to 10, a word scale of 0 to 3, or “yes/no” answers, whichever was easiest for the patient. Inferential statistics were used to assess changes in thirst scores over time. Also assessed were nurse and family member burden levels, family level of satisfaction, and patient enjoyment. Results Thirst scores on the numeric rating scale decreased significantly: from a mean (SD) of 7.9 (2.0) before to 3.9 (2.7) after the intervention for nurses (P < .001); and from 9.2 (1.5) to 5.3 (2.6) for family members (n = 13; P = .002). Word scale scores also decreased significantly, from a median (interquartile range) of 3 (3-3) before to 2 (1-2) after the intervention for nurses (P < .001). Most patients (96%) reported enjoying the procedure. Median burden levels were less than 2 on a numeric rating scale of 0 to 10. Conclusions The palliative “thirst bundle” significantly alleviated patients’ thirst and resulted in little caregiver burden. Further efforts are warranted to incorporate this intervention into intensive care unit practice.

Local Anesthetics delivered through Pleural Drainages improve Pain and Lung Function after Cardiac Surgery

2015 ◽  
Vol 66 (02) ◽  
pp. 198-202 ◽  
Author(s):  
Issam Ismail ◽  
Thierry Siemeni ◽  
Stefan Ruemke ◽  
Felix Fleissner ◽  
Ruoyu Zhang ◽  
...  
Keyword(s):  
Lung Function ◽  
Rating Scale ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Pain Reduction ◽  
Numeric Rating Scale ◽  
Forced Expiratory Volume ◽  
Lidocaine Group ◽  
Comparison Results ◽  
Numeric Rating

Objective Pleural tubes after coronary artery bypass graft (CABG) surgery usually cause pain resulting interalia in an impact of postoperative breathing. Therefore, the influence of intrapleural lidocaine application through special double-lumen chest tubes with respect to pain relief and lung function was investigated and compared with placebo. Methods In this study, 40 patients who underwent CABG got intrapleural injection either with 2% lidocaine (n = 20) or placebo (0.9% saline solution) (n = 20) on the first 2 days after surgery. Pain was measured by pain intensity numeric rating scale (NRS) (0 = no pain; 10 = the most intense pain) and lung function by portable spirometer. Results On the first postoperative day (POD1), mean pain reduction was NRS 1.9 for the lidocaine group with an improvement of the forced expiratory volume in 1 second (FEV1) of 0.51 L. Similar results were shown on the second postoperative day (POD2) with a decreased pain level of mean NRS 1.65 and an FEV1 improvement of 0.26 L. In comparison, results of the placebo group showed no significant pain reduction, neither on the POD1 (NRS 0.35; p = 0.429) nor on the POD2 (NRS 0.55; p = 0.159). Also, there was no significant influence of FEV1 after placebo on the POD1 (FEV1 = 0.048 L; p = 0.70) or on the POD2 (FEV1 = 0.0135 L; p = 0.925). Conclusion Intrapleural application of lidocaine is a safe and feasible method to reduce drainage-related pain and improving lung function after CABG.

scholarly journals PREST: Pain REduction with bone metastases STereotactic radiotherapy: A phase III randomized multicentric trial

2019 ◽  
Author(s):  
Francesco Cellini ◽  
Stefania Manfrida ◽  
Francesco Deodato ◽  
Savino Cilla ◽  
Ernesto Maranzano ◽  
...  
Keyword(s):  
Bone Metastases ◽  
Rating Scale ◽  
Prognostic Score ◽  
Progression Free Survival ◽  
Pain Reduction ◽  
Numeric Rating Scale ◽  
Phase Iii ◽  
Open Label ◽  
Free Survival ◽  
Numeric Rating

Abstract Background Palliative antalgic treatments represent an issue for clinical management and a challenge for scientific research. Radiotherapy (RT) plays a central role. Techniques such as stereotactic body radiotherapy (SBRT) were largely investigated in several phase 2 studies with good symptom response, becoming widely adopted. Still is lacking evidence from randomized, direct comparison of RT and SBRT. Methods/Design The PREST trial was designed as an interventional study without medicinal, randomized 1:1, open-label, multicentric, phase 3. Inclusion criteria: painful spinal bone metastases presenting pain level >4 (or >1 if assuming analgesic) at numeric rating scale (NRS); expected intermediate/high prognosis (superior to 6 months) according to the Mizumoto prognostic score; low spine instability neoplastic score (SINS) sores (<7); magnetic resonance imaging (MRI) assessment of the bulky lesion. Patients will be assigned to either standard conventional radiotherapy administering 4 Gy x5 fractions (fx) to whole involved vertebra or SBRT by intensity modulated radiotherapy with simultaneous integrated boost (IMRT-SIB) administering 7 Gy x3 fx (to the whole involved vertebra) + 10 Gy x3 fx on the macroscopic disease (Gross Tumor Volume -GTV). In the experimental arm, the GTV will be contoured by registration with baseline MRI. Discussion Primary endpoint is overall pain reduction, defined in term of variation between baseline and 1-month evaluation; pain will be measured by Numeric Rating Scale (NRS) score. Secondary endpoints include: pain control duration; retreatment rates (after a minimum interval of 1 month); local control assessed with RECIST Criteria; symptom progression free survival; progression free survival; overall survival and quality of life (at 0, 30 and 90 days). Accrual of 330 lesions is planned. Experimental arm is expected to improve overall pain response rates of 15% respect to standard arm (60% according to Chow et al 2012).

scholarly journals PREST: Pain REduction with bone metastases STereotactic radiotherapy: A phase III randomized multicentric trial

2019 ◽  
Author(s):  
Francesco Cellini ◽  
Stefania Manfrida ◽  
Francesco Deodato ◽  
Savino Cilla ◽  
Ernesto Maranzano ◽  
...  
Keyword(s):  
Bone Metastases ◽  
Rating Scale ◽  
Prognostic Score ◽  
Progression Free Survival ◽  
Pain Reduction ◽  
Numeric Rating Scale ◽  
Phase Iii ◽  
Open Label ◽  
Free Survival ◽  
Numeric Rating

Abstract Background Palliative antalgic treatments represent an issue for clinical management and a challenge for scientific research. Radiotherapy (RT) plays a central role. Techniques such as stereotactic body radiotherapy (SBRT) were largely investigated in several phase 2 studies with good symptom response, becoming widely adopted. Still is lacking evidence from randomized, direct comparison of RT and SBRT. Methods/Design The PREST trial was designed as an interventional study without medicinal, randomized 1:1, open-label, multicentric, phase 3. Inclusion criteria: painful spinal bone metastases presenting pain level >4 (or >1 if assuming analgesic) at numeric rating scale (NRS); expected intermediate/high prognosis (superior to 6 months) according to the Mizumoto prognostic score; low spine instability neoplastic score (SINS) sores (<7); magnetic resonance imaging (MRI) assessment of the bulky lesion. Patients will be assigned to either standard conventional radiotherapy administering 4 Gy x5 fractions (fx) to whole involved vertebra or SBRT by intensity modulated radiotherapy with simultaneous integrated boost (IMRT-SIB) administering 7 Gy x3 fx (to the whole involved vertebra) + 10 Gy x3 fx on the macroscopic disease (Gross Tumor Volume -GTV). In the experimental arm, the GTV will be contoured by registration with baseline MRI. Discussion Primary endpoint is overall pain reduction, defined in term of variation between baseline and 3-month evaluation; pain will be measured by Numeric Rating Scale (NRS) score. Secondary endpoints include: pain control duration; retreatment rates (after a minimum interval of 1 month); local control assessed with RECIST Criteria; symptom progression free survival; progression free survival; overall survival and quality of life (at 0, 30 and 90 days). Accrual of 330 lesions is planned. Experimental arm is expected to improve overall pain response rates of 15% respect to standard arm (60% according to Chow et al 2012).

scholarly journals The Relationship between Murottal Therapy and Pain Quality in College Students with Musculoskeletal Pain in 2019

2020 ◽  
Vol 1 (2) ◽  
pp. 7
Author(s):  
Thyra Annisaa Putri ◽  
Aulia Chairani ◽  
Riezky Valentina
Keyword(s):  
College Students ◽  
Musculoskeletal Pain ◽  
Rating Scale ◽  
Numeric Rating Scale ◽  
Medical Faculty ◽  
Learning Activities ◽  
Nordic Musculoskeletal Questionnaire ◽  
The Relationship ◽  
Numeric Rating

ABSTRACT Musculoskeletal pain is often called as musculoskeletal disorder (MSDs). One of the most common causes of musculoskeletal pain is occupational-related causes. Musculoskeletal pain is often experienced by college students. The factors that influence the occurrence of musculoskeletal pain in college students are learning activities as well as static body positions/posture while studying. This causes discomfort in learning activities for college students. This study aims to determine the relationship/correlation between the administration of murottal therapy and the quality of musculoskeletal pain in 2016 class Medical Faculty students of UPN (FK UPN). This research type is semi-experimental using a cohort study design. The sampling technique uses purposive sampling. The research sample used was 68 people. The data was collected at the Medical Faculty of UPN ‘Veteran’ Jakarta using a research instrument in the form of a Nordic Musculoskeletal Questionnaire (NMQ) and measured by the Numeric Rating Scale (NRS) pain scale. The results indicated that 30 students (44.1%) had mild pain, 37 (55.4%) had moderate pain, 1 (1.5%) had severe pain respectively before murottal therapy is given. The results of bivariate analysis using the Wilcoxon test indicated that there was a relationship between murottal therapy and the quality of musculoskeletal pain in 2016 class Medical Faculty students of UPN (p = 0.000). The easy and inexpensive therapy of pain management is necessary such as through the administration of murottal therapy for 15 minutes. Keywords: Musculoskeletal Disorders, Pain, Murottal Therapy   ABSTRAK Nyeri muskuloskeletal sering disebut gangguan muskuloskeletal.Salah satu penyebab terseringnya nyeri muskuloskeletal adalah karena pekerjaan. Nyeri muskuloskeletal seringkali dialami oleh mahasiswa. Faktor-faktor yang berpengaruh pada kejadian nyeri muskuloskeletal pada mahasiswa  adalah kegiatan belajar mengajar serta posisi tubuh statis saat belajar. Hal ini menyebabkan ketidaknyamanan dalam kegiatan belajar mengajar pada mahasiswa.Penelitian ini bertujuan untuk mengetahui hubungan antara pemberian terapi murottal dengan kualitas nyeri muskuloskeletal pada mahasiswa FK UPN angkatan 2016.Jenis penelitian ini semi-eksperimetal dengan desain penelitian kohort.Teknik pengambilan sampel menggunakan purposive sampling. Sampel penelitian yang digunakan sebanyak 68 orang. Pengambilan data dilakukan di Fakultas Kedokteran UPN ‘Veteran’ Jakarta menggunakan instrumen penelitian berupa kuesioner Nordic Musculoskeletal Questionnaire (NMQ) dandiukur dengan skala nyeri Numeric Rating Scale (NRS). Hasil penelitian menunjukkan mahasiswa dengan nyeri ringan sebanyak 30 orang (44,1%), 37 orang nyeri sedang (55,4), 1 orang mengalami nyeri berat (1,5%) sebelum diberikan terapi murottal. Hasil analisis bivariat dengan uji Wilcoxon menunjukkan terdapat hubungan antara terapi murottal dengan kualitas nyeri muskuloskeletal pada mahasiswa FK UPN angkatan 2016 (p=0,000). Manajemen penanganan nyeri dengan terapi yang mudah dan murah diperlukan seperti pemberian terapi murottal selama 15 menit. Kata Kunci: Gangguan Muskuloskeletal, Nyeri, Terapi Murottal

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