scholarly journals Effect of Spinal Cord Stimulation on Gait in a Patient with Thalamic Pain

2016 ◽  
Vol 2016 ◽  
pp. 1-5
Author(s):  
Arito Yozu ◽  
Masahiko Sumitani ◽  
Masahiro Shin ◽  
Kazuhiko Ishi ◽  
Michihiro Osumi ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Stimulation ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Step Frequency ◽  
Gait Performance ◽  
Before And After ◽  
Numerical Rating ◽  
Scale Step ◽  
Thalamic Pain

Thalamic pain is a central neuropathic pain disorder which occurs after stroke. Its severe chronic pain is often intractable to pharmacotherapies and affects the patients’ activities of daily living (ADL) and quality of life (QOL). Recently, spinal cord stimulation (SCS) has been reported to be effective in relieving the pain of thalamic pain; however, the effect of SCS on gait performance in patients is unknown. Therefore, we evaluated the gait performance before and after SCS in a case with thalamic pain. A 73-year-old male with thalamic pain participated in this study. We evaluated the gait of the patient two times: before SCS insertion and after 6 days of SCS. At the second evaluation, we measured the gait in three conditions: stimulation off, comfortable stimulation, and strong stimulation. SCS succeeded in improving the pain from 7 to 2 on an 11-point numerical rating scale. Step frequency and the velocity of gait tended to increase between pre- and poststimulation periods. There were no apparent differences in gait among the three stimulation conditions (off, comfortable, and strong) at the poststimulation period. SCS may be effective on gait in patients with thalamic pain.

Long-term Outcomes After Replacement of Percutaneous Leads With Paddle Leads in a Retrospective Cohort of Patients With Spinal Cord Stimulation Systems

Neurosurgery ◽  
2014 ◽  
Vol 75 (4) ◽  
pp. 430-436 ◽  
Author(s):  
Caio M. Matias ◽  
Amit Amit ◽  
Scott F. Lempka ◽  
John G. Ozinga ◽  
Sean J. Nagel ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Stimulation ◽  
Rating Scales ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Pain Reduction ◽  
Long Term Outcomes ◽  
Coverage Area ◽  
Numerical Rating

Abstract BACKGROUND: Although the long-term outcomes for spinal cord stimulation (SCS) have been reported, long-term outcomes of patients who underwent revisions of the SCS with paddle leads are lacking. OBJECTIVE: To report the long-term outcomes of 39 patients who had percutaneous SCS revised with a new paddle lead. METHODS: Baseline and follow-up mail-in questionnaires assessed pain and disability levels with numerical rating scales, somatotopical overlap between SCS-related paresthesias and areas of chronic pain, and overall satisfaction. Analysis was performed with regard to age, sex, diagnosis, duration of disease, number of surgical revisions, complications, and interval between surgeries. RESULTS: After surgical revision, 20 patients (50%) had at least a 3-point reduction in the numerical rating scale. Greater pain reduction was correlated with better coverage (P = .001). Coverage area was greater in patients with a single revision than in patients with multiple revisions (P = .01). Good satisfaction was reported by 25 patients (62.5%) who indicated that they would undergo the procedure again in order to achieve the same results. These patients had significantly greater pain reduction (P = .001) and better coverage (P = .002) than patients who reported otherwise. No other major complication occurred. CONCLUSION: Revision of percutaneous SCS systems with implantation of a new paddle lead is safe and more effective in patients who have undergone not more than 1 prior revision.

scholarly journals Pulse Dosing of 10 kHz Paresthesia-Independent Spinal Cord Stimulation Provides Same Efficacy with Substantial Reduction of Device Recharge Time

Pain Medicine ◽  
2021 ◽  
Author(s):  
David Provenzano ◽  
Jordan Tate ◽  
Mayank Gupta ◽  
Cong Yu ◽  
Paul Verrills ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Stimulation ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Substantial Reduction ◽  
Baseline Period ◽  
Leg Pain ◽  
Charging Time ◽  
Numerical Rating ◽  
Preference Study

Abstract Objective This study was designed to assess whether using pulse dosing (PD: regularly-cycled intermittent stimulation) of high-frequency 10 kHz spinal cord stimulation (10kHzSCS) can reduce device recharge time while maintaining efficacy in patients with chronic intractable back pain with/without leg pain. Design Prospective, multi-center, observational study Methods Patients successfully using 10kHzSCS at 100%ON (no PD) for >3-months were consecutively enrolled. After a 1-week Baseline period of documenting their pain twice-daily using a 0–10 numerical rating scale (NRS) using 100%ON of their “favorite” program, all subjects were reprogrammed to 14%PD for 10–14 days. If subjects preferred 14%PD to 100%ON, they were programmed to 3%PD; otherwise, they were programmed to 50%PD. Subjects used this next program for another 10–14 days. Subjects then entered a 3-month observational period where they were requested but not limited to use their most preferred %PD program. Towards the end of 3-months, subjects completed a 7-day NRS diary and indicated a final %PD program preference. Study endpoints included %PD preference, mean diary NRS by %PD, and daily minutes and patterns of charging. Results Of 31 subjects completing the study, 81% preferred less than 100%ON. Preferences: 39% subjects preferred 3%PD, 32% preferred 14%PD, 10% preferred 50%PD, and 19% preferred 100%ON. Average daily charge durations: 3%PD = 8.3 ± 3.1 min, 14%PD = 13.9 ± 4.9 min, 50% PD = 26.2 ± 7.4 min, 100%ON = 43.8 ± 10.9 min. Regression modeling suggested pain relief was weighted more than twice as influential as charging in preference for reduced %PD. Conclusions This prospective study suggests that 10kHzSCS therapy with PD may be successfully employed in a large majority of 10kHzSCS responders, maintaining efficacy while reducing device charging time by nearly two-thirds.

Defining minimal clinically important differences in pain and disability outcomes of patients with chronic pain treated with spinal cord stimulation

2021 ◽  
pp. 1-8
Author(s):  
Shelby Sabourin ◽  
Justin Tram ◽  
Breanna L. Sheldon ◽  
Julie G. Pilitsis
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Stimulation ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Pain Catastrophizing ◽  
Pain Syndrome ◽  
Failed Back Surgery Syndrome ◽  
Mcgill Pain Questionnaire ◽  
Minimum Detectable Change ◽  
Failed Back Surgery

OBJECTIVE Minimal clinically important difference (MCID) thresholds for a limited number of outcome metrics were previously defined for patients with failed back surgery syndrome (FBSS) at 6 months after spinal cord stimulation (SCS). This study aimed to further define MCID values for pain and disability outcomes. Additionally, the authors established 1-year MCID values for outcome measures with previously defined metrics commonly used to assess SCS efficacy. METHODS Preoperative and 1-year postoperative outcomes were collected from 114 patients who received SCS therapy for FBSS, complex regional pain syndrome, and neuropathic pain. MCID values were established for the numerical rating scale (NRS), Oswestry Disability Index (ODI), Beck Depression Inventory (BDI), McGill Pain Questionnaire (MPQ), and Pain Catastrophizing Scale (PCS). Four established anchor-based methods were utilized to compute MCID values with two anchored questions: “Are you satisfied with SCS therapy?” and “Would you have SCS surgery again?” For each question, patients were categorized as responders if they answered “yes” or as nonresponders if they responded “no.” The methodologies utilized to compute MCID scores included the average change method, minimum detectable change approach, change difference calculation, and receiver operating characteristic (ROC) analysis. Area under the ROC curve (AUC) analysis has been shown to inform the accuracy at which the MCID value can distinguish responders from nonresponders and was analyzed for each instrument. RESULTS For the first time, ranges of MCID values after SCS were established for MPQ (1–2.3) and PCS (1.9–13.6). One-year MCID values were defined for all indications: NRS (range 0.9–2.7), ODI (3.5–6.9), and BDI (2–5.9). AUC values were significant for NRS (0.78, p < 0.001), ODI (0.71, p = 0.003), MPQ (0.74, p < 0.001), and PCS (0.77, p < 0.001), indicating notable accuracy for distinguishing satisfied patients. CONCLUSIONS This was the first study to successfully determine MCID values for two prominent instruments, MPQ and PCS, used to assess pain after SCS surgery. Additionally, previously established MCID values for ODI, BDI, and the visual analog scale for patients with FBSS at 6 months after treatment were explored at 12 months for the most common indications for SCS. These data may better inform physicians of patient response to and success with SCS therapy.

scholarly journals Refractory craniofacial pain: is there a role of periodontal disease as a comorbidity?

2009 ◽  
Vol 67 (2b) ◽  
pp. 474-479 ◽  
Author(s):  
Gisele Maria Campos Fabri ◽  
Silvia R.D.T. Siqueira ◽  
Caio Simione ◽  
Cibele Nasri ◽  
Manoel Jacobsen Teixeira ◽  
...  
Keyword(s):  
Periodontal Disease ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Chief Complaint ◽  
Before And After ◽  
Numerical Rating ◽  
Craniofacial Pain ◽  
Pain Patients ◽  
Probe Insertion

OBJETIVE: To evaluate the influence of the periodontal disease (PD), a chronic infection, in patients with chronic craniofacial pain complaints. METHOD: Twenty patients with chronic craniofacial pain and PD (CFP group) and 20 patients with PD (PD group) were assessed before and after periodontal treatment (baseline, 30 and 180 days after treatment). The paramenters evaluated were: plaque index, bleeding index, clinical probe insertion, Visual Analogic Scale (VAS) for pain intensity and Numerical Rating Scale (NRS) and Verbal Rating Scale (VRS) for the "chief complaint". RESULTS: After 180 days PD was controlled in both groups (p<0.001); the VAS decreased in CFP group (p<0.001); "chief complaint" improved (p=0.005 and p=0.027, respectively in CFP and PD group). VRS showed improvement between the groups in 30 (p=0.004) and 180 days (p=0.001). CONCLUSION: These results suggest a possible influence of periodontal disease, as a comorbidity, in refractory craniofacial pain patients and in their pain levels.

scholarly journals Radial extarcorporeal shock waves: therapeutic myofascial protocol

2021 ◽  
pp. 1-5
Author(s):  
Barassi Giovanni ◽  
Guglielmi Vito ◽  
Della Rovere Franco ◽  
Di Iulio Antonella ◽  
Licameli Marco ◽  
...  
Keyword(s):  
Shock Waves ◽  
Rating Scale ◽  
Myofascial Pain ◽  
Numerical Rating Scale ◽  
Trigger Points ◽  
Upper Trapezius ◽  
Significant Difference ◽  
Before And After ◽  
Numerical Rating ◽  
Base Of Support

The purpose of this study is to evaluate the effectiveness of radial shock waves in myofascial upper trapezius syndrome following the global treatment scheme of key trigger points. Materials and methods 26 patients treated with rESWT (Radial shock wave therapy) after a global postural and myofascial assessment of the patient and the identification of the key trigger points. At the end of the treatment each subject was re-evaluated through the Numerical Rating Scale - NRS and through the examination with Electronic Baropodometer. In this study, we compared the values of NRS and the values of postural biometrics before and after 2 sessions of rESWT, and a statistically significant difference (P <0.05) in all measurements emerged in the values measured with NRS. In the static percentage load, a statistically significant reduction in the percentage load differences (right / left) (P <0.05) was observed in all three evaluation moments (T0, T1, T2). The percentage and statistically significant improvement (P <0.05) were recorded at time T2 in the surface of the ellipse. Greater control of balance and greater awareness of the base of support was found in the calculation of the sway path, in particular with closed eyes. Based on this experience, the use of radial shock waves in pathologies related to myofascial pain with postural implications would be desirable.

scholarly journals Jaw Exercise Therapy and Psychoeducation to Reduce Oral Parafunctional Activities for the Management of Persistent Dentoalveolar Pain

2018 ◽  
Vol 2018 ◽  
pp. 1-7
Author(s):  
Izumi Makino ◽  
Young-Chang Arai ◽  
Shuichi Aono ◽  
Masayuki Inoue ◽  
Hiroki Sakurai ◽  
...  
Keyword(s):  
Standard Deviation ◽  
Combination Therapy ◽  
Pain Intensity ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
End Of Treatment ◽  
Before And After ◽  
Numerical Rating ◽  
Therapy Treatment ◽  
Nonpharmacological Treatments

Objective. To retrospectively analyze the effects of our original combination therapy treatment on patients with nonodontogenic persistent dentoalveolar pain. Methods. Twenty-one patients suffering from persistent dentoalveolar pain (nineteen females and two males; mean age ± standard deviation: 55.7 ± 19.6 years) participated in this study. They were treated with a therapy combination of jaw exercise and psychoeducation to reduce oral parafunctional activities every month. The intensity of pain in these subjects was evaluated using a numerical rating scale (NRS) before and after treatment. Results. The NRSs at the baseline ranged from 5 to 10 (median, 8), from 0 to 10 (median, 2) at one month after treatment, from 0 to 10 (median, 1) at three months after treatment, and from 0 to 10 (median, 0) at the end of treatment. Pain intensity after treatment improved significantly. Conclusion. There was a significant reduction in pain after our combination of therapies as nonpharmacological treatments, and therefore this treatment could be useful in the management of NPDP patients.

scholarly journals The acute effects of high-intensity jack-knife stretching on the flexibility of the hamstrings

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Kosuke Takeuchi ◽  
Kazunori Akizuki ◽  
Masatoshi Nakamura
Keyword(s):  
High Intensity ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Knee Extension ◽  
Acute Effects ◽  
Safe Method ◽  
Passive Torque ◽  
Before And After ◽  
Numerical Rating ◽  
Healthy Participants

AbstractThe purpose of the present study was to examine the acute effects of high-intensity jack-knife stretching for 60 s on flexibility of the hamstrings. Twelve healthy participants underwent jack-knife stretching for 60 s (3 repetitions of 20 s stretching with 30 s intervals) at two different intensities based on the point of discomfort (POD and PODmax). To examine any change in flexibility, knee extension range of motion (ROM), passive torque at end ROM, and muscle–tendon unit stiffness were measured before and after stretching. To evaluate hamstrings pain, a numerical rating scale (NRS) was described. The knee extension ROM (p < 0.01) and passive torque at end ROM (p < 0.05) were significantly increased at both intensities. The muscle–tendon unit stiffness was significantly decreased in PODmax intensity (p < 0.01), but there was no change in POD intensity (p = 0.18). The median values of NRS during the stretching were 0 and 6–7 in POD and PODmax intensity, respectively, although it was 0 immediately after the stretching protocol in both intensities. These data suggested that high-intensity jack-knife stretching is an effective and safe method to decrease muscle–tendon unit stiffness of the hamstrings.

scholarly journals Cat Stretch Exercise sebagai Salah Satu Solusi Mengatasi Dismenore pada Remaja Putri

2020 ◽  
Vol 1 (1) ◽  
pp. 50-57
Author(s):  
Yunita Wulandari ◽  
Ika Subekti Wulandari ◽  
Atiek Murharyati
Keyword(s):  
Community Service ◽  
Severe Pain ◽  
Rating Scale ◽  
Control Method ◽  
Numerical Rating Scale ◽  
Pain Scale ◽  
Lower Abdomen ◽  
Before And After ◽  
Post Test ◽  
Numerical Rating

Background: Dysmenorrhea is a result of menstruation. Dysmenorrhea can cause a variety of complaints in young women such as irregular pain, severe pain and cramps in the lower abdomen that will spread to the back of the back, legs, groin. Cat Stretch Exercise is one of the interventions that is considered to reduce dysmenorrhea pain. The purpose of this study was to determine changes in pain levels in Pondok Imam Bukhari students who were given Cat Stretch Exercise. Methods: The study design used a quasi-two-group pre-test and post-test without control method. Pain measurement with a Numerical Rating Scale (NRS) to assess the level of pain before and after the Cat Stretch Exercise exercise. Respondents in the community service were 31 students who experienced dismenore. Results: Obtained decreased respondents' pain scale from moderate to mild pain. Conclusion: CSE interventions are recommended as one of the non-pharmacological steps to deal with the pain of dysmenorrhea.

scholarly journals Efek Minyak Esensial Lavender Dibandingkan dengan Minyak Esensial Jahe terhadap Intensitas Nyeri Menstruasi pada Remaja

2016 ◽  
Vol 3 (2) ◽  
pp. 98
Author(s):  
Wasis Pujiati ◽  
Mae Sri Hartati W ◽  
Elsi Dwi Hapsari
Keyword(s):  
Essential Oil ◽  
Essential Oils ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Sampling Technique ◽  
Data Retrieval ◽  
Simple Random Sampling ◽  
Menstrual Pain ◽  
Before And After ◽  
Numerical Rating

Background: Menstrual pain is the pain in the abdomen which is perceived before or during menstruation, that even when the menstrual pain is heavily painful, the sufferers leave their activities. Research in 2011 showed that the rate of occurrence of primary menstrual pain in Indonesian adolescences was about 54.89%. Various therapies have been used to cure the pain, both pharmacologically and nonpharmacologically. Pharmacologically, it is done by the usage of NSAID, and non-pharmacologically is done by using essential oil.Objective: To know about the effects of lavender essential oil compared to ginger essential oil toward the intensity of menstrual pain in the adolescences of SHS 1 Muncar.Method: True experimental design, with randomized pretest posttest design plan. Time of data retrieval was August-September 2014 in SMA 1 Muncar, Banyuwangi, East Java. Population in this research were female adolescences in class of X and XI, with the amount of 260 students, with samples’ amount of 30 for each treatment group. The sampling technique was simple random sampling. The dependent variable are the giving of lavender and ginger essential oils, meanwhile the independent variable are the reduction of the intensity of menstrual pain. Instrument which was used was Numerical Rating Scale. The data analysis used the Wilcoxon and Mann-Whitney Test.Result and Discussion: The intensity of pain before and after intervention of essential oil of lavender and ginger are 5,47±1,19 vs 2,93±1,53, P=0,00 and 5,40±0,96 vs 2,93±1,43, P=0,00, respectively. Comparison of the effects essential oil of lavender and ginger have P >0,05.Conclusion: Both lavender essential oil and ginger essential oil are effective in reducing the intensity of menstrual pain in adolescences. Keywords: Menstrual pain, Essential oils, Lavender, Ginger, Adolescences

Effects of Blood Flow Restriction During Rest From High-intensity Training on Muscle Hypertrophy and Muscle Strength

2021 ◽  
Author(s):  
Tsukasa Tanaka ◽  
Atsushi Kubota ◽  
Hayao Ozaki ◽  
Hirofumi Nishio ◽  
Yuji Takazawa
Keyword(s):  
Muscle Strength ◽  
Muscle Hypertrophy ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Elbow Flexion ◽  
Peak Torque ◽  
Cross Sectional ◽  
High Intensity Training ◽  
Before And After ◽  
Numerical Rating

Abstract Background: The present study investigated the effects of different timings of BFR during HIT on muscle hypertrophy, muscle strength, and pain during exercise.Methods: The study included 14 limbs from seven heathy males. Participants were divided into three groups: BFR during exercise (EX); BFR during rest (RE), and training only (CON). Participants performed elbow flexion exercises by BIODEX, two days / week for eight weeks. BFR was set at 120 mmHg pressure. Elbow flexor peak torque, and muscle cross-sectional area were measured, before and after the training period. The pain during exercise were measured during training.Results: The peak torque was significantly increased the RE and CON (p < 0.05), but no increase was observed in the EX. Exercise repetitions the RE (set 1, 26.5 ± 8.7 reps; set 2, 15.2 ± 8.0 reps; set 3, 13.1 ± 4.7 reps; set 4, 13.8 ± 6.3 reps) decreased two sets earlier than the CON (set 1, 28.0 ± 8.6 reps; set 2, 25.6 ± 7.5 reps; set 3, 24.4 ± 8.2 reps; and set 4, 23.8 ± 7.2 reps) (p < 0.01). The numerical rating scale was higher in the EX during exercise and in the RE during rest compared with the CON. However, the RE did not show exacerbated pain during exercise (p < 0.01).Conclusions: This present study showed that BFR during rest can lead to muscle hypertrophy and muscle strength with fewer exercise repetitions than training only. BFR during rest showed the greatest decreases in peak torque during exercise and did not exacerbate pain during exercise.

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