Ørjan Nesse Vigdal, Solveig Flugstad, Kjersti Storheim, Rikke Munk Killingmo, Margreth Grotle
BACKGROUND: The predictive validity of the STarT Back screening tool among older adults is uncertain. This study aimed to assess the predictive validity of the SBT among older adults in primary care. METHODS: This prospective cohort study included 452 patients aged ≥55 years seeking Norwegian primary care with a new episode of back pain. A poor outcome (persistent disabling back pain) was defined as a score of ≥7/24 on the Roland-Morris Disability Questionnaire (RMDQ) at 3, 6 or 12 months of follow-up...
May 16, 2024: European Journal of Pain: EJP
S D Hauber, K Robinson, R Fechner, J W Pate, K O'Sullivan
BACKGROUND: Parents may seek out health information online when their adolescent has nonspecific back pain to better understand treatment options. Such information directed towards consumers has not been previously analysed. METHODS: A descriptive cross-sectional content analysis was performed to describe the treatments recommended on consumer websites for nonspecific back pain in adolescents. The credibility and readability of the websites were also assessed. Systematic Google searches were completed in five countries, and relevant content from eligible web pages was analysed...
May 16, 2024: European Journal of Pain: EJP
Madelyne A Bisby, Ashleigh B Correa, Rachel Trujillo, Joanne Dudeney, Blake F Dear
BACKGROUND: Chronic pain is associated with depression and anxiety symptoms. Pain management programms, delivered face-to-face or via the internet, can effectively help adults manage the impacts of chronic pain. Sudden gains are defined as substantial, rapid, and lasting symptom reductions that occur between consecutive treatment sessions and have been associated with better treatment outcomes in non-pain samples. This study examined whether adults with chronic pain report sudden gains in depression or anxiety symptoms during an 8-week online pain management programme, and whether sudden gains were associated with better treatment outcomes for depression or anxiety...
May 12, 2024: European Journal of Pain: EJP
J A Lozano-Meca, M Gacto-Sánchez, J Montilla-Herrador
No abstract text is available yet for this article.
May 9, 2024: European Journal of Pain: EJP
Henrik Bjarke Vaegter, Marja Kinnunen, Jonas Verbrugghe, Caitriona Cunningham, Mira Meeus, Susan Armijo-Olivo, Thomas Bandholm, Brona M Fullen, Harriet Wittink, Bart Morlion, Michiel F Reneman
BACKGROUND: There is clear evidence demonstrating the benefits of physical activity (PA) on pain and overall health, however, PA is challenging for many individuals living with chronic pain. Even non-exercise specialists can (cost) effectively promote PA, but many health professionals report a number of barriers in providing guidance on PA, suggesting that it is not consistently promoted. This expert position paper summarizes the evidence and provides five recommendations for health professionals to assess, advise and support individuals living with any chronic pain condition with a long life expectancy in adopting and sustaining physically active lifestyles...
May 4, 2024: European Journal of Pain: EJP
Kexun Kenneth Chen, Paul Rolan, Mark Rowland Hutchinson, Cameron Dickson, Rutger Marinus Johannes de Zoete
BACKGROUND AND OBJECTIVE: Temporal summation of pain (TSP) and conditioned pain modulation (CPM) are the two most commonly used clinical measures of central sensitization (CS). However, the effectiveness of exercise on TSP and CPM has yet to be evaluated. This review aims to investigate the effect of exercise alone on CS outcomes in individuals with chronic musculoskeletal pain. DATABASES AND DATA TREATMENT: This is a systematic review and meta-analysis. MEDLINE, EMBASE, CINAHL, PEDro and Cochrane databases were searched...
April 25, 2024: European Journal of Pain: EJP
Fabian Tomschi, Jana Schulz, Holger Stephan, Thomas Hilberg
BACKGROUND: Acute physical activity leads to exercise-induced hypoalgesia (EIH). However, to what degree it can be induced by very short but highly intensive exercise is largely unknown. This study aims to investigate the effects of two different short all-out isokinetic exercise sessions on EIH. METHODS: Twenty young male participants underwent three different interventions (90, 15 s all-out isokinetic cycling, respectively, and control) after an individualized low-intensity warm-up in a randomized-controlled-crossover design...
April 17, 2024: European Journal of Pain: EJP
Ginea Hay, Beatrice Korwisi, Norman Lahme-Hütig, Winfried Rief, Antonia Barke
BACKGROUND: The ICD-11 classification of chronic pain comprises seven categories, each further subdivided. In total, it contains over 100 diagnoses each based on 5-7 criteria. To increase diagnostic reliability, the Classification Algorithm for Chronic Pain in the ICD-11 (CAL-CP) was developed. The current study aimed to evaluate the CAL-CP regarding the correctness of assigned diagnoses, utility and ease of use. METHODS: In an international online study, n = 195 clinicians each diagnosed 4 out of 8 fictitious patients...
April 17, 2024: European Journal of Pain: EJP
S Neumann, M C K Hamilton, E C Hart, J C W Brooks
BACKGROUND: People with high blood pressure have reduced sensitivity to pain, known as blood pressure hypoalgesia. One proposed mechanism for this is altered baroreceptor sensitivity. In healthy volunteers, stimulating the carotid baroreceptors causes reduced sensitivity to acute pain; however, this effect may be confounded by a rise in blood pressure due to baroreflex stimulation. The present study tests whether baroreceptor unloading contributes to the physiological mechanism of blood pressure-related hypoalgesia...
April 16, 2024: European Journal of Pain: EJP
H Heitkamp, D Heußner, D C Rosenberger, K Schnabel, D Rosenthal, S Bigalke, T V Maeßen, D Hohenschurz-Schmidt, H Liedgens, U Kaiser, E M Pogatzki-Zahn
BACKGROUND AND OBJECTIVE: Recently, a consensus process specified a core outcome set (COS) of domains to be assessed in each comparative effectiveness research and clinical practice related to acute postoperative pain. Physical function (PF) was one of these domains. The aim of this review was to investigate which patient-reported outcome measures (PROMs) are used to assess PF after total knee arthroplasty (TKA) in clinical trials and if they fulfil basic requirements for a COS of PROMs based on their psychometric properties...
April 15, 2024: European Journal of Pain: EJP
Ela Michaeli Izak, Einat Kodesh, Irit Weissman-Fogel
BACKGROUND: Vagal activity has analgesic effects that are attributed to exercise-induced hypoalgesia (EIH). High vagal tone and low pain sensitivity are reported in individuals who routinely exercise yet, their association is unclear. Furthermore, it is unknown if the heightened vagal tone following high physical activity predicts and intensifies EIH. METHODS: Fifty-one healthy participants (27 low-moderately physically active; 27 females) underwent a resting-state electrocardiogram followed by heart rate variability analysis...
April 12, 2024: European Journal of Pain: EJP
I M Melsen, S K Szépligeti, P H Gundtoft, A B Pedersen
BACKGROUND: Although opioids are a mainstay for perioperative pain management in hip fracture patients, no studies have described changes in opioid use over the last two decades. The aim of this study was to describe time trends in opioid use in a population-based cohort of patients undergoing a first-time hip fracture surgery during 1997-2018. METHODS: Opioid-naïve hip fracture patients >55 years old were identified in Danish medical databases (n = 115,962)...
April 6, 2024: European Journal of Pain: EJP
Ahmad Khoshal Khorami, Alessandro Chiarotto, Evelien I T de Schepper, Patrick J E Bindels, Bart W Koes, Jacoline J van den Driest
BACKGROUND: Radiating leg pain is common in patients with low back pain (LBP). In this study, we aimed to determine the prevalence and incidence of LBP with radiating leg pain in Dutch general practice, and to describe the prescribed medications and requested imaging diagnostics. METHODS: The Rijnmond Primary Care Database containing over 500,000 primary care patients was used to select patients ≥18 years with LBP with radiating leg pain between 2013 and 2021...
April 4, 2024: European Journal of Pain: EJP
Chih-Lung Lin, Hsien-Yuan Lane, Cheuk-Kwan Sun, Meng-Hsiang Chen, Chiao-Yu Lee, Lin Li, Jia-Jie Lee, Pin-Yang Yeh
BACKGROUND AND OBJECTIVE: The relationship between chronic daily headache (CDH), depression symptoms, and brain volume remains unclear. METHODS: To investigate the effects of CDH on brain volume and the impact of depressive symptoms (DSs) as well as the effects of demography and medication overuse, PubMed, Embase, and Web of Science databases were systematically searched using appropriate keyword strings to retrieve observational studies from inception to May 2023...
April 2, 2024: European Journal of Pain: EJP
Nell Norman-Nott, Negin Hesam-Shariati, Michael A Wewege, Rodrigo R N Rizzo, Aidan G Cashin, Chelsey R Wilks, Yann Quidé, James H McAuley, Sylvia M Gustin
OBJECTIVES: To investigate the effect of emotion regulation skills-focused (ERSF) interventions to reduce pain intensity and improve psychological outcomes for people with chronic pain and to narratively report on safety and intervention compliance. METHODS: Six databases and four registries were searched for randomized controlled trials (RCTs) up to 29 April 2022. Risk of bias was evaluated using the Cochrane RoB 2.0 tool, and certainty of evidence was assessed according to the Grading, Assessment, Development and Evaluation (GRADE)...
April 1, 2024: European Journal of Pain: EJP
A V Danielsen, J J Andreasen, B Dinesen, J Hansen, K K Petersen, K S Duch, J Bisgaard, C Simonsen, L Arendt-Nielsen
BACKGROUND: Persistent postsurgical pain (PPSP) after lung cancer surgery is common and current definitions are based on evaluations at a single time point after surgery. Pain intensity and symptoms may however fluctuate and change over time, and be impacted by multiple and shifting factors. Studies of postoperative recovery patterns and transition from acute to chronic pain are needed for further investigation of preventive measures and treatments to modify unfavourable recovery paths...
March 25, 2024: European Journal of Pain: EJP
Cedric Bender, Sven Karstens, Fabian Muth, Georgios Baskozos, Annina B Schmid
BACKGROUND: The current standard to evaluate the presence of somatosensory dysfunctions is quantitative sensory testing, but its clinical utility remains limited. Low-cost and time-efficient clinical sensory testing (CST) batteries have thus been developed. Recent studies show moderate to substantial reliability in populations with neuropathic pain. This study evaluates the inter- and intra-tester reliability of people with spine-related leg and arm pain, representing mixed pain mechanisms...
March 25, 2024: European Journal of Pain: EJP
S Hirai, M Ida, Y Naito, M Kawaguchi
BACKGROUND: Thoracic epidural analgesia (TEA) and intravenous patient-controlled analgesia (IV-PCA) are widely used to mitigate immediate postoperative pain; however, their effects on long-term disability-free survival are poorly documented. This study aimed to compare the effects of postoperative TEA and IV-PCA on disability-free survival in patients who underwent thoracic or abdominal surgery. METHODS: This post hoc analysis of a prospective observational study included 845 inpatients aged ≥55 years that underwent elective thoracic and abdominal surgery between 1 April 2016 and 28 December 2018 in a tertiary care hospital...
March 21, 2024: European Journal of Pain: EJP
R de la Vega, S L Bartels, R W Wicksell
BACKGROUND AND OBJECTIVE: The development, evaluation and implementation of digital self-management interventions for chronic pain have increased exponentially. While intervention outcomes appear promising to improve well-being and functioning in target populations, it is unclear how the development and evaluation processes were structured and how implementation was planned and executed. The aim of this systematic review is to provide a comprehensive overview of implementation frameworks used to guide and evaluate scientific innovation in chronic pain...
March 14, 2024: European Journal of Pain: EJP
Priabprat Jansem, Nattapat Watanapa, Sekh Thanprasertsuk, Wanakorn Rattanawong, Thanakit Pongpitakmetha, Prakit Anukoolwittaya
BACKGROUND AND AIM: Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) and autonomic symptoms (SUNA) are trigeminal autonomic cephalalgias (TACs). The study explores the potential association between SUNCT/SUNA-like headaches and lateral pontine infarctions. METHODS: Case series and systematic review. RESULTS: We present three cases diagnosed with SUNCT following lateral pontine infarction on magnetic resonance imaging (MRI), along with a review of these cases and 10 others from the literature...
March 12, 2024: European Journal of Pain: EJP
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