Guarding and flow in the movements of people with chronic pain: A qualitative study of physiotherapists ’ observations
ConclusionsThese qualities of movement may be useful in designing technical systems to support self-management of chronic pain.SignificanceDrawing on the descriptions of movements of people with chronic low back pain provided by expert physiotherapists to standard stimuli, two key concepts were elaborated. Guarding was distinguished from stiffness (a physical limitation) or slowness as motivated by fear or worry about movement. Flow served to describe harmonious and continuous movement, even when adapted around restrictions of pain. Movement behaviours associated with pain are better understood in terms of their particular...
Source: European Journal of Pain - November 8, 2023 Category: Anesthesiology Authors: Amanda C. de C. Williams,
Raffaele Buono,
Nicolas Gold,
Temitayo Olugbade,
Nadia Bianchi ‐Berthouze Tags: ORIGINAL ARTICLE Source Type: research
Personalized assessment and management of non ‐specific low back pain
ConclusionsThe identification of the main contributing pain mechanism and the integration of the patients' view on their condition, including beliefs, preferences, concerns and expectations, are key in the personalized clinical management of NSLBP. In research, particular importance should be placed on accurate characterization of patients and on including outcomes relevant to the individual patient.Significance StatementHere, a comprehensive review of the challenges associated with the diagnostic label ‘non-specific low back pain’ is given. It outlines what is lacking in current treatment guidelines and it is summariz...
Source: European Journal of Pain - October 25, 2023 Category: Anesthesiology Authors: Brigitte Wirth,
Petra Schweinhardt Tags: POSITION PAPER Source Type: research
Issue Information
(Source: European Journal of Pain)
Source: European Journal of Pain - October 17, 2023 Category: Anesthesiology Tags: ISSUE INFORMATION Source Type: research
Is conditioned pain modulation (CPM) affected by negative emotional state?
DiscussionThese results suggest that heat/thermal CPM is resistant to this specific type of symbolic threat induction and further research is necessary to examine whether it is resistant to fearful states in general.SignificanceThe attempt of modulating heat conditioned pain modulation (CPM) by emotional threat (fear/anxiety state) failed. Thus, heat CPM inhibition again appeared resistant to emotional influences. Pain-related brain potentials proved to be more sensitive for CPM effects than subjective ratings. (Source: European Journal of Pain)
Source: European Journal of Pain - October 15, 2023 Category: Anesthesiology Authors: Claudia Horn ‐Hofmann,
Lena Jablonowski,
Melanie Madden,
Miriam Kunz,
Stefan Lautenbacher Tags: ORIGINAL ARTICLE Source Type: research
The influence of advanced age on long ‐term postsurgical analgesic use in patients receiving neuraxial anaesthesia for elective surgery
ConclusionThe findings from this study suggest that older adults are more likely to experience CPSP and have increased use of long-term analgesics, including opioids, after undergoing elective surgery with neuraxial anaesthesia. The study highlights the need for improved pain management strategies for older adults after surgery.SignificanceOlder age is an independent risk factor for long-term analgesic use after surgery under neuraxial anaesthesiaanesthesia, indicating an increased risk for chronic postsurgical pain. (Source: European Journal of Pain)
Source: European Journal of Pain - October 14, 2023 Category: Anesthesiology Authors: Mingyang Sun,
Wan ‐Ming Chen,
Szu‐Yuan Wu,
Jiaqiang Zhang Tags: ORIGINAL ARTICLE Source Type: research
Psychometric evaluation of the Pain Vigilance and Awareness Questionnaire (PVAQ) in fibromyalgia: Confirmatory factor analysis and the development of a Swedish 8 ‐item version
ConclusionsThe Swedish PVAQ-9 and PVAQ-8 appear to have acceptable psychometric properties when administered online to individuals with fibromyalgia. The PVAQ-8 may be preferable due to being shorter and including an equal number of items per factor. Replication is warranted.SignificanceThis study evaluated the psychometric properties of a Swedish translation of the PVAQ in individuals with fibromyalgia. No convincing factor structure was found for the 16-item version. We could, however, confirm the factor structure of an established 9-item version (the PVAQ-9), and recommend further use of a new 8-item version (the PVAQ-8...
Source: European Journal of Pain - September 28, 2023 Category: Anesthesiology Authors: Alice Ahnlund Hoffmann,
Elsa Frostell,
Maria Hedman ‐Lagerlöf,
Lance M. McCracken,
Erland Axelsson Tags: ORIGINAL ARTICLE Source Type: research
Comment on “The effect of different nerve block strategies on the quality of post‐operative recovery in breast cancer patients: A randomized controlled study” by Wang and colleagues
(Source: European Journal of Pain)
Source: European Journal of Pain - September 27, 2023 Category: Anesthesiology Authors: Qi ‐Pei Li,
Xin‐Tao Li,
Fu‐Shan Xue Tags: LETTER TO THE EDITOR Source Type: research
The effectiveness of telerehabilitation ‐based exercise combined with pain neuroscience education for patients with facet joint arthrosis: A randomized controlled study
ConclusionThe patients who received exercise combined with PNE and exercise alone significantly improved pain intensity, disability and organic pain beliefs via telerehabilitation for patients with LBP caused by FJA compared to the control group. The PNE in addition to exercise may exhibit greater benefit in improving organic pain beliefs in short term.SignificanceThis study highlights that combining exercise with PNE can lead to greater improvements compared to exercise alone or no intervention for FJA patients. The implementation of PNE in physiotherapy sessions has the potential to offer significant benefits. Furthermor...
Source: European Journal of Pain - September 26, 2023 Category: Anesthesiology Authors: Begum Okudan,
Derya Çelik,
Orkun Koban Tags: ORIGINAL ARTICLE Source Type: research
Subgrouping of facilitatory or inhibitory conditioned pain modulation responses in patients with chronic knee pain. Explorative analysis from a multicentre trial
ConclusionThese explorative findings indicated that quantitative clinical and experimental differences exist between facilitatory or inhibitory CPM responses in a chronic knee pain patient population. Differences in patients ’ CPM responses should be further investigated to unravel possible clinical importance.SignificanceOur findings confirm that conditioned pain modulation consist of inhibitory and facilitatory responders among a patient population with chronic knee pain. This explorative study indicates that patients with either facilitatory or inhibitory conditioned pain modulation could exhibit differences in pain o...
Source: European Journal of Pain - September 25, 2023 Category: Anesthesiology Authors: J. B. Larsen,
P. Madeleine,
L. B. S ørensen,
J. Sachau,
J. C. Otto,
R. Baron,
L. Arendt‐Nielsen Tags: ORIGINAL ARTICLE Source Type: research
Comment on ‘The effect of lacosamide in peripheral neuropathic pain: A randomized, double‐blind, placebo‐controlled, phenotype‐stratified trial’ by Carmland et al.
(Source: European Journal of Pain)
Source: European Journal of Pain - September 20, 2023 Category: Anesthesiology Authors: Antonio Alc ántara Montero,
Sandra Raquel Pacheco de Vasconcelos Tags: LETTER TO THE EDITOR Source Type: research
Network analyses reveal the interaction between physical features, fear of movement and neck pain and disability in people with acute and chronic whiplash ‐associated disorders
ConclusionThe strongest associations were found for headache and neck pain intensity and neck disability and fear of movement, both during acute pain and when mesured 6 months later. The extent of neck endurance and measures of PPT at baseline may be associated with neck disability and headache, respectively, 6 months after a whiplash injury.SignificanceThrough two network analyses, we evaluated the interaction between pain-related factors, fear of movement, neck disability and physical factors in people who had experienced a whiplash injury. We demonstrated that physical factors may be involved in the maintenance and...
Source: European Journal of Pain - September 19, 2023 Category: Anesthesiology Authors: Ernesto Anarte ‐Lazo,
Bernard X. W. Liew,
Valter Devecchi,
Carlos Bernal‐Utrera,
Cleofas Rodriguez‐Blanco,
Deborah Falla Tags: ORIGINAL ARTICLE Source Type: research
Electrical matrix stimulation suppresses acute itch independently of activation of sleeping nociceptors
DiscussionSince electrical stimulation with the rectangular pulse paradigm reduces itch to a similar extent as the sine wave stimulation paradigm, the input of CMi is not necessarily required for itch suppression. The input of A-fibres and polymodal nociceptors, similarly, as also achieved by scratching, seems to be sufficient for both forms of chemically evoked itch.SignificanceSince activation of CMi does not provide additional benefit for itch suppression, spinal pain pathways transmitted via CM versus CMi have differential effects on itch-processing circuits. This is important knowledge for using electrical matrix stim...
Source: European Journal of Pain - September 17, 2023 Category: Anesthesiology Authors: M. Schwarzenauer,
R. M. Rukwied,
A. Lampert,
R. Rolke,
B. Namer Tags: ORIGINAL ARTICLE Source Type: research
Quantitative sensory testing, psychological profiles and clinical pain in patients with psoriatic arthritis and hand osteoarthritis experiencing pain of at least moderate intensity
ConclusionPatients with hand-OA and PsA exhibited signs of pain sensitization and a higher degree of psychological distress and disability than pain-free individuals. Patients with cFM had greater TSP, painDETECT score, disability, catastrophizing, and reduced sleep quality, than patients without, indicating greater degree of pain sensitization, psychological burden, and disability.Statement of SignificanceThis paper shows that a significant proportion of patients with hand osteoarthritis and psoriatic arthritis with moderate pain intensity have significantly increased signs of pain sensitization and markers of psychologic...
Source: European Journal of Pain - September 16, 2023 Category: Anesthesiology Authors: J. Vela,
L. Dreyer,
K. K. Petersen,
L. Arendt ‐Nielsen,
K. Skjærbæk Duch,
K. Amris,
S. Kristensen Tags: ORIGINAL ARTICLE Source Type: research
Pain neuroscience education for reducing pain and kinesiophobia in patients with chronic neck pain: A systematic review and meta ‐analysis of randomized controlled trials
ConclusionsPNE effectively reduced pain intensity and kinesiophobia in patients with CNP. A longer PNE time leads to greater pain reduction and is more effective in adults than in adolescents. Further studies are required to examine the long-term effects on CNP management.SignificanceThis is the first meta-analysis evaluating the effectiveness of treating chronic neck pain with pain neuroscience education. Pain neuroscience education is successful in reducing pain and decreasing kinesiophobia in the chronic neck pain population. Longer treatment time leads to greater pain reduction. (Source: European Journal of Pain)
Source: European Journal of Pain - September 12, 2023 Category: Anesthesiology Authors: Long ‐Huei Lin,
Ting‐Yu Lin,
Ke‐Vin Chang,
Wei‐Ting Wu,
Levent Özçakar Tags: REVIEW ARTICLE Source Type: research
Prevalence of chronic pain and chronic widespread pain among subjects with heart failure in the general population: The HUNT study
ConclusionsOur study confirmed the high prevalence of pain among HF subjects. This pain could not be explained by comorbidity or sociodemographic factors, which are relevant for clinical and research purposes. Pain management should not be restricted to cardiac-related pain but to chronic pain in general.SignificanceThis epidemiological study corroborates previous studies reporting a high prevalence of pain in the HF-population. We found that the relationship between HF, CWP, and pain intensity could not be explained by comorbidity or sociodemographic factors, illustrating the burden of chronic pain related to HF. Our resu...
Source: European Journal of Pain - September 8, 2023 Category: Anesthesiology Authors: K. K. Vikan,
T. Landmark,
K. H. Gjeilo Tags: ORIGINAL ARTICLE Source Type: research
