Psychological Interventions for Parents of Youth With Chronic Pain: A Scoping Review
Discussion:
Parent interventions may be a helpful and feasible way to support parents and youth with chronic pain. There is variability across study characteristics, treatment content/aims, parent participation, and parent/youth outcomes. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - October 21, 2021 Category: Anesthesiology Tags: Review Articles Source Type: research
Preliminary Validation of the Pain Burden Inventory in a Pediatric Chronic Pain Population
Discussion:
The results support the psychometric properties of a brief self-report measure of pain impact in a pediatric chronic pain population. This measure may have great utility for clinicians caring for youth with chronic pain. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - October 21, 2021 Category: Anesthesiology Tags: Original Articles Source Type: research
Changes in the International Classification of Functioning, Disability, and Health Components “Activity/Participation” as Predicted Through Patient-Reported Outcomes Along With Comprehensive Back Pain Rehabilitation
This study investigated the limitations and restrictions in the most relevant brief ICF core set categories for chronic low back pain (cLBP) as automatically predicted from routinely measured outcomes using a novel, validated mapping algorithm.
Materials and Methods:
Of 2718 cLBP patients recruited, data from 1541 (64% females) were available from before and at the end of 6 months comprehensive outpatient rehabilitation. Assessments included the Roland Morris Disability Questionnaire (RMDQ) and Pain Disability Index (PDI) questionnaires, the percentage of patients with predicted limitations and restrictions in impor...
Source: The Clinical Journal of Pain - October 21, 2021 Category: Anesthesiology Tags: Original Articles Source Type: research
Effects of Patient and Surgery Characteristics on Persistent Postoperative Pain: A Mediation Analysis
Discussion:
Our results suggest the mediating relationship of acute postoperative pain on PPP may be predicated on select patient and surgical factors. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - October 21, 2021 Category: Anesthesiology Tags: Original Articles Source Type: research
Risk and Resilience Predictors of Recovery After Spinal Fusion Surgery in Adolescents
Objective:
This prospective study examined risk and resilience predictors of pain and functional recovery in the first 6 months after spinal fusion surgery in adolescents.
Methods:
Adolescents with adolescent idiopathic scoliosis undergoing spinal fusion surgery (n=100, aged 12 to 18 y, 77% girls) completed assessments before surgery and at 3 weeks, 6 weeks, and 6 months after surgery. Recovery trajectories in pain, health-related quality of life (HRQOL), and objectively registered physical activity were identified. Presurgical pain catastrophizing and pain intensity (risk), and psychological flexibility, and ...
Source: The Clinical Journal of Pain - October 21, 2021 Category: Anesthesiology Tags: Original Articles Source Type: research
A Commentary on “Transmuscular Quadratus Lumborum and Lateral Femoral Cutaneous Nerve Block in Total Hip Arthroplasty”
No abstract available (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - September 9, 2021 Category: Anesthesiology Tags: Letter to the Editor Source Type: research
Clinimetric Properties of Self-reported Disability Scales for Whiplash: A Systematic Review for the Whiplash Core Outcome Set (CATWAD)
Discussion:
This review identified the Neck Disability Index and Whiplash Disability Questionnaire as the most appropriate patient-reported outcome measures (PROMs) for assessing self-reported disability in WAD based on moderate to high-quality evidence for sufficient reliability, construct validity and responsiveness. However, the content validity of these PROMs has yet to be established in WAD, and until this is undertaken, it is not possible to recommend 1 PROM over the other for inclusion in the WAD COS. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - September 9, 2021 Category: Anesthesiology Tags: Review Article Source Type: research
The Effect of Preoperative Serratus Anterior Muscle Plane Block on Persistent Postsurgical Pain After Video-assisted Thoracic Surgery: A Retrospective Cohort Study
Objectives:
Acute pain intensity is a strong indicator for the occurrence of persistent postsurgical pain (PPP) after video-assisted thoracic surgery (VATS). The effect of preoperative serratus anterior muscle plane block (SAPB) on PPP was investigated.
Materials and Methods:
In this retrospective cohort study, data of 148 patients who underwent VATS for lung nodules in 2019 were collected. Seventy-four patients received a single-shot of SAPB with 0.33% ropivacaine 30 mL after anesthesia induction and another 74 patients received intercostal blocks using 1% ropivacaine 10 mL at the fifth to seventh intercost...
Source: The Clinical Journal of Pain - September 9, 2021 Category: Anesthesiology Tags: Original Articles Source Type: research
An Exploration of Blood Marker×Environment Interaction Effects on Pain Severity and Interference Scores in People With Acute Musculoskeletal Trauma
Discussion:
Simple bivariate associations between blood-based markers and clinical symptoms are unlikely to reveal meaningful relationships. However, when stratified by existing person-level or “metadata” variables, an association may exist for at least 1 clinically relevant subgroup. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - September 9, 2021 Category: Anesthesiology Tags: Original Articles Source Type: research
Clinical Effectiveness of an Outpatient Multidisciplinary Chronic Pain Management Telementoring Service
The objective of this study was to assess the effectiveness of a Pain E-Consult Program (PEP), a multidisciplinary telementoring service based on the Extension for Community Healthcare Outcomes (ECHO) model to reduce opioid use in the outpatient setting.
Materials and Methods:
This was a retrospective matched cohort study conducted in an integrated health care delivery system. Adult patients without cancer and with a 90-day morphine milligram equivalent (MME) ≥30 mg/d between April 1, 2016, and June 30, 2017, were included. Patients whose primary care clinician received the PEP (observation) were compared with u...
Source: The Clinical Journal of Pain - September 9, 2021 Category: Anesthesiology Tags: Original Articles Source Type: research
Changes in Pain Sensitivity and Conditioned Pain Modulation During Recovery From Whiplash-associated Disorders
The objective of this study was to investigate the pain-sensory profile of patients with whiplash-associated disorders (WADs) prior and post 2 weeks of standardized rehabilitation and after a 6-month follow-up.
Materials and Methods:
Twenty-two WAD participants (grade II; 14 women) and 22 sex-matched and age-matched healthy pain-free controls were enrolled. Pressure pain thresholds (PPTs) were assessed at local and distal muscles. Conditioned pain modulation (CPM) of PPTs was assessed using cuff pressure around the upper arm. Referred area of pain following supra-threshold pressure stimulation of the infraspinatus m...
Source: The Clinical Journal of Pain - September 9, 2021 Category: Anesthesiology Tags: Original Articles Source Type: research
The Prospective Prognostic Value of Biopsychosocial Indices of Sensitivity to Physical Activity Among People With Back Pain
This study also aimed to shed light on the cross-sectional interrelationships between these 3 biopsychosocial indices of SPA.
Materials and Methods:
Adults with back pain were evaluated upon starting physical therapy and then again 3 months later. The initial testing session consisted of self-reported pain-related questionnaires and assessment of activity-related changes in pressure pain thresholds (SPA-Sensory), pain intensity ratings (SPA-Pain), and situational catastrophizing (SPA-Psych). The 3-month follow-up consisted of self-reported disability and pain questionnaires. Correlational and hierarchical linear reg...
Source: The Clinical Journal of Pain - September 9, 2021 Category: Anesthesiology Tags: Original Articles Source Type: research
Safety of Epidural Steroid Injections for Lumbosacral Radicular Pain: Unmet Medical Need
Discussion:
The risk of complications for transforaminal ESI is greater with particulate corticosteroids. Nonparticulate corticosteroids, which are often recommended as first-line therapy, may have a short duration of effect, and many commercial formulations contain neurotoxic preservatives. The safety profile of ESIs may continue to improve with the development of safer, sterile formulations that reduce the risk of complications while maintaining efficacy. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - August 19, 2021 Category: Anesthesiology Tags: Review Article Source Type: research
Trajectory of Pain, Functional Limitation, and Parental Coping Resources Following Pediatric Short-stay Surgery: Factors Impacting Rate of Recovery
This study aimed to document the trajectory of child pain outcomes and a range of parent-reported functional outcomes following discharge from a short-stay surgical admission. Moreover, we aimed to document the trajectory of parental perceived personal coping resources. Second, we assessed whether parental dispositional factors, assessed before hospital discharge, predicted the child’s pain intensity and parent-reported functional recovery.
Methods:
Participants included children (aged 4 to 14 y) admitted for a short-stay tonsillectomy or appendectomy, and their parents. Parents completed a questionnaire before ...
Source: The Clinical Journal of Pain - August 19, 2021 Category: Anesthesiology Tags: Original Articles Source Type: research
Pain Catastrophizing Throughout the Perioperative Period in Adolescents With Idiopathic Scoliosis
Discussion:
These findings demonstrate that pain catastrophizing in adolescents changes over the perioperative period. Observing changes in pain catastrophizing throughout the perioperative period may help in recognizing when patients are most vulnerable during this time. Decreasing pain catastrophizing before surgery or in the acute postoperative period through therapies that target pain catastrophizing may help reduce the patient’s likelihood of experiencing unfavorable postoperative outcomes. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - August 19, 2021 Category: Anesthesiology Tags: Original Articles Source Type: research
