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Total 1744 results found since Jan 2013.

Perspectives on the pharmacological management of complex regional pain syndrome
This article will review the literature on the pharmacologic management of CRPS. It is based on a systematic search of PubMed using key words, followed by evaluation of the bibliographies for relevant articles.EXPERT OPINION: No single drug has amassed enough evidence to suggest clear efficacy but a handful of agents with at least modest evidence are commonly used, including gabapentinoids, bisphosphonates, ketamine, and pulsed dose steroids. Meanwhile, other agents that lack significant evidence specifically in CRPS but have evidence in other neuropathic conditions are commonly prescribed, including tricyclic antidepressa...
Source: Expert Opinion on Pharmacotherapy - May 24, 2023 Category: Drugs & Pharmacology Authors: Kyle F Norton Timothy J Furnish Source Type: research

New! Awesome! Better! (Learning a new approach)
With all the attention being given to cognitive functional therapy (and deservedly so, IMHO) it’s tempting to leap aboard the modality train and go take a course, isn’t it? Although I’ve picked on CFT today, it could just as easily have been any of the New! Awesome! Better! therapies that hit the clinical headlines on a frequent basis. The temptation to go “Look! Shiny!” and learn about the latest thing isn’t confined to teenagers following some social media trend. Yup, even sober-sides nearly 60-year-olds like me still want to go on learning, getting better at what I do, keeping up w...
Source: HealthSkills Weblog - May 21, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Clinical reasoning Education/CME Occupational therapy Physiotherapy Professional topics Psychology Research Science in practice biopsychosocial healthcare Therapeutic approaches Source Type: blogs

Pain Concepts for Practice: Occupational therapists
Enrolments open again for this online course with THREE live Zoom discussions! This course is specifically developed for occupational therapists and gives you: an overview of the THREE groups of pain mechanisms and a way through the neurobiology maze what pain mechanisms mean when working with people experiencing pain the weird and uncertain influence of pain on daily life pain behaviours and how these can get in the way of doing what matters to a person pain assessments and what they mean sensory approaches for people living with pain graded desensitising and graded exposure – how they are n...
Source: HealthSkills Weblog - May 18, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Uncategorized Source Type: blogs

Effectiveness of an outpatient rehabilitation programme in patients with neuralgic amyotrophy and scapular dyskinesia: a randomised controlled trial
Conclusion This RCT shows that an MR programme focused on motor relearning to improve scapular dyskinesia, combined with self-management strategies for reducing pain and fatigue, shows more beneficial effects on shoulder, arm and hand functional capability than UC in patients with NA. Trial registration number NCT03441347.
Source: Journal of Neurology, Neurosurgery and Psychiatry - May 15, 2023 Category: Neurosurgery Authors: Janssen, R. M. J., Lustenhouwer, R., Cup, E. H. C., van Alfen, N., Ijspeert, J., Helmich, R. C., Cameron, I. G. M., Geurts, A. C. H., van Engelen, B. G. M., Graff, M. J. L., Groothuis, J. T. Tags: Neuromuscular Source Type: research

Learning ACT (acceptance and commitment therapy)
Around 2001 I read what I believe is the first randomised controlled trial of ACT for people living with chronic pain (McCracken, 1998). I quickly dived into this ‘new’ therapy – it appealed to me because it resonated with my own experiences with psychological therapies for depression, and in the way I had learned to live alongside my own pain. For those who don’t know, I developed chronic pain around the age of 22ish (dates are hard to remember!) and after seeing a pain specialist was given those fateful words ‘I’m sorry, there’s nothing we can do from a medical perspective.’...
Source: HealthSkills Weblog - May 14, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: 'Pacing' or Quota ACT - Acceptance & Commitment Therapy Chronic pain Motivation Occupational therapy Pain conditions Physiotherapy Professional topics Psychology Research Science in practice acceptance and commitment therapy Therap Source Type: blogs

The Experience of Pregnancy-Related Lumbopelvic Pain: A Qualitative Evidence Synthesis
Can J Occup Ther. 2023 May 11:84174231172037. doi: 10.1177/00084174231172037. Online ahead of print.ABSTRACTBackground. Pregnancy-related lumbopelvic pain is common and can impact quality of life. Purpose. To synthesize existing qualitative research on people's experiences of pregnancy-related lumbopelvic pain in pregnancy and during the postpartum period. Method. A keyword search of four electronic databases between 2000 and 2022 was completed. Included studies were appraised and synthesized using a meta-ethnographic approach. Findings. Twenty-three studies were included. Analysis identified four core themes: (1) uncertai...
Source: Canadian Journal of Occupational Therapy - May 12, 2023 Category: Occupational Health Authors: Luciana Buin Regina Helena Vitale Torkomian Joaquim Jenny Strong Katie Robinson Source Type: research

Why I ’ m not fazed by unremarkable results in therapy trials
Remember the old ‘pareto principle’? 80% of the results come from 20% of the input, or as Wikipedia informs me, “the principle of factor sparsity” I think we’ve got there with musculoskeletal pain, especially low back pain. The other ‘law’ that might apply is that of diminishing returns. We’ve learned a great deal about low back pain over my clinical career. We’ve essentially learned what not do to. In the name of progress, thousands of people have put their pain (their bodies) on the line. And progress has not exactly been great right? We’ve learned tha...
Source: HealthSkills Weblog - May 7, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Back pain Low back pain Occupational therapy Pain conditions Physiotherapy Professional topics Research Science in practice healthcare Therapeutic approaches Source Type: blogs

“ … someone needs to find the cause of my pain, then fix it. ” What to do with sticky beliefs
I think most clinicians, and certainly a lot of people living with pain, want to know ‘what’s going on’ – with the hope that, once identified, ‘something’ can be done. Tricky stuff to navigate both as a person living with pain, and as a clinician – because for so many chronic pains, a diagnosis does very little. Having a label has some benefits, for sure: it acts as a short-hand when talking about what’s going on with others; it can validate that the mysterious problems a person has been having are ‘real’ (though I could say more about that!); it can help peop...
Source: HealthSkills Weblog - April 30, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: ACT - Acceptance & Commitment Therapy Chronic pain Clinical reasoning Coping strategies Occupational therapy Physiotherapy Professional topics Psychology Research Science in practice biopsychosocial pain management Therapeutic appr Source Type: blogs

"Feeling Unwanted, When Nobody Wants You Around": Perceptions of Social Pain Among People With Autism
CONCLUSION AND RELEVANCE: The study indicates the existence of a discrepancy between autistic people's need for social interactions and the social pain they experience. It calls for intervention programs for autistic people to improve their coping strategies and promote their self-acceptance and better inclusion in the community. What This Article Adds: Promoting social functioning is a prime role of occupational therapists, and this article adds a novel theoretical model that contributes to that role. The model represents the social pain experiences of autistic people and their strategies to overcome this phenomenon. Firs...
Source: The American Journal of Occupational Therapy - April 11, 2023 Category: Occupational Health Authors: Merry Kalingel Levi Naomi Schreuer Yelena Granovsky Tami Bar-Shalita Irit Weissman Fogel Tseela Hoffman Eyant Gal Source Type: research

Pain Experiences of People Diagnosed With Autism Spectrum Disorder: A Systematic Review of Case-Control Studies
CONCLUSION AND RELEVANCE: The results indicate that people with ASD may have an abnormal sensory experience with regard to pain sensitivity. Occupational therapy practitioners should develop an intervention to focus on pain. What This Article Adds: This study adds to the body of literature indicating that people with ASD have sensory abnormalities with regard to pain experiences. Results highlight the need for occupational therapy interventions to focus on pain experiences.PMID:37040102 | DOI:10.5014/ajot.2023.050050
Source: The American Journal of Occupational Therapy - April 11, 2023 Category: Occupational Health Authors: Araceli Ortiz Rubio Dulce Nombre de Mar ía Romero Ayuso Irene Torres S ánchez Irene Cabrera Martos Janet Rodr íguez Torres Laura L ópez López Marie Carmen Valenza Source Type: research

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