The Clinical journal of pain
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Comparative Study
Changes in head and neck position have a greater effect on elbow joint position sense in people with whiplash-associated disorders.
It has been shown that perception of elbow joint position is affected by changes in head and neck position. Further, people with whiplash-associated disorders (WAD) present with deficits in upper limb coordination and movement. ⋯ Elbow JPE is affected by movement of the head and neck, with smaller angles of neck rotation in people with WAD than in healthy individuals. This observation may explain deficits in upper limb coordination in people with WAD, which may be due to the presence of pain or reduced range of motion in this population.
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Comparative Study
Effect of disease-related pain on the health-related quality of life of children and adolescents with cystic fibrosis.
The authors' objective was to describe the effect of recurrent pain symptoms on the health-related quality of life (HRQOL) of children and adolescents with cystic fibrosis (CF). Frequent pain, independent of disease severity, was hypothesized to be associated with broad decrements in physical, psychological, and social functioning. ⋯ Children with frequent CF-related pain experienced broad decrements in their HRQOL. These findings are similar to those found in other populations of children experiencing disease-related pain, suggesting a pervasive impact of pain on overall health and well-being. Future research is needed to evaluate treatments to reduce pain symptoms and improve HRQOL in children with cystic fibrosis.
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Randomized Controlled Trial Comparative Study Clinical Trial
Topiramate in treatment of patients with chronic low back pain: a randomized, double-blind, placebo-controlled study.
Chronic low back pain (CLBP) is a widespread ailment. The aim of this study was to assess the efficacy of topiramate in the treatment of CLBP and the changes in anger status and processing, body weight, subjective pain-related disability and health-related quality of life during the course of treatment. ⋯ Topiramate seems to be a relatively safe and effective agent in the treatment of CLBP. Significantly positive changes in pain sensitivity, anger status and processing, subjective disability, health-related quality of life, and loss of weight were observed.
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Randomized Controlled Trial Comparative Study Clinical Trial
Superior hypogastric block: transdiscal versus classic posterior approach in pelvic cancer pain.
The classic posterior approach of superior hypogastric block has several technical difficulties. The transdiscal approach is a novel and easier approach for superior hypogastric which overcome these technical difficulties. ⋯ The transdiscal approach for superior hypogastric plexus block in pelvic cancer pain is easier, safer, and more effective with less side effects than the classic approach.
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Comparative Study
Ultrasound-guided facet joint injections in the middle to lower cervical spine: a CT-controlled sonoanatomic study.
The aim of this study was to investigate the efficacy of ultrasound as a guiding tool for simulated cervical facet joint injections in cadavers. ⋯ This preclinical study suggests that ultrasound is a useful guiding tool for facet joint injections in the cervical spine.