The Clinical journal of pain
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To systematically review the current evidence for the effectiveness of Virtual Reality (VR), in conjunction with pharmacologic analgesia on reducing pain and anxiety in burn injury patients undergoing wound dressing changes and physiotherapy management compared with pharmacologic analgesia alone or other forms of distraction. ⋯ This is the first known systematic review to report on the effectiveness of VR, in conjunction with pharmacologic analgesia on reducing pain and anxiety in burn injury patients undergoing wound dressing changes and physiotherapy management compared with pharmacologic analgesia alone or other forms of distraction. Used as an adjunct to the current burn pain management regimens, VR could possibly assist health professionals in making the rehabilitation process for burn patients less excruciating, thereby improving functional outcomes. Further research investigating the effect of VR on anxiety in burn injury patients is warranted.
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Intralipid has been proposed as a treatment option for local anesthetic (LA) toxicity, which does not respond to traditional resuscitation methods. This paper presents a case report of a patient who developed signs of local anesthetic toxicity and was subsequently treated with 20% Intralipid with a positive response. Some background and practical applications regarding this treatment are discussed.
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Comparative Study
Flexion-relaxation and clinical features associated with chronic low back pain: A comparison of different methods of quantifying flexion-relaxation.
The purpose of this study was to simultaneously assess 5 surface electromyography (SEMG) ratios commonly used to quantify the flexion relaxation phenomenon in chronic low back pain patients relative to clinical and musculoskeletal abnormalities. ⋯ These data suggest that measures of flexion-relaxation that contrast SEMG during flexion or extension to MVF are more highly associated with clinical status compared with measures that contrast SEMG during flexion and extension, SEMG whereas standing to MVF, or SEMG during MVF alone.
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Randomized Controlled Trial Comparative Study Clinical Trial
A comparison of the effectiveness of landmark-guided injections and ultrasonography guided injections for shoulder pain.
To compare the effectiveness of landmark-guided local injections and ultrasonography (USG) guided injections for shoulder pain. ⋯ Our results indicate that the injection of corticosteroids to patients with shoulder pain due to soft tissue disorders under the USG-guidance may improve therapeutic effectiveness and reduce adverse effects.
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To examine the clinical and demographic correlates of pain intensity in patients with hip and knee osteoarthritis (OA). ⋯ Pain intensity ratings for patients with lower limb OA differed significantly with respect to sex, age, body mass index, physical activity, professional activity, marital status, and conditions of assessment.