The Clinical journal of pain
-
Clinical Trial
Changes in pain, disability, and muscle activation patterns in chronic whiplash patients after ambulant myofeedback training.
The aim of this exploratory study was to investigate changes in pain, disability, and muscle activation patterns in patients with chronic whiplash-associated disorder (WAD) after 4 weeks of myofeedback training. ⋯ Four weeks of ambulant training may be beneficial in reducing pain and disability levels and normalizing muscle activation patterns in chronic WAD patients. A randomized-controlled study is recommended to further explore the effects of myofeedback training.
-
Comparative Study
Predictors of incident chronic widespread pain among veterans following the first Gulf War.
We sought to determine the predictors of incident chronic widespread pain (CWP), specifically, the effect of preexisting symptoms, stress, and psychosocial factors in the subsequent development of CWP among veterans from the first Gulf War (GW). ⋯ Among the GW veterans evaluated longitudinally in this study, family history, predeployment symptoms, and the level of perceived stress during the GW were associated with subsequent development of CWP.
-
Randomized Controlled Trial Comparative Study Clinical Trial
Early access to physical therapy treatment for subacute low back pain in primary health care: a prospective randomized clinical trial.
To evaluate the effects of early access (EA) to physical therapy treatment for patients with subacute low back pain compared to access with a 4-week waiting list. ⋯ This study indicated that EA to physical therapy resulted in greater improvement in perceived pain at 6 months compared to later access. In this study, EA to physical therapy could be introduced by reorganization without additional resources.
-
Comparative Study
Myofascial disorders in the trochlear region in unilateral migraine: a possible initiating or perpetuating factor.
Some patients with trochlear disorders have been found to suffer from concurrent migraine. However, a trochlear examination is not systematically done in patients with migraine. Moreover, a search for myofascial trigger points in the superior oblique muscle has never been reported in these patients. ⋯ Patients with unilateral migraine commonly perceive referred pain from the trochlear area that probably comes from the myofascial trigger points. Myofascial disorders in the trochlear region might contribute to the perpetuation of concomitant migraine.