Articles: back-pain.
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Expectations for recovery are a known predictor for returning to work. Most studies seem to conclude that the higher the expectancy the better the outcome. However, the development of expectations over time is rarely researched and experimental studies show that realistic expectations rather than high expectancies are the most adaptive. This study aims to explore patterns of stability and change in expectations for recovery during the first weeks of a back-pain episode and how these patterns relate to other psychological variables and outcome. ⋯ Decreases in expectancies for recovery seem as important as baseline values in terms of outcome, which has clinical and theoretical implications.
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The purpose of this paper is to examine physician barriers to adopting electronic medical records (EMRs) as well as anesthesiologists' experiences with the EMRs used by the acute pain management service at two tertiary care centres in Canada. ⋯ Use of EMRs will inevitably become the standard of care; however, many barriers persist to impede their implementation and adoption. These challenges to implementation can be facilitated by a corporate strategy for change that acknowledges the barriers and provides the resources for implementation. Adoption will facilitate benefits in communication, patient management, research, and improved patient safety.
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In this case report we have discussed a parturient patient who had epidural analgesia during childbirth and then presented with back pain 50 days postpartum as well as the causes of postpartum back pain.
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Rehabilitation psychology · Feb 2014
Exploring the longitudinal stability of the CSQ24 in a back pain population.
The CSQ24 is a shortened version of the Coping Strategies Questionnaire and includes 24 items and four factors-Catastrophizing, Diversion, Reinterpreting, and Cognitive Coping. The factor structure of the CSQ has been a matter for debate for some time. This study aimed to explore the stability of the factor structure of the CSQ24 using repeated measurements in a back pain population at assessment, after physiotherapy treatment, and at 6 and 12 months after treatment. ⋯ These results provide support for the 4-factor structure of the CSQ24 and its longitudinal stability. Argument is provided for the need to explore the longitudinal stability of related tools in populations that undergo change as a result of treatment.