Articles: pain-measurement.
-
Observational Study
How Much Pain Is Significant? Defining the Minimal Clinically Important Difference for the Visual Analog Scale for Pain After Total Joint Arthroplasty.
The ability to detect changes in patient-perceived pain after total joint arthroplasty (TJA) is critical to manage postoperative pain. The minimal clinically important difference (MCID) for visual analog scale for pain (VAS-P) has not been investigated in this population. This study investigated the MCID for VAS-P in the TJA population. ⋯ In the postoperative TJA population, VAS-P MCID changes depend on the type of surgical intervention, and whether pain is improving or worsening. Statistically significant VAS-P, improving -18.6 mm and -22.6 mm for THA and TKA patients, respectively, sets a reasonable threshold to identify clinically meaningful pain intervention with high specificity.
-
To explore feasibility of recruitment and retention of runners with patellofemoral pain (PFP), before delivering a step rate intervention. ⋯ Recruitment and retention of a mixed sex PFP cohort to a step rate intervention involving detailed biomechanical measures is feasible. There are indications of both likely efficacy and associated mechanisms. Future studies comparing the efficacy of different running retraining approaches are warranted.
-
Eur J Phys Rehabil Med · Jun 2018
Randomized Controlled Trial Comparative StudyRandomized controlled trial of maximal strength training vs. standard rehabilitation following total knee arthroplasty.
Total knee arthroplasty (TKA) alleviates pain, but muscle strength and function is reduced for a long period postoperatively. ⋯ Exercises after TKA should be performed with high intensity and target the operated leg specifically.