Our results reinforced the clinical interconnection between masticatory and cervical structures, insofar as subjects with masticatory myofascial pain reported greater neck disability, which, in turn, was correlated with regional muscle sensitivity.
BACKGROUND AND OBJECTIVES:Identify the level of knowledge about the neurophysiology of pain in patients with chronic migraine through the application of the Neurophysiology of Pain Questionnaire. METHODS: A cross-sectional study was carried out with 30 patients with chronic migraine. The level of neurophysiological knowledge of pain was assessed by the Brazilian version of the Neurophysiology of Pain Questionnaire. RESULTS: In general, patients with chronic migraine had a low level of knowledge about pain neurophysiology with 4.03±1.52 correct answers in 12 questions (34.1%). From those 30 patients, there was a predominance of females (72.7%), aged 33±8.60 years, higher schooling level (73.4%), mild intensity of pain at rest (2.83±2.39), predominant subclassification of chronic migraine without aura (56.7%) and with a history of migraine for more than 10 years (60.1%). This article identified the level of knowledge about neurophysiology of pain in chronic migraines through the application of the Neurophysiology of Pain Questionnaire. CONCLUSION: Patients with chronic migraine have a low level of neurophysiological knowledge.
Our results show that TENS did not reduce pain perception in healthy individuals, but its use induced increased muscle action, contributing to a greater fatigue perception.
A dor lombar ocorre devido a um desequilíbrio dos estabilizadores da região lombo-pélvica provocando quadros dolorosos, instabilidade da coluna e incapacidades. Os exercícios terapêuticos promovem redução da intensidade da dor e melhora da função. O método Pilates enfatiza técnicas de controle neuromuscular e preconiza a melhoria das relações mus¬culares agonista e antagonista. Apesar da ampla utilização na reabilitação, trabalhos científicos ainda são escassos, demonstrando a necessidade do entendimento dos reais efeitos da técnica. O objetivo do presente estudo foi verificar os efeitos do Pilates na redução da dor e na funcionalidade de indivíduos com dor lombar através de uma revisão de literatura. Para isso, foram selecionados artigos de três bases de dados eletrônicos (MEDLINE via PUBMED, LILACS e COCHRANE). Foram incluídos artigos em inglês e português, no período de 2006 a outubro de 2013. Esses trabalhos abordavam o efeito do Pilates na redução da dor e melhora da funcionalidade de indivíduos com dor lombar. A seleção dos artigos foi feita por dois avaliadores independentes e as divergências de opinião sanadas através de um consenso. A busca eletrônica retornou 29 artigos. Através da leitura dos títulos, foram descartados aqueles que não contemplavam os critérios de inclusão. Podemos concluir que o método Pilates favorece o trabalho dos músculos estabilizadores da região lombo-pélvica, tratando os quadros álgicos lombares. Porém ainda são poucas as evidências que comprovam a melhora da dor e do desempenho funcional. Sugere-se a realização de mais ensaios clínicos controlados que esclareçam as dúvidas a respeito dos benefícios desse método.
Objective: The aim of this study is to assess the influence of COVID-19 quarantine on pain, psycho-emotional aspects, quality of life and sleep of chronic pain patients. Methodology: Individuals with fibromyalgia, migraine and chronic low back pain were included. The survey was carried out through a questionnaire attached to the Forms application, from Google Drive™, with objective questions about painful and emotional aspects. Results: About 70% of the sample reported worsening of pain intensity and 52% showed an increase in the daily frequency of pain during quarantine. More than half of the individuals (58.8%) reported intense anxiety. In addition, half of the sample (47.1%) reported poor quality of life and poor quality of sleep (51.8%). Just over 60% of the sample did not practice physical activity. In regression analysis, lack of physical activity had 335% chance of increasing pain intensity (β: -1.095, OR: 0.335, p = 0.025), of increasing anxiety by 244% (β: -1.412, OR: 0.244, p = 0.013) and 250% of causing insomnia (β: -1.353, OR: 0.250, p = 0.010). Conclusions: The increase in pain and anxiety in individuals with chronic pain during COVID-19 pandemic negatively influenced quality of life and sleep. Physical inactivity during quarantine predisposed to worsening pain and psycho-emotional aspects.
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