Minimal clinically important changes in chronic musculoskeletal pain intensity measured on a numerical rating scale

Objective: The purpose of this case report is to describe a therapeutic intervention for peroneal nerve paralysis involving the sciatic nerve. Clinical features: A 24-year-old man presented with peroneal nerve paralysis with decreased sensation, severe pain in the popliteal fossa, and steppage gait, which occurred 3 days prior to the consultation. Magnetic resonance imaging and electromyography confirmed lumbar disk herniation with sciatic common peroneal nerve entrapment in the popliteal fossa. Intervention and outcome: A combined treatment protocol of spinal and fibular head manipulation and neurodynamic mobilization including soft tissue work of the psoas and hamstring muscles was performed. Outcome measures were assessed at pretreatment, 1 week posttreatment, and 3-month follow-up and included numeric pain rating scale, range of motion, pressure pain threshold, and manual muscle testing. Treatment interventions were applied for 3 sessions over a period of 1 week. Results showed reduction of the patient's subjective pain and considerable improvement in range of motion, strength, and sensation in his left foot, which was restored to full function. Conclusion: A combined program of spinal and fibular head manipulation and neurodynamic mobilization reduced pain, increased range of motion and strength, and restored full function to the left leg in this patient who had severe functional impairment related to a compressed left common peroneal nerve.

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“…The NRS pain report decreased by 1 point during the treatment, a clinically significant effect, 17 which was maintained at follow-up.…”

Section: Discussionmentioning

confidence: 81%

Manual therapy and neurodynamic mobilization in a patient with peroneal nerve paralysis: a case report

Villafañe

Pillastrini

Borboni

2013

Journal of Chiropractic Medicine

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“…Secondary outcome measures included the following self-reported questionnaires: numerical pain rating scale (11-point scale ranging from 0 to 10) during activity and at rest [8,39]; Oxford Hip and Knee Score (12-item scale measuring pain and physical function) [10,11]; SF-12 Generic Health Survey (generic quality-of-life measure with two components-a physical component summary and a mental component summary [MCS]) [29,41,45]; University of California Los Angeles (UCLA) activity score (with 10 descriptive activity levels ranging from wholly inactive and dependent on others [level one], sometimes [34,48]; and a patient-reported global rating of change (GRC) score for measuring self-perceived change in physical activity (measured postoperatively using a 7-point Likert scale ranging from very much worse to very much better) [16,23]. Data were analyzed using SPSS Statistics (Version 19; SPSS Inc, Chicago, IL, USA).…”

Section: Methodsmentioning

confidence: 99%

Do Activity Levels Increase After Total Hip and Knee Arthroplasty?

Harding

Holland

Delany

et al. 2014

Clinical Orthopaedics &Amp; Related Research

190

189

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“…The level of significance was set at p\0.05. To demonstrate the effectiveness of a treatment, a minimal clinically important difference in VAS scores for pain has been reported ranging from 0.9 to 1.4 [9,19,28] and, in DASH score, ranging from 7 to 13.5 [11,20,21]. However, other measurements do not have the reported minimal clinically significant differences.…”

Section: Surgical Techniquementioning

confidence: 99%

Is Arthroscopic Bone Graft and Fixation for Scaphoid Nonunions Effective?

Kang

Chun

Koh

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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Background Arthroscopic management of scaphoid nonunions has been advanced as a less invasive technique that allows evaluation of associated intrinsic and extrinsic ligamentous injuries; however, few studies have documented the effectiveness of arthroscopic treatment of scaphoid nonunions and which intraarticular pathologies coexist with scaphoid nonunions. Questions/purposes (1) What are the outcomes of arthroscopic management of scaphoid nonunions as assessed by the proportion of patients achieving osseous union, visual analog scale (VAS) pain score, grip strength, range of motion, Mayo Wrist Score (MWS), and Disabilities of the Arm, Shoulder and Hand (DASH) score? (2) What complications are associated with arthroscopic scaphoid nonunion management? (3) What forms of intraarticular pathology are associated with scaphoid nonunions? Methods Between 2008 and 2012, we treated 80 patients surgically for scaphoid nonunions. Of those, 45 (56%) had arthroscopic management. During that time, our general indications for using an arthroscopic approach over an open approach were symptomatic scaphoid nonunions without necrosis of the proximal fragment, severe deformities, or arthritis. Of the patients treated arthroscopically, 33 (73%) were available for followup at least 2 years later. There were five distal third, 19 middle third, and nine proximal third fractures. The mean followup was 33 months (range, 24-60 months). Union was determined by CT taken at 8 to 10 weeks after operation with bridging trabecula at nonunion site. VAS pain scores, grip strength, active flexion-extension angle, MWS, and DASH scores were obtained preoperatively and at each followup visit. The coexisting intraarticular pathologies and complications were also recorded. Results Thirty-two (97%) scaphoid nonunions healed successfully. At the last followup, the mean VAS pain score decreased (preoperative: mean 4.

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Minimal clinically important changes in chronic musculoskeletal pain intensity measured on a numerical rating scale

Cited by 1,276 publications

References 27 publications

Manual therapy and neurodynamic mobilization in a patient with peroneal nerve paralysis: a case report

Manual therapy and neurodynamic mobilization in a patient with peroneal nerve paralysis: a case report

Do Activity Levels Increase After Total Hip and Knee Arthroplasty?

Is Arthroscopic Bone Graft and Fixation for Scaphoid Nonunions Effective?

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