Personalized pain management: The relationship between clinical relevance and reliability of measurements

Mista, Christian Ariel; Intelangelo, Leonardo; Manresa, José Biurrun

doi:10.1002/ejp.2110

Cited by 3 publications

(2 citation statements)

References 102 publications

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“…The primary outcome was the change in pain intensity after the intervention using analogue scale (VAS), numeric rating scale (NRS) and Neck Pain and Disability Scale (NPAD). We utilized the standard error of measurement to denote reliability, as outlined by Mista et al (2023). The standard errors of measurement for VAS (0-100 mm), NRS (score 0-10) and NPAD (score 0-100) were reported as 7.7 mm (MacDowall et al, 2018), 0.99-1.1 (Young et al, 2019) and 17.1 (Dabiri et al, 2023), respectively.…”

Section: Primary Outcome Measurementsmentioning

confidence: 99%

Pain neuroscience education for reducing pain and kinesiophobia in patients with chronic neck pain: A systematic review and meta‐analysis of randomized controlled trials

Lin,

Chang

et al. 2023

European Journal of Pain

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BackgroundChronic neck pain (CNP) is a common musculoskeletal disorder. Pain neuroscience education (PNE) is a promising nonpharmacological intervention for CNP, however, its effectiveness remains unclear. This systematic review and meta‐analysis aimed to evaluate the effectiveness of PNE in treating CNP.MethodsElectronic databases from inception to February 2023 were searched for randomized controlled trials (RCTs) on the effects of PNE on CNP. The primary outcome was the change in pain intensity, and the secondary outcome was improvement in kinesiophobia, standardized using Hedges' g. Two authors independently scrutinized eligible articles, extracted data and assessed quality; a random‐effects model was employed for data pooling.ResultsIn total, seven RCTs comprising 479 participants were included and demonstrated that PNE significantly reduced pain intensity (Hedges' g = −0.730, 95% CI = −1.340 to −0.119, p = 0.019, I2 = 89.288%). Subgroup analysis revealed that the adult group experienced significant pain reduction after PNE, whereas the adolescent group did not. PNE also reduced kinesiophobia which was evaluated in four of seven RCTs (Hedges' g = −0.444, 95% CI = −0.735 to −0.154, p = 0.003, I2 = 36.822%). The meta‐regression analysis indicated that an increased intervention duration contributed to greater pain reduction. No adverse events were reported following PNE or the control treatment.ConclusionsPNE effectively reduced pain intensity and kinesiophobia in patients with CNP. A longer PNE time leads to greater pain reduction and is more effective in adults than in adolescents. Further studies are required to examine the long‐term effects on CNP management.SignificanceThis is the first meta‐analysis evaluating the effectiveness of treating chronic neck pain with pain neuroscience education. Pain neuroscience education is successful in reducing pain and decreasing kinesiophobia in the chronic neck pain population. Longer treatment time leads to greater pain reduction.

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Section: Primary Outcome Measurementsmentioning

confidence: 99%

Pain neuroscience education for reducing pain and kinesiophobia in patients with chronic neck pain: A systematic review and meta‐analysis of randomized controlled trials

Lin,

Chang

et al. 2023

European Journal of Pain

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“…While substantial progress has been made in perioperative pain management, there are areas that warrant further investigation. Notably, personalized approaches to pain management, including pharmacogenetics, hold potential for optimizing pain control while minimizing adverse effects (Mista et al, 2023). The impact of emerging technologies, such as ultrasound-guided regional anesthesia, on patient outcomes and safety remains an area of ongoing exploration (Sites et al, 2009).…”

Section: Literature Reviewmentioning

confidence: 99%

The Role of Anesthesia in Pain Management: Advancements in Perioperative Analgesia

Saleh AL Zahrani

2023

jmscr

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This paper examines in detail the important role of anesthesia in perioperative pain management, focusing on recent advances in perioperative analgesia on. This paper examines the fundamental relationship between anesthesia and analgesia, with particular emphasis on recent innovations in surgical analgesic techniques. This study aims to elucidate the evolving panorama of anesthesia in surgical settings, losing light on how those trends are improving ache manipulate for sufferers. This paper uses a rigorous research approach including an extensive literature review and empirical data collection to support the findings. This study demonstrates the significant impact of modern anesthesia, including important insights into alternative mechanisms of action and effectiveness, for healthcare professionals and researchers in this field gain valuable insights. By addressing these factors, this paper seeks to inform the understanding of how anesthesia plays an important role in improving the perioperative experience of patients by improving pain and to make progress. Keywords: Anesthesia, Pain Management, perioperative Analgesia, Healthcare professionals, Patients care.

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Spatiotemporal characterization of an experimental model of muscle pain in humans based on short‐wave diathermy

Intelangelo,

Mista,

Barone

et al. 2024

European Journal of Pain

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BackgroundCommonly used models for eliciting muscle pain involve the injection of algesic substances or the induction of delayed onset muscle soreness. The former require invasive procedures, and the time frame for pain induction and subsidence in the latter can be inconvenient. This study presents a detailed spatiotemporal characterization of a new experimental model of muscle pain based on short‐wave diathermy (SWD), developed to overcome the limitations of existing models.MethodsThe shoulder was selected as target site and the effects of the model were tested in two sessions to assess its reliability. Pain intensity profiles were recorded during the application of SWD, and changes in pressure pain threshold (PPT) in the infraspinatus muscle, together with pain intensity, duration, and quality were assessed 30 min after induction.ResultsSWD‐induced pain intensity scores averaged 4 points on a visual analogue scale, whereas PPT showed a consistent decrease of about 25% relative to baseline values. Pain was localized in the shoulder area, and was described as continuous, dull, well‐delimited, heavy, and bearable. Pain lasted for an average of 145 min without requiring reinduction and was reliably elicited in both experimental sessions.ConclusionSWD can be used to elicit experimental muscle pain in a non‐invasive, long‐lasting, and reliable way and allows for repeated within‐ and between‐session testing in the shoulder.Significance StatementSWD produces deep heating in muscles by converting electromagnetic energy to thermal energy. It was previously shown that it can be used to elicit experimental pain in the forearm muscles, and the present study demonstrates that this can be reliably generalized to other body sites, such as the shoulder. Furthermore, SWD application is non‐invasive and presents a convenient time frame for pain induction and subsidence, thus overcoming limitations associated with traditional muscle pain models.

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Personalized pain management: The relationship between clinical relevance and reliability of measurements

Cited by 3 publications

References 102 publications

Pain neuroscience education for reducing pain and kinesiophobia in patients with chronic neck pain: A systematic review and meta‐analysis of randomized controlled trials

Pain neuroscience education for reducing pain and kinesiophobia in patients with chronic neck pain: A systematic review and meta‐analysis of randomized controlled trials

The Role of Anesthesia in Pain Management: Advancements in Perioperative Analgesia

Spatiotemporal characterization of an experimental model of muscle pain in humans based on short‐wave diathermy

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