Racial discrimination in pain management

Kreling, Maria Clara Giorio Dutra; Pimenta, Cibele Andrucioli de Mattos; Garanhani, Mara Lúcia

doi:10.5935/1806-0013.20140049

Cited by 8 publications

(9 citation statements)

References 56 publications

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“…Pain is a major biological phenomenon for body defense, however chronic pain (CP) is a disease which should be diagnosed and controlled. Currently there is increasing search for the management of CP persisting for more than three or six months, affecting 7 to 15% of adult population and bringing severe physical limitations, distress and economic losses 1 . Orofacial pain (OFP) is also characterized as chronic pain and it is estimated that 4 to 8% of Brazilian population suffer of this disorder, with symptoms related to head, face, neck and oral cavity structures, including headaches, temporomandibular joint (TMJ) and masticatory muscles pain, toothache, skull base and neck muscles pain 2 .…”

Section: Introductionmentioning

confidence: 99%

Evaluation of chronic head and neck myofascial pain control with Yamamoto New Scalp Acupuncture in eight weeks follow-up period

Correia¹,

Alberti²,

Lopes³

2015

Revista Dor

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BACKGROUND AND OBJECTIVES: Chronic pain is a common complaint in health assistance settings, so this study aimed at evaluating the analgesic efficacy of an acupuncture technique to relieve pain in patients with chronic head and neck myofascial pain. METHODS: Participated in the study 20 volunteers (aged between 23 and 46 years) with head and neck pain for more than 3 months who presented tense myofascial bands diagnosed by the evaluator. Pain intensity at the beginning of the study was recorded by the verbal numeric scale, as well as mean pain during each week among 8 applications. Acupuncture needle 0.25x30 mm was used on cranial points to the right or left side of the face, determined by Yamamoto's ScalpAcupuncture technique and was maintained for 20 minutes. RESULTS: Mean pain at beginning of treatment was 7.9 and after 8 weeks it had decreased to 0.8, which is a significant result with p<0.05. Pain improvement evaluation at consultation moment was also relevant because 100% of participants have reported pain improvement immediately after needle application. CONCLUSION: Our results show the effectiveness of one of different possibilities provided by acupuncture for pain relief, especially when the aim is immediate pain decrease. Although promising, results of Yamamoto New Scalp Acupuncture still need further studies to evaluate this acupuncture modality to expand its application and reliability of the technique.

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Section: Introductionmentioning

confidence: 99%

Evaluation of chronic head and neck myofascial pain control with Yamamoto New Scalp Acupuncture in eight weeks follow-up period

Correia¹,

Alberti²,

Lopes³

2015

Revista Dor

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“…Accordingly, women with a greater fear of mandibular movements are more likely to seek care 19 . In the present study, women predominated in the sample (32/35), possibly due to the predisposition to chronic pain, especially in the age group of 46.4±4.29 years 20 . A study was conducted with two groups that performed exercises, one of which was also submitted to cognitive-behavioral therapy under the supervision of a psychologist 21 .…”

Section: Discussionmentioning

confidence: 52%

Patients with chronic pain: degree of kinesiophobia related to dance practice

Cavalcante-Leão¹,

Stechman-Neto²,

Ravazzi³

et al. 2018

Brazilian Journal of Pain

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BACKGROUND AND OBJECTIVES: Temporomandibular disorder is a generic term for conditions that affect the temporomandibular joint, mastication muscles and/or associated structures. The multifactor etiology of the temporomandibular disorder requires multidisciplinary treatment. As constant pain is one of the main characteristics of this disorder, some patients limit their movements during physical activities as a defense mechanism to protect against pain. The present study aimed to determine whether the participation of individuals with the temporomandibular disorder in dance therapy is related to the fear of practicing physical activities. METHODS: An exploratory, quantitative study was conducted with a sample of 35 patients with chronic pain recruited from a clinic specialized in the diagnosis and treatment of temporomandibular disorder. The participants were allocated to two groups: active group (n=14) and control group (n=21). The Brazilian version of the Tampa Scale for Kinesiophobia was used to measure the fear of movement. RESULTS: Mean age was 46.4 years in the active group and 42.9 years in the control group. The mean kinesiophobia score (on a scale of 17 to 68) was 39 in the active group and 39.8 in the control group. CONCLUSION: The present findings demonstrate no significant difference in terms of the degree of kinesiophobia between individuals who agreed and declined to participate in the proposed activity (dance).

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“…O presente estudo também identificou maior proporção dos que relatam haver sofrido discriminação por raça/ cor entre os indivíduos que avaliam sua saúde como ruim/ muito ruim. A precariedade do serviço ofertado, em decorrência desse tipo de discriminação, pode ser fator determinante para o surgimento ou potencialização de agravos à saúde ou hábitos de vida inadequados (7,9,11,12,28) .…”

Section: Discussionunclassified

“…No âmbito da saúde pública, a discriminação de raça/cor praticada por prestadores de cuidado de saúde vem sendo internacionalmente estudada, por ser considerada geradora e/ou potencializadora de agravos à saúde, da precarização das autoavaliações de saúde, de prejuízos na qualidade da prestação de serviços em saúde e do nível de satisfação e confiança nos serviços de saúde por grupos étnicos (7)(8)(9)(10)(11)(12) .…”

Section: Introductionunclassified