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Activity Pacing, Avoidance, Endurance, and Associations With Patient Functioning in Chronic Pain / Nicole E Andrews in Archives of Physical Medicine and Rehabilitation, 2012/11 (2012)
Titre : Activity Pacing, Avoidance, Endurance, and Associations With Patient Functioning in Chronic Pain : A Systematic Review and Meta-Analysis Type de document : Article Auteurs : Nicole E Andrews ; Jenny Strong ; Pamela J. Meredith Article en page(s) : pp. 2109-2121 Langues : Anglais (eng) Descripteurs : HE Vinci
Activités de la vie quotidienne ; Douleur ; Pain ; Rééducation et réadaptationMots-clés : Activities of Daily Living Review Article de revue Résumé : "Objective
To systematically review the associations between different approaches to activity (ie, activity pacing, avoidance, or endurance) and indicators of patient functioning in chronic pain samples.
Data Sources
A key word search was conducted in PsycINFO, MEDLINE via Ovid, EMBASE, and PubMed up to March 2011.
Study Selection
To be included, studies had to (1) be written in English, (2) report on an adult chronic pain sample, and (3) report a correlation coefficient between at least 1 measure of 1 of the 3 “approach to activity” variables and an indicator of patient functioning.
Data Extraction
Two reviewers independently screened abstracts and full-text articles for eligibility and extracted the data. Results of correlation analyses were grouped on the basis of measure of approach to activity (pacing/avoidance/endurance) and the criterion variable measured (pain/physical functioning/psychological functioning), resulting in 9 categories. Random-effects modeling was then used to pool data across studies in each category.
Data Synthesis
Forty-one studies were eligible for inclusion. Results demonstrated that avoidance of activity was consistently associated with more pain, poorer psychological functioning, and more physical disability. While enduring with activity was associated with enhanced physical and psychological functioning, these relationships appeared to be dependent on the measure used, with measures more reflective of persisting with activities to the point of severe pain aggravation (overactivity) linked to poorer outcomes. Pacing was generally linked to better psychological functioning but more pain and disability.
Conclusions
Although causation cannot be determined, results of this study suggest that both avoidance of activity and overactivity are associated with poorer patient outcomes. Unexpected results relating to pacing may reflect either the ineffectiveness of pacing if not used to gradually increase an individual's activity level or the notion that individuals with better psychological functioning but more pain and disability are more inclined to pace activity."Disponible en ligne : Oui En ligne : http://www.archives-pmr.org/article/S0003-9993(12)00427-3/abstract Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117348
in Archives of Physical Medicine and Rehabilitation > 2012/11 (2012) . - pp. 2109-2121[article] Activity Pacing, Avoidance, Endurance, and Associations With Patient Functioning in Chronic Pain : A Systematic Review and Meta-Analysis [Article] / Nicole E Andrews ; Jenny Strong ; Pamela J. Meredith . - pp. 2109-2121.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2012/11 (2012) . - pp. 2109-2121
Descripteurs : HE Vinci
Activités de la vie quotidienne ; Douleur ; Pain ; Rééducation et réadaptationMots-clés : Activities of Daily Living Review Article de revue Résumé : "Objective
To systematically review the associations between different approaches to activity (ie, activity pacing, avoidance, or endurance) and indicators of patient functioning in chronic pain samples.
Data Sources
A key word search was conducted in PsycINFO, MEDLINE via Ovid, EMBASE, and PubMed up to March 2011.
Study Selection
To be included, studies had to (1) be written in English, (2) report on an adult chronic pain sample, and (3) report a correlation coefficient between at least 1 measure of 1 of the 3 “approach to activity” variables and an indicator of patient functioning.
Data Extraction
Two reviewers independently screened abstracts and full-text articles for eligibility and extracted the data. Results of correlation analyses were grouped on the basis of measure of approach to activity (pacing/avoidance/endurance) and the criterion variable measured (pain/physical functioning/psychological functioning), resulting in 9 categories. Random-effects modeling was then used to pool data across studies in each category.
Data Synthesis
Forty-one studies were eligible for inclusion. Results demonstrated that avoidance of activity was consistently associated with more pain, poorer psychological functioning, and more physical disability. While enduring with activity was associated with enhanced physical and psychological functioning, these relationships appeared to be dependent on the measure used, with measures more reflective of persisting with activities to the point of severe pain aggravation (overactivity) linked to poorer outcomes. Pacing was generally linked to better psychological functioning but more pain and disability.
Conclusions
Although causation cannot be determined, results of this study suggest that both avoidance of activity and overactivity are associated with poorer patient outcomes. Unexpected results relating to pacing may reflect either the ineffectiveness of pacing if not used to gradually increase an individual's activity level or the notion that individuals with better psychological functioning but more pain and disability are more inclined to pace activity."Disponible en ligne : Oui En ligne : http://www.archives-pmr.org/article/S0003-9993(12)00427-3/abstract Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117348
Titre : Altering Electromyography Studies: Importance of the Electromyographer's Perception of Patient Pain Type de document : Article Auteurs : Zachary N. London ; Rebecca Hazan ; James F. Burke ; [et al.] Article en page(s) : pp. 39-42 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur ; Electromyographie ; Pain ; Rééducation et réadaptationMots-clés : Electromyography Résumé : Objective
To determine the relation between the patient's actual pain, the electromyographer's perception of patient pain, and whether an electromyogram (EMG) is altered.
Design
Patients undergoing electromyography reported expected pain and procedure-related overall pain on a 100-mm visual analog scale (VAS). Blinded electromyographers estimated patient pain levels and indicated if they altered the study in any way because of this perception. Multivariable logistic regression was used to determine predictors of altering the EMG. Paired t tests were used to compare overall pain with expected pain and electromyographer perception of pain.
Setting
Tertiary referral center.
Participants
Referred sample of adult subjects (N=304).
Interventions
Not applicable.
Main Outcome Measures
Patient pain, electromyographer perception of patient pain, and whether an EMG was altered because of the electromyographer's perception of patient pain.
Results
Mean VAS scores + SD were 48+25mm for patient-expected pain (P<.001 for electromyographer perception of pain and actual overall pain. electromyographers altered their study the time because concerns about every increase on vas prespecified clinically meaningful difference increased odds altering a times confidence interval whereas patient did not have significant effect ratio="1.12;" ci .86> Conclusions
Patients expect EMGs to be more painful than they are. Electromyographers overestimate patient pain and are more likely to alter their studies when they believe patients are experiencing more pain, independently of whether patients actually have more pain. Improving the communication between electromyographers and patients may prevent unnecessary alterations.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117694
in Archives of Physical Medicine and Rehabilitation > 2014/1 (2014) . - pp. 39-42[article] Altering Electromyography Studies: Importance of the Electromyographer's Perception of Patient Pain [Article] / Zachary N. London ; Rebecca Hazan ; James F. Burke ; [et al.] . - pp. 39-42.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > 2014/1 (2014) . - pp. 39-42
Descripteurs : HE Vinci
Douleur ; Electromyographie ; Pain ; Rééducation et réadaptationMots-clés : Electromyography Résumé : Objective
To determine the relation between the patient's actual pain, the electromyographer's perception of patient pain, and whether an electromyogram (EMG) is altered.
Design
Patients undergoing electromyography reported expected pain and procedure-related overall pain on a 100-mm visual analog scale (VAS). Blinded electromyographers estimated patient pain levels and indicated if they altered the study in any way because of this perception. Multivariable logistic regression was used to determine predictors of altering the EMG. Paired t tests were used to compare overall pain with expected pain and electromyographer perception of pain.
Setting
Tertiary referral center.
Participants
Referred sample of adult subjects (N=304).
Interventions
Not applicable.
Main Outcome Measures
Patient pain, electromyographer perception of patient pain, and whether an EMG was altered because of the electromyographer's perception of patient pain.
Results
Mean VAS scores + SD were 48+25mm for patient-expected pain (P<.001 for electromyographer perception of pain and actual overall pain. electromyographers altered their study the time because concerns about every increase on vas prespecified clinically meaningful difference increased odds altering a times confidence interval whereas patient did not have significant effect ratio="1.12;" ci .86> Conclusions
Patients expect EMGs to be more painful than they are. Electromyographers overestimate patient pain and are more likely to alter their studies when they believe patients are experiencing more pain, independently of whether patients actually have more pain. Improving the communication between electromyographers and patients may prevent unnecessary alterations.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117694 Apprentis boulangers / Christian Merveille (2011)
Titre : Apprentis boulangers Type de document : Livre/périodique jeunesse Auteurs : Christian Merveille, Auteur ; Marie-Aline Bawin, Illustrateur Editeur : Averbode : Averbode Année de publication : 2011 Collection : Dopido Importance : 15 p. Présentation : ill. Format : 28 cm Langues : Français (fre) Descripteurs : HE Vinci
Boulangerie ; Fabrication ; PainRésumé : Le papa de Youssef exerce un beau métier : il est boulanger. Il cuit le pain pour tout le quartier. Mais aujourd'hui, les enfants ne sont pas venus pour acheter du pain. Toute la classe va aider le boulanger à pétrir la pâte et cuire les pains. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=256067 Apprentis boulangers [Livre/périodique jeunesse] / Christian Merveille, Auteur ; Marie-Aline Bawin, Illustrateur . - Averbode : Averbode, 2011 . - 15 p. : ill. ; 28 cm. - (Dopido) .
Langues : Français (fre)
Descripteurs : HE Vinci
Boulangerie ; Fabrication ; PainRésumé : Le papa de Youssef exerce un beau métier : il est boulanger. Il cuit le pain pour tout le quartier. Mais aujourd'hui, les enfants ne sont pas venus pour acheter du pain. Toute la classe va aider le boulanger à pétrir la pâte et cuire les pains. Disponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=256067 Exemplaires (1)
Cote Support Localisation Section Disponibilité PL MER Livre Louvain-la-Neuve Littérature jeunesse Prêt autorisé
DisponibleL'ascension du Mont-Blanc. Du blé au pain. Le téléphone portable. Les avions
Titre : L'ascension du Mont-Blanc. Du blé au pain. Le téléphone portable. Les avions Type de document : Document multimédia Editeur : France : Edition vidéo France Télévision Distribution / France 3 Collection : C'est pas sorcier Langues : Français (fre) Descripteurs : HE Vinci
Avion ; Blé ; Escalade (sport) ; Montagne ; Pain ; Sport de montagne ; Téléphones portables ; TéléphonieDisponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=98436 L'ascension du Mont-Blanc. Du blé au pain. Le téléphone portable. Les avions [Document multimédia] . - France : Edition vidéo France Télévision Distribution / France 3, [s.d.]. - (C'est pas sorcier) .
Langues : Français (fre)
Descripteurs : HE Vinci
Avion ; Blé ; Escalade (sport) ; Montagne ; Pain ; Sport de montagne ; Téléphones portables ; TéléphonieDisponible en ligne : Non Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=98436 Exemplaires (1)
Cote Support Localisation Section Disponibilité 957 CD audio, CD-Rom, DVD Louvain-la-Neuve Etagère Tour CD/DVD Prêt autorisé
Disponible
Titre : Assessment of Nociception and Pain in Participants in an Unresponsive or Minimally Conscious State After Acquired Brain Injury: The Relation Between the Coma Recovery Scale–Revised and the Nociception Coma Scale–Revised Type de document : Article Auteurs : Camille Chatelle ; Solveig L. Hauger ; Charlotte Martial Article en page(s) : p. 1755-1762 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur ; Évaluation de résultat (soins) ; Nociception ; Pain ; Rééducation et réadaptationMots-clés : Brain injuries Lésions encéphaliques Consciousness disorders Troubles de la conscience Outcome Assessment (Health Care) Résumé : Objectives
To investigate the relation between consciousness and nociceptive responsiveness (ie, Nociception Coma Scale–Revised [NCS-R]), to examine the suitability of the NCS-R for assessing nociception in participants with disorders of consciousness (DOC), and to replicate previous findings on psychometric properties of the scale.
Design
Specialized DOC program.
Setting
Specialized DOC program and university hospitals.
Participants
Participants (N=85) diagnosed with DOC.
Interventions
Not applicable.
Main Outcome Measures
We prospectively assessed consciousness with the Coma Recovery Scale–Revised (CRS-R). Responses during baseline, non-noxious, and noxious stimulations were scored with the NCS-R and CRS-R oromotor and motor subscales.
Results
CRS-R total scores correlated with NCS-R total scores and subscores. CRS-R motor subscores correlated with NCS-R total scores and motor subscores, and CRS-R oromotor subscores correlated with NCS-R total scores as well as verbal and facial expression subscores. There was a difference between unresponsive wakefulness syndrome and minimally conscious state in the proportion of grimacing and/or crying participants during noxious conditions. We replicated previous findings on psychometric properties of the scale but found a different score as the best threshold for nociception.
Conclusions
We report a strong relation between the responsiveness to nociception and the level of consciousness. The NCS-R seems to be a valuable tool for assessing nociception in an efficient manner, but additional studies are needed to allow recommendations for clinical assessment of subjective pain experience.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118893
in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 9 (2018) . - p. 1755-1762[article] Assessment of Nociception and Pain in Participants in an Unresponsive or Minimally Conscious State After Acquired Brain Injury: The Relation Between the Coma Recovery Scale–Revised and the Nociception Coma Scale–Revised [Article] / Camille Chatelle ; Solveig L. Hauger ; Charlotte Martial . - p. 1755-1762.
Langues : Anglais (eng)
in Archives of Physical Medicine and Rehabilitation > Vol. 99, n° 9 (2018) . - p. 1755-1762
Descripteurs : HE Vinci
Douleur ; Évaluation de résultat (soins) ; Nociception ; Pain ; Rééducation et réadaptationMots-clés : Brain injuries Lésions encéphaliques Consciousness disorders Troubles de la conscience Outcome Assessment (Health Care) Résumé : Objectives
To investigate the relation between consciousness and nociceptive responsiveness (ie, Nociception Coma Scale–Revised [NCS-R]), to examine the suitability of the NCS-R for assessing nociception in participants with disorders of consciousness (DOC), and to replicate previous findings on psychometric properties of the scale.
Design
Specialized DOC program.
Setting
Specialized DOC program and university hospitals.
Participants
Participants (N=85) diagnosed with DOC.
Interventions
Not applicable.
Main Outcome Measures
We prospectively assessed consciousness with the Coma Recovery Scale–Revised (CRS-R). Responses during baseline, non-noxious, and noxious stimulations were scored with the NCS-R and CRS-R oromotor and motor subscales.
Results
CRS-R total scores correlated with NCS-R total scores and subscores. CRS-R motor subscores correlated with NCS-R total scores and motor subscores, and CRS-R oromotor subscores correlated with NCS-R total scores as well as verbal and facial expression subscores. There was a difference between unresponsive wakefulness syndrome and minimally conscious state in the proportion of grimacing and/or crying participants during noxious conditions. We replicated previous findings on psychometric properties of the scale but found a different score as the best threshold for nociception.
Conclusions
We report a strong relation between the responsiveness to nociception and the level of consciousness. The NCS-R seems to be a valuable tool for assessing nociception in an efficient manner, but additional studies are needed to allow recommendations for clinical assessment of subjective pain experience.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118893 PermalinkPermalinkPermalinkLe blé, la farine, le pain
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