It hurts to move! Behandlungseffekte und Assessmentmethoden für bewegungsbedingte Schmerzen bei Patient*innen mit muskuloskelettalen Beschwerden: systematisches Review und Meta-Analyse DOI

physioscience, Journal Year: 2022, Volume and Issue: 18(04), P. 186 - 187

Published: Nov. 10, 2022

Eine der häufigsten Beschwerden von muskuloskelettalen Patient*innen sind bewegungsbedingte Schmerzen. Die Mechanismen hinter Schmerzen, die durch Bewegung hervorgerufen werden, können nozizeptiv, neuropathisch oder noziplastisch sein. Sie charakterisiert höhere Intensitäten als Ruhe- Spontanschmerzen. Fragebogen untersuchen diese Art häufig nur retrospektiv und unterscheiden nicht zwischen Schmerzen vor, während nach einer Aktivität. Diese Unterscheidung wäre wichtig für Interventionsplanung, da andere Behandlungsergebnisse erwartet werden können. Gerade Personen mit persistierenden erleben Bewegungen im Alltag Schmerzexazerbationen, sie weniger hypoalgetische Effekte Reaktion auf Aktivität erfahren gesunde Menschen.

Through the Lens of Movement-Evoked Pain: A Theoretical Framework of the “Pain-Movement Interface” to Guide Research and Clinical Care for Musculoskeletal Pain Conditions DOI
Katie A. Butera, Ruth L. Chimenti, A. Alsouhibani

et al.

Journal of Pain, Journal Year: 2024, Volume and Issue: 25(7), P. 104486 - 104486

Published: Feb. 3, 2024

Language: Английский

Citations

8
Temporal Associations of Physical Activity With Subsequent Knee Pain in Individuals With Knee Osteoarthritis: An Ecological Momentary Assessment Study DOI Creative Commons
Alison H. Chang, Emma Hertel, Malene Kjær Bruun

et al.

European Journal of Pain, Journal Year: 2025, Volume and Issue: 29(6)

Published: April 25, 2025

ABSTRACT Background Physical activity (PA) is a first‐line treatment for knee osteoarthritis and provides benefits functional improvement pain relief. However, movement‐evoked often hinders PA participation long‐term adherence. The relationship between not fully understood may vary across individuals. We examined the temporal associations subsequent in individuals with osteoarthritis. Methods In 10‐day ecological momentary assessment (EMA) cohort study, was recorded using an Actigraph accelerometer; intensity rated on numeric rating scale responses to four daily text prompts. Linear mixed‐effects models within‐day between‐day pain, adjusting age, sex BMI. Results sample included up 454 observations 10 days from 17 participants (age = 64 ± 7 years, BMI 27 4 kg/m 2 , 61% women), each consisting of pair minutes pain. Within‐day, greater moderate‐to‐vigorous (MVPA) were associated increase (adjusted β 0.112, 95% CI: 0.023, 0.201, p 0.014); while light‐intensity showed no association −0.003, −0.011, 0.005, 0.461). Current‐day MVPA next‐day Conclusions While temporarily its impact transient. Light‐intensity suggesting it be suitable alternative those Understanding these patterns can help guide tailored management adherence strategies. Further research needed confirm preliminary findings. Significance Statement dynamic crucial optimising OA. This exploratory study offers new insights by leveraging high‐frequency data examine intra‐ inter‐day findings demonstrate that lead transient increases, intensity. Identifying PA‐pain inform personalised strategies improving

Language: Английский

Citations

0
Movement‐evoked pain is not associated with pain at rest or physical function in knee osteoarthritis DOI Creative Commons
José Antonio Lozano‐Meca, Mariano Gacto‐Sánchez, Joaquina Montilla‐Herrador

et al.

European Journal of Pain, Journal Year: 2024, Volume and Issue: 28(6), P. 987 - 996

Published: Jan. 8, 2024

Knee Osteoarthritis (KOA) is mainly characterized by pain. The assessment of KOA-related pain frequently focuses on different constructs subject to sources bias or drawbacks, as the classical Pain at Rest (PAR). Movement-evoked (MEP), recently defined 'pain during walking', emerges a differential concept, since PAR and MEP are driven underlying mechanisms. Given novelty approach, its association with performance-based tests has not been studied in KOA yet.

Language: Английский

Citations

3
Changes in spinal motor behaviour are associated with reduction in disability in chronic low back pain: A longitudinal cohort study with 1‐year follow‐up DOI Creative Commons
Guillaume Christe, Charles Benaïm, Brigitte M. Jolles

et al.

European Journal of Pain, Journal Year: 2024, Volume and Issue: 28(7), P. 1116 - 1126

Published: Feb. 1, 2024

The need to improve spinal motor behaviour in chronic low back pain (CLBP) rehabilitation remains unclear. objective of this study was test if changes were associated with disability after an interdisciplinary program (IRP) patients CLBP.

Language: Английский

Citations

3
Patterns of movement-evoked pain during tendon loading and stretching tasks in Achilles tendinopathy: A secondary analysis of a randomized controlled trial DOI Open Access
Adam J. Janowski, Andrew A. Post, Alberto Marcos Heredia‐Rizo

et al.

Clinical Biomechanics, Journal Year: 2023, Volume and Issue: 109, P. 106073 - 106073

Published: Aug. 18, 2023

Language: Английский

Citations

7
Pre-exercise and acute movement-evoked pain trajectories during a 24-week outdoor walking program for knee osteoarthritis (WALK) DOI Creative Commons
Stan Drummen, Dawn Aitken, Saliu Balogun

et al.

Osteoarthritis and Cartilage Open, Journal Year: 2024, Volume and Issue: 6(3), P. 100481 - 100481

Published: May 14, 2024

Exploring (1) pre-exercise and acute movement-evoked pain (AMEP) during an outdoor walking program in individuals with knee osteoarthritis (OA); (2) comparing baseline physical performance AMEP flares initiated by between participants either a higher or lower attendance rate.

Language: Английский

Citations

2
Effect of Transcutaneous Electrical Nerve Stimulation on Pain-related Quantitative Sensory Tests in Chronic Musculoskeletal Pain and Acute Experimental Pain: Systematic Review and Meta-analysis DOI Creative Commons
Jair de Jesus Mari,

Ingrid Kyelli Rodrigues,

Isabela F. Azevedo-Santos

et al.

Journal of Pain, Journal Year: 2023, Volume and Issue: 24(8), P. 1337 - 1382

Published: April 7, 2023

Language: Английский

Citations

5
CE: Overcoming Movement-Evoked Pain to Facilitate Postoperative Recovery DOI Open Access
Paul Arnstein,

Rianne van Boekel,

Staja Q. Booker

et al.

AJN American Journal of Nursing, Journal Year: 2023, Volume and Issue: 123(7), P. 28 - 37

Published: June 24, 2023

Severe postoperative movement-evoked pain (MEP) can be immobilizing, instilling in patients the fear that further activity will produce unbearable pain. This impedes healing and restoration of function while also extending time to recovery. Therefore, it is critical manage MEP effectively through timely evaluation comprehensive care planning. article builds on recent calls standardize testing inform planning a way both reduces improves functioning. Subsequent reassessment guide refinement therapy. Although this approach may seem intuitive, challenges common practices focus too heavily intensity, resulting overtreating, undertreating, or not treating pain, ignoring risks immobility importance movement for improving functional capacity. The authors propose multifaceted overcoming nurse clinicians, educators, researchers, compliance professionals use enhance quality safety nursing practice.

Language: Английский

Citations

4
A domain-oriented approach to characterizing movement-evoked pain DOI Creative Commons
Joshua A. Crow, Verlin Joseph, Guanhong Miao

et al.

PAIN Reports, Journal Year: 2024, Volume and Issue: 9(3), P. e1158 - e1158

Published: April 17, 2024

Abstract Introduction: Movement-evoked pain (MEP) impacts a substantial proportion of US adults living with chronic pain. Evidence suggests that MEP is influenced by numerous biopsychosocial factors and mediated mechanisms differing from those spontaneous However, both characteristic mechanistic knowledge remain limited, hindering effective diagnosis treatment. Objectives: We asked (1) can pain, functional, psychosocial, behavioral measures be grouped into descriptive domains characterize MEP? (2) what relationships exist between across multiple Methods: formed 6 46 MEP-related variables in secondary analysis data 178 individuals (aged 45–85 years) knee Ratings during 3 functional activities (ie, Balance, Walking, Chair Stand) were used as primary variables. Pearson correlations calculated to show linear all individual domain Relationships further investigated through weighted correlation network analysis. Results: observed unique combination characteristics associated apart general Notably, minutes doing physical activity inversely within 4 the domains. Weighted largely supported our classification Additional interdomain observed, strongest existing MEP, Mechanical Pain, Multiple Pain Characteristics Symptoms. other network. Conclusion: Our analyses bolster fundamental understanding identifying relevant elucidating relationships.

Language: Английский

Citations

1
Reduction in pain‐related fear is not associated with improvement in spinal biomechanics but with decrease in movement‐evoked pain in patients with chronic low back pain DOI Creative Commons
Guillaume Christe, Charles Benaïm, François Lüthi

et al.

Pain Practice, Journal Year: 2022, Volume and Issue: 23(3), P. 290 - 300

Published: Dec. 7, 2022

While a causal relationship between pain-related fear and spinal movement avoidance in patients with chronic low back pain (CLBP) has frequently been postulated, evidence supporting this is limited. This study aimed to test if decreases or catastrophizing were associated improvements biomechanics, accounting for possible changes movement-evoked pain.Sixty-two CLBP assessed before after an interdisciplinary rehabilitation program (IRP). Pain-related was general task-specific measures. Lower upper lumbar angular amplitude velocity as well paraspinal muscle activity recorded during five daily-life tasks evaluate biomechanics. Relationships tested multivariable linear regression analyses.The large following the IRP scarcely inconsistently biomechanics (< 3% of models reported statistically significant association). Results remained comparable activities inducing more less fear, specific measures analyses performed on entire population limited subgroups higher levels fear. In contrast, reductions significantly all (r = 0.26-0.62, p ≤ 0.02).This does not support association avoidance. However, it provides direct decreased pain, possibly explaining some mechanisms programs.

Language: Английский

Citations

6