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Ergonomic Analysis to Support Surgery-Averse Individuals that Live with Chronic Pain
Published in Marcelo M. Soares, Franscisco Rebelo, Advances in Usability Evaulation, 2013
Debilitating consequences of chronic pain include progressive disability, self-imposed limitations of physical activity, and chronic pain during activities of daily living (Buer and Linton, 2002). Individuals with chronic pain self-regulate their motor functional response to the iterative and instantaneous matching of capabilities across changing task demands while concurrently self-monitoring and adjusting to changes in pain level (Flordyce, G., 1976; Flordyce et al., 1982; Leeuw, et al., 2007; Lethem et al., 1983; Kerns, et al., 1991; Turk and Okifuji, 2002; Vlaeyen et al., 1995). Chronic pain can influence performance of daily activities such as ambulation (Al-Zahrani and Bakheit, 2002; Rejeski et al., 1996) and self-feeding (Voog et al., 2003), as well as basic movements like lifting tasks (Hodges and Moseley, 2003; Hodges and Richardson, 1996).
Control of Postoperative Pain by Self-Administered Opioids
Published in Robert B. Northrop, Endogenous and Exogenous Regulation and Control of Physiological Systems, 2020
Bone damage from injury, cancer, or bone surgery can cause intense, chronic pain. It is this deep, chronic pain which is effectively addressed by PCA. The work of Reasbeck116 and Jacobs et al.68 with PCA was directed toward patients who had undergone total hip replacement surgery, a procedure in which bone from the pelvis and head of the femur is removed and an artificial hip joint is installed by gluing and screwing into the remaining bone. Fortunately, as healing progresses, the pain stimulus is naturally reduced.
Musculoskeletal pain in lacrosse officials impacts function on the field
Published in Research in Sports Medicine, 2021
Heather K. Vincent, Michelle Bruner, Charlie Obermayer, Bruce Griffin, Kevin R. Vincent
Officials are expected to monitor a large area on the field during competition. Chronic pain can negatively affect physical performance, executive function and mental thought processes because it draws from cognitive resources (Crombez et al., 1998; Oosterman et al., 2012). Attentional processes are interrupted by pain; decision-making, task completion and executive function and attentional performance are significantly lower among people with chronic pain compared to those who are not (Eccleston & Crombez, 1999). Psychomotor slowing and reductions in sustained attention occur even among persons with low levels of musculoskeletal chronic pain, similar to pain levels we observed here (Oosterman et al., 2012). Anticipation or threat of pain itself (Crombez et al., 1998) from severe OA or multijoint OA during officiating duties may also heighten pain severity. Higher pain intensity levels are related to worse attention disruption and cognitive function (Vlaeyen et al., 2016). In the context of monitoring competition, pain interfere could disrupt several key cognitive functions. First, sustained focused attention to the complex action on the field can become difficult with pain. Second, pain can slow processing of visual information occurring on the field. Finally, persistent or severe pain may dampen alertness to multiple simultaneous player actions.
Studies on local anesthetic lidocaine hydrochloride delivery via photo-triggered implantable polymeric microneedles as a patient-controlled transdermal analgesia system
Published in Journal of Biomaterials Science, Polymer Edition, 2022
Yafeng Li, Xiaoxiang Liao, Bin Zheng
Pain is the body’s preliminary response to any kind of trauma or disease, and it can be classified as acute or chronic. Acute pain is defined as pain of recent onset and likely of limited duration. It has a discernible temporal and causal link with damage or sickness in general [1]. Chronic pain is pain without an apparent biological root that has persisted beyond normal tissue healing time [2, 3]. It is the most common disorder in the United States, affecting more people than affected by other chronic diseases like diabetes, cancer, and heart disease [4]. More than 100 million American adults suffer from acute and chronic pain, and the estimated cost to treat pain complaints amounts to approximately 600 million USD annually [5].
Multi-objective two-stage stochastic programming for adaptive interdisciplinary pain management with piecewise linear network transition models
Published in IISE Transactions on Healthcare Systems Engineering, 2021
Gazi Md Daud Iqbal, Jay Rosenberger, Victoria Chen, Robert Gatchel, Carl Noe
The pain experience involves three interactive domains: physiological, psychological, and social (i.e. the biopsychosocial model) as shown in Figure 1. Treatment of pain involves dealing with the complex biopsychosocial changes of patients. For example, pain and depression are related to each other; people who have depression report more pain than non-depressed individuals. Therefore, many biopsychosocial factors are involved for treatment when a patient suffering from pain visits a physician. Some of these factors determine the causes of pain, duration, pain intensity, etc. Pain can be short-term or long-term, and its type and level can differ from patient to patient. Short-term pain that lasts a maximum 6 months is also known as acute pain. If short-term pain is not appropriately treated, then it can persist and become chronic, which is also known as chronic pain. Research shows that two-thirds of elderly people suffer from at least two chronic conditions (Nolte et al., 2008). Acute pain is fast, intense, and localized, while chronic pain is slow, diffuse, and prolonged (Gould & Dyer, 2010). People with chronic pain require more treatment than patients with acute pain. Chronic pain reduces a person’s quality-of-life and working capability (Ashburn & Staats, 1999). Many patients are somewhat afraid to report pain because they fear: having a surgery; long-term treatment; losing social independence; etc. In some cases, they are unable to verbalize their pain condition to physicians. Surgery, cancer, and bone fractures usually cause acute pain. By contrast, arthritis, cancer, diabetic neuropathy, and back pain syndrome often cause chronic pain (Fine, 2004). Chronic pain is related to medical and physical conditions as well. In most instances, the best pain management involves coordinated drug and non-drug therapies (R. J. Gatchel, personal communication, 2016).