MyMedR

The science of respiratory characteristics in individuals with chronic low back pain: Interpreting through statistical perspective

Mohan V, Paungmali A, Sitilertpisan P

J Bodyw Mov Ther, 2018 01;22(1):11-12.

PMID: 29332732 DOI: 10.1016/j.jbmt.2017.03.017

Matched MeSH terms: Pain Measurement*; Low Back Pain*; Chronic Pain

Fulltext Pain management: trends and challenges

Cardosa MS

Med. J. Malaysia, 2006 Jun;61(2):139-41.

PMID: 16898301

Pain remains as one of the most common reasons for visits to a doctor. The paper by Zalinawati et all published in this issue of the Journal confirmed this in two primary care settings, showing that a complaint of pain was recorded in almost a third of patients, similar to the prevalence reported in European studies.

Matched MeSH terms: Pain/diagnosis; Pain Measurement; Pain Management*

Perspectives in pancreatic pain

Salim AS

HPB Surg, 1997;10(5):269-77.

PMID: 9298380

This review describes some of the mechanisms which are thought to be important in the causation of pain in chronic pancreatitis. Both medical and surgical techniques for treating this pain are described.

Matched MeSH terms: Pain/etiology; Pain Management*

Manual therapy researchers are misled by natural history and placebo effects

Menke JM

Spine, 2014 Nov 1;39(23):1997.

PMID: 25365716 DOI: 10.1097/BRS.0000000000000585

Matched MeSH terms: Low Back Pain/therapy*

Fulltext Work-related musculoskeletal symptoms among batik workers in Kelantan

Musa R, Kyi W, Rampal KG

Malays J Med Sci, 2000 Jul;7(2):13-7.

PMID: 22977385 MyJurnal

A cross sectional study was carried out to evaluate the extent of occupational health problems focusing on some aspects of musculoskeletal symptoms among batik workers in Kelantan, Malaysia. The workers selected must have been in that industry for at least one year. Using cluster sampling, 202 workers were selected from 21 factories. More than half (60.2%) of the workers had been troubled with musculoskeletal symptoms at work. The most common symptoms were pain over the shoulders (41.0%), lower back (34.4%) and ankle (34.4%). Duration of employment, younger age group, prolonged standing and awkward working task were among contributing factors. It is therefore necessary to improve on both ergonomic and psychosocial environments of batik workers in order to prevent these musculoskeletal symptoms.

Matched MeSH terms: Musculoskeletal Pain*

Fulltext Does the definition of multisite musculoskeletal pain influence its occurrence and the assessement of physical work exposures?

Hanizah M.Y., Nor Hassim I

Malaysian Journal of Public Health Medicine, 2015;15(2):40-48.

MyJurnal

Most people with musculoskeletal problem suffer pain at multiple body sites. The most frequent form of multisite pain studied is chronic widespread pain (CWP). Focusing solely on CWP may exclude the commoner form of multisite pain which is less wide spread. Therefore, studies on multisite pain which do not consider the spatial distribution of pain can be beneficial to tackle the overall problem of musculoskeletal pain. Nevertheless, multisite pain has been defined differently in the studies among workers. The absence of uniformed definition will jeopardize the understanding of this musculoskeletal problem. A review was thus carried out to identify how multisite pain were defined, how they influenced the reported occurrence of multisite pain and whether the definition determined the physical work exposures assessed in previous studies among worker. A systematic review was initiated by the search of electronic databases for multisite pain. Articles were included and excluded based on the selection criteria. A final of nine full text articles were reviewed. It was found that the difference in the definitions lies mainly in the body sites considered and the pain characteristics. The characteristics of pain influenced the multisite pain prevalence more than the sites.It wasdifficult to conclude whether the definition used determined the physical work exposures since only five studies were involved and three of them had similar research team which may explained the usage of similar exposures. The findings from this review, however, could not be inferred due to the small number of studies involved.

Matched MeSH terms: Chronic Pain; Musculoskeletal Pain

Altered breathing pattern valuation relatively to dyspnea assessment and treatment for low back pain: Effects of clinical practice

Mohan V, Paungmali A, Sitilertpisan P

Musculoskelet Sci Pract, 2017 02;27:e1-e2.

PMID: 27697391 DOI: 10.1016/j.math.2016.09.004

Matched MeSH terms: Low Back Pain*

Fulltext Musculoskeletal disorders and their relationship with physical activities among office workers: a review

Shariat A, Mohd Tamrin SB, Arumugam M, Danaee M, Ramasamy R

Malaysian Journal of Public Health Medicine, 2016;16(1):62-74.

MyJurnal

Lower back, neck and shoulder pain are the most prevalent musculoskeletal problems affecting office workers worldwide, and they have both personal and socioeconomic consequences as well. Several hypotheses regarding the underlying mechanisms and the maintenance behind office work-related musculoskeletal disorders have been presented. There is some evidence, based on epidemiological studies as well as studies upon smaller groups of subjects, that individuals who sit and work for a long time not only show cognitive impairment at the workplace, but also suffer from poorer and fragmented daytime sleep, in addition to increased risks of developing various psychological, physiological and medical impairments and musculoskeletal disorders. The related physical mechanisms behind musculoskeletal disorders are discussed in the context of new findings. The main causes, as well as varying levels in severity of musculoskeletal disorders,not to mentionthe link between such disorders in the neck, shoulder and lower back regions and physical activity among office workers are also stated. The main objective of this review paper is to conduct a systematic review to identify musculoskeletal disorders and how these disorders are
correlated with physical activity among office workers. The results of this review indicate that the musculoskeletal disorder is a critical issue among office workers and the main cause is related to the absence of physical activity as well as the subjects’ sedentary lifestyle. As a practical message, regular physical activity can be effective in the prevention and decrease of physical discomfort among office workers who suffer from musculoskeletal pain.

Matched MeSH terms: Musculoskeletal Pain*

Letter to Editor: Application of neuroplasticity theory through the use of the Feldenkrais Method with a runner with scoliosis and lower quarter pain: Additional respiratory mechanics principle, implication of the Feldenkrais method for clinical practice in neuro-musculoskeletal rehabilitation

Mohan V, Paungmali A, Sitilertpisan P

J Bodyw Mov Ther, 2017 07;21(3):470-471.

PMID: 28750952 DOI: 10.1016/j.jbmt.2016.08.008

Matched MeSH terms: Pain*

Proceedings of the 4th Asia Pacific Symposium on Pain Control, November 2-4, 2007, Kuala Lumpur, Malaysia

Oncology, 2008;74 Suppl 1:1-113.

PMID: 18833594

Matched MeSH terms: Pain/prevention & control*

Fulltext Acupuncture and immune function in chronic prostatitis/chronic pelvic pain syndrome: a randomized, controlled study

Lee SW, Liong ML, Yuen KH, Krieger JN

Complement Ther Med, 2014 Dec;22(6):965-9.

PMID: 25453515 DOI: 10.1016/j.ctim.2014.10.010

The immune system has been implicated as one mechanism underlying the benefits of acupuncture therapy. Evidence suggests that acupuncture can ameliorate symptoms of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS), but the association between clinical response and the immune system has not been investigated.

Matched MeSH terms: Pelvic Pain/blood; Pelvic Pain/immunology; Pelvic Pain/psychology; Pelvic Pain/therapy*; Chronic Pain/therapy

Musculoskeletal symptoms and orthopaedic complications in pregnancy: pathophysiology, diagnostic approaches and modern management

Bhardwaj A, Nagandla K

Postgrad Med J, 2014 Aug;90(1066):450-60.

PMID: 24904047 DOI: 10.1136/postgradmedj-2013-132377

Low back pain is a common musculoskeletal symptom in pregnancy that can present as lumbar pain or pelvic girdle pain, with significant physical and psychosocial implications. Pelvic girdle pain is more prevalent and results in greater disability than lumbar pain. It is possible to distinguish between these two conditions from a detailed history based on the site of the pain, its intensity, disability and pain provocation tests. Management of low back pain in pregnancy is conservative, with physical exercise for lumbar pain and minimising activities that exacerbate pain, analgesics and bed rest for pelvic girdle pain, as well as avoiding abduction beyond the pain-free zone in labour. There is evidence that stabilising exercises in patients with pelvic girdle pain postpartum have a beneficial effect. Other treatment modalities that have been shown to be safe and effective include pelvic belts, transcutaneous electrical nerve stimulation, spinal manipulative therapy, acupuncture and complementary therapy with yoga. Other orthopaedic complications in pregnancy such as carpal tunnel syndrome, pubic symphysis rupture, transient osteoporosis and osteonecrosis are usually self-limiting with a satisfactory outcome. However, a lack of awareness and failure to recognise these complications can result in long-term morbidity. Knowledge of the preoperative diagnostic investigations, surgical approaches and intraoperative positioning of the mother to avoid gravid uterus compression is vital in orthopaedic emergencies such as lumbar disc herniation, cauda equina syndrome, fractures and acute compartment syndrome of the lower limb to ensure a safe maternal and fetal outcome and to prevent serious disability. Pregnancy is not contraindicated in women with pre-existing orthopaedic complications such as kyphoscoliosis and total hip arthroplasty as there is no evidence to suggest increased maternal or fetal risks.

Matched MeSH terms: Pain Measurement; Low Back Pain/diagnosis*; Low Back Pain/physiopathology; Low Back Pain/prevention & control; Pelvic Girdle Pain/diagnosis*; Pelvic Girdle Pain/physiopathology; Pelvic Girdle Pain/prevention & control

Educational Quiz. A painful gum

Loh KY, Kew ST

Aust Fam Physician, 2007 Nov;36(11):941.

PMID: 18050541

Matched MeSH terms: Pain/etiology*; Pain Management

Fulltext Survey of nurses’ knowledge and attitude regarding post operative pain management at teaching hospital in Malaysia

Ho SE, Choy YC, Rozainee A

Medicine & Health, 2009;4(1):47-52.

MyJurnal

Post operative pain is an expected adverse outcome following surgery and it often delays mobilization and overall recovery. Acute post operative pain is subjective and cannot be measured directly. The objective of this study was to determine nurses’ knowledge and attitude towards post operative pain management. A cross sectional study was conducted in surgical wards and the Intensive Care Unit of Universiti Kebangsaan Malaysia Medical Centre from February to April 2008. A 28 item questionnaire which comprised of two domains: knowledge and attitude towards post operative pain management was used. Eighty four respondents successfully responded to the study. Twenty respondents (25%) possessed high level, 58 respondents (69%) possessed moderate level and 5 respondents (6%) had low knowledge level of post operative pain management. Positive attitude towards post operative pain management was reported by 66 respondents (78.5%). There was a significant relationship between nurses’ academic qualifications and attitude towards post operative pain management (χ² =29.96, p

Matched MeSH terms: Pain, Postoperative; Pain Management; Acute Pain

Fulltext Myofascial pain syndrome in chronic back pain patients

Chen CK, Nizar AJ

Korean J Pain, 2011 Jun;24(2):100-4.

PMID: 21716607 DOI: 10.3344/kjp.2011.24.2.100

BACKGROUND: Myofascial pain syndrome (MPS) is a regional musculoskeletal pain disorder that is caused by myofascial trigger points. The objective of this study was to determine the prevalence of MPS among chronic back pain patients, as well as to identify risk factors and the outcome of this disorder.
METHODS: This was a prospective observational study involving 126 patients who attended the Pain Management Unit for chronic back pain between 1st January 2009 and 31st December 2009. Data examined included demographic features of patients, duration of back pain, muscle(s) involved, primary diagnosis, treatment modality and response to treatment.
RESULTS: The prevalence of MPS among chronic back pain patients was 63.5% (n = 80). Secondary MPS was more common than primary MPS, making up 81.3% of the total MPS. There was an association between female gender and risk of developing MPS (χ(2) = 5.38, P = 0.02, O.R. = 2.4). Occupation, body mass index and duration of back pain were not significantly associated with MPS occurrence. Repeated measures analysis showed significant changes (P < 0.001) in Visual Analogue Score (VAS) and Modified Oswestry Disability Score (MODS) with standard management during three consecutive visits at six-month intervals.
CONCLUSIONS: MPS prevalence among chronic back pain patients was significantly high, with female gender being a significant risk factor. With proper diagnosis and expert management, MPS has a favourable outcome.
KEYWORDS: chronic back pain; myofascial pain syndrome; trigger point

Matched MeSH terms: Back Pain; Myofascial Pain Syndromes*; Musculoskeletal Pain

[Cancer pain management: Systematic review and critical appraisal of clinical practice guidelines]

Martínez-Nicolás I, Ángel-García D, Saturno PJ, López-Soriano F

Rev Calid Asist, ;31(1):55-63.

PMID: 26420516 DOI: 10.1016/j.cali.2015.06.009

OBJECTIVE: Although several clinical practice guidelines have been developed in the last decades, cancer pain management is still deficient. The purpose of this work was to carry out a comprehensive and systematic literature review of current clinical practice guidelines on cancer pain management, and critically appraise their methodology and content in order to evaluate their quality and validity to cope with this public health issue.

MATERIALS AND METHODS: A systematic review was performed in the main databases, using English, French and Spanish as languages, from 2008 to 2013. Reporting and methodological quality was rated with the Appraisal of Guidelines, Research and Evaluation II (AGREE-II) tool, including an inter-rater reliability analysis. Guideline recommendations were extracted and classified into several categories and levels of evidence, aiming to analyse guidelines variability and evidence-based content comprehensiveness.

RESULTS: Six guidelines were included. A wide variability was found in both reporting and methodological quality of guidelines, as well as in the content and the level of evidence of their recommendations. The Scottish Intercollegiate Guidelines Network guideline was the best rated using AGREE-II, while the Sociedad Española de Oncología Médica guideline was the worst rated. The Ministry of Health Malaysia guideline was the most comprehensive, and the Scottish Intercollegiate Guidelines Network guideline was the second one.

CONCLUSIONS: The current guidelines on cancer pain management have limited quality and content. We recommend Ministry of Health Malaysia and Scottish Intercollegiate Guidelines Network guidelines, whilst Sociedad Española de Oncología Médica guideline still needs to improve.

Matched MeSH terms: Pain Management*; Cancer Pain/therapy*

Pain experience and satisfaction with postoperative pain control among surgical patients

Subramanian P, Ramasamy S, Ng KH, Chinna K, Rosli R

Int J Nurs Pract, 2016 Jun;22(3):232-8.

PMID: 25355297 DOI: 10.1111/ijn.12363

Alleviating acute pain and providing pain relief are central to caring for surgical patients as pain can lead to many adverse medical consequences. This study aimed to explore patients' experience of pain and satisfaction with postoperative pain control. A cross-sectional survey was carried out among 107 respondents who had undergone abdominal surgery in the surgical ward of an urban hospital using the Revised American Pain Society's Patient Outcome and Satisfaction Survey Questionnaires (APS-POQ-R). Data were analysed using descriptive statistics and chi-square test. Chi-square test showed significant association between race (P = 0.038), education level (P ≤ 0.001), previous operation status (P = 0.032) and operation status (P ≤ 0.001). Further analysis on nominal regression, association between dissatisfaction with factors of operation status (46.09 (95% CI 7.456, 284.947)) and previous operation status (13.38 (95% CI 1.39, 128.74)) was found to be significant. Moderate to high levels of pain intensity in the last 24 h after surgery, as well as moderate to high rates of pain-related interference with care activities were most reported. Pain still remains an issue among surgical patients, and effective pain management and health education are needed to manage pain more effectively after surgery.

Matched MeSH terms: Pain, Postoperative/therapy*; Pain Management/methods*

Fulltext The levels of depression, anxiety, stress on pre and post knee Arthroplasty patients

Ardilla Hanim Abdul Razak, Ahmad Hafiz Zulkifly, Ramli Musa, Mohd Shukrimi Awang, Goh, Kian Liang

International Medical Journal Malaysia, 2017;16(11):39-39.

MyJurnal

Total knee arthroplasty represents a major advance in the treatment of
degenerative joint disease. It provides excellent restoration of joint function and pain
relief. The primary indication for total knee arthroplasty is to relieve pain caused by
severe arthritis, with or without significant deformity. This study is to assess
psychological impact pre and post arthroplasty. (Copied from article).

Matched MeSH terms: Pain

Fulltext Effect of latent myofascial trigger points on strength measurements of the upper trapezius: a case-controlled trial

Doraisamy MA, Anshul

Physiother Can, 2011;63(4):405-9.

PMID: 22942517 DOI: 10.3138/ptc.2010-27

The purpose of this article was to determine whether strength is altered in the upper trapezius in the presence of latent myofascial trigger points (MTrP).

Matched MeSH terms: Myofascial Pain Syndromes*

Fulltext Poor sitting posture and a heavy schoolbag as contributors to musculoskeletal pain in children: an ergonomic school education intervention program

Syazwan A, Azhar MM, Anita A, Azizan H, Shaharuddin M, Hanafiah JM, et al.

J Pain Res, 2011;4:287-96.

PMID: 22003301 DOI: 10.2147/JPR.S22281

OBJECTIVES: The purpose of this study was to evaluate a multidisciplinary, interventional, ergonomic education program designed to reduce the risk of musculoskeletal problems by reducing schoolbag weight and correcting poor sitting posture.
METHODS: Data were collected twice before and twice following intervention using the Standardized Nordic Body Map Questionnaire, a rapid upper limb assessment for posture evaluation, and schoolbag weight measurement in children aged 8 and 11 years attending two schools within the central region of Malaysia.
RESULTS: Students who received the ergonomic intervention reported significant improvements in their sitting posture in a classroom environment and reduction of schoolbag weight as compared with the controls.
CONCLUSION: A single-session, early intervention, group ergonomics education program for children aged 8 and 11 years is appropriate and effective, and should be considered as a strategy to reduce musculoskeletal pain among schoolchildren in this age group.
KEYWORDS: assessment; awareness; education; ergonomic; intervention; musculoskeletal pain; school children

Matched MeSH terms: Musculoskeletal Pain*

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