جستجوی مقالات مرتبط با کلیدواژه "visual analogue pain scale" در نشریات گروه "پزشکی"
-
Background
Plantar fasciitis (PF) is the most common cause of metatarsus pain.
ObjectivesThe current study aimed at comparing the improvement of pain and function in patients with PF treated with extracorporeal shockwave (ESWT) and dry-needling therapy.
MethodsThe current single-blinded, clinical study was conducted on 72 patients with PF selected from the outpatient and rehabilitation clinics of Tabriz University of Medical Sciences, Tabriz, Iran form August 2016 to March 2017. Patients were randomly divided into two groups and the subjects in the first group were treated with ESWT, while the second group were treated with dry-needling. The performance was evaluated based on FFI (Foot Function Index), and the pain level according to VAS (Visual Analogue Scale); subjects were evaluated at baseline, as well as four and eight weeks after treatment and the obtained results were compared and analyzed using appropriate statistical methods.
ResultsThe subjects’ VAS and FFI scores significantly decreased compared with those of the baseline in both dry-needling and ESWT groups four and eight weeks after treatment (P < 0.005). Based on the criteria, no statistically significant difference was observed between the two groups four weeks after the treatment (P = 0.732 for VAS and P = 0.578 for FFI). However, eight weeks after treatment, significant changes were observed in pain reduction and FFI in the dry-needling group compared with the ESWT group (VAS: 1.7 ± 0.9 vs. 2.9 ± 1.9, P = 0.013 and FFI: 31.4 ± 28.0 vs. 50.4 ± 33.1, P = 0.008, respectively).
ConclusionsBoth extracorporeal shockwave and dry-needling therapies were effective in plantar fasciitis treatment; despite the fact that the results of the current study revealed that dry-needling therapy was more effective than extracorporeal shockwave, at eight weeks after treatment
Keywords: ry Needling Therapy, Extracorporeal Shockwave Therapy, Fasciitis, Foot Function Index, Plantar, Visual Analogue Pain Scale -
BackgroundOsteoarthritis is one of the most common diseases and the knee is the most commonly affected joint. Intra-articular prolotherapy is being utilized in acute and chronic pain management setting. This study was designed to compare the efficacy of three methods of intra-articular knee joint therapies with erythropoietin, dextrose, and pulsed radiofrequency.Materials And MethodsAfter approval by the Ethics Committee and explaining the therapeutic method to volunteers, 70 patients who were suffering from primary knee osteoarthrosis went through one of the treatment methods (erythropoietin, dextrose, and pulsed radiofrequency). The study was double-blind randomized clinical trial performed from December 2012 to July 2013. Patients’ pain level was assessed through the visual analog pain scale (VAS), and range of motion (ROM) was measured by goniometric method. Furthermore, patients’ satisfaction was assessed before and after different treatment methods in weeks 2, 4, and 12. For analysis, Chi-square, one-way ANOVA, and repeated measured ANOVA were utilized.ResultsThe demographic results among the three groups did not indicate any statistical difference. The mean VAS in erythropoietin group in the 2nd, 4th, and 12th weeks was 3.15 ± 1.08, 3.15 ± 1.08, and 3.5 ± 1.23, respectively (P? 0.005). Knee joint ROM in the erythropoietin group in the 2nd, 4th, and 12th weeks was 124 ± 1.50, 124 ± 1.4, and123 ± 1.53 respectively (P? 0.005). Satisfaction score in the 12th week in erythropoietin group was extremely satisfied 15%, satisfied 55%, and moderately satisfied 30%, (P = 0.005). No specific side-effects were observed.ConclusionIntra-articular prolotherapy with erythropoietin was more effective in terms of pain level reduction and ROM improvement compared with dextrose and pulsed radiofrequency.Keywords: Erythropoietin, knee osteoarthritis, prolotherapy, pulsed radiofrequency, visual analogue pain scale
-
مقدمهکنترل درد یک فاکتور مهم در درمان بیماران دندانپزشکی می باشد که هم بیمار و هم دندانپزشک را تخت تاثیر قرار می دهد. هدف از این مطالعه مقایسه اثر ضد دردی دو داروی گاباپنتین و ایبوپروفن بر درد بعد از درمان کانال ریشه بود.مواد و روش ها40 نفر از بیماران که نیاز به درمان کانال ریشه داشتند با VAS>40 وارد مطالعه شدند و به صورت تصادفی به دو گروه تقسیم شدند. گروه ایبوپروفن mg 800 ایبوپروفن 1 ساعت قبل و mg 400 ایبوپروفن 6،12 و 24 ساعت بعد از درمان دریافت کردند. گروه دیگر mg 600 گاباپنتین یک ساعت قبل و mg 300 گاباپنتین را 6،12 و 24 ساعت بعد از درمان دریافت کردند. بیماران شدت درد خود را بر اساس معیار VAS قبل از شروع درمان و در 6 ساعت اول بعد از دریافت دارو هر 1 ساعت تا 6 ساعت اول و سپس هر 6 ساعت تا 48 ساعت ثبت کردند. (دو عدد قرص استامینوفن کد ین (325mg/20mg) به عنوان داروی rescue به بیماران داده شد).یافته هااثرات ضد دردی گاباپنتین در 12 ساعت (p=0.035) ساعت،(24h (p<0.001، (p=0.012) در چهل و هشت ساعت به طور معنی داری بیشتر از ایبوپروفن بود. همچنین نشان داده شد که هر دو دارو اثرات ضد دردی معنی داری دارند.(p<0.0001)نتیجه گیریگاباپنتین اثرات ضد دردی بیشتری نسبت به ایبوپروفن در 12 تا 48 ساعت داشت. بنابراین می تواند یک انتخاب خوب در کاهش دردهای بعد از کار باشد.
کلید واژگان: پالپیت, درمان ریشه, درد, ایبوپروفن, گاباپنتین VASIntroductionInhibiting the pain which affects both the patients and dentists is an important factor during treating dental patients. The aim of this study was to assess the analgesic effect of two medications ibuprofen and gabapentin on the post-endodontic-therapy pain.MethodsForty patients who need root canal therapy with Visual Analog Scale (VAS)>40, participated in this double-blind randomized clinical trial study and randomly divided into two groups. The ibuprofen group received 800 mg ibuprofen 1 hour before the treatment and 400 mg at 6, 12 and 24 hours after the treatment procedure, and the other group received 600 mg gabapentin 1 hour before the treatment and 300 mg at 6, 12 and 24 hours after treatment. Patients recorded the intensity of pain via VAS before treatment and every hour for the first 6 h after taking the medication and then every 6 h thereafter for a total of the 48-hour period. (Two tablets of acetaminophen codeine (325mg/20mg) were given to the patients as a rescue dose.ResultsThe analgesic effect of gabapentin was significantly higher than ibuprofen in 12h (p=0.035), 24h (p<0.001), and 48 h (p=0.012) after analgesic intake. It has been also shown that both medicines had analgesic effect significantly. (p<0.0001)ConclusionsGabapentin had greater analgesic effects on the sample group from 12 h until 48h after taking in comparison with ibuprofen so; it seems that it could be an appropriate option for postoperative pain inhibition.Keywords: Pulpitis, Root canal therapy, Ibuprofen, Gabapentin, Visual analogue pain scale -
IntroductionPost endodontic pain is often linked to the inflammatory process as well as additional central mechanisms. The purpose of the present double-blind randomized clinical trial study was to compare the prophylactic effects of a derivative of Zingiber Officinale, Zintoma, and Ibuprofen on post endodontic pain of molars with irreversible pulpitis.Materials And MethodsThe post endodontic pain of 72 enrolled patients suffering from irreversible pulpitis was assessed after prophylactic use of 400 mg Ibuprofen, 2 gr Zintoma and placebo. Using the Heft-Parker Visual Analogue Scale, the patients recorded their perceived pain before taking the medicament (baseline), immediately after and also at 4, 8, 12, 24, 48, and 72 h post one-visit endodontic treatment. The statistical analysis was done using Kruskal-Wallis, Mann-Whitney, and Freedman tests (P<0.05).ResultsAt all times, there was significant difference between the Ibuprofen and Zintoma (P<0.05) and also between the Ibuprofen and placebo (P<0.05). However, there was no significant difference between Zintoma and the placebo in any of time intervals (P>0.05). No side effects were observed.ConclusionThe obtained results of the trial revealed that prophylactic use of 2 gr Zintoma is not an effective pain relieving agent.Keywords: Analgesics, Anti, Inflammatory Agents, Ibuprofen, Non, Steroidal, Pain Measurement, Pulpitis, Visual Analogue Pain Scale, Zintoma
-
زمینه و هدفدیسمنوره اولیه به کرامپ های دردناک قاعدگی بدون علت ارگانیک گفته می شود. با توجه به شیوع بالای دیسمنوره اولیه و پیامدهای نامطلوب آن بر کیفیت زندگی و نیز شواهدی دال بر خاصیت سنبل الطیب به عنوان گیاه دارویی آرام بخش و ضداسپاسم عضلات صاف، این مطالعه به منظور تعیین تاثیر کپسول سنبل الطیب بر شدت دیسمنوره در دانشجویان دانشگاه آزاد اسلامی زنجان در سال 1388 انجام گرفت.روش بررسیاین مطالعه از نوع کارآزمایی بالینی دو سوکور روی 100 نفر از دانشجویان دانشگاه آزاد زنجان از بهمن 1387 لغایت تیر 1388 انجام شد. نمونه ها از نظر شدت دیسمنوره مشابه سازی شده و سپس به صورت تصادفی در دو گروه 49 و 51 نفری قرار گرفتند. افراد دو گروه از لحاظ سن، سن منارک، سن اولین دیسمنوره، شاخص توده بدنی، تحصیلات و شغل پدر و مادر، طول، فاصله و میزان خونریزی قاعدگی در دو گروه یکسان شدند. برای افراد گروه مورد، کپسول های محتوی mg 255 پودر ریشه گیاه سنبل الطیب سه بار در روز به مدت سه روز با شروع خونریزی تجویز گردید و به افراد گروه کنترل، کپسول هایی مشابه با همان دستورالعمل و حاوی نشاسته و در طی دو سیکل تجویز شد. شدت درد براساس معیار آنالوگ بینایی (0 تا 10 سانتی متر) و علایم سیستمیک با استفاده از سیستم معیار چند بعدی گفتاری قبل از مطالعه و در طی دو سیکل متوالی پیگیری و مقایسه گردید. اطلاعات به دست آمده با استفاده از نرم افزار SPSS 16 و توسط آماره های توصیفی و استنباطی از جمله شاخص های میانگین و انحراف معیار و تست های من ویتنی، فریدمن و ویلکاکسون مورد تجزیه و تحلیل قرار گرفت. سطح معنی داری 05/0 در نظر گرفته شد.نتایجمیانگین شدت درد قبل از مصرف دارو در گروه مورد و کنترل تفاوت معنی داری نداشت. اما پس از مصرف دارو میانگین شدت درد در دو گروه کاهش یافت (001/0p<). ولی این کاهش در گروه مورد بیشتر و اختلاف بین دو گروه به لحاظ آماری معنی دار بود (05/0p<). همچنین مجموع نمرات شدت کل علایم سیستمیک همراه با دیسمنوره نسبت به قبل از درمان کاهش پیدا کرد؛ اما این کاهش از لحاظ آماری بین دو گروه مصرف کننده سنبل الطیب و دارونما معنی دار نبود. به جز در مورد متغیر شدت غش که اختلاف آماری بین دو گروه معنی دار بود (05/0p<).نتیجه گیریبا توجه به نتایج بررسی حاضر به نظر می رسد سنبل الطیب می تواند باعث کاهش شدت دیسمنوره شود که به نظر می رسد به علت اثرات ضد انقباضی سنبل الطیب است. انجام مطالعات بعدی با استفاده از ماده موثره این گیاه دارویی برای کاربرد گسترده آن توصیه می شود.
کلید واژگان: اثرات جانبی, اسپاسم, درد, دیسمنوره اولیه, سنبل الطیب, کارآزمایی بالینی, معیار آنالوگ بینایی, والریانا افیسینالیس, والرینIntroductionPrimary dysmenorrhea refers to painful cramps during menstruation with no organic origin. Regarding the high prevalence of dysmenorrhea and its adverse effects on the quality of life of sufferers and the evidence on sedative and antispasmodic properties of Valerian officinalis on smooth muscles, this double-blind clinical trial was conducted to determine the effects of the herb on the severity of dysmenorrheal symptoms in Zanjan Islamic Azad University students during 2009.Materials and MethodsThe subjects included 100 students who were matched for dysmenorrheal severity, age, menarche onset, body mass index (BMI), duration, interval and amount of bleeding as well as occupation and educational achievements of their parents. The subjects were randomly divided into experimental (49 subjects) and control (51 subjects) groups. The experimental group took 255mg capsules of the herb, three times a day for three days at the onset of menses while the controls similarly took placebo (capsules containing starch). Pain severity was evaluated by a visual analogue scale (0 to 10cm) and systemic manifestations by a multidimensional verbal scale before and during two consecutive menstrual cycles. The severity and duration of symptoms were analyzed and compared between the two groups.ResultsThere were no significant differences in pain severity between the two groups before the intervention. However, pain severity was reduced in both groups after the intervention (p<0.001) with significantly more relieving results in the experimental group (p<0.05). In addition, the total scores for systemic manifestations associated with dysmenorrhea, insignificantly decreased in both groups, except occurrence of syncope (p<0.05).ConclusionValeriana officinalis decreased dysmenorrheal symptoms, which it might be attributed to its antispasmodic effects. Further studies are warranted for the use of Valerian officinalis in decreasing dysmenorrheal symptoms.Keywords: Dysmenorrheal pain, Primary dysmenorrhea, Spasm, Valeriana officinalis, Visual analogue pain scale
- نتایج بر اساس تاریخ انتشار مرتب شدهاند.
- کلیدواژه مورد نظر شما تنها در فیلد کلیدواژگان مقالات جستجو شدهاست. به منظور حذف نتایج غیر مرتبط، جستجو تنها در مقالات مجلاتی انجام شده که با مجله ماخذ هم موضوع هستند.
- در صورتی که میخواهید جستجو را در همه موضوعات و با شرایط دیگر تکرار کنید به صفحه جستجوی پیشرفته مجلات مراجعه کنید.