Ispitivanje efekata različitih elektroterapijskih procedura u tretmanu ankilozirajućeg spondilitisa kod pasa

This paper presents the results of studies on the effects of suppression of chronic pain by currents with low (TENS), medium (Intf) and high (MT) frequencies, in dogs with ankylosing spondilytis. Prior to imaging diagnostics the dogs were clinically observed, trias was estimated, as well as habitus, neurological signs and degree of pain. After a 10 day treatment it was clear that all three treatments resulted in a significant decrease of pain at rest, during activity or during palpation. TENS currents have shown the highest degree of effect. All treated animals have shown improved motility after a few months of therapy. Despite the fact that all animals had an improved clinical picture none of the applied currents resulted in a complete loss of limping. Dogs treated with Intf currents displayed a decrease in muscular atrophy. Motility of the coxofemoural joint was most evident in the group treated with microwaves.U radu su prikazana ispitivanja supresije hroničnog bola pod uticajem struja niske (TENS), srednje (Intf) i visoke (MT) frekvence, kod pasa sa ankilozirajućim spondilitisom. Psi su pre rendgenskog snimanja opservirani, urađena im je procena trijasa, habitusa, a zatim neurološki pregled i određivanje stepena bola. Nakon desetodnevnog tretmana, uočeno je da su sva tri postupka dovela do visoko značajnog smanjenja bola u toku mirovanja ili aktivnosti i pri palpaciji, pri čemu su se isticale TENS struje u odnosu na Intf struje i mikrotalase. Kod tretiranih jedinki je zapažena izraženija motorna aktivnost, a nekoliko meseci od početka lečenja, uz određene kineziterapijske vežbe, psi su bili sa bitno redukovanim simptomima oboljenja. Iako je u svakoj grupi ispitivanih jedinki došlo do poboljš anja stanja, ni jedan terapijski postupak nije doveo do potpunog gubitka hromosti. Jedino je u grupi pacijenata tretiranih sa Intf strujama, došlo do značajnog smanjenja stepena mišićne atrofije, a pokretljivost koksofemoralnih zglobova je bila najizraženija kod pacijenata tretiranih mikrotalasima

Pilot study evaluating a brief mindfulness intervention for those with chronic pain: study protocol for a randomized controlled trial.

BACKGROUND: The burden of chronic pain is a major challenge, impacting the quality of life of patients. Intensive programmes of mindfulness-based therapy can help patients to cope with chronic pain but can be time consuming and require a trained specialist to implement. The self-management model of care is now integral to the care of patients with chronic pain; home-based interventions can be very acceptable, making a compelling argument for investigating brief, self-management interventions. The aim of this study is two-fold: to assess the immediate effects of a brief self-help mindfulness intervention for coping with chronic pain and to assess the feasibility of conducting a definitive randomized controlled trial to determine the effectiveness of such an intervention. METHODS/DESIGN: A randomized controlled pilot study will be conducted to evaluate a brief mindfulness intervention for those with chronic pain. Ninety chronic pain patients who attend hospital outpatient clinics will be recruited and allocated randomly to either the control or treatment group on a 1:1 basis using the computer-generated list of random numbers. The treatment group receives mindfulness audios and the control group receives audios of readings from a non-fiction book, all of which are 15 minutes in length. Immediate effects of the intervention are assessed with brief psychological measures immediately before and after audio use. Mindfulness, mood, health-related quality of life, pain catastrophizing and experience of the intervention are assessed with standardized measures, brief ratings and brief telephone follow-ups, at baseline and after one week and one month. Feasibility is assessed by estimation of effect sizes for outcomes, patient adherence and experience, and appraisal of resource allocation in provision of the intervention. DISCUSSION: This trial will assess whether a brief mindfulness-based intervention is effective for immediately reducing perceived distress and pain with the side effect of increasing relaxation in chronic pain patients and will determine the feasibility of conducting a definitive randomized controlled trial. Patient recruitment began in January 2015 and is due to be completed in June 2016. TRIAL REGISTRATION: ISRCTN61538090 Registered 20 April 2015