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Biomedical subjects

R G Addison

Publications and source records attributed to R G Addison.

6 recordsLinked to original sources
PubMed1995

The national jockey injury study: an analysis of injuries to professional horse-racing jockeys.

While there have been numerous reports in the literature of accidents in equestrian sports, no comprehensive study has been conducted to ascertain the nature and incidence of injuries incurred by professional horse-racing jockeys. A survey was conducted to determine the types of injuries to jockeys and racing-related health concerns, including weight reduction methods. The questionnaire was completed by 706 professional jockeys actively competing at United States racetracks between July and October 1990 about injuries they had sustained in their careers. More than 1,700 injuries were reported. Fractures (n = 1,113) accounted for 64% of the total. The most common cause of injury was becoming unseated, followed by the horse falling. Relationships between characteristics of jockeys and injuries were evaluated. There were significant numbers of serious injuries with prolonged periods of not riding. Recommendations for improving jockey safety are made.

Absenteeism↗
PubMed1984

Chronic pain syndrome.

Chronic pain syndrome must be considered as a psychologic-physiologic disability. The understanding and treatment of chronic pain syndrome comprises a new medical disease model; however, some of the original symptoms are considered to have an underlying organic pathology. Recognition of the need for differentiation between the various forms of pain is paramount to the success of the treatment process. By applying different treatment modalities, we can best prevent acute pain from becoming chronic pain syndrome. Chronic pain syndrome must be treated differently from acute pain; To persist in treating chronic pain syndrome as an acute problem very often leads to unsuccessful treatment results. The appropriate use of medication is an important component in the multidisciplinary approach to chronic pain syndrome. Treatment of chronic pain syndrome has been most successful when a combination of all legitimate treatment modalities available were utilized.

Analgesics↗
PubMed1982

Autonomic pain: features and methods of assessment.

The distribution of pain originating in the sympathetic nervous system does not match the somatic segmental sensory distribution at the postganglionic level. The two types of distribution are separate and different. At the preganglionic level, fibers show typical segmental sensory distribution, which resembles but is not identical to somatic segmental sensory distribution. Instead, sympathetic pain has its own distribution along the vascular supply and some peripheral nerves. It cannot be called atypical in terms of somatic segmental sensory distribution. Several techniques are available to assess autonomic function in cases of chronic pain. Infrared thermography is superior to any other physiologic or pharmacologic method to assess sympathetic function. Overactivity of sympathetic function in the area of pain is the probable cause of temperature reduction in that area. Accordingly it would appear that in cases in which thermography demonstrates decreased temperature, sympathetic block or sympathectomy would provide relief from the pain.

Autonomic Nervous System Diseases↗
PubMed1981

Treatment of chronic pain: the Center for Pain Studies, Rehabilitation Institute of Chicago.

The Center for Pain Studies of the Rehabilitation Institute of Chicago (formerly known as the Low Back and Pain Clinic) has developed a multidisciplinary program for the management of chronic pain. Typically patients present a variety of chronic pain syndromes, most frequently low back pain, which have not responded to previous treatment including surgery, physical therapy, medication, vogue therapies, and other pain management programs. Patient capability to engage in normal daily activities such as standing, walking, sitting, lifting, etc. is often limited; most are unable to work or carry on pre-injury activities. Psychological ramifications of chronic pain appear frequently as a retreat from responsibility by the patient for his own welfare, manifested by distinct behaviour patterns (measurable on the MMPI); however, the ability of the patient to cope with chronic pain is largely a function of his ability to cope with other stresses prior to onset of pain. The patient's physical and psychological status alters his relationships with spouse and children, straining family well-being. Economic factors often occasion additional alteration in personal and family relations. Frequently a spouse not employed outside the home goes to work. Compensation programs and aid from public agencies may provide insufficient support or, conversely, compensation practices may establish perverse incentives toward recovery by providing the patient with net income equal to or greater than normally received.

Ambulatory Care Facilities↗