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Biomedical subjects

S L O'Driscoll

Publications and source records attributed to S L O'Driscoll.

6 recordsLinked to original sources

The clinical significance of pain threshold measurements.

Pain is an experience common to us all. There are various methods of attempting to measure pain in an individual. Pain threshold would appear to be the most useful of these as it is atraumatic and repeatable over long periods in healthy individuals. Various factors affect pain threshold such as anxiety. There are a number of ways of measuring pain threshold the requirement for these being similar, for example producing no tissue damage. Pain threshold appears to change in various clinical conditions such as osteoarthrosis of the hip once the painful condition is relieved the threshold may revert back to normal. Other painful conditions such as rheumatiod arthritis do not appear to alter the pain threshold. Pain threshold does not appear to be altered by analgesic drugs, however other drugs may alter the pain threshold.

Age Factors↗

Neck movements in ankylosing spondylitis and their responses to physiotherapy.

Cervical spine movements were compared in 35 patients with ankylosing spondylitis (AS) and matched controls. In AS there were limitations of all movements and particularly of lateral flexion. These limitations could not be correlated with any particular features of AS except radiological involvement of the lower apophyseal joints. In 25 patients there were significant improvements in all measurements after 3 weeks of intensive inpatient physiotherapy. After discharge the patients were encouraged to perform unsupervised physiotherapy and in 11 patients seen at 3 months the improvements in neck movements were either maintained or increased further. In contrast no changes in movements were found in 9 patients assessed 3 weeks and immediately before starting physiotherapy.

Adult↗

Osteoarthrosis.

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Bone Diseases↗

Pain threshold analysis in patients with osteoarthrosis of hip.

The pain threshold was measured in patients with osteoarthrosis of the hip. The pain threshold was significantly lower in patients who required surgery than in controls. After successful surgery the threshold rose to normal levels. In patients with few or no symptoms from their osteoarthritic hips the pain threshold was high. Insensitivity to pain does not predispose towards osteoarthrosis of the hip. Indeed, the severity of symptoms can be directly related to an increased sensitivity to pain in osteoarthritic subjects.

Aged↗