| 1. |
- Hyden, L. C., et al.
(författare)
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Pain gestures : the orchestration of speech and body gestures
- 2002
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Ingår i: Health. - : SAGE Publications. - 1363-4593 .- 1461-7196. ; 6:3, s. 325-345
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Tidskriftsartikel (refereegranskat)abstract
- This article is about the use and function of gestures in pain communication. More specifically how we can communicate an internal bodily experience like pain with the help of gestures. This is of great importance both in everyday situations and in medical consultations of various types. Our focus in this article is on the issues of the gesture as a communicative resource, how verbal and nonverbal communicative resources are related to each other and in what way gestures contribute to the structure of different types of pain. Thirty-seven patients have been interviewed about their pain experiences and the main result is that several communicative modalities are interwoven in the pain accounts. Three different functions of gestures were identified: the pointing, iconic and symbolic functions. The clinical relevance of this approach to gestures in pain communication is to take note of the intricate interplay of different communicative resources used in the pain description, and to emphasize both verbal and nonverbal interaction in the clinical conversation as a resource in the care situation.
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| 2. |
- Hydén, Lars-Christer, 1954-, et al.
(författare)
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Pain Gestures : The Orchestration of Talk and Body Gestures
- 2002
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Ingår i: Health. - : SAGE Publications. - 1363-4593 .- 1461-7196. ; 6:3, s. 325-345
-
Tidskriftsartikel (refereegranskat)abstract
- This article is about the use and function of gestures in pain communication. More specifically how we can communicate an internal bodily experience like pain with the help of gestures. This is of great importance both in everyday situations and in medical consultations of various types. Our focus in this article is on the issues of the gesture as a communicative resource, how verbal and nonverbal communicative resources are related to each other and in what way gestures contribute to the structure of different types of pain. Thirty-seven patients have been interviewed about their pain experiences and the main result is that several communicative modalities are interwoven in the pain accounts. Three different functions of gestures were identified: the pointing, iconic and symbolic functions. The clinical relevance of this approach to gestures in pain communication is to take note of the intricate interplay of different communicative resources used in the pain description, and to emphasize both verbal and nonverbal interaction in the clinical conversation as a resource in the care situation.
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| 3. |
- Peolsson, Michael
(författare)
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Att beskriva kronisk smärta : en lärprocess
- 2000
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Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Sammanfattningsvis syftar denna uppsats till att studera hur patienter beskriver sin smärta samt på vilka sätt de beskriver hur de utforskar sin smärta i vardagen. Jag vill med dessa beskrivningar som bakgrund lyfta fram patienters egen lärprocess om sin smärta. Avhandlingen syftar vidare till att diskutera hur vårdgivare kan lära sig av patienters smärtbeskrivningar. I detta sammanhang vill jag lyfta fram några begrepp som kan belysa hur patienterna i mina studier delger vad jag tolkar som smärtupplevelser.
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| 4. |
- Peolsson, Michael, et al.
(författare)
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Coping in patients with chronic whiplash-associated disorders : A descriptive study
- 2004
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Ingår i: Journal of Rehabilitation Medicine. - : Medical Journals Sweden AB. - 1650-1977 .- 1651-2081. ; 36:1, s. 28-35
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Tidskriftsartikel (refereegranskat)abstract
- Objective: There are few studies of the way patients with chronic whiplash-associated disorders cope with pain and other aspects of the condition. This study analyses: (a) gender differences in coping strategies; (b) whether the patients can be sub-grouped based on their coping strategies and whether the sub-groups differ clinically; and
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| 5. |
- Peolsson, Michael, et al.
(författare)
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Experiencing and Knowing Pain : Patients’ Perspectives
- 2000
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Ingår i: Advances in Physiotherapy. - : Informa UK Limited. - 1403-8196 .- 1651-1948. ; 2:4, s. 146-155
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Tidskriftsartikel (refereegranskat)abstract
- This article focuses on patients’ accounts of chronic pain and the manner in which they communicate their experiences. The data have been generated through interviews with chronic pain patients undergoing treatment for their problems. The results show that patients develop a set of discursive markers by means of which they are able to make distinctions between different kinds of pain. These distinctions are made with respect to pain qualities and pain localizations in the body. Further, a majority of the patients report that one pain generally transforms into another. This subjectively perceived patterning we refer to as pain transformations and these, in turn, contain different pain phases. Most patients report pains as dynamic and tients report pains as dynamic and stable and consistent sensation. The results also show that some patients identify certain pain phases as precursors of more severe phases, and that they use this knowledge as a means for taking preventive actions. Since experiencing pain often involves a discursive element gaining linguistic control over one’s pain provides the person with an important resource for dealing with pain
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| 6. |
- Peolsson, Michael, 1959-, et al.
(författare)
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Living with chronic pain : A dynamic learning process
- 2000
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1103-8128 .- 1651-2014. ; 7:3, s. 114-125
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Tidskriftsartikel (refereegranskat)abstract
- This study focuses on how patients describe and manage their pain in their everyday life. The data consist of interviews with 37 patients undergoing treatment for chronic pain. The study focuses on how experiences of pain are mediated and interpreted with the help of the individual's discursive resources. It is argued that this kind of resource is important in constituting a structure of relations between a suffering person, pain and context. In the analysis of the material a four-step procedure was used, including both formal and content-related aspects. It was found that the patients describe chronic pain as a dynamic phenomenon. Patients learn about their pain by actively constituting relations among themselves, the pain and their activities. For the patients, chronic pain is a structured phenomenon. Patients often describe how pain is initiated, worsens and is alleviated. Patients thereby learn to distinguish different figures in their pain, which they are able to relate to in their management of pain. This suggests that a life in pain could be seen as an apprenticeship process. The heart of the matter in this process is learning to become sensitive to and flexible towards variations in the pain and potential pain triggers in the environment. This knowledge is important, as mastering pain is a balancing act between inner resources and environmental circumstances.
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| 7. |
- Peolsson, Michael, 1959-
(författare)
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Smärtans mosaik : kommunikation och lärande om långvarig smärta
- 2001
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This thesis focuses on how people, living with long-term pain, exploreand communicate their pain, by way of speech as a means for producingrelations between themselves, the. pain and everyday activities. The datamaterial consists of focused research interviews with patients undergoingtreatment for their pain at a pain clinic. The thesis takes as a point ofdeparture that people living with pain in various situations need tocommunicate their pain experiences which posits the person in acommunicational dilemma giving_ shape to a multi-dimensionalexperience. Different kinds of communicative resources are used in thesecommunication situations, verbal and figurative talk together withgestures. It is argued that learning about one's pain could be described as an apprenticeship process, which concerns as well the relations between the afflicted person and the her/his pain as how these relations are to be communicated. An important result is that mastering one's pain is about an on-going, situated, searching and communicative practice.
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| 8. |
- Rosendahl, Lars, 1971-, et al.
(författare)
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Increase in muscle nociceptive substances and anaerobic metabolism in patients with trapezius myalgia : microdialysis in rest and during exercise
- 2004
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Ingår i: Pain. - : Ovid Technologies (Wolters Kluwer Health). - 0304-3959 .- 1872-6623. ; 112:3, s. 324-334
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Tidskriftsartikel (refereegranskat)abstract
- Local metabolic changes are suggested to be involved in muscle pain development in humans. Nineteen women with chronic work-related trapezius myalgia (TM) and 20 healthy female controls (CON) were studied during baseline rest, 20 min repetitive low-force exercise, and 120 min recovery. Interstitial serotonin (5-HT), glutamate, lactate, pyruvate, and blood flow were determined by microdialysis in the trapezius muscle. Baseline pressure pain threshold (PPT) was lower (143+/-18 (TM) vs. 269+/-17 (CON) kPa) (mean +/- SEM), pain intensity (visual analogue scale, VAS) higher (33+/-5 vs. 2+/-1 mm), muscle 5-HT higher (22.9+/-6.7 vs. 3.8+/-1.3 nmol/l), and glutamate higher (47+/-3 vs. 36+/-4 mumol/l) in TM than in CON (all P<0.05), whereas muscle blood flow was similar in groups. Furthermore, muscle pyruvate was higher (180+/-15 vs. 135+/-12 mumol/l) and lactate higher (4.4+/-0.3 vs. 3.1+/-0.3 mmol/l) in TM than in CON (P<0.001). In response to exercise, VAS and glutamate increased in both TM and CON (all P<0.05). In TM only, lactate and pyruvate increased significantly (P<0.02), whereas blood flow increased to similar levels in both groups. During the initial 20 min recovery period, blood flow remained increased in TM (P<0.005) whereas it decreased to baseline levels in CON. In conclusion, patients with chronic work-related TM have increased levels of muscle 5-HT and glutamate that were correlated to pain intensity (r=0.55, P<0.001) and PPT (r=-0.47, P<0.001), respectively. In addition, TM was associated with increased anaerobic metabolism, whereas a normal rise in blood flow was seen with exercise. These findings indicate that peripheral nociceptive processes are active in work-related TM.
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