Andrade-Arroniz L, Cedillo-Alemán E, Oaxaca-Escobar C

Language: Spanish
References: 7
Page: 63-65
PDF size: 377.60 Kb.

ABSTRACT

The gate control theory of pain explains the way in which the mind plays an essential role in the sensation of pain. The objective of this study is to assess the use of this theory in traumatic hand injuries. 62 patients: 52 men and 10 women were evaluated and treated prospectively in which a vibration device was used to achieve a bilateral truncal digital block, using the device in one side and the conventional technique in the other, assessing the results with the analogous visual scale. Lesions were classified into 9 groups. Sixteen patients (25.8%), had amputation of the digital tip. All patients reported a decrease in pain (p ‹ 0.001). The use of the gate control theory decreases pain during regional block in patients with hand trauma.

REFERENCES

1. Moayedi M, Davis K. Theories of pain: from specificity to gate control. J Neurophysiol 2013; 109 (1): 5-12. doi: 10.1152/jn.00457.2012.

2. Ungor C, Tosun E, Dayisoylu EH, Taskesen F, Senel FC. The effects of vibration on pain and anxiety during local anesthesia administration. JSM Dent 2014; 2 (1): 1022.

3. Melzack R, Wall PD. Pain mechanisms: a new theory. Science 1965; 150: 971-979.

4. Melzack R. From the gate to the neuromatrix. Pain 1999; (Suppl 6): S121-126.

5. Kessler NJ, Hong J. Whole body vibration therapy for painful diabetic peripheral neuropathy: a pilot study. J Bodyw Mov Ther 2013; 17 (4): 518-522.

6. Randich A, Ness T. Modulation of spinal nociceptive processing. In: Bonica’s management of pain. 4th ed. Philadelphia, Lippincott Williams & Wilkins 2009, pp. 48-60.

7. Jeon JH. Anatomy of pain. In: Pain medicine. 3rd ed. Edited by the Korean Pain Society: Seoul, Koonja Publishing Inc. 2007, pp. 11-9.