Jennie Embree's research while affiliated with University of Iowa and other places
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Publications (10)
Little research has compared item functioning of the Patient-Reported Outcomes Measurement Information System (PROMIS ® ) anxiety short form 6a and the generalized anxiety disorder 7-item scale using item response theory models. This was a secondary analysis of self-reported assessments from 67 at-risk U.S. military veterans. The two measures perfo...
Objective:
Persistent post-surgical pain is common among patients undergoing surgery, is detrimental to patients' quality of life, and can precipitate long-term opioid use. The purpose of this randomized controlled trial is to assess the effects of a behavioral intervention offered prior to surgery for patients at risk for poor post-surgical outco...
Objective:
Fibromyalgia (FM) is characterized by pain and fatigue, particularly during physical activity. Transcutaneous electrical nerve stimulation (TENS) activates endogenous pain inhibitory mechanisms. We evaluated if using TENS during activity would improve movement-evoked pain and other patient-reported outcomes in women with FM.
Methods:...
The patient-reported outcomes measurement information system (PROMIS) offers standardized assessment measures of clinically relevant patient-reported outcomes. This study evaluated the reliability and validity of select PROMIS measures with U.S. military veterans following orthopedic surgery. Data for the current study were collected as part of a p...
High levels of pain, significant anxiety, or depressive symptoms before surgery put patients at elevated risk for chronic pain and prolonged opioid use following surgery. The purpose of this preliminary study was to assess the efficacy of a 1-day Acceptance and Commitment Therapy (ACT) workshop in "at-risk" veterans for the prevention of chronic pa...
We conducted a systematic review and meta‐analysis analysing the existing data on transcutaneous electrical nerve stimulation (TENS) or interferential current (IFC) for chronic low back pain (CLBP) and/or neck pain (CNP) taking into account intensity and timing of stimulation, examining pain, function and disability. Seven electronic databases were...
The current study aimed to examine the relationships between movement and resting pain intensity, pain-related distress, and psychological distress in participants scheduled for total knee arthroplasty (TKA). This study examined the impact of anxiety, depression, and pain catastrophizing on the relationship between pain intensity and pain-related d...
This study evaluated the efficacy of TENS in reducing pain and hyperalgesia and increasing function following total knee arthroplasty (TKA). We hypothesized participants using TENS during rehabilitation exercises would: 1) report significantly lower pain during range-of-motion (ROM) and fast walking but not at rest; 2) have less hyperalgesia; and,...
Citations
... The training had two main components, covering mindfulness and acceptance, along with behavioral change. Patients in the ACT group reported pain cessation and stopped using opioids in a shorter time interval than patients in the treatment-as-usual (TAU) condition (Roddy et al., 2020). ...
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... Exactly why this so likely depends on the type of smart home AT purchased. For instance, increased use of music or Transcutaneous Electrical Nerve Stimulation (TENS) has been shown to reduce movement-evoked pain and fatigue (Dailey et al. 2019). However, for some conditions where chronic pain is present, pain may increase over time particularly if combined with feelings of social isolation (Karayannis et al. 2019). ...
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... only a single session (e.g., Dindo et al., 2018;Garland et al., 2017;Hanley et al., 2021a, b, c). Accumulating evidence suggests these brief MBIs may also be effective. ...
... A recent meta-analysis of 7 RCTs including 655 participants found that transcutaneous electrical nerve stimulation (TENS) or interferential current (IFC) significantly improved pain intensity and reduced disability compared to placebo or control in individuals with CLBP and/or neck pain (CNP) during treatment but not immediately after or at 1-or 3-month follow-up. 59 Another study of 20 patients found that dorsal root ganglion stimulation improved pain and quality of life at 12-month follow-up and disability at 6-and 12-month follow-up in patients with DBP. 60 Spinal injections are often used for DBP that do not respond to conservative measures. A meta-analysis of 15 RCTs demonstrated moderate level evidence that epidural injections with lidocaine was effective for short-and longterm pain relief and improvement of functionality in patients with spinal pain; however, there was not a significant difference between injections with or without steroids. ...
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... Disability and function can contribute to poor outcomes and predict development of chronic pain and disability after surgery or acute injury. 17,26,35,51,100,117 In the transition to chronic pain in a large acute back pain population, severe disability predicted chronic pain at 6 months (odds ratio, 1.82). 92 ...
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... Key exclusion criteria were unstable doses of RLS medications, sleep medications, or antidepressants, inadequately treated primary sleep disorders other than RLS, severe peripheral neuropathy affecting the lower legs, skin conditions affecting the application site, known allergy to device materials, active medical device implants, epilepsy, dialysis, and iron-deficient anemia, and prior experience with the study device or with any neurostimulation device to treat RLS. The protocol was amended on June 15, 2021 to allow participants with knee replacement implants (e.g. total knee arthroscopy) to participate in the study based on information that other forms of local electrical stimulation were well-tolerated by these patients [17,18]. ...
