This article considers psychological aspects of chronic pain, including pain that is purely physical in origin. The concept of the "pain lifestyle" is discussed, as well as the relationship between pain and vocational problems, marital problems, sexual difficulties, depression, anger, and the "pain-prone" personality. The article also describes the utility of behavioral treatment programs for treating chronic pain.

J Orthop Sports Phys Ther 1979;1(2):76-82.

A protocol of treatment for the physical therapy management of the thoracic outlet syndrome has been established at Amsterdam Memorial Hospital, Amsterdam, New York. Certain orthopaedic manual therapy procedures are utilized to increase the mobility of specific areas of the patient's shoulder girdle, upper thorax, and if indicated, the cervical and upper thoracic spine. Previous training in orthopedic manual therapy is a prerequisite to employing this approach to the treatment of the thoracic outlet syndrome. A total of eight anatomical structures are involved. This particular regime of manual therapy plus postural improvement, corrective exercises, improved body mechanics, and other procedures relating to the patient's activities of daily living have proven to be an effective method to relieve the signs and symptoms produced by this musculoskeletal entity. Paraesthesiae and numbness were the predominant symptoms of the patients that underwent treatment. The patients ranged in age from 2 7-60 years.

J Orthop Sports Phys Ther 1979;1(2):89-99.

The National Athletic Injury/Illness Reporting System is a national surveillance system created from several workshops at which physicians, athletic trainers, and sports administrators shared their ideas for obtaining meaningful data. The primary objective was to provide a feasible and inexpensive mechanism for the continuous collection and analysis of information on sports-related injuries. Additionally, the project offers institutions and agencies a useful system of recordkeeping. NAIRS collects data on a wide range of sports, however, this report clarifies the risk of injury for high school and college football. Presented are data on neurotrauma, meniscus/knee sprains, and ankle sprains. Playing surface, surface hardness, surface friction, and shoe-turf interface were also examined. It was concluded that no helmet type or brand was associated with unusually high levels of risk. Artificial surfaces did not constitute an additional risk of significant concussion. An association between playing surface and the risk of knee and ankle injuries was observed.

J Orthop Sports Phys Ther 1979;1(2):103-108.