Multidisciplinary pain management program for patients with chronic musculoskeletal pain in Japan: a cohort study
| Autor: | Naoto Takahashi, Shoji Yabuki, Satoshi Kasahara, Kozue Takatsuki |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
business.industry Physical fitness Hospital Anxiety and Depression Scale 03 medical and health sciences 0302 clinical medicine Anesthesiology and Pain Medicine Quality of life 030202 anesthesiology Orthopedic surgery Physical therapy Medicine Anxiety Pain catastrophizing medicine.symptom Brief Pain Inventory business 030217 neurology & neurosurgery Cohort study |
| Zdroj: | Journal of Pain Research. 12:2563-2576 |
| ISSN: | 1178-7090 |
| DOI: | 10.2147/jpr.s212205 |
| Popis: | Introduction Multidisciplinary pain management is a useful method for treating chronic musculoskeletal pain. Currently, few facilities in Japan offer multidisciplinary pain treatment, especially in the inpatient setting. We implemented a multidisciplinary pain management program based on International Association for the Study of Pain recommendations. This study described our initial efforts in implementing the program, and reported 3- and 6-month follow-up results. Materials and methods Our pain management team included orthopedic surgeons, psychiatrists, nurses, physical therapists, clinical psychologists, pharmacists, and nutritionists. The 3-week inpatient pain management program comprised exercise therapy, psychotherapy, and patient education. We evaluated patients using the Brief Pain Inventory (BPI), Pain Catastrophizing Scale (PCS), Pain Disability-Assessment Scale (PDAS), Hospital Anxiety and Depression Scale (HADS), Pain Self-Efficacy Questionnaire (PSEQ), EuroQol Five Dimensions (EQ-5D), and physical examinations (flexibility, muscle endurance, walking ability, and physical fitness). Statistical analyses were performed using paired t-tests and Wilcoxon matched-pairs signed-rank sum tests with Bonferroni correction after the Friedman test. Results Data for 23 patients were analyzed before and immediately after the program. Statistically significant improvements were seen in BPI, PCS, PDAS, HADS, PSEQ, EQ-5D, flexibility, muscle endurance, walking ability, and physical fitness. Eight patients were also assessed 3 and 6 months after the program. PCS (rumination and helplessness) scores and flexibility showed significant improvement at 3 and 6 months. Significant improvement was seen in PDAS and HADS (anxiety) scores and muscle endurance at 6 months, and in PSEQ scores immediately and at 3 and 6 months. Conclusion Our inpatient pain management program can improve patients' physical function and ability to cope with chronic musculoskeletal pain, which supports improved quality of life. Our program is currently being expanded to better assist patients with chronic musculoskeletal pain. |
| Databáze: | OpenAIRE |
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