An Innovative Physical Therapy Intervention for Chronic Pain Management and Opioid Reduction Among People Living with HIV
| Autor: | Ann Colonna, Grace Lancaster, Carlos del Rio, Daniel Brandon, Meredith Denton, Vincent C. Marconi, Matthew Ina, Anne-Grace Schmidtke, Sara Pullen |
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| Rok vydání: | 2020 |
| Předmět: |
0303 health sciences
medicine.medical_specialty business.industry 0206 medical engineering Chronic pain Human immunodeficiency virus (HIV) opioids 02 engineering and technology medicine.disease medicine.disease_cause 020601 biomedical engineering General Biochemistry Genetics and Molecular Biology 03 medical and health sciences Increased risk Opioid Intervention (counseling) medicine Physical therapy physical therapy Original Research Article business chronic pain Opioid addiction 030304 developmental biology medicine.drug |
| Zdroj: | BioResearch Open Access |
| ISSN: | 2164-7844 |
| Popis: | Chronic pain management has become a treatment priority for people living with HIV (PLH), and PLH may be at increased risk for opioid addiction. Physical therapy (PT) has been shown to be effective as a nonpharmacological method of chronic pain management; however, there is a gap in research examining the role of PT for chronic pain, especially as it relates to opioid reduction, in this patient population. This retrospective study evaluated pain level and opioid use before and after PT intervention among HIV-positive adults with chronic pain on chronic opioid therapy (n = 22). The study was conducted at a multidisciplinary AIDS clinic in Atlanta, GA. Outcome measures were self-reported pain on the numerical rating scale (0–10) and morphine milligram equivalents (MMEs), which measure opioid use. A majority of patients (77%) demonstrated a decrease in pain by the conclusion of the study period; however, only 18.2% of patients reported decreased pain as well as a decrease in MMEs. The most common PT treatments used among the patients with a decrease in pain and/or opioid use included home exercise programs, manual therapy, and self-pain management education. Eighty percent of the participants who did not decrease opioid use reported a decrease or elimination of pain by the end of the PT intervention. This reflects the need for careful consideration of the complexity of opioid use and addiction, and the importance of a multidisciplinary team to best serve the needs of PLH aiming to decrease chronic pain and opioid use. |
| Databáze: | OpenAIRE |
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