Acta Medica Okayama 72巻 4号
2018-08 発行

A Multidisciplinary Approach to the Management of Chronic Pain through a Self-managed Behavioral Exercise Program : A Pilot Study in Japan

Nishie, Hiroyuki Department of Anesthesiology and Intensive Care 2, Kawasaki Medical School
Tetsunaga, Tomoko Department of Orthopaedic Surgery, Okayama University Hospital
Kanzaki, Hirotaka Department of Pharmacy, Okayama University Hospital
Oda, Koji Department of Orthopaedic Surgery, Okayama University Hospital
Inoue, Shinichiro Department of Neuropsychiatry, Okayama University Hospital
Ryuo, Yuta Department of Neuropsychiatry, Okayama University Hospital
Ota, Haruyuki Department of Rehabilitation Medicine, Okayama University Hospital
Miyawaki, Takuya Department of Dental Anesthesiology, Okayama University Hospital
Arakawa, Kyosuke Department of Anesthesiology and Resuscitology, Okayama University Hospital
Tetsunaga, Tomonori Department of Orthopaedic Surgery, Okayama University Hospital
Kitamura, Yoshihisa Department of Pharmacy, Okayama University Hospital
Sendo, Toshiaki Department of Pharmacy, Okayama University Hospital
Morimatsu, Hiroshi Department of Anesthesiology and Resuscitology, Okayama University Hospital
Ozaki, Toshifumi Department of Orthopaedic Surgery, Okayama University Hospital
Nishida, Keiichiro Department of Orthopaedic Surgery, Okayama University Hospital
Publication Date
2018-08
Abstract
We conducted this study to determine the short-term treatment outcomes of multidisciplinary approaches to chronic pain management for outpatients in Japan. We evaluated pain reduction and improvement in quality of life (QOL) after treatment. We analyzed 32 patients who had experienced intractable chronic pain for > 3 months. The patients received multidisciplinary therapeutic self-managed exercise instructions and then underwent evaluations 1 and 3 months after the treatment. We used the Pain Disability Short Form-36 (SF-36), Pain Catastrophizing Scale (PCS), and Pain Disability Assessment Scale (PDAS) to evaluate QOL. Although the pain levels were the same before and after the physical exercise program, the patients showed significant improvements in physical function on the SF-36 (48.5 vs. 54.5, 3 months vs. 1 month; p=0.0124), the magnification subscale on the PCS (6.8 vs. 5.9, 1 month vs. before; p=0.0164) and the PDAS (29.2 vs. 23.4, 3 months vs. before; p=0.0055). Chronic pain should be treated with a biopsychosocial approach, but time constraints and costs have limited the implementation of multidisciplinary and behavioral approaches to chronic pain management. Our findings demonstrate that clinical improvements are possible for patients with chronic pain, using multidisciplinary team resources widely available in Japanese clinical practice.
Document Type
Original Article
Keywords
multidisciplinary treatment
pain management
quality of life
biopsychosocial approach
chronic pain
Link to PubMed
ISSN
0386-300X
NCID
AA00508441
JaLC DOI
DOI:
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