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

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 ch...

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Bibliographic Details
Published in:	Acta medica Okayama Vol. 72; no. 4; pp. 343 - 350
Main Authors:	Nishie, Hiroyuki, Tetsunaga, Tomoko, Kanzaki, Hirotaka, Oda, Koji, Inoue, Shinichiro, Ryuo, Yuta, Ota, Haruyuki, Miyawaki, Takuya, Arakawa, Kyosuke, Tetsunaga, Tomonori, Kitamura, Yoshihisa, Sendo, Toshiaki, Morimatsu, Hiroshi, Ozaki, Toshifumi, Nishida, Keiichiro
Format:	Journal Article
Language:	English
Published:	Japan 01-08-2018
Subjects:	Chronic Pain - psychology Chronic Pain - therapy Exercise Therapy Humans Pain Management - methods Pain Measurement Patient Care Team Pilot Projects Quality of Life Self-Management chronic pain pain management quality of life multidisciplinary treatment biopsychosocial approach
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Summary:	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.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0386-300X
DOI:	10.18926/amo/56169