A multidisciplinary approach to the management of chronic pain through a self-managed behavioral exercise program: A pilot study in japan

Research output: Contribution to journalArticle

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.

Original languageEnglish
Pages (from-to)343-350
Number of pages8
JournalActa Medica Okayama
Volume72
Issue number4
Publication statusPublished - Jan 1 2018

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Chronic Pain
Japan
Exercise
Catastrophization
Pain Measurement
Pain Management
Pain
Quality of Life
Intractable Pain
Costs
Outpatients
Therapeutics
Costs and Cost Analysis

Keywords

  • Biopsychosocial approach
  • Chronic pain
  • Multidisciplinary treatment
  • Pain management
  • Quality of life

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

Cite this

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title = "A multidisciplinary approach to the management of chronic pain through a self-managed behavioral exercise program: A pilot study in japan",
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.",
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author = "Hiroyuki Nishie and Tomoko Tetsunaga and Hirotaka Kanzaki and Kouji Oda and Shinichiro Inoue and Yuta Ryuo and Haruyuki Ota and Takuya Miyawaki and Kyosuke Arakawa and Tomonori Tetsunaga and Yoshihisa Kitamura and Toshiaki Sendo and Hiroshi Morimatsu and Toshifumi Ozaki and Keiichiro Nishida",
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AU - Nishie, Hiroyuki

AU - Tetsunaga, Tomoko

AU - Kanzaki, Hirotaka

AU - Oda, Kouji

AU - Inoue, Shinichiro

AU - Ryuo, Yuta

AU - Ota, Haruyuki

AU - Miyawaki, Takuya

AU - Arakawa, Kyosuke

AU - Tetsunaga, Tomonori

AU - Kitamura, Yoshihisa

AU - Sendo, Toshiaki

AU - Morimatsu, Hiroshi

AU - Ozaki, Toshifumi

AU - Nishida, Keiichiro

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N2 - 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.

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