scholarly journals Development and implementation of an inpatient multidisciplinary pain management program for patients with intractable chronic musculoskeletal pain in Japan: preliminary report

2018 ◽  
Vol Volume 11 ◽  
pp. 201-211 ◽  
Author(s):  
Naoto Takahashi ◽  
Satoshi Kasahara ◽  
Shoji Yabuki
Keyword(s):  
Pain Management ◽  
Musculoskeletal Pain ◽  
Preliminary Report ◽  
Management Program ◽  
Chronic Musculoskeletal Pain ◽  
Pain Management Program ◽  
Multidisciplinary Pain Management

scholarly journals Stretch Exercises Increase Tolerance to Stretch in Patients With Chronic Musculoskeletal Pain: A Randomized Controlled Trial

2009 ◽  
Vol 89 (10) ◽  
pp. 1016-1026 ◽  
Author(s):  
Roberta Y.W. Law ◽  
Lisa A. Harvey ◽  
Michael K. Nicholas ◽  
Lois Tonkin ◽  
Maria De Sousa ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Pain Management ◽  
Musculoskeletal Pain ◽  
Controlled Trial ◽  
Management Program ◽  
Chronic Musculoskeletal Pain ◽  
Randomized Controlled ◽  
Pain Management Program ◽  
Stretch Condition ◽  
Hip Flexion

Background: Stretch is commonly prescribed as part of physical rehabilitation in pain management programs, yet little is known about its effectiveness.Objective: A randomized controlled trial was conducted to investigate the effects of a 3-week stretch program on muscle extensibility and stretch tolerance in patients with chronic musculoskeletal pain.Design: A within-subject design was used, with one leg of each participant randomly allocated to an experimental (stretch) condition and the other leg randomly allocated to a control (no-stretch) condition.Patients and Setting: Thirty adults with pain of musculoskeletal origin persisting for at least 3 months were recruited from patients enrolled in a multidisciplinary pain management program at a hospital in Sydney, Australia.Intervention: The hamstring muscles of the experimental leg were stretched daily for 1 minute over 3 weeks; the control leg was not stretched. This intervention was embedded within a pain management program and supervised by physical therapists.Measurements: Primary outcomes were muscle extensibility and stretch tolerance, which were reflected by passive hip flexion angles measured with standardized and nonstandardized torques, respectively. Initial measurements were taken before the first stretch on day 1, and final measurements were taken 1 to 2 days after the last stretch. A blinded assessor was used for testing.Results: Stretch did not increase muscle extensibility (mean between-group difference in hip flexion was 1°, 95% confidence interval=−2° to 4°), but it did improve stretch tolerance (mean between-group difference in hip flexion was 8°, 95% confidence interval=5° to 10°).Conclusion: Three weeks of stretch increases tolerance to the discomfort associated with stretch but does not change muscle extensibility in patients with chronic musculoskeletal pain.

Patients?? Perceptions of Their Pain Condition Across a Multidisciplinary Pain Management Program

2007 ◽  
Vol 23 (7) ◽  
pp. 558-564 ◽  
Author(s):  
Rona Moss-Morris ◽  
Katrina Humphrey ◽  
Malcolm H. Johnson ◽  
Keith J. Petrie
Keyword(s):  
Pain Management ◽  
Management Program ◽  
Pain Condition ◽  
Pain Management Program ◽  
Multidisciplinary Pain Management

scholarly journals Reboot Online: A Randomized Controlled Trial Comparing an Online Multidisciplinary Pain Management Program with Usual Care for Chronic Pain

Pain Medicine ◽  
2019 ◽  
Vol 20 (12) ◽  
pp. 2385-2396 ◽  
Author(s):  
Jessica Smith ◽  
Steven G Faux ◽  
Tania Gardner ◽  
Megan J Hobbs ◽  
Mathew A James ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Controlled Trial ◽  
Management Program ◽  
Post Treatment ◽  
Face To Face ◽  
Randomized Controlled ◽  
Pain Management Program ◽  
Multidisciplinary Pain Management

Abstract Objective Chronic pain is a prevalent and burdensome condition. Reboot Online was developed to address treatment barriers traditionally associated with accessing face-to-face chronic pain management programs. It is a comprehensive multidisciplinary online treatment program, based on an existing and effective face-to-face multidisciplinary pain program (the Reboot program). Design & Participants A CONSORT-compliant randomized controlled trial was conducted, enrolling adults who had experienced pain for three months or longer. Methods Participants were randomly allocated to either an eight-lesson multidisciplinary pain management program, Reboot Online (N = 41), or to a usual care (UC) control group (N = 39). Clinical oversight was provided by a multidisciplinary team remotely, including physiotherapists and clinical psychologists. Participants were measured at baseline, post-treatment (week 16), and three-month follow-up (week 28). Results Intention-to-treat analyses revealed that Reboot Online was significantly more effective than UC at increasing pain self-efficacy (g = 0.69) at post-treatment, and these gains were maintained at follow-up. Similarly, Reboot Online was significantly more effective than UC on several secondary measures at post-treatment and follow-up, including movement-based fear avoidance and pain-related disability, but it did not significantly reduce pain interference or depression compared with UC. Clinician input was minimal, and adherence to Reboot Online was moderate, with 61% of participants (N = 25) completing all eight lessons. Conclusions Reboot Online presents a novel approach to multidisciplinary pain management and offers an accessible, efficacious alternative and viable treatment option for chronic pain management.

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