Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20180036
Brazilian Journal of Pain
Case Report

The use of an E-pain technology in the management of chronic pain. Case report

O uso de uma tecnologia E-Pain para o manuseio da dor crônica. Relato de caso

Lívia Lima; Felipe Reis

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Abstract

BACKGROUND AND OBJECTIVES: Chronic pain treatment includes nonpharmacologic therapies such as exercise, neuroscience pain education and behavioral interventions. It is necessary to reduce barriers to treatment and provide interventions in an accessible way to all individuals who may benefit. There is a significant interest in the potential of pain management programs administered via the Internet (E-pain technology). The objective of this case report was to assess the application of an online intervention (Caminho da Recuperação) in the management of a patient with chronic pain.

CASE REPORT: A 62-year-old male patient with chronic shoulder pain who underwent rotator cuff reconstruction. The Brief Pain Inventory (BPI), Pain Catastrophizing Scale (PCS), Tampa Scale of Kinesiophobia (TSK) and the Shoulder Pain and Disability Index (SPADI-Brazil) were collected on the first and second visits to the physiotherapy service. At the pre-intervention visit, the patient reported intensity of pain (60/100), TSK (39/64), PCS (26/52), SPADI disability (61.2) and SPADI pain (86). The post-intervention results showed improvements in all domains, pain intensity (10/100), TSK (33/64), PCS (5/52), SPADI disability (38) and SPADI pain (42).

CONCLUSION: The “Caminho da Recuperação” showed to be viable for clinical practice and may help patients in remote areas or with physical and financial constraints. The results of the present study should be interpreted with caution. We recommend the development of clinical trials to test the effectiveness and cost analysis of the intervention.

Keywords

Chronic pain, Health education, Internet, Pain, Patient education as a topic

Resumo

JUSTIFICATIVA E OBJETIVOS: O tratamento de pessoas com dor crônica inclui terapias não farmacológicas como exercícios, educação em dor e intervenções comportamentais. É necessário diminuir as barreiras ao tratamento e fornecer intervenções de forma acessível a todos os indivíduos que possam se beneficiar. Existe um interesse significativo no potencial de programas de gerenciamento da dor administrados via Internet (tecnologia E-pain). Este relato teve como objetivo avaliar a aplicação de uma intervenção online (Caminho da Recuperação) no manuseio de um paciente com dor crônica.

RELATO DO CASO: Paciente do sexo masculino, 62 anos de idade, com dor crônica no ombro submetido à reconstrução do manguito rotador. Foram coletados o Inventário Breve de Dor (BPI), a Escala de Pensamentos Catastróficos (PCS), Escala de Tampa para Cinesiofobia (TSK) e Índice de Dor e Deficiência no Ombro (SPADI-Brasil) nas primeira e segunda visitas ao serviço de fisioterapia. Os resultados pré-intervenção da intensidade da dor (60/100), TSK (39/64), PCS (26/52), SPADI incapacidade (61,2) e SPADI dor (86). Os resultados pós-intervenção mostraram melhoras em todos os domínios, intensidade da dor (10/100), TSK (33/64), PCS (5/52), SPADI incapacidade (38) e SPADI dor (42).

CONCLUSÃO: O Caminho da Recuperação apresentou viabilidade para uso na prática clínica podendo auxiliar pessoas em áreas remotas ou com restrições físicas e financeiras. Os resultados do presente estudo devem ser interpretados com cautela. Recomenda-se o desenvolvimento de ensaios clínicos quanto à efetividade da intervenção e análise de custos.

Palavras-chave

Dor, Dor crônica, Educação de pacientes como assunto, Educação em saúde, Internet

References

Breivik H, Collett B, Ventafridda V, Cohen R, Gallacher D. Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. Eur J Pain. 2006;10(4):287-333.

Johannes CB, Le TK, Zhou X, Johnston JA, Dworkin RH. The prevalence of chronic pain in United States adults: results of an Internet-based survey. J Pain. 2010;11(11):1230-9.

Reid KJ, Harker J, Bala MM, Truyers C, Kellen E, Bekkering GE. Epidemiology of chronic non-cancer pain in Europe: narrative review of prevalence, pain treatments and pain impact. Curr Med Res Opin. 2011;27(2):449-62.

Hay SI. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet. 2017;390(10100):1211-59.

Crofford LJ. Psychological aspects of chronic musculoskeletal pain. Best Pract Res Clin Rheumatol. 2015;29(1):147-55.

Nicholas M. Expanding patients' access to help in managing their chronic pain. Pain. 2015;23(1):1-8.

McGuire BE, Henderson EM, McGrath PJ. Translating e-pain research into patient care. Pain. 2017;158(2):190-3.

Louw A, Zimney K, Puentedura EJ, Diener I. The efficacy of pain neuroscience education on musculoskeletal pain: A systematic review of the literature. Physiother Theory Pract. 2016;32(5):332-55.

Hofmann SG, Asnaani A, Vonk IJJ, Sawyer AT, Fang A. The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cognit Ther Res. 2012;36(5):427-40.

Bender JL, Radhakrishnan A, Diorio C, Englesakis M, Jadad AR. Can pain be managed through the Internet? A systematic review of randomized controlled trials. Pain. 2011;152(8):1740-50.

Macea DD, Gajos K, Calil YA Daglia, Fregni F. The efficacy of web-based cognitive behavioral interventions for chronic pain: a systematic review and meta-analysis. J Pain. 2010;11(10):917-29.

El-Metwally A. Internet-based interventions for pain management: a systematic review of randomised controlled trial (RCTs) conducted from 2010 to 2014. J Public Heal Epidemiol. 2015;7(5):170-82.

Garg S, Garg D, Turin TC, Chowdhury MF. Web-based interventions for chronic back pain: a systematic review. J Med Internet Res. 2016;18(7).

Eccleston C, Fisher E, Craig L, Duggan GB, Rosser BA, Keogh E. Psychological therapies (Internet-delivered) for the management of chronic pain in adults. Cochrane Database Syst Rev. 2012:CD010152.

Buhrman M, Gordh T, Andersson G. Internet interventions for chronic pain including headache: a systematic review. Internet Interv. 2016;4:17-34.

Reis FJJ, Bengaly AGC, Valentim JCP, Santos LC, Martins EF, O'Keeffe M. An E-Pain intervention to spread modern pain education in Brazil. Braz J Phys Ther. 2017;21(5):305-6.

Martinez JE, Grassi DC, Marques LG. [Analysis of the applicability of diferente pain questionnaires in three hospital settings: outpatient clinic, ward and emergency unit]. Rev Bras Reumatol. 2011;51(4):299-308.

Siqueira FB, Teixeira-Salmela LC, Magalhães LC. Análise das propriedades psicométricas da versão brasileira da escala tampa de cinesiofobia. Acta Ortop Bras. 2007;15(1):19-24.

Sehn FC, Souza IC, Caumo W, Torres IL, Vidor LP, Dall'Agnol L. Validação da escala de pensamentos catastróficos para o português do Brasil. Rev HCPA Porto Alegre. 2012;32:27-31.

Martins J, Napoles BV, Hoffman CB, Oliveira AS. Versão brasileira do Shoulder Pain and Disability Index: tradução, adaptação cultural e confiabilidade. Rev Bras Fisioter. 2010;14(6):527-36.

Kendall N, Watson P. Identifying psychosocial yellow flags and modifying management. Top Issues Pain. 2000;2.

Louw A, Puentedura EJ, Zimney K, Schmidt S. Know pain, know gain? A perspective on pain neuroscience education in physical therapy. J Orthop Sport Phys Ther. 2016;46(3):131-4.

Louw A, Zimney K, Puentedura EJ, Diener I. The efficacy of pain neuroscience education on musculoskeletal pain: a systematic review of the literature. Physiother Theory Pract. 2016;32(5):332-55.

Louw A. Therapeutic neuroscience education via e-mail: a case report. Physiother Theory Pract. 2014;30(8):588-96.

Fisher E, Law E, Palermo TM, Eccleston C. Psychological therapies (remotely delivered) for the management of chronic and recurrent pain in children and adolescents. Cochrane Database Syst Rev. 2014:CD011118.

Dear BF, Gandy M, Karin E, Ricciardi T, Langman N, Staples LG. The Pain Course: Exploring predictors of clinical response to an Internet-delivered pain management program. Pain. 2016;157(10):2257-68.

Louw A, Puentedura EL, Zimney K. Teaching patients about pain: It works, but what should we call it?. Physiother Theory Pract. 2016;32(5):328-31.

Martorella G, Boitor M, Berube M, Fredericks S, May S Le, Gélinas C. Tailored web-based interventions for pain: systematic review and meta-analysis. J Med Internet Res. 2017;19(11).


Submitted date:
08/01/2017

Accepted date:
03/21/2018

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