Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20180036
Brazilian Journal of Pain
Relato de Caso

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

http://dx.doi.org/10.5935/2595-0118.20180036 BrJP, vol.1, n2, p.184-187, 2018
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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

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Submetido em:
01/08/2017

Aceito em:
21/03/2018

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