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Mechanism-based Classification and Physical Therapy Management of Persons with Cancer Pain: A Prospective Case Series

CONTEXT: Mechanism-based classification (MBC) was established with current evidence and physical therapy (PT) management methods for both cancer and for noncancer pain. AIMS: This study aims to describe the efficacy of MBC-based PT in persons with primary complaints of cancer pain. SETTINGS AND DESI...

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Autores principales: Kumar, Senthil P, Prasad, Krishna, Kumar, Vijaya K, Shenoy, Kamalaksha, Sisodia, Vaishali
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3680836/
https://www.ncbi.nlm.nih.gov/pubmed/23766592
http://dx.doi.org/10.4103/0973-1075.110225
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author Kumar, Senthil P
Prasad, Krishna
Kumar, Vijaya K
Shenoy, Kamalaksha
Sisodia, Vaishali
author_facet Kumar, Senthil P
Prasad, Krishna
Kumar, Vijaya K
Shenoy, Kamalaksha
Sisodia, Vaishali
author_sort Kumar, Senthil P
collection PubMed
description CONTEXT: Mechanism-based classification (MBC) was established with current evidence and physical therapy (PT) management methods for both cancer and for noncancer pain. AIMS: This study aims to describe the efficacy of MBC-based PT in persons with primary complaints of cancer pain. SETTINGS AND DESIGN: A prospective case series of patients who attended the physiotherapy department of a multispecialty university-affiliated teaching hospital. MATERIAL AND METHODS: A total of 24 adults (18 female, 6 male) aged 47.5 ± 10.6 years, with primary diagnosis of heterogeneous group of cancer, chief complaints of chronic disabling pain were included in the study on their consent for participation The patients were evaluated and classified on the basis of five predominant mechanisms for pain. Physical therapy interventions were recommended based on mechanisms identified and home program was prescribed with a patient log to ensure compliance. Treatments were given in five consecutive weekly sessions for five weeks each of 30 min duration. STATISTICAL ANALYSIS USED: Pre–post comparisons for pain severity (PS) and pain interference (PI) subscales of Brief pain inventory-Cancer pain (BPI-CP) and, European organization for research and treatment in cancer-quality of life questionnaire (EORTC-QLQ-C30) were done using Wilcoxon signed-rank test at 95% confidence interval using SPSS for Windows version 16.0 (SPSS Inc, Chicago, IL). RESULTS: There were statistically significant (P < 0.05) reduction in pain severity, pain interference and total BPI-CP scores, and the EORTC-QLQ-C30. CONCLUSION: MBC-PT was effective for improving BPI-CP and EORTC-QLQ-C30 scores in people with cancer pain.
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spelling pubmed-36808362013-06-13 Mechanism-based Classification and Physical Therapy Management of Persons with Cancer Pain: A Prospective Case Series Kumar, Senthil P Prasad, Krishna Kumar, Vijaya K Shenoy, Kamalaksha Sisodia, Vaishali Indian J Palliat Care Original Article CONTEXT: Mechanism-based classification (MBC) was established with current evidence and physical therapy (PT) management methods for both cancer and for noncancer pain. AIMS: This study aims to describe the efficacy of MBC-based PT in persons with primary complaints of cancer pain. SETTINGS AND DESIGN: A prospective case series of patients who attended the physiotherapy department of a multispecialty university-affiliated teaching hospital. MATERIAL AND METHODS: A total of 24 adults (18 female, 6 male) aged 47.5 ± 10.6 years, with primary diagnosis of heterogeneous group of cancer, chief complaints of chronic disabling pain were included in the study on their consent for participation The patients were evaluated and classified on the basis of five predominant mechanisms for pain. Physical therapy interventions were recommended based on mechanisms identified and home program was prescribed with a patient log to ensure compliance. Treatments were given in five consecutive weekly sessions for five weeks each of 30 min duration. STATISTICAL ANALYSIS USED: Pre–post comparisons for pain severity (PS) and pain interference (PI) subscales of Brief pain inventory-Cancer pain (BPI-CP) and, European organization for research and treatment in cancer-quality of life questionnaire (EORTC-QLQ-C30) were done using Wilcoxon signed-rank test at 95% confidence interval using SPSS for Windows version 16.0 (SPSS Inc, Chicago, IL). RESULTS: There were statistically significant (P < 0.05) reduction in pain severity, pain interference and total BPI-CP scores, and the EORTC-QLQ-C30. CONCLUSION: MBC-PT was effective for improving BPI-CP and EORTC-QLQ-C30 scores in people with cancer pain. Medknow Publications & Media Pvt Ltd 2013 /pmc/articles/PMC3680836/ /pubmed/23766592 http://dx.doi.org/10.4103/0973-1075.110225 Text en Copyright: © Indian Journal of Palliative Care http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Kumar, Senthil P
Prasad, Krishna
Kumar, Vijaya K
Shenoy, Kamalaksha
Sisodia, Vaishali
Mechanism-based Classification and Physical Therapy Management of Persons with Cancer Pain: A Prospective Case Series
title Mechanism-based Classification and Physical Therapy Management of Persons with Cancer Pain: A Prospective Case Series
title_full Mechanism-based Classification and Physical Therapy Management of Persons with Cancer Pain: A Prospective Case Series
title_fullStr Mechanism-based Classification and Physical Therapy Management of Persons with Cancer Pain: A Prospective Case Series
title_full_unstemmed Mechanism-based Classification and Physical Therapy Management of Persons with Cancer Pain: A Prospective Case Series
title_short Mechanism-based Classification and Physical Therapy Management of Persons with Cancer Pain: A Prospective Case Series
title_sort mechanism-based classification and physical therapy management of persons with cancer pain: a prospective case series
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3680836/
https://www.ncbi.nlm.nih.gov/pubmed/23766592
http://dx.doi.org/10.4103/0973-1075.110225
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