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Management of chronic pain patients.

Klingler, Matt C.

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Management of chronic pain patients.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Management of chronic pain patients./
Author:	Klingler, Matt C.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2016,
Description:	46 p.
Notes:	Source: Dissertation Abstracts International, Volume: 78-05(E), Section: B.
Contained By:	Dissertation Abstracts International78-05B(E).
Subject:	Physical therapy. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=10183662
ISBN:	9781369317978

Management of chronic pain patients.
Klingler, Matt C.

Management of chronic pain patients. - Ann Arbor : ProQuest Dissertations & Theses, 2016 - 46 p.

Source: Dissertation Abstracts International, Volume: 78-05(E), Section: B.

Thesis (D.P.T.)--Azusa Pacific University, 2016.

A literature search was performed in order to assess whether Neuroscience Education (NE) was as effective as drug therapy (Gabapentin) for patients with chronic low back pain on reducing Roland-Morris Disability Questionnaire (RMDQ) and Visual Analog Scale (VAS) scores. Searches were performed in March 2016 through PubMed, the Physiotherapy Evidence Database (PEDro) and the Cochrane Library. From the literature recovered, five key articles were chosen for further review. Both Gabapentin (Moore, Wiffen, Derry, and McQuay, 2011) and NE (Louw, Diener, Butler, and Puentedura, 2011) significantly reduced VAS scores beyond the Minimally Clinically Important Difference (MCID), which is 30 millimeters (Boonstra, et al., 2008). Drug therapy (Imamura, 2015) and NE (Louw, Diener, Butler, and Puentedura, 2011), administered in four one-hour sessions, both decreased RMDQ by more than the MCID over the course of one month. However, drug therapy posed the risk of side effects (Imamura, 2015), and NE did not (Louw, Diener, Butler, and Puentedura, 2011). More research is needed on both interventions in the same study to determine which intervention yields better results. Additionally, new research looking specifically at women is necessary. NE is a more viable treatment option for a middle-aged woman with chronic low back pain as it does not pose the risk of side effects associated with drug therapy and yields similar effectiveness on reducing pain and disability scores.

ISBN: 9781369317978Subjects--Topical Terms:

588713
Physical therapy.

Management of chronic pain patients.
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500 $a Source: Dissertation Abstracts International, Volume: 78-05(E), Section: B.
500 $a Adviser: Penny K. Eccles.
502 $a Thesis (D.P.T.)--Azusa Pacific University, 2016.
520 $a A literature search was performed in order to assess whether Neuroscience Education (NE) was as effective as drug therapy (Gabapentin) for patients with chronic low back pain on reducing Roland-Morris Disability Questionnaire (RMDQ) and Visual Analog Scale (VAS) scores. Searches were performed in March 2016 through PubMed, the Physiotherapy Evidence Database (PEDro) and the Cochrane Library. From the literature recovered, five key articles were chosen for further review. Both Gabapentin (Moore, Wiffen, Derry, and McQuay, 2011) and NE (Louw, Diener, Butler, and Puentedura, 2011) significantly reduced VAS scores beyond the Minimally Clinically Important Difference (MCID), which is 30 millimeters (Boonstra, et al., 2008). Drug therapy (Imamura, 2015) and NE (Louw, Diener, Butler, and Puentedura, 2011), administered in four one-hour sessions, both decreased RMDQ by more than the MCID over the course of one month. However, drug therapy posed the risk of side effects (Imamura, 2015), and NE did not (Louw, Diener, Butler, and Puentedura, 2011). More research is needed on both interventions in the same study to determine which intervention yields better results. Additionally, new research looking specifically at women is necessary. NE is a more viable treatment option for a middle-aged woman with chronic low back pain as it does not pose the risk of side effects associated with drug therapy and yields similar effectiveness on reducing pain and disability scores.
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