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

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.

Estratégias para o desenvolvimento de educação em saúde sobre dor no hospital

“…Tais artigos são apresentados no Quadro 1. Em relação à caracterização, 2018 foi o ano com maior número de publicações, com quatro estudos (Lima & Reis, 2018;Loduca et al, 2018;Alvarez, et al, 2018;Sullivan et al, 2018), seguido do ano de 2019 com três estudos publicados (Valentim et al, 2019;Vieira et al, 2019;Chu et al, 2019). Estados Unidos da América (Marco et al, 2006;Sullivan et al, 2018;Buchbinder, Wilbur, Mclean & Leath, 2015;Street et al, 2010;Syrjala et al, 2008;West et al, 2003;Erkes, Parker;Carr & Mayo, 2001) e Brasil (Valentim et al, 2019;Vieira et al, 2019;Lima & Reis, 2018;Loduca et al, 2018;Mendez et al, 2017;Alvarez et al, 2018) foram os dois países com maior número mais publicações sobre o tema, tendo sete e seis artigos publicados respectivamente.…”

“…Quanto ao delineamento, 12 estudos utilizaram a abordagem quantitativa (Vieira et al, 2019;Loduca et al, 2018;Alvarez et al, 2018;Marco et al, 2006;Chu et al, 2019;Sullivan et al, 2018;Capewell;Gregory, Closs & Bennett, 2010;Street et al, 2010;Syrjala et al, 2008;Yates et al, 2004;Edwards et al, 2001;Erkes, Parkerg, Carr & Mayo, 2001) e cinco utilizaram a abordagem qualitativa (Valentim et al, 2019;Lima & Reis, 2018;Mendez et al, 2017;Buchbinder;Wilbur;Mclean & Sleath, 2015;West et al, 2003).…”

“…Sobre o tipo de amostragem, quando mencionada, 12 estudos utilizaram a forma intencional (Valentim et al, 2019;Vieira et al, 2019;Lima & Reis, 2018;Loduca et al, 2018;Mendez et al, 2017;Alvarez et al, 2018;Chu et al, 2019;Sullivan et al, 2018;Buchbinder;Wilbur;Mclean & Sleath, 2015;West et al, 2003;Edwards et al, 2001;Erkes, Parkerg, Carr & Mayo, 2001) e cinco a randomizada (Marco et al, 2006;Capewell, Gregory, Closs & Bennett, 2010;Street et al, 2010;Syrjala et al, 2008;Yates et al, 2004).…”

“…A respeito dos participantes, dois estudos apresentaram como participantes enfermeiros, médicos e pacientes (Buchbinder, Wilbur, Mclean, Sleath, 2015;Syrjala et al, 2008), oito somente pacientes (Vieira et al, 2019;Lima & Reis, 2018;Loduca et al, 2018;Mendez et al, 2017;Marco et al, 2006;Sullivan et al, 2018;Yates et al, 2004;West et al, 2003), um com pacientes e familiares (Capewell, Gregory, Closs & Bennett, 2010), um com pacientes e médicos (Street et al, 2010), Research, Society and Development, v. 10, n. 3, e25210313297, 2021 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v10i3.13297 um com enfermeiros e estudantes (Alvarez et al, 2018), e três somente com enfermeiros (Chu et al, 2019;Edwards et al, 2001;Yates et al, 2004).…”

“…Quanto à análise de dados, nove estudos utilizaram estatística descritiva (Vieira et al, 2019;Loduca et al, 2018;Alvarez et al, 2018;Marco et al, 2006;Sullivan et al, 2018;Capewell, Gregory, Closs & Bennett, 2010;Syrjala et al, 2008;Yates et al, 2004;Erkes, Parkerg, Carr & Mayo, 2001), seis empregaram análise do conteúdo (Valentim et al, 2019;Mendez et al, 2017;Chu et al, 2019;Buchbinder, Wilbur, Mclean, Sleath, 2015;Street et al, 2010;West et al, 2003) e dois recorreram à análise de conteúdo em combinação com estatística descritiva (Lima & Reis, 2018;Edwards et al, 2001).…”