Mechanism-based classification and physical therapy management of persons with cancer pain: A prospective case series

Senthil P. Kumar, Krishna Prasad, Vijaya K. Kumar, Kamalaksha Shenoy, Vaishali Sisodia

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)27-33
Number of pages7
JournalIndian Journal of Palliative Care
Volume19
Issue number1
DOIs
Publication statusPublished - 01-01-2013

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Pain
Therapeutics
Equipment and Supplies
Patient Participation
Cancer Pain
Nonparametric Statistics
Teaching Hospitals
Chronic Pain
Compliance
Neoplasms
Quality of Life
Organizations
Confidence Intervals
Research

All Science Journal Classification (ASJC) codes

  • Health Policy
  • Public Health, Environmental and Occupational Health

Cite this

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. In: Indian Journal of Palliative Care. 2013 ; Vol. 19, No. 1. pp. 27-33.
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abstract = "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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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.

In: Indian Journal of Palliative Care, Vol. 19, No. 1, 01.01.2013, p. 27-33.

Research output: Contribution to journalArticle

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