Original Article

Clinical Efficacy of Physical Factors Combined with Early Psychological Intervention in Treatment of Patients with Chronic Limb Pain

Abstract

Background: To investigate the clinical efficacy of physical factors combined with early psychological intervention in treatment of patients with chronic limb pain.

Methods: A total of 132 patients with chronic limb pain admitted to Affiliated Hospital of Hebei University, Baoding, China from June 2014 to June 2017 were enrolled. The patients were divided into control group (n=66) and observation group (n=66) according to the random number table method. Both groups of patients were treated with physical factors, and the patients in the observation group were also treated with early psychological intervention. PHQ-15 pain factor score, visual analog pain score (VAS score), Hamilton depression rating scale (HAMD) and clinical efficacy were compared between two groups.

Results: Difference of PHQ-15 pain factor score, VAS score and HAMD score between two groups before treatment were not statistically significant (P=0.091, 0.161, 0.078). At the end of treatment and at 8 weeks of follow-up, PHQ-15 pain factor score, VAS score, and HAMD score of observation group were lower than those of control group, and the differences were statistically significant (P=0.045, 0.014; 0.011, 0.025; 0.030, 0.015). Total clinical effective rates of observation group and control group were 92.43% and 86.37%, respectively, and the differences were statistically significant (P=0.019).

Conclusion: Compared with physical factors alone, combination of physical factors and early psychological intervention can significantly alleviate the pain and improve the depression of patients with chronic limb pain. It should be promoted in clinical practices.

 

 

1. Herin F, Vezina M, Thaon I, Soulat JM, Par-is C, ESTEV group (2014). Predictive risk factors for chronic regional and multisite musculoskeletal pain: a 5-year prospective study in a working population. Pain, 155(5): 937-943.
2. Thomas S (2015). Effectiveness of electro-myographic biofeedback, mirror therapy, and tactile stimulation in decreasing chronic residual limb pain and phantom limb pain for a patient with a shoulder disarticulation. Journal of Prosthetics and Or-thotics, 27(3): 68-76.
3. Drummond PD, Finch PM (2014). A dis-turbance in sensory processing on the af-fected side of the body increases limb pain in complex regional pain syndrome. Clin J Pain, 30(4): 301-306.
4. Deer TR, Mekhail N, Provenzano D, et al (2014). The appropriate use of neu-rostimulation of the spinal cord and pe-ripheral nervous system for the treatment of chronic pain and ischemic diseases: the Neuromodulation Appropriateness Consensus Committee. Neuromodulation, 17(6): 515-550; discussion 550.
5. van Hooff ML, Spruit M, O'Dowd JK, van Lankveld W, Fairbank JC, van Limbeek J (2014). Predictive factors for successful clinical outcome 1 year after an intensive combined physical and psychological programme for chronic low back pain. Eur Spine J, 23(1): 102-112.
6. McCormick Z, Chang-Chien G, Marshall B, Huang M, Harden RN (2014). Phantom limb pain: a systematic neuroanatomical-based review of pharmacologic treatment. Pain Med, 15(2): 292-305.
7. Zhang R, Chomistek AK, Dimitrakoff JD, Giovannucci EL, Willett WC, Rosner BA, Wu K (2015). Physical activity and chron-ic prostatitis/chronic pelvic pain syn-drome. Med Sci Sports Exerc, 47(4): 757-764.
8. Wideman TH, Finan PH, Edwards RR, Quartana PJ, Buenaver LF, Hay-thornthwaite JA, Smith MT (2014). In-creased sensitivity to physical activity among individuals with knee osteoarthri-tis: relation to pain outcomes, psycholog-ical factors, and responses to quantitative sensory testing. Pain, 155(4): 703-711.
9. Fuentes J, Armijo-Olivo S, Funabashi M, Miciak M, Dick B, Warren S, Rashiq S, Magee DJ, Gross DP (2013). Enhanced therapeutic alliance modulates pain inten-sity and muscle pain sensitivity in patients with chronic low back pain: an experi-mental controlled study. Physical Therapy, 94(4): 477-489.
10. Elander J (2014). A review of evidence about behavioural and psychological aspects of chronic joint pain among people with haemophilia. Haemophilia, 20(2): 168-175.
11. Baumeister H, Seifferth H, Lin J, Nowoczin L, Luking M, Ebert D (2015). Impact of an Acceptance Facilitating Intervention on Patients' Acceptance of Internet-based Pain Interventions: A Randomized Con-trolled Trial. Clin J Pain, 31(6): 528-535.
12. Trompetter HR, Bohlmeijer ET, Veehof MM, Schreurs KM (2015). Internet-based guided self-help intervention for chronic pain based on Acceptance and Commit-ment Therapy: a randomized controlled trial. J Behav Med, 38(1): 66-80.
Files
IssueVol 48 No 5 (2019) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/ijph.v48i5.1802
Keywords
Chronic limb pain Physical factors Early psychological intervention Clinical efficacy
Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
QIN L, CUI C, HUO Y, YANG X, ZHAO Y. Clinical Efficacy of Physical Factors Combined with Early Psychological Intervention in Treatment of Patients with Chronic Limb Pain. Iran J Public Health. 2019;48(5):858-863.