Effectiveness of patient education focusing on circadian pain rhythms:A case report and review of literature  

作　　者：Yoichi Tanaka Gosuke Sato Ryota Imai Michihiro Osumi Hayato Shigetoh Ren Fujii Shu Morioka 

机构地区：[1]Graduate School of Health Sciences,Kio University,Kitakatsuragi-gun 635-0832,Nara,Japan [2]Department of Rehabilitation,Nara Prefecture General Rehabilitation Center,Shiki Gun Tawaramoto Cho 636-0345,Nara,Japan [3]Neuro Rehabilitation Research Center,Kio University,Kitakatsuragi-gun 635-0832,Nara,Japan [4]Department of Rehabilitation,Osaka Kawasaki Rehabilitation University,Kaizuka Shi 597-0104,Osaka,Japan

出　　处：《World Journal of Clinical Cases》2021年第17期4441-4452,共12页世界临床病例杂志

摘　　要：BACKGROUND Neuropathic pain management should aim at improving quality of life and daily living activities of patients;therefore,emphasis should be placed on pain management including understanding the pain patterns during daily activity.Therefore,lifestyle guidance should be based on a detailed understanding of pain;however,previous studies commonly evaluated pain intensity at a single point in time.We report a case on patient education intervention based on the relationship between pain circadian rhythms and detailed physical activity during the day.CASE SUMMARY A man in his 60s,who suffered a brachial plexus injury in a traffic accident,presented with neuropathic pain.Early assessment of the importance of daily living activities to the patient,pain rhythmicity,and physical activity,was performed.The early assessments showed that the pain intensity was lower on days when more light-intensity physical activity(LIPA)was performed,than on days when less LIPA was performed.Consequently,patient education focused on methods to decrease the pain intensity that tended to worsen in the afternoon,and encouraged behavioral changes by suggesting the patient to take walks,which could be used to maintain LIPA in the afternoon.On reassessment,the afternoon LIPA,which had been the focus of attention,had increased and a change was noted in the circadian rhythm of pain.CONCLUSION Patient education based on a composite assessment elicited positive results in relation to the pain circadian rhythm and physical activity.

关 键 词：Circadian rhythms Physical activity Neuropathic pain Pain management Patient education Case report 

分 类 号：R402[医药卫生—临床医学]