Physical therapy as non-pharmacological chronic pain management of adults living with HIV: self-reported pain scores and analgesic use

Sara Pullen Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, GA, USA Background: HIV-related chronic pain has emerged as a major symptom burden among people living with HIV (PLHIV). Physical therapy (PT) has been shown to be effective as a non-pharmacological meth...

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Autor principal:	Pullen S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	Chronic pain HIV Physical Therapy Opioids Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/e425718b814947c6b06f8c4cff19670c
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spelling	oai:doaj.org-article:e425718b814947c6b06f8c4cff19670c2021-12-02T07:25:22ZPhysical therapy as non-pharmacological chronic pain management of adults living with HIV: self-reported pain scores and analgesic use1179-1373https://doaj.org/article/e425718b814947c6b06f8c4cff19670c2017-09-01T00:00:00Zhttps://www.dovepress.com/physical-therapy-as-non-pharmacological-chronic-pain-management-of-adu-peer-reviewed-article-HIVhttps://doaj.org/toc/1179-1373Sara Pullen Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, GA, USA Background: HIV-related chronic pain has emerged as a major symptom burden among people living with HIV (PLHIV). Physical therapy (PT) has been shown to be effective as a non-pharmacological method of chronic pain management in the general population; however, there is a gap in research examining the role of PT for chronic pain among PLHIV. Materials and methods: This study examined the effect of PT on self-reported pain scores and pain medication usage in PLHIV enrolled in a multidisciplinary HIV clinic. Data were collected via reviews of patient medical records within a certain timeframe. Data were gathered from patient charts for two points: initial PT encounter (Time 1) and PT discharge or visit ≤4 months after initial visit (Time 2). Results: Subjects who received PT during this timeframe reported decreased pain (65.2%), elimination of pain (28.3%), no change in pain (15.2%), and increased pain (6.5%). Three-quarters of the subjects reported a minimal clinically important difference (MCID) in pain score, and more than half reported a decrease in pain score over the MCID. Subjects showed a trend of decreasing pain medication prescription and usage during the study period. Conclusion: Results of the current study indicate that in this sample, PT intervention appears to be an effective, cost-effective, non-pharmacological method to decrease chronic pain in PLHIV. Keywords: HIV, pain, physical therapy, opioidsPullen SDove Medical PressarticleChronic painHIVPhysical TherapyOpioidsImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol Volume 9, Pp 177-182 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Chronic pain HIV Physical Therapy Opioids Immunologic diseases. Allergy RC581-607
spellingShingle	Chronic pain HIV Physical Therapy Opioids Immunologic diseases. Allergy RC581-607 Pullen S Physical therapy as non-pharmacological chronic pain management of adults living with HIV: self-reported pain scores and analgesic use
description	Sara Pullen Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, GA, USA Background: HIV-related chronic pain has emerged as a major symptom burden among people living with HIV (PLHIV). Physical therapy (PT) has been shown to be effective as a non-pharmacological method of chronic pain management in the general population; however, there is a gap in research examining the role of PT for chronic pain among PLHIV. Materials and methods: This study examined the effect of PT on self-reported pain scores and pain medication usage in PLHIV enrolled in a multidisciplinary HIV clinic. Data were collected via reviews of patient medical records within a certain timeframe. Data were gathered from patient charts for two points: initial PT encounter (Time 1) and PT discharge or visit ≤4 months after initial visit (Time 2). Results: Subjects who received PT during this timeframe reported decreased pain (65.2%), elimination of pain (28.3%), no change in pain (15.2%), and increased pain (6.5%). Three-quarters of the subjects reported a minimal clinically important difference (MCID) in pain score, and more than half reported a decrease in pain score over the MCID. Subjects showed a trend of decreasing pain medication prescription and usage during the study period. Conclusion: Results of the current study indicate that in this sample, PT intervention appears to be an effective, cost-effective, non-pharmacological method to decrease chronic pain in PLHIV. Keywords: HIV, pain, physical therapy, opioids
format	article
author	Pullen S
author_facet	Pullen S
author_sort	Pullen S
title	Physical therapy as non-pharmacological chronic pain management of adults living with HIV: self-reported pain scores and analgesic use
title_short	Physical therapy as non-pharmacological chronic pain management of adults living with HIV: self-reported pain scores and analgesic use
title_full	Physical therapy as non-pharmacological chronic pain management of adults living with HIV: self-reported pain scores and analgesic use
title_fullStr	Physical therapy as non-pharmacological chronic pain management of adults living with HIV: self-reported pain scores and analgesic use
title_full_unstemmed	Physical therapy as non-pharmacological chronic pain management of adults living with HIV: self-reported pain scores and analgesic use
title_sort	physical therapy as non-pharmacological chronic pain management of adults living with hiv: self-reported pain scores and analgesic use
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/e425718b814947c6b06f8c4cff19670c
work_keys_str_mv	AT pullens physicaltherapyasnonpharmacologicalchronicpainmanagementofadultslivingwithhivselfreportedpainscoresandanalgesicuse
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Physical therapy as non-pharmacological chronic pain management of adults living with HIV: self-reported pain scores and analgesic use

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