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

HIV/AIDS - Research and Palliative Care Sep 26, 2017

Pullen S - Authors planned this work to assess the effect of physical therapy (PT) on self-reported pain scores and pain medication usage in people living with HIV (PLHIV) enrolled in a multidisciplinary HIV clinic. Results suggested PT intervention was effective, cost-effective, non-pharmacological method to decrease chronic pain in PLHIV.

Methods

  • In PLHIV enrolled in a multidisciplinary HIV clinic, authors determined the effect of PT on self-reported pain scores and pain medication usage.
  • They collected data via reviews of patient medical records within a certain timeframe.
  • They gathered data from patient charts for two points: initial PT encounter (Time 1) and PT discharge or visit ≤4 months after initial visit (Time 2).

Results

  • During the study period, subjects receiving PT reported decreased pain (65.2%), elimination of pain (28.3%), no change in pain (15.2%), and increased pain (6.5%).
  • There were three-quarters of the subjects who reported a minimal clinically important difference (MCID) in pain score, and more than half that reported a decrease in pain score over the MCID.
  • A trend of decreasing pain medication prescription and usage was observed among subjects during the study period.

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