Pain rhythm, physical activity level, patient education

Rehabilitation, Pain

A seven-day study was conducted on pain rhythms in patients with chronic pain, and it was reported that there are three different types of pain rhythms with different rhythm types (Tanaka Y et al. Medicine. 2021). Pain rhythm refers to the diurnal variation in pain intensity, and in recent years, it has become important to understand these individual pain rhythms and then provide rehabilitation to improve activities of daily living (ADL) and quality of life (QOL).
This study aims to examine the effectiveness of an intervention method that takes into account pain rhythm compared to conventional intervention methods for patients with chronic pain, in improving ADL and QOL, and to construct a new intervention model for chronic pain rehabilitation.

Personalized chronic pain rehabilitation incorporating pain rhythms in patients with chronic pain

• Patient education programs can be created based on the characteristics of daily pain fluctuations rather than pain assessment at a single point in time.
• Evaluation based on objective indicators using activity monitors and sleep measuring devices is possible

By combining pain education with exercise therapy and creating a program that properly takes into account the individual's pain rhythm, it is expected that there will be further improvements in the ADL and QOL of those with chronic pain.

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1. Tanaka Y, Shigetoh H, Sato G, Fujii R, Imai R, Osumi M, Morioka S: Classification of circadian pain rhythms and pain characteristics in chronic pain patients: an observational study, Medicine (Baltimore); 100(25):e26500, 2021
2. Tanaka Y, Sato G, Imai R, Osumi M, Shigetoh H, Fujii R, Morioka S: Effectiveness of patient education focusing on circadian pain rhythms: A case report and review of literature. World J Clin Cases; 9(17): 4441-4452, 2021
3. Shigetoh H, Koga M, Tanaka Y, Morioka S. Central Sensitivity Is Associated with Poor Recovery of Pain: Prediction, Cluster, and Decision Tree Analyses. Pain Research and Management; 8844219, 2020
4. Koga M, Shigetoh H, Tanaka Y, Morioka S. Characteristics of clusters with contrasting relationships between central sensitization-related symptoms and pain. Scientific Reports: 12; 2626, 2022