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Technical Note

A Novel Exercise Facilitation Method in Combination with Cognitive Behavioral Therapy Using the Ikiiki Rehabilitation Notebook for Intractable Chronic Pain: Technical Report and 22 Cases

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Department of Rehabilitation Medicine, Niigata University Medical and Dental Hospital, Niigata 951-8520, Japan
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Department of Psychosomatic Medicine, Kyushu University Hospital, Fukuoka 812-8582, Japan
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Institute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Niigata 950-3198, Japan
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Department of Physical Therapy, Faculty of Rehabilitation, Kobe Gakuin University, Kobe 651-2180, Japan
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Department of Psychosomatic and General Internal Medicine, Kansai Medical University, Hirakata 573-1010, Japan
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Multidisciplinary Pain Center, Aichi Medical University, Nagakute 480-1195, Japan
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Department of Rehabilitation Medicine, Sapporo Medical University, Sapporo 060-8556, Japan
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Department of Orthopedic Surgery, Niigata University Medical and Dental Hospital, Niigata 951-8520, Japan
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Department of Physical Therapy Course, Niigata University of Rehabilitation, Murakami 958-0053, Japan
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Author to whom correspondence should be addressed.
Academic Editors: Tatsunori Ikemoto, Young-Chang Arai and José Carmelo Adsuar Sala
Healthcare 2021, 9(9), 1209; https://doi.org/10.3390/healthcare9091209
Received: 24 July 2021 / Revised: 3 September 2021 / Accepted: 9 September 2021 / Published: 14 September 2021
(This article belongs to the Special Issue Problems for Managing Chronic Pain)
Recent clinical practice guidelines for chronic pain indicate, with a high evidence level, that the combination of exercise and cognitive behavioral therapy (CBT) is effective. The purpose of this study was to evaluate the effectiveness of an exercise facilitation method in combination with CBT using the “Ikiiki Rehabilitation Notebook” for patients with intractable chronic pain. “Ikiiki” means active in Japanese. A total of 22 cases with chronic low back (n = 13), lower extremity (n = 8), or neck (n = 1) pain were treated using this notebook. Two cases dropped out, leaving 22 cases. Each case was evaluated in terms of the numerical rating scale (NRS) of the pain, activities of daily living (ADL), pain catastrophizing scale (PCS), and quality of life (QOL) at pretreatment and post-treatment. The endpoint of the method was to achieve the long-term goals set by the patients. The mean treatment period was 11.2 months. The outcomes were as follows: improvement of presenteeism: nine cases; enhanced participation in hobbies: seven cases; improved school attendance: two cases; return to work: one case; improvement of self-care and/or self-efficacy: three cases. The NRS, ADL, PCS, and QOL were significantly improved after the treatment. This method is possibly valuable for educating patients about the cause and treatment of chronic pain and actively facilitating exercise and social participation. Further studies are needed to investigate the effectiveness of using this notebook for the patient with intractable chronic pain. View Full-Text
Keywords: psychological therapy; education; notebook; catastrophizing thoughts; quality of life psychological therapy; education; notebook; catastrophizing thoughts; quality of life
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MDPI and ACS Style

Kimura, S.; Hosoi, M.; Otsuru, N.; Iwasaki, M.; Matsubara, T.; Mizuno, Y.; Nishihara, M.; Murakami, T.; Yamazaki, R.; Ijiro, H.; Anno, K.; Watanabe, K.; Kitamura, T.; Yamada, S. A Novel Exercise Facilitation Method in Combination with Cognitive Behavioral Therapy Using the Ikiiki Rehabilitation Notebook for Intractable Chronic Pain: Technical Report and 22 Cases. Healthcare 2021, 9, 1209. https://doi.org/10.3390/healthcare9091209

AMA Style

Kimura S, Hosoi M, Otsuru N, Iwasaki M, Matsubara T, Mizuno Y, Nishihara M, Murakami T, Yamazaki R, Ijiro H, Anno K, Watanabe K, Kitamura T, Yamada S. A Novel Exercise Facilitation Method in Combination with Cognitive Behavioral Therapy Using the Ikiiki Rehabilitation Notebook for Intractable Chronic Pain: Technical Report and 22 Cases. Healthcare. 2021; 9(9):1209. https://doi.org/10.3390/healthcare9091209

Chicago/Turabian Style

Kimura, Shinji, Masako Hosoi, Naofumi Otsuru, Madoka Iwasaki, Takako Matsubara, Yasuyuki Mizuno, Makoto Nishihara, Takanori Murakami, Ryo Yamazaki, Hajime Ijiro, Kozo Anno, Kei Watanabe, Takuya Kitamura, and Shouhei Yamada. 2021. "A Novel Exercise Facilitation Method in Combination with Cognitive Behavioral Therapy Using the Ikiiki Rehabilitation Notebook for Intractable Chronic Pain: Technical Report and 22 Cases" Healthcare 9, no. 9: 1209. https://doi.org/10.3390/healthcare9091209

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