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Pain Management 2019 & Internal Medicine 2019 International Journal of Anesthesiology & Pain Medicine
ISSN: 2471-982X Page 28
JOINT EVENT
7th Edition of International Conference on
Pain Management
8th Edition of International Conference on
Internal Medicine &
Patient Care
&
March 25-26, 2019
Rome, Italy
Interdisciplinary pain rehabilitation program for patients
with FBSS after spinal cord stimulation
Helena Jamnik
University Rehabilitation Institute Republic of Slovenia, Slovenia
Patients with failed back surgery syndrome, treated
with spinal cord stimulation (SCS) rarely report
absence of pain after the procedure. Most of them
have been struggling with chronic pain in the back
and/or legs for many years, consequently confronting
functional limitations in various areas, which may not
resolve automatically after SCS procedure. Main goals of
interdisciplinary pain rehabilitation program for patients
with failed back surgery syndrome after SCS are directed
in behavioral change to support adaptation of patients’
functioning in different areas (physical functioning,
balance training, body mechanics, endurance, mood,
quality of sleep, fatigue and participation in meaningful
activities) without pain exacerbations. The lecture I
will present the consecutive case series study of 10
patients followed one year after SCS combined with
interdisciplinary rehabilitation on the basis of outcome
measures, routinely applied in our clinical practice, aimed
to capture physical symptoms, functioning and possible
goal fulfilment: six min walk test with pain assessment
afterwalking, bergbalance scale, COPM, videoanalysisof
body mechanics, brief pain inventory - pain interference,
maximal pain in the last week by numerical analogue
scale, pain detect and beck depression inventory. Our
previous study right after completion of interdisciplinary
rehabilitation program already demonstrated same
measurable changes which might point to the fulfilment
of goals set individually directed generally into the
behavioral change to adapt better in different areas
of functioning despite remaining pain and sequel of
past long-term chronic pain syndrome. The cognitive
behavioral training seems to be the key processes
supporting the behavioral change.
Biography
Helena Jamnik is an experienced clinician, at the moment
head of the outpatient department at University Rehabilita-
tion Institute of Ljubljana, involved in clinical research, with
experiences in organization of health service, team leadership,
working closely with different clients or collaborators, patients,
health professionals, management staff and academics. She
is specialized in physical medicine and rehabilitation in July
2007, experienced in rehabilitation of different types of disabil-
ities, specialized in chronic pain management in interdisciplin-
ary pain rehabilitation programs.
Helena Jamnik, Int J Anesth Pain Med 2019, Volume 5
DOI: 10.21767/2471-982X-C1-005