1000 Section - Cognitive behavioral therapy-based exercise facilitation method using the “Ikiiki Rehabilitation Notebook” in patients with intractable chronic pain

The subjects were 12 males and 23 females (mean age 54) with chronic low back (n=17), lower extremity (n=14), high back (n=2), LBP with lower extremity (n=1) or neck (n=1) pain without specific lesions. Indications for using the notebook were as follows: (1) Numerical Rating Scale (NRS) for pain > 3/10, (2) all patients had pain somewhere in the body for more than 3 months, resulting in disability in activities of daily living (ADL), and (3) the patients are eager to do rehabilitation therapy. Patients were asked to write in their notebooks daily or once a week regarding their feeling, though, and exercise routine (muscle exertion, gait distance). Each case was evaluated in terms of the NRS, the pain disability assessment scale (PDAS), pain catastrophizing scale (PCS), and EuroQol 5 Dimension (EQ-5D) which evaluate quality of life (QOL) at pretreatment and post-treatment.

Results: The NRS, PDAS, PCS, and EQ-5D were improved significantly 11 months after starting to use the notebook.

Conclusion: The Ikiiki Rehabilitation Notebook is a valuable tool to educate patients about the cause and treatment of pain and to actively facilitate CBT-based exercise, resulting in the improvement of ADL and QOL.