Clinical trial · Interventional

Occupational Therapy Modulates the Pain in Cancer Patient Under Palliative Care

Occupational Therapy Modulates the Pain in Cancer Patient Under Palliative

NCT02102178CI-TRIAL-00014172completedPhase 2ClinicalTrials.gov clinicaltrialsPublishedExplore in graph →

Summary

Brief summary (as posted)

Pain is one of the most incapacitating symptoms because it is a complex experience that includes sensory and emotional perceptions, in which sensory, affective, cognitive, behavioral, cultural and social characteristics interact. Around 79% of advanced cancer cases present pain. There is evidence that non-pharmacological therapeutic activities are useful for controlling oncological pain and other symptoms resulting from such diseases. This study evaluated the results relating to pain modulation and improvement of emotional symptoms and quality of life, from an occupational therapy program applied to oncological patients who were receiving palliative care.

Conditions

Conditions (3)

Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.

Condition (as posted)	Mapped entity	Match	Confidence
Cancer	Malignant Neoplasm	ALIAS	0.90
Pain	—	UNRESOLVED	—
Terminal Disease	—	UNRESOLVED	—

Interventions

Interventions (4)

Intervention	Type	Mapped drug	Match
Domino game	Other	—	UNRESOLVED
Regular occupation therapy	Other	—	UNRESOLVED
Tapestry	Other	—	UNRESOLVED
Weaving a scarf on a nail frame	Other	—	UNRESOLVED

Design

Arms and outcomes

Arms (2)

type
EXPERIMENTAL
label
Group 1 (Intensive occupational therapy)
description
All patients received pharmacological treatment for pain in accordance with the World Health Organization (WHO)'s analgesic ladder and occupational therapy follow-up, with guidance regarding activities of daily living (ADLs). They also carried out therapeutic activities such as embroidery onto gauze (tapestry), weaving a scarf on a nail frame and playing dominos.
interventionNames
1. Other: Tapestry
2. Other: Regular occupation therapy
3. Other: Weaving a scarf on a nail frame
4. Other: Domino game
type
ACTIVE_COMPARATOR
label
Group 2 (Regular occupation therapy)
description
All patients received pharmacological treatment for pain in according to WHO's analgesic ladder and only guidance regarding ADLs from the occupational therapist.
interventionNames
1. Other: Regular occupation therapy

Primary outcomes (1)

Eligibility

Eligibility (as posted)

Sex: All
Minimum age: 18 Years

Show eligibility criteria text

Inclusion Criteria:

* \> 18 years old
* advanced neoplasia without therapeutic possibilities for cure
* intensity of pain greater than or equal to 5 on the 10-centimeter VAS.
* expected to live for more than three months,
* Karnofsky Performance Status (KPS) of between 40 and 70%
* Patients not candidate to palliative and antalgic chemotherapy and/or radiotherapy.
* Patients or their legal representatives must be able to read, understand and provide written informed consent to participate in the study.

Exclusion Criteria:

* Presence of aphasia and/or severe visual disturbances;
* Patients admitted to hospital for pain control in situations considered to be pain emergencies such as bone fracture, infection, medullary compression or metastasis in the central nervous system
* Patients with poor cognitive capacity (unable to understand the research questionnaires)

References

Publications (6)

BACKGROUNDKasven-Gonzalez N, Souverain R, Miale S. Improving quality of life through rehabilitation in palliative care: case report. Palliat Support Care. 2010 Sep;8(3):359-69. doi: 10.1017/S1478951510000167. PMID 20875180
BACKGROUNDSviden GA, Tham K, Borell L. Involvement in everyday life for people with a life threatening illness. Palliat Support Care. 2010 Sep;8(3):345-52. doi: 10.1017/S1478951510000143. PMID 20875178
BACKGROUNDHalkett GK, Ciccarelli M, Keesing S, Aoun S. Occupational therapy in palliative care: is it under-utilised in Western Australia? Aust Occup Ther J. 2010 Oct;57(5):301-9. doi: 10.1111/j.1440-1630.2009.00843.x. PMID 20868419
BACKGROUNDMeredith PJ. Has undergraduate education prepared occupational therapy students for possible practice in palliative care? Aust Occup Ther J. 2010 Aug;57(4):224-32. doi: 10.1111/j.1440-1630.2009.00836.x. PMID 20854596
BACKGROUNDKumano K, Matsuda N, Matsumoto H, Noguchi A, Tada Y, Koezuka M, Sano K, Kasamatu Y. [The role of occupational therapist in Palliative Care Team]. Gan To Kagaku Ryoho. 2010 Sep;37(9):1825-7. No abstract available. Japanese. PMID 20841957
BACKGROUNDKuhara S, Kakou H, Tokuo M, Nogami M, Takemura J, Hachisuka K. [Palliative rehabilitation of two patients with terminal stage cancer: a visit to patient's home and the provision of advice by a nurse and rehabilitation staff members before discharge--from physical therapist's perspective]. J UOEH. 2009 Dec 1;31(4):359-64. doi: 10.7888/juoeh.31.359. Japanese. PMID 20000010