以非生物廻饋放訓練治療慢性頑固疼痛之經驗報告

Treatment of Chronic Intractable Pain by Non-biofeedback Relaxation Technique: An Experience Report

陳國威(Guo-Wei Chen)

《中華民國復健醫學會雜誌》 16期 (1988/12) Pp. 1-6

https://doi.org/10.6315/JRMA.198812.0001

摘要

自1986年元月至1988年4月，共選擇了42例慢性疼痛患者為研究對象，年齡介于25～60歲之間。這些患者患病時全都超過三年，經內外科治療效果不彰，經復健治療半年以上亦無明顯進步，嚴重影響身心平衡。經每週一次個別指導非生物迴饋放鬆訓練，連續兩個月後，有18例（42.8％）在主觀上有明顯改善，10例（23.8％）有輕度改善，成功率為66.6％。症狀改善之患者中以非特異性疼痛之患者最為明顯，14例中有13例得到主觀上之明顯改善，一例得到輕度改善，成功率為100％，其他各類型的疼痛亦多有改善。由於疼痛之評估做都含有主觀成份，尤其是慢性疼痛，故本文僅就過去治療病人之經驗，提供大家一些參考，主要目的在解說此種放鬆技巧的原理及臨?應用。

並列摘要

From January, 1986 through April, 1998, a total 42 patients with chronic intractable pain, age between 25 and 60 years, were treated by non-biofeed back relaxation technique including progressive relaxation, autogenic phrase, Benson's meditation and visual imagery. All patients had ever received medical, surgical and physical treatments but in vein at all.
Twenty-eight of 42 patients (66.6%)reported getting apparent to slight improvement after relaxation training. Patients in non-specific pain syndrome group had a higher successful result than those in failed back surgery syndrome, cervical syndrome, and low back syndrome groups.
Fourteen of 42 patients failing to get improvement reported some discomfort during training sessions including phobia, anxiety and strange body feeling.

並列關鍵字

non-biofeedback relaxation ； progressive relaxation ； autogenic phrase ； Benson's meditation ； visual imagery