A Pain Self-management Program with Tai Chi Ingredient Snowballing
2005, in Kingston City of Ontario, Canada, family physician Dr. Ruth Dubin, discouraged by the lack of improvement in the
lives of her patients suffering from chronic non-cancer pain, spearheaded a
multidisciplinary team that included physicians, pain specialists, a nurse,
physiotherapists, an occupational therapist, a psychologist, an exercise
physiologist, and fitness trainers from the Kingston Family YMCA.
developed a 12-week exercise and education program, Y-PEP, based on the chronic
pain self-management program by Dr Sandra LeFort at
Memorial University of Newfoundland in St
Johnís. Y-PEP sessions include concepts, such as
pacing, problem solving, and setting goals, and gently graded exercises, such
as Tai Chi, Yoga, and pool therapy.
this low-cost community-based program has "really snowballed", says
Dr Dubin. Word of Y-Pep's positive results has spread
and Dr. Dubin and her research partner, Cheryl
King-Van Vlack, a rehabilitation professor at
Queen's, are now in high demand at pain conferences.
In the March
2009 issue of Canadian
Dr. Dubin talked about this program: "Those who
completed the program had reductions in their depression scores, which
correlated with reductions in the degree to which their pain interfered with
their lives and increases in their functioning."
qualitative interviews revealed themes of hope, social support, and coping
skills that were associated with decreased depression, a shift to an internal
locus of control, and increased assertiveness when communicating
about pain. Participants indicated that these factors assisted with their pain
management and enhanced their participation in meaningful occupations."
participation, two of Dr. Dubin's chronic pain
patients returned to work after many years of complete
Dr Ruth Dubin
invites you to contact her to find out how you can start a Y-Pep program and
bring it to your own community. You can email her at firstname.lastname@example.org.