Clinical Presentation
The case described in [PMID:33617425] highlights chronic pain and heightened pain sensitivity as common clinical presentations in post-stroke patients, which responded positively to hypnotic treatment.
Management
In a case study [PMID:33617425], hypnotic analgesia led to improved pain control and reduced pain hypersensitivity in a post-stroke patient, suggesting its utility in multidisciplinary rehabilitation settings.
Patients receiving hypnosis alongside attention reported greater pain reduction (p = .02) and more rapid pain control (p = .03) with increasing age, without significant differences by age. Additionally, anxiety reduction was more rapid with attention and hypnosis (p = .03), though final anxiety levels showed trends without reaching statistical significance across age groups [PMID:17289823].
The study found that as age increased, patients experienced more rapid pain control with hypnosis (p = .03) [PMID:17289823].
Patients in the hypnosis and attention groups requested and received less medication and had less oxygen desaturation ≤89% compared to standard care (p < .001). However, older patients showed greater oxygen desaturation in the standard care group, suggesting a differential effect by age [PMID:17289823].
Prognosis & Follow-up
The patient in [PMID:33617425] demonstrated high compliance with multidisciplinary rehabilitation when incorporating hypnotic therapy, indicating potential for improved prognosis and follow-up outcomes.
References
1 Formica C, Micchia K, Cartella E, De Salvo S, Bonanno L, Corallo F et al.. Analgesic hypnotic treatment in a post-stroke patient. The American journal of clinical hypnosis 2021. link 2 Lutgendorf SK, Lang EV, Berbaum KS, Russell D, Berbaum ML, Logan H et al.. Effects of age on responsiveness to adjunct hypnotic analgesia during invasive medical procedures. Psychosomatic medicine 2007. link
2 papers cited of 3 indexed.