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Interdisciplinary p...
Interdisciplinary pain rehabilitation for patients with Ehlers-Danlos syndrome and hypermobility spectrum disorders
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- Molander, Peter (författare)
- Linköpings universitet,Psykologi,Filosofiska fakulteten,Region Östergötland, Smärt och rehabiliteringscentrum
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- Novo, Mehmed (författare)
- Umeå universitet,Rehabiliteringsmedicin,Umea Univ, Sweden
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- Ringqvist, Åsa (författare)
- Department of Neurosurgery and Pain Rehabilitation, Skåne University Hospital, Lund, Sweden,Skane Univ Hosp, Sweden
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- Hållstam, Andrea (författare)
- Karolinska Institutet
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- Hesser, Hugo, 1982- (författare)
- Linköpings universitet,Örebro universitet,Institutionen för beteende-, social- och rättsvetenskap,Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden; School of Behavioural, Social and Legal Sciences, Center for Health and Medical Psychology, Örebro University, Sweden,Psykologi,Filosofiska fakulteten,Region Östergötland, Öron- näsa- och halskliniken,Orebro Univ, Sweden
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- Löfgren, Monika (författare)
- Karolinska Institutet,Danderyd Hosp, Sweden
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- Stålnacke, Britt-Marie, 1955- (författare)
- Umeå universitet,Rehabiliteringsmedicin,Umea Univ, Sweden
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- Gerdle, Björn (författare)
- Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Region Östergötland, Smärt och rehabiliteringscentrum
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(creator_code:org_t)
- Foundation for Rehabilitation Information, 2024
- 2024
- Engelska.
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Ingår i: Journal of Rehabilitation Medicine. - : Foundation for Rehabilitation Information. - 1650-1977 .- 1651-2081. ; 56
- Relaterad länk:
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https://doi.org/10.2...
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https://umu.diva-por... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.2...
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https://urn.kb.se/re...
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http://kipublication...
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https://urn.kb.se/re...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- OBJECTIVE: Chronic pain is a common manifestation of Ehlers-Danlos syndrome and hypermobility spectrum disorders; thus it is often suggested that patients undergo generic interdisciplinary pain rehabilitation, despite there being little evidence to support this decision. The aim of this study is to examine the effectiveness of standard rehabilitation programmes for chronic pain on patients with Ehlers-Danlos syndrome and hypermobility spectrum disorders, compared with patients with other chronic pain disorders.SUBJECTS: Data, collected between 2008 and 2016, were extracted from a Swedish national registry. The patient data comprised of 406 cases with Ehlers-Danlos syndrome or hypermobility spectrum disorders, 784 cases with a whiplash-related diagnosis, 3713 cases with diagnoses relating to spinal pain, and 2880 cases of fibromyalgia.METHODS: The differences between groups on key outcome measures from pre- to 1-year follow-up after interdisciplinary pain rehabilitation were analysed using linear mixed effects models. Sensitivity analysis in the form of pattern-mixture modelling was conducted to discern the impact of missing data. RESULTS: No significant differences were found in improvements from pre- to 1-year follow-up for patients with Ehlers-Danlos syndrome or hypermobility spectrum disorder compared with other diagnostic groups regarding measures of health-related quality of life, mental health, or fatigue. At follow-up, differences in pain interference (d = -0.34 (95% confidence interval [95% CI] -0.5 to -0.18)), average pain (d = 0.22 (95% CI 0.11-0.62)) and physical functioning (d = 2.19 (95% CI 1.61-2.77)) were detected for the group with spinal-related diagnoses in relation to those with EDS/HSD, largely due to pre-treatment group differences. Sensitivity analysis found little evidence for missing data influencing the results.CONCLUSION: This study suggests that patients with Ehlers-Danlos syndrome/hypermobility spectrum disorders may benefit from inclusion in an interdisciplinary pain rehabilitation programme.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Allmänmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- General Practice (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Sjukgymnastik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Physiotherapy (hsv//eng)
Nyckelord
- chronic pain
- rehabilitation
- Ehlers-Danlos syndrome
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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