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A 10-year follow-up...
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Emilson, ChristinaUppsala universitet,Fysioterapi
(author)
A 10-year follow-up of tailored behavioural medicine treatment and exercise-based physiotherapy in persistent musculoskeletal pain
- Article/chapterEnglish2017
Publisher, publication year, extent ...
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2016-07-10
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SAGE Publications,2017
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printrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:uu-281461
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-281461URI
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https://doi.org/10.1177/0269215516639356DOI
Supplementary language notes
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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Objective: To study the long-term outcomes of two interventions targeting patients with sub-acute and persistent pain in a primary care physiotherapy setting.Design: A 10-year follow-up of a two-armed randomised controlled trial, initially including 97 participants.Interventions: Tailored behavioural medicine treatment, applied in a physiotherapy context (experimental condition), and exercise-based physiotherapy (control condition). Main measures: Pain-related disability was the primary outcome. The maximum pain intensity, pain control, fear of movement, sickness-related absence (register data) and perceived benefit and confidence in coping with future pain problems were the secondary outcomes.Results: Forty-three (44%) participants responded to the follow-up survey, 20 in the tailored behavioural medicine treatment group and 23 in the exercise-based physiotherapy group. The groups did not differ in terms of the change in the scores for the primary outcome (p=0.17) of pain-related disability between the experimental group (median: 2.5, Q1-Q3: -2.5-14.25), and the control group (median: 0, Q1-Q3: -5-6). Further, there were also no significant differences found for the secondary outcomes except for sickness-related absence, where the exercise-based physiotherapy group had more days of sickness-related absence three months before treatment (p= 0.02), and at the 10-year follow-up (p=0.03).Discussion: The beneficial effects favouring tailored behavioural medicine treatment that observed post-treatment and at the two-year follow-up were not maintained 10 years after treatment.
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Demmelmaier, IngridUppsala universitet,Fysioterapi(Swepub:uu)indem086
(author)
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Bergman, StefanRes & Dev Ctr Spenshult, Halmstad, Sweden.; Univ Gothenburg, Dept Publ Hlth & Community Med, Gothenburg, Sweden.
(author)
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Lindberg, PerUppsala universitet,Institutionen för psykologi(Swepub:uu)perlindbe
(author)
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Denison, EvaMalardalen Univ, Sch Hlth Care & Social Welf, Vasteras, Sweden.
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Åsenlöf, PernillaUppsala universitet,Fysioterapi,Physiotherapy(Swepub:uu)pernasen
(author)
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Uppsala universitetFysioterapi
(creator_code:org_t)
Related titles
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In:Clinical Rehabilitation: SAGE Publications31:2, s. 186-1960269-21551477-0873
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