A 10-year follow-up of tailored behavioural treatment and exercise-based physiotherapy for persistent musculoskeletal pain

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Emilson, ChristinaDepartment of Neuroscience, Uppsala University, Uppsala, Sweden,Department of Psychology, Uppsala University, Uppsala, Sweden (författare)

A 10-year follow-up of tailored behavioural treatment and exercise-based physiotherapy for persistent musculoskeletal pain

Artikel/kapitelEngelska2017

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2016-07-10
London :Sage Publications,2017
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LIBRIS-ID:oai:DiVA.org:hh-32290
https://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-32290URI
https://doi.org/10.1177/0269215516639356DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-34888URI
https://gup.ub.gu.se/publication/248490URI

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Språk:engelska
Sammanfattning på:engelska

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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. © The Author(s) 2016

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Sjukgymnastik hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Physiotherapy hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences hsv//eng
Chronic pain
behavioral medicine
long-term compliance
physical exercise
primary care

Biuppslag (personer, institutioner, konferenser, titlar ...)

Demmelmaier, IngridDepartment of Neuroscience, Uppsala University, Uppsala, Sweden,Department of Psychology, Uppsala University, Uppsala, Sweden (författare)
Bergman, Stefan,1959-Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine(Swepub:gu)xberst (författare)
Lindberg, PerDepartment of Psychology, Uppsala University, Uppsala, Sweden (författare)
Denison, EvaMälardalens högskola,Hälsa och välfärd,School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden(Swepub:mdh)ejn03 (författare)
Åsenlöf, PernillaDepartment of Neuroscience, Uppsala University, Uppsala, Sweden,Department of Public Health, and Community Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden (författare)
Department of Neuroscience, Uppsala University, Uppsala, SwedenDepartment of Psychology, Uppsala University, Uppsala, Sweden (creator_code:org_t)

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Ingår i:Clinical RehabilitationLondon : Sage Publications31:2, s. 186-1960269-21551477-0873

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Av författaren/redakt...: Emilson, Christi ...; Demmelmaier, Ing ...; Bergman, Stefan, ...; Lindberg, Per; Denison, Eva; Åsenlöf, Pernill ...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap

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Av lärosätet: Högskolan i Halmstad; Mälardalens universitet; Göteborgs universitet

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