Physiotherapist-led rehabilitation for patients with chronic musculoskeletal pain : interventions and promising long-term outcomes

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Trulsson Schouenborg, AnnaLund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Människan i rörelse: hälsa och rehabilitering,Forskargrupper vid Lunds universitet,Department of Health Sciences,Faculty of Medicine,Human Movement: health and rehabilitation,Lund University Research Groups,Skåne University Hospital (författare)

Physiotherapist-led rehabilitation for patients with chronic musculoskeletal pain : interventions and promising long-term outcomes

Artikel/kapitelEngelska2021

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2021-10-28
Springer Science and Business Media LLC,2021
14 s.

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LIBRIS-ID:oai:lup.lub.lu.se:cfac3bec-bf5f-400c-99a3-5407f69e3750
https://lup.lub.lu.se/record/cfac3bec-bf5f-400c-99a3-5407f69e3750URI
https://doi.org/10.1186/s12891-021-04780-xDOI

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Språk:engelska
Sammanfattning på:engelska

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BACKGROUND: There is no consensus on best content, set-up, category of involved healthcare professionals or duration of rehabilitation-programs for patients with chronic musculoskeletal pain, and outcomes show varying results. Individual care regimes for sub-groups of patients have been proposed.AIM: To describe the type of interventions used in a physiotherapist-led, rehabilitation-program for patients with chronic musculoskeletal pain, refractory to preceding treatments. A second aim was to report clinical outcomes at 1-year follow-up after the intervention period.METHODS: All patients referred to physiotherapist within a specialist pain-unit due to being refractory to preceding treatments, and deemed fit to undergo physiotherapy-based, individualized rehabilitation during 2014-2018 were consecutively included and followed-up 1 year after ending the program. The inclusion was based on structured 'clinical reasoning' using the referral, examination and on patient-relevant outcome measures. The individual interventions, recorded according to a manual used when reading the patients' medical records, were described. Primary outcomes were clinical results of perceived pain, disability and overall health at start, discharge and 1 year after discharge.RESULTS: In total, 274 patients (mean age 42 years, 71% women) were included, suffering from chronic, severe, musculoskeletal pain (VAS median 7/10, duration median 2.8 years) and moderate disability. The most frequent interventions were education, sensorimotor training, physical activity-advice and interventions for structures/functions (for example manual techniques, stretching) for a median of nine sessions during five months. Despite refractory to preceding treatments, 45% of the patients rated clinically important improvements on pain, 61% on disability and 50% on overall health at discharge and the figures were similar at 1-year follow-up.CONCLUSIONS: A physiotherapist-led, one-to-one, rehabilitation-program of median nine sessions during five months, combining individualized education, sensorimotor training, physical activity-advice and interventions for structures/functions rendered clinically relevant improvements on pain, disability and overall health in half of the patients at 1-year follow-up. Since the cohort consisted of patients refractory to preceding treatments, we believe that these results warrant further studies to identify the subgroups of patients with chronic musculoskeletal pain that will improve from new, distinctive, resource-effective rehabilitation-programs involving individualized rehabilitation.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Sjukgymnastik hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Physiotherapy hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Public Health, Global Health, Social Medicine and Epidemiology hsv//eng
Adult
Chronic Pain/diagnosis
Female
Humans
Male
Musculoskeletal Pain/diagnosis
Physical Therapists
Physical Therapy Modalities
Treatment Outcome

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

Rivano Fischer, MarceloLund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Rehabiliteringsmedicin,Forskargrupper vid Lunds universitet,Department of Health Sciences,Faculty of Medicine,Rehabilitation medicine,Lund University Research Groups,Skåne University Hospital(Swepub:lu)med-mor (författare)
Bondesson, ElisabethLund University,Lunds universitet,Ortopedi, Lund,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Orthopaedics (Lund),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital(Swepub:lu)med-eb1 (författare)
Jöud, AnnaLund University,Lunds universitet,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Avdelningen för arbets- och miljömedicin,Institutionen för laboratoriemedicin,Department of Clinical Sciences, Lund,Faculty of Medicine,Division of Occupational and Environmental Medicine, Lund University,Department of Laboratory Medicine,Skåne University Hospital(Swepub:lu)med-aju (författare)
Institutionen för hälsovetenskaperMedicinska fakulteten (creator_code:org_t)

Sammanhörande titlar

Ingår i:BMC Musculoskeletal Disorders: Springer Science and Business Media LLC22:1, s. 910-9101471-2474

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Av författaren/redakt...: Trulsson Schouen ...; Rivano Fischer, ...; Bondesson, Elisa ...; Jöud, Anna

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

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Av lärosätet: Lunds universitet

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