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The effects of interdisciplinary team assessment and a rehabilitation program for patients with chronic pain

PIETILA HOLMNER E; FAHLSTROM M; NORDSTROM C
AM J PHYS MED REHABIL , 2013, vol. 92, n° 1, p. 77-83
Doc n°: 161127
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1097/PHM.0b013e318278b28e
Descripteurs : AD8 - DOULEUR

The aim of this study was to evaluate the effects of interdisciplinary
team assessment and a 4-wk rehabilitation program in chronic pain patients.
DESIGN: This was a longitudinal cohort study evaluating interdisciplinary pain
rehabilitation measures in a specialist care setting. A total of 93 women (42.2
+/- 9.5 yrs) with chronic musculoskeletal pain (median pain duration, 8 yrs) were
evaluated at assessment and at the start and end of the rehabilitation program.
Pain intensity measured with a visual analog scale, pain dimensions measured with
the Multidimensional Pain Inventory, and anxiety and depression measured with the
Hospital Anxiety and Depression Scale were registered. RESULTS: The participants
exhibited significantly improved results of pain and pain-related measures. The
results were seen both after the short-term intervention in the form of the
interdisciplinary assessment and after the 4-wk rehabilitation program. The
improvements seen after the assessment were not related to specific
interventions, such as change of medication, and therefore seem to be a result of
the interdisciplinary assessment concept as such. CONCLUSIONS: Both
interdisciplinary assessment and rehabilitation program seem to be effective in
chronic pain rehabilitation, at least for women. Further studies are needed to
investigate potential sex differences, as well as content and duration for
optimal pain rehabilitation programs.

Langue : ANGLAIS

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