Article

OBJECTIVES: (1) To investigate patient-defined parameters of treatment success in
an outpatient physical therapy setting with musculoskeletal pain, (2) to determine whether patient-defined treatment success was influenced by selected
demographic and clinical factors, and (3) to examine whether patient subgroups
existed for ratings of importance for each treatment outcome domain. DESIGN:
Cross-sectional study. SETTING: Outpatient physical therapy clinic. PARTICIPANTS:
Consecutive patients (N=110) with complaints of musculoskeletal pain.
INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURE:
We reported patient-defined
treatment success targets for pain, fatigue, emotional distress, and interference
with daily activities using the Patient-Centered Outcomes Questionnaire (PCOQ).
We also investigated whether patient subgroups existed based on perceived
importance of improvement for these same outcome domains. RESULTS:
Patient-defined criteria for treatment success included mean reductions (from
baseline scores) in pain of 3.0 points, in fatigue of 2.3 points, in emotional
distress of 1.4 points, and in interference with daily activities of 3.4 points.
There were no differences in patient-defined criteria for treatment success based
on sex, age, postoperative rehabilitation, prior physical therapy, other prior
health care interventions, duration of symptoms, and anatomical location of
symptoms (P>.01). Cluster analysis of the PCOQ importance ratings indicated a
2-cluster solution. The multifocused subgroup demonstrated higher importance for
improvement ratings in each treatment outcome domain when compared with the
pain-focused subgroup (P>.05). CONCLUSIONS:
These data indicate that
patient-defined criteria for treatment success required greater reductions in the
studied outcome domains to be considered successful. These data suggest the
potential existence of patient subgroups that either rate improvement in all
outcome domains as important or rate pain relief as the most important outcome.
CI - Copyright (c) 2012 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS