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Individually tailored treatment targeting motor behavior, cognition, and disability : 2 experimental single-case studies of patients with recurrent and persistent musculoskeletal pain in primary health care

ASENLOF P; DENISON E; LINDBERG P
PHYS THER , 2005, vol. 85, n° 10, p. 1061-1077
Doc n°: 122439
Localisation : Documentation IRR
Descripteurs : AD6 - MANIFESTATIONS NEUROCOMPORTEMENTALES - FONCTIONS COGNITIVES, DA52 - MALADIES RHUMATISMALES

This article introduces an individually tailored intervention targeting motor behavior, cognition, and disability in patients managed by physical therapists in primary health care. Effects on self-rated disability, pain intensity, and pain control are described. Subjects.
Two women with recurrent or persistent disabling musculoskeletal pain were selected. Methods. Two experimental single-subject A(1)-B-C-A(2) studies with multiple baselines across situations were used. Principal outcome data were collected daily with patient-specific continuous measures for 3 weeks before intervention, continuously during intervention, and for 2 weeks during each of the 1-, 4-, 6-, and 12-month follow-up examinations. Results. Disability and pain intensity decreased, and pain control increased in both subjects.
The results were maintained at the follow-up examinations. Discussion and Conclusion. Positive outcomes of the intervention were reported from 2 subjects with recurrent and persistent disabling pain. Procedures for systematic tailoring of treatment to behavioral goals and individual patient characteristics are available as a result of the successful application.
The results need to be replicated in future clinical controlled group studies.

Langue : ANGLAIS

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