Article

OBJECTIVE: To determine outcomes for 2 rehabilitation strategies for patients
with chronic pain: a 2-day interdisciplinary team assessment followed by either:
(i) a 4-week outpatient multimodal rehabilitation programme, or (ii) a subsequent
rehabilitation plan. METHODS: After a 2-day interdisciplinary team assessment at
our pain rehabilitation clinic 296 consecutive patients were selected to either
multimodal rehabilitation (n = 76) or rehabilitation plan (n = 220). They
completed questionnaires regarding pain intensity (Visual Analogue Scale),
disability (Disability Rating Index), life satisfaction (LiSat-11), anxiety and
depression (Hospital Anxiety and Depression Scale) at assessment and again at
1-year follow-up. RESULTS: Both groups showed significant improvements at 1-year
follow-up regarding pain intensity. In addition, the multimodal rehabilitation
group improved in the disability items ("light work" and "heavy work"),
depression and life satisfaction ("leisure", "somatic health", and "psychological
health"). In the rehabilitation plan group "somatic health" improved, although
not statistically significant. CONCLUSION: This study indicates that multimodal
rehabilitation may have long-term positive effects on pain, disability,
depression and domains of life satisfaction. However, a minor intervention,
rehabilitation plan with follow-up in primary care, can improve pain and "somatic
health". Based on the biopsychosocial approach, an interdisciplinary assessment
of patients with chronic pain seems to be of value for selecting patients to
different rehabilitation interventions.

Langue : ANGLAIS