Article

Objective: To follow up 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 undergo
either multimodal rehabilitation programme (n = 76) or rehabilitation plan (n =
220). They completed questionnaires regarding beliefs about the future (only at
assessment), Multidimensional Pain Inventory and sick leave, both at assessment,
and at 1-year follow-up. Results: Both the rehabilitation plan and multimodal
rehabilitation programme groups improved significantly as regards decreased sick
leave and the Multidimensional Pain Inventory scales Pain severity, Interference,
and Support. The multimodal rehabilitation programme group also improved
significantly regarding Life control and Affective distress. For men, low
disability level and for women a positive expectation about work was associated
with no sick leave at follow-up. Conclusion: The multimodal rehabilitation
programme had long-term positive effects on sick leave and all Multidimensional
Pain Inventory scales. However, a less intense intervention (rehabilitation plan)
with follow-up in primary care can decrease levels of sick leave and improve some
Multidimensional Pain Inventory scales. An interdisciplinary team assessment of
patients with chronic pain seems to be useful for selecting which patients should undergo different rehabilitation interventions.
- Chronic musculoskeletal pain

Langue : ANGLAIS