Article

PURPOSE: To evaluate long-term effects in self-perceived occupational performance
and satisfaction in Activities of Daily Living (ADL) for patients with Whiplash
Associated Disorders (WAD) with chronic pain in an interdisciplinary
rehabilitation programme, and investigate patients' opinions of programme
effects. METHOD: A mixed-method with sequential explanatory design was used.
Fifty-three patients with WAD were followed-up 12 months after discharge. The
Canadian Occupational Performance Measure was used to evaluate the change in ADL
and the Multidimensional Pain Inventory for psychosocial functioning. Telephone
interviews, based on five structured questions about the perceived impact of the
rehabilitation programme, were made. RESULTS: The 12-month follow-up showed
significant ADL improvement (p < 0.001). There was less interference in daily
activities due to pain (p < 0.01), and life control increased. More people were
back to work. Interviews revealed the programme's environment as strengthening
and safe, and participants felt they were met with respect. Key success factors
were to be treated with respect to being part of the social context and to obtain
new knowledge. CONCLUSIONS: The interdisciplinary rehabilitation programme had
initiated a process of change towards a more active life for the participants.
They had found a new way of managing their lives. Despite the absence of pain
reduction, they managed ADL in a better way, had more life control and returned
to work to a higher degree. IMPLICATIONS FOR REHABILITATION: Chronic pain after
WAD effects the entire life for many people. Long-term effects on activities of
daily living, life control and work ability have shown positive results after an
interdisciplinary rehabilitation programme based on behavioural and cognitive
principles. The key success factors were to be treated with respect to being a
part of a social context and to obtain new knowledge.
- Whiplash

Langue : ANGLAIS