+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Clinical effectiveness of an interdisciplinary pain management programme compared with standard inpatient rehabilitation in chronic pain: a naturalistic, prospective controlled cohort study

Clinical effectiveness of an interdisciplinary pain management programme compared with standard inpatient rehabilitation in chronic pain: a naturalistic, prospective controlled cohort study

Journal of Rehabilitation Medicine 41(7): 569-575

To compare the effects of an interdisciplinary pain management programme with those of standard in-patient rehabilitation by comprehensive biopsychosocial self--assessment. In this naturalistic prospective controlled cohort study, 164 chronic pain patients who participated in the interdisciplinary pain programme and 143 who underwent standard rehabilitation were assessed using standardized instruments. Effect differences were compared bivariately and analysed by multivariate logistic regression to control for baseline differences in the outcome variables and confounders. On entry into the clinic, the interdisciplinary pain programme patients were younger and showed significantly worse mental and psychosocial health than the standard rehabilitation patients. At discharge, the interdisciplinary pain programme patients reported greater improvement on pain (multivariate p = 0.034), social functioning (bivariate p = 0.009), and in trend in catastrophizing and ability to decrease pain. At the 6-month follow-up, the effects experienced by the standard rehabilitation group were higher on physical functioning, social functioning, anxiety, and life control (multivariate p = 0.013-0.050). Intensive interdisciplinary rehabilitation with more behavioural therapies was accompanied by a greater improvement in patients who were severely affected by pain, compared with standard rehabilitation by the end of the stay, but not in the mid-term. Highly resource-consuming patients may benefit from subsequent, individually tailored outpatient care.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 052114761

Download citation: RISBibTeXText

PMID: 19543669

DOI: 10.2340/16501977-0381

Related references

Assessment of the effectiveness of inpatient rehabilitation measures in patients with chronic low back pain: a prospective, randomized, controlled study. Die Rehabilitation 29(2): 129-133, 1990

The effectiveness of a multidisciplinary pain management programme managing chronic pain on pain perceptions, health-related quality of life and stages of change--A non-randomized controlled study. International Journal of Nursing Studies 47(7): 826-835, 2010

Outcomes of an interdisciplinary rehabilitation programme for the management of chronic low back pain. Journal of Primary Health Care 3(3): 222-227, 2011

Chronic pain in children and adolescents: 24-42 month outcomes of an inpatient/day hospital interdisciplinary pain rehabilitation program. Journal of Pediatric Rehabilitation Medicine 7(3): 197-206, 2014

Surgical stabilisation of the spine compared with a programme of intensive rehabilitation for the management of patients with chronic low back pain: cost utility analysis based on a randomised controlled trial. BMJ 330(7502): 1239-1239, 2005

The benefit of adding a physiotherapy or occupational therapy intervention programme to a standardized group-based interdisciplinary rehabilitation programme for patients with chronic widespread pain: a randomized active-controlled non-blinded trial. Clinical Rehabilitation 33(8): 1367-1381, 2019

Effect of an interdisciplinary outpatient pain management program (IOPP) for chronic pain patients with and without migration background: a prospective, observational clinical study. Pain Medicine 12(5): 706-716, 2011

Multidisciplinary biopsychosocial rehabilitation in chronic neck pain: a naturalistic prospective cohort study with intraindividual control of effects and 12-month follow-up. European Journal of Physical and Rehabilitation Medicine 55(5): 665-675, 2019

Poster 419 Effectiveness of an Interdisciplinary Outpatient Chronic Pain Rehabilitation Program on Veterans Suffering with Chronic Pain. Pm & R 8(9s): S297-S298, 2016

Comparison of short- and mid-term outcomes of Italian- and German-speaking patients after an interdisciplinary pain management programme in Switzerland: A prospective cohort study. Journal of Rehabilitation Medicine 51(2): 127-135, 2019

Inpatient-based intensive interdisciplinary pain treatment for highly impaired children with severe chronic pain: randomized controlled trial of efficacy and economic effects. Pain 155(1): 118-128, 2014

Effectiveness of the Bern Ambulatory Interprofessional Rehabilitation (BAI-Reha) programme for patients with chronic musculoskeletal pain: a cohort study. Swiss Medical Weekly 147: W14433, 2017

Focused review of interdisciplinary pain rehabilitation programs for chronic pain management. Current Pain and Headache Reports 16(2): 147-152, 2012

Changes in Clinical Status after Completion of an Interdisciplinary Pain Management Programme Incorporating Pain Neurophysiology Education. PhysioTherapy Canada. Physiotherapie Canada 70(4): 382-392, 2018

Psychological and work-related outcomes after inpatient multidisciplinary rehabilitation of chronic low back pain: a prospective randomized controlled trial. Bmc Psychology 7(1): 6, 2019