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Long-term follow-up of tailored behavioural treatment and exercise based physical therapy in persistent musculoskeletal pain: A randomized controlled trial in primary care
Mälardalens högskola, Akademin för hälsa, vård och välfärd.
2009 (engelsk)Inngår i: European Journal of Pain, ISSN 1090-3801, E-ISSN 1532-2149, Vol. 13, nr 10, s. 1080-1088Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

This study examined long-term effects of a tailored behavioural treatment protocol (TBT), as compared with an exercise based physical therapy protocol (EBT). One-hundred and twenty-two patients who, due to persistent musculoskeletal pain, consulted physical therapists in primary care were originally randomized to either of the two conditions. Follow-up assessments two-year post-treatment were completed by 65 participants. According to per-protocol analyses, short-term effects were maintained in both groups for the primary outcome, pain-related disability. The TBT-group reported lower disability levels compared with the EBT-group. Intention-to-treat analyses (ITT) conveyed similar results. Secondary outcomes of pain intensity, pain control, and functional self-efficacy were maintained over the 2-year post-treatment, but previous group differences were levelled out according to the most conservative method of ITT. Fear of movement/(re)injury increased in the EBT-group, and EBT participants reported higher fear of movement/(re)injury two years post-treatment compared to TBT. The study supports tailoring of treatments in concordance with patients' needs and preferences of activity goals and functional behavioural analyses including predictors of pain-related disability, for successful immediate outcomes and their maintenance in the long run. Exercise-based treatments resulted in somewhat smaller immediate treatment effects but had similar maintenance of effects over the 2-year follow-up period.

sted, utgiver, år, opplag, sider
2009. Vol. 13, nr 10, s. 1080-1088
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URN: urn:nbn:se:mdh:diva-19852DOI: 10.1016/j.ejpain.2009.01.010ISI: 000272472000013Scopus ID: 2-s2.0-70350589193OAI: oai:DiVA.org:mdh-19852DiVA, id: diva2:633296
Tilgjengelig fra: 2013-06-26 Laget: 2013-06-26 Sist oppdatert: 2017-12-06bibliografisk kontrollert

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