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A 10-year follow-up of tailored behavioural treatment and exercise-based physiotherapy for persistent musculoskeletal pain
Department of Psychology, Uppsala University, Uppsala, Sweden.
Department of Psychology, Uppsala University, Uppsala, Sweden.
Research and Development Center Spenshult, Halmstad, Sweden.
Department of Psychology, Uppsala University, Uppsala, Sweden.
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2017 (English)In: Clinical Rehabilitation, ISSN 0269-2155, E-ISSN 1477-0873, Vol. 31, no 2, 186-196 p.Article in journal (Refereed) Published
Abstract [en]

Objective: To study the long-term outcomes of two interventions targeting patients with sub-acute and persistent pain in a primary care physiotherapy setting. Design: A 10-year follow-up of a two-armed randomised controlled trial, initially including 97 participants. Interventions: Tailored behavioural medicine treatment, applied in a physiotherapy context (experimental condition), and exercise-based physiotherapy (control condition). Main measures: Pain-related disability was the primary outcome. The maximum pain intensity, pain control, fear of movement, sickness-related absence (register data) and perceived benefit and confidence in coping with future pain problems were the secondary outcomes. Results: Forty-three (44%) participants responded to the follow-up survey, 20 in the tailored behavioural medicine treatment group and 23 in the exercise-based physiotherapy group. The groups did not differ in terms of the change in the scores for the primary outcome (p=0.17) of pain-related disability between the experimental group (median: 2.5, Q1-Q3: -2.5-14.25), and the control group (median: 0, Q1-Q3: -5-6). Further, there were also no significant differences found for the secondary outcomes except for sickness-related absence, where the exercise-based physiotherapy group had more days of sickness-related absence three months before treatment (p= 0.02), and at the 10-year follow-up (p=0.03). Discussion: The beneficial effects favouring tailored behavioural medicine treatment that observed post-treatment and at the two-year follow-up were not maintained 10 years after treatment.

Place, publisher, year, edition, pages
2017. Vol. 31, no 2, 186-196 p.
Keyword [en]
behavioural medicine, Chronic pain, long-term compliance, physical exercise, primary care
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-34888DOI: 10.1177/0269215516639356ISI: 000394758500005Scopus ID: 2-s2.0-85011556230OAI: oai:DiVA.org:mdh-34888DiVA: diva2:1074973
Available from: 2017-02-16 Created: 2017-02-16 Last updated: 2017-04-13Bibliographically approved

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CiteExportLink to record
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Citation style
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