The Efficacy of Interdisciplinary Rehabilitation for Improving Function in People with Chronic Pain

Svetlana Kurklinsky, Rachel B. Perez, Elke R. Lacayo, Christopher D. Sletten

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Objective. To examine the efficacy of interdisciplinary rehabilitation for improving function in people with chronic pain. Design. Retrospective Chart Review. Setting. The Pain Rehabilitation Center (PRC) at a medical center. Participants. Individuals admitted to the PRC. Interventions. The PRC operates a 3-week outpatient program that utilizes an interdisciplinary approach to treat people with chronic pain. The main treatment elements include physical therapy, occupational therapy, cognitive behavioral therapy (CBT), and medication management. Physical therapy groups focus on moderate exercise despite symptoms. Occupational therapists teach moderation, time management, and activity modification. CBT groups, led by a pain psychologist, address the psychosocial comorbidities of chronic pain. Medical staff oversee the tapering of opiate analgesics and other symptom targeted treatments. This integrated approach is indicated when conventional treatments have been ineffective. Outcome Measures. The objective outcome was the 6-minute walk test (6 mWT) distance. The subjective outcomes were performance (COPM-PER) and satisfaction (COPM-SAT) as measured by the Canadian Occupational Performance Measure (COPM). Results. Average 6 mWT distances improved by 39% from 375 m to 523 m. Average COPM-PER scores increased from 3.4 to 7.5. Average COPM-SAT scores increased from 2.4 to 7.5. Conclusions. Comprehensive interdisciplinary outpatient rehabilitation can significantly improve function in people with chronic pain.

Original languageEnglish
Article number7217684
JournalPain Research and Treatment
Volume2016
DOIs
StatePublished - 1 Jan 2016

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Pain Clinics
Chronic Pain
Rehabilitation Centers
Rehabilitation
Cognitive Therapy
Opiate Alkaloids
Outpatients
Time Management
Occupational Therapy
Medical Staff
Therapeutics
Group Psychotherapy
Focus Groups
Analgesics
Comorbidity
Outcome Assessment (Health Care)
Exercise
Psychology
Pain
Walk Test

Cite this

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abstract = "Objective. To examine the efficacy of interdisciplinary rehabilitation for improving function in people with chronic pain. Design. Retrospective Chart Review. Setting. The Pain Rehabilitation Center (PRC) at a medical center. Participants. Individuals admitted to the PRC. Interventions. The PRC operates a 3-week outpatient program that utilizes an interdisciplinary approach to treat people with chronic pain. The main treatment elements include physical therapy, occupational therapy, cognitive behavioral therapy (CBT), and medication management. Physical therapy groups focus on moderate exercise despite symptoms. Occupational therapists teach moderation, time management, and activity modification. CBT groups, led by a pain psychologist, address the psychosocial comorbidities of chronic pain. Medical staff oversee the tapering of opiate analgesics and other symptom targeted treatments. This integrated approach is indicated when conventional treatments have been ineffective. Outcome Measures. The objective outcome was the 6-minute walk test (6 mWT) distance. The subjective outcomes were performance (COPM-PER) and satisfaction (COPM-SAT) as measured by the Canadian Occupational Performance Measure (COPM). Results. Average 6 mWT distances improved by 39{\%} from 375 m to 523 m. Average COPM-PER scores increased from 3.4 to 7.5. Average COPM-SAT scores increased from 2.4 to 7.5. Conclusions. Comprehensive interdisciplinary outpatient rehabilitation can significantly improve function in people with chronic pain.",
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The Efficacy of Interdisciplinary Rehabilitation for Improving Function in People with Chronic Pain. / Kurklinsky, Svetlana; Perez, Rachel B.; Lacayo, Elke R.; Sletten, Christopher D.

In: Pain Research and Treatment, Vol. 2016, 7217684, 01.01.2016.

Research output: Contribution to journalArticle

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