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A 10-year follow-up of tailored behavioural treatment and exercise-based physiotherapy for persistent musculoskeletal pain
Department of Neuroscience, Uppsala University, Uppsala, Sweden.
Department of Neuroscience, Uppsala University, Uppsala, Sweden.
Research and Development Center Spenshult, Halmstad, Sweden & Department of Public Health, and Community medicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID iD: 0000-0002-6294-538X
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. 

© The Author(s) 2016

Place, publisher, year, edition, pages
London: Sage Publications, 2017. Vol. 31, no 2, 186-196 p.
Keyword [en]
Chronic pain, behavioral medicine, long-term compliance, physical exercise, primary care
National Category
Clinical Medicine Physiotherapy
Identifiers
URN: urn:nbn:se:hh:diva-32290DOI: 10.1177/0269215516639356PubMedID: 27009057OAI: oai:DiVA.org:hh-32290DiVA: diva2:1039938
Available from: 2016-10-25 Created: 2016-10-25 Last updated: 2017-01-24Bibliographically approved

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