An Interdisciplinary Pain Rehabilitation Programme: Description and Evaluation of Outcomes

Overview

Journal Physiother Can

Specialty Rehabilitation Medicine

Date 2011 Sep 3

PMID 21886371

Citations 9

Authors

Dan Bosy

David Etlin

David Corey

John W Lee

Affiliations

Soon will be listed here.

Abstract

Purpose: The purpose of this archival report is to describe the essential elements of an intensive 8-week interdisciplinary pain rehabilitation programme (IPRP) with a cognitive-behavioural emphasis and the results that can be expected in treating patients with chronic pain conditions.

Method: This report describes a private outpatient program providing treatment services to patients with long-term disabling pain arising from work- or accident-related musculoskeletal injuries. The cohort consists of 338 consecutive patients who completed the program over a 3-year period (patients discharged between January 1, 2005, and December 31, 2007).

Results: Improvements in vocational status were noted in 75% of patients with chronic pain. Patients were also able to reduce their pain levels by approximately 16% and to reduce their levels of anxiety and depression by 13% and 17% respectively. At the same time, 61% of patients were able to reduce or eliminate their pain medications.

Conclusions: Outcomes are consistent with evidence-based clinical practice guidelines for the management of chronic pain conditions. The published literature supports the efficacy of this interdisciplinary approach in highly disabled patients for whom effective treatment has been delayed. Early intervention in the subacute phase is recommended for prevention of long-term disability in patients with chronic pain.

Citing Articles

Biopsychosocial rehabilitation in the working population with chronic low back pain: a concept analysis.

Ceulemans D, Moens M, Reneman M, Callens J, De Smedt A, Godderis L J Rehabil Med. 2024; 56:jrm13454.

PMID: 38226563 PMC: 10802789. DOI: 10.2340/jrm.v56.13454.

Long term outcomes of chronic pain patients attending a publicly funded community-based interdisciplinary pain program in the Greater Toronto area: results of a practice-based audit.

Mailis A, Deshpande A, Lakha S J Patient Rep Outcomes. 2022; 6(1):44.

PMID: 35524863 PMC: 9079194. DOI: 10.1186/s41687-022-00452-z.

Nurses' experiences with health care in pain clinics: A qualitative study.

Gjesdal K, Dysvik E, Furnes B Int J Nurs Sci. 2019; 6(2):169-175.

PMID: 31406887 PMC: 6608665. DOI: 10.1016/j.ijnss.2019.03.005.

Changes in Clinical Status after Completion of an Interdisciplinary Pain Management Programme Incorporating Pain Neurophysiology Education.

White L, Summers P, Scott A Physiother Can. 2019; 70(4):382-392.

PMID: 30745724 PMC: 6361396. DOI: 10.3138/ptc.2016-72.ep.

Occupational Therapy's Unique Contribution to Chronic Pain Management: A Scoping Review.

Lagueux E, Depelteau A, Masse J Pain Res Manag. 2018; 2018:5378451.

PMID: 30538795 PMC: 6260403. DOI: 10.1155/2018/5378451.

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