Long‐term influences of a biopsychosocial rehabilitation programme for chronic pain patients

Abstract

The rehabilitation programme reduced patient attendance at health care facilities but did not increase the numbers of patients returning to work.

Interdisciplinary Care Networks in Rehabilitation Care for Patients with Chronic Musculoskeletal Pain: A Systematic Review

“…The outcomes of Dobscha et al, and Gustavsson et al, were only described as baseline measurements for an RCT [ 67 , 69 ]. From the remaining articles, comprising study protocols, description of the intervention, studies with mixed diagnoses, and the study regarding barriers and facilitators, no outcomes could be extracted [ 25 , 48 , 51 , 52 , 53 , 54 , 58 , 60 , 71 , 72 , 83 , 84 , 85 , 96 ]. These studies were used for descriptions of interventions in Table 2 .…”

“…In Dunstan et al and Westman et al, the changes in paid work participation and sick leave were non-significant (40% of the studies) at six-months and three-year follow-up, respectively [ 80 , 90 ]. Stein et al and Mårtensson et al found at one- and two-year follow-ups significant changes, compared with baseline assessment (40% of the studies) [ 84 , 87 ]. Westman et al reported mixed results (20% of the studies) for both sick leave and return to work [ 89 ].…”

“…The studies of Dunstan et al, and Heijbel et al did not report enough information to assess the RoB [ 56 , 80 ]. All other studies were assessed as at high RoB [ 48 , 49 , 50 , 51 , 56 , 80 , 82 , 83 , 84 , 86 , 90 ]. The main reason was the lack of a control group in these studies, which indicated a serious RoB in the domain of confounding.…”

Basic body awareness therapy or exercise therapy for the treatment of chronic whiplash associated disorders: a randomized comparative clinical trial

“…BAT was developed in Sweden by Gertrud Roxendal [16] and is part of the curriculum at all Swedish Universities that offer physiotherapy education. The method is being increasingly used for treatment of chronic musculoskeletal pain disorders [17][18][19][20][21][22][23][24][25][26][27][28]. In a small uncontrolled clinical trial of BAT, patients with chronic WAD showed improvements in cognitive function, cervical range of motion and quality of life [29].…”

Measuring the quality of allied health services in Australia: is it a case of “the more we learn, the less we know?”

“…60 In the last 5 years, several RCTs have been published which tested a biopsychosocial approach to care delivery in therapy-related areas, consistently identifying that early active intervention including patient education and self-management instruction coupled with AH treatment significantly improved health and emotional outcomes. [61][62][63] Operationalizing the biopsychosocial model in wide practice is in its infancy however, with Astin et al 64 highlighting the minimal impact that the biopsychosocial model of healthcare has on medical students' and residents' thinking. This suggests that despite an increasing evidence base for its appropriateness for AH management, multidisciplinary networks which are based on this way of thinking may be slower to develop.…”