“Movement” in Work Status After Pain Facility Treatment

Fishbain, David A.; Cutler, Robert; Rosomoff, Hubert L.; Khalil, Tarek M.; Abdel-Moty, Elsayed; Sadek, Soha; Zaki, A.; Saltzman, Alan; Jarrett, Joy; Martínez, Gloria María Novo; Steele-Rosomoff, Renee

doi:10.1097/00007632-199611150-00016

Cited by 19 publications

(18 citation statements)

References 14 publications

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“…Early rehabilitative interventions have been recommended for this group by several authors [16,17] with needs assessments as a starting point [28]. The present ndings suggest that the OTNA -PP may be used to discover unmet needs as part of needs assessments to enhance the effects of early rehabilitative interventions.…”

Section: Discussionmentioning

confidence: 92%

“…Do you perform daily activities with greater effort compared with when 15 As above you did (do) not have pain? If you are on sick leave: do you consider it valuable to be at your 16 As above workplace and work without demands on work performance, in order to maintain contact with your work and:or to reduce passivity? Does your pain prevent you from living up to the existing expectations 17 As above on you at work (e.g.…”

Section: Discussionmentioning

confidence: 99%

“…Persons with long-term:recurrent pain often need rehabilitation [13 -15], which could possibly be made more effective if referrals were made without unnecessary delay [16,17]. However, there appears to be no consensus in Sweden on who should be given high priority for rehabilitation [18].…”

Section: Introductionmentioning

confidence: 99%

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Needs and Problems Related to Occupational Therapy as Perceived by Adult Swedes with Long-Term Pain

Müllersdorf

2002

Scandinavian Journal of Occupational Therapy

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Müllersdorf M. Needs and problems related to occupational therapy as perceived by adult Swedes with long -term pain. Scand J Occup Ther 2002; 9: 79 -90.The purposes of this study were to describe (1) perceived needs for occupational therapy, (2) the frequency of healthcare visits, (3) speci c pain-related characteristics, and (4) to explore differences in these aspects between low (54 visits:year) and high consumers (\4 visits:year) of healthcare among persons aged 18 -58 years with self-perceived activity limitations:participation restrictions due to long-term:recurrent pain. A sample of 443 individuals with long-term:recurrent pain completed questionnaires concerning these variables. The highest frequencies of perceived needs:problems were reported for ''temporal imbalance'', ''perform activities with greater effort'' and ''tense:stressed due to pain''. Principal component analysis (PCA) yielded four categories of needs:problems: (1) ''limitations in activity performance'', (2) ''need for education'', (3) ''need to regain activities'' and (4) ''adjustment dif culties''. Almost 40% of the respondents had more than four healthcare visits during the previous year. The highest frequencies of speci c pain-related characteristics were reported for shoulder:low back pain of searing:aching:gnawing character, and depressive symptoms. The high healthcare consumers (HHC) perceived signi cantly more interference when performing daily occupations (e.g. stopped:interrupted performance of activity) than did the low healthcare consumers (LHC). The HHC group evidenced higher scores than the LHC group for all PCA-generated factors. The results suggest that persons with long-term:recurrent pain perceive needs:problems related to daily occupations and various depressive symptoms that are particularly frequent among those with high healthcare consumption.

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

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Needs and Problems Related to Occupational Therapy as Perceived by Adult Swedes with Long-Term Pain

Müllersdorf

2002

Scandinavian Journal of Occupational Therapy

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“…Rehabilitation services might be more effective if people in need were referred to healthcare facilities without delay (Fishbain et al, 1996;Linton and Hallden, 1998). Whether patients are referred to occupational therapy depends on the doctor or healthcare case worker's knowledge about occupational therapy and current healthcare community policies (Andersson, 1997;Söderback et al, 2000).…”

Section: Introductionmentioning

confidence: 99%

Occupational therapists' assessments of adults with long‐term pain: the Swedish experience

Müllersdorf

Söderback

2002

Occupation Therapy Intl

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The purposes of this study were to describe the needs for occupational therapy among people of working age with long-term pain, and to describe treatment interventions based on these assessments. Occupational therapists working in primary health care and/or with special interest in pain management (n=109) assessed 113 people aged 18-58 years with long-term pain with the Occupational Therapy Needs Assessment--Pain (OTNA--P) questionnaire. The occupational therapists recommended treatment interventions where appropriate. The results generated categories of needs that have implications for interventions: 1) need for patient education, 2) needs due to limitations in activity performance, 3) needs due to patient's discouragement, 4) need as a result of patient's dependency and 5) needs related to work. The suggested interventions focused on increased knowledge of how to handle daily occupations, mainly categorized as education and stress management' and behavioural' interventions. Significant correlations were found between the assessed needs and the suggested interventions. The results of this study could assist in developing guidelines for practitioners working in occupational therapy pain management programmes. It is recommended that further research is done on the effectiveness of occupational therapy interventions with patients with long-term pain.

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“…Therefore, it is obvious that more outcome studies with appropriate control groups are necessary. A recent study by Fishbain et al (1996) has identified another possible confounder of this type of outcome research. CPPs were followed up after pain facility treatment as part of a study on the prediction of return to work.…”

Section: Future Research Initiativesmentioning

confidence: 99%

Non-surgical chronic pain treatment outcome: a review

Fishbain

2000

International Review of Psychiatry

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Meta-analyses (MAs) of non-surgical chronic pain treatment studies were systematically reviewed to determine effectiveness. Twentyfour MAs were found relating to non-surgical, non-malignant, non-headache chronic pain treatment. Two natural groupings, pain facility treatment and specific pain treatments, were created. In addition, a number of the MAs examined the same treatments including pain facility treatments, manipulation, capsaicin, acupuncture, antidepressants, back school, physical therapy, and cognitive behavior treatments. MAs addressing the same treatments were reviewed for replicate variability or reliability of results, thereby allowing some conclusions about the consistency of this type of data. The following treatments were consistently effective demonstrating replicate non-variability or reliability: pain facility treatment, capsaicin, anti-depressants, physical therapy, topical NSAIDs, and cognitive behavioral treatments. Only one MA demonstrated the effectiveness of anticonvulsants and psychoeducational. Potential problems with the reviewed MAs and cost effectiveness of treatment are discussed. Finally, potential future initiatives in this area of research are presented. Although pain facility treatment and a number of specific pain treatments are consistently demonstrated to be effective, at the present time, it is impossible to isolate a set of `effective treatments' within the pain facility treatment package.

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“Movement” in Work Status After Pain Facility Treatment

Abstract: Because chronic pain patients "move" in and out of employment and for work capacity status after pain facility treatment, future outcome studies using these measures will have to consider carefully the impact of "movement" on their results.

Cited by 19 publications

References 14 publications

Needs and Problems Related to Occupational Therapy as Perceived by Adult Swedes with Long-Term Pain

Needs and Problems Related to Occupational Therapy as Perceived by Adult Swedes with Long-Term Pain

Occupational therapists' assessments of adults with long‐term pain: the Swedish experience

Non-surgical chronic pain treatment outcome: a review

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