Individually tailored treatment targeting motor behavior, cognitions, and disability: Two experimental single case studies of patients with recurrent and persistent pain in primary health care
2005 (English)In: Physical Therapy, ISSN 0031-9023, E-ISSN 1538-6724, Vol. 85, no 10, 1061-1077 p.Article in journal (Refereed) Published
BACKGROUND AND PURPOSE:
This article introduces an individually tailored intervention targeting motor behavior, cognition, and disability in patients managed by physical therapists in primary health care. Effects on self-rated disability, pain intensity, and pain control are described.
Two women with recurrent or persistent disabling musculoskeletal pain were selected.
Two experimental single-subject A(1)-B-C-A(2) studies with multiple baselines across situations were used. Principal outcome data were collected daily with patient-specific continuous measures for 3 weeks before intervention, continuously during intervention, and for 2 weeks during each of the 1-, 4-, 6-, and 12-month follow-up examinations.
Disability and pain intensity decreased, and pain control increased in both subjects. The results were maintained at the follow-up examinations.
DISCUSSION AND CONCLUSION:
Positive outcomes of the intervention were reported from 2 subjects with recurrent and persistent disabling pain. Procedures for systematic tailoring of treatment to behavioral goals and individual patient characteristics are available as a result of the successful application. The results need to be replicated in future clinical controlled group studies.
Place, publisher, year, edition, pages
2005. Vol. 85, no 10, 1061-1077 p.
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:uu:diva-93013PubMedID: 16180955OAI: oai:DiVA.org:uu-93013DiVA: diva2:166360