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Long-term follow-up of tailored behavioural treatment and exercise based physical therapy in persistent musculoskeletal pain: A randomized controlled trial in primary care
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience.
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.
2009 (English)In: European Journal of Pain, ISSN 1090-3801, E-ISSN 1532-2149, Vol. 13, no 10, 1080-1088 p.Article in journal (Refereed) Published
Abstract [en]

This study examined long-term effects of a tailored behavioural   treatment protocol (TBT), as compared with an exercise based physical   therapy protocol (EBT). One-hundred and twenty-two patients who, due to   persistent musculoskeletal pain, consulted physical therapists in   primary care were originally randomized to either of the two   conditions. Follow-up assessments two-year post-treatment were   completed by 65 participants. According to per-protocol analyses,   short-term effects were maintained in both groups for the primary   outcome, pain-related disability. The TBT-group reported lower   disability levels compared with the EBT-group. Intention-to-treat   analyses (ITT) conveyed similar results. Secondary outcomes of pain   intensity, pain control, and functional self-efficacy were maintained   over the 2-year post-treatment, but previous group differences were   levelled out according to the most conservative method of ITT. Fear of   movement/(re)injury increased in the EBT-group, and EBT participants   reported higher fear of movement/(re)injury two years post-treatment   compared to TBT.   The study supports tailoring of treatments in concordance with   patients' needs and preferences of activity goals and functional   behavioural analyses including predictors of pain-related disability,   for successful immediate outcomes and their maintenance in the long   run. Exercise-based treatments resulted in somewhat smaller immediate   treatment effects but had similar maintenance of effects over the   2-year follow-up period.

Place, publisher, year, edition, pages
2009. Vol. 13, no 10, 1080-1088 p.
Keyword [en]
Chronic pain, Behavioural medicine, Tailored treatment, Physical exercise, Primary care
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-124927DOI: 10.1016/j.ejpain.2009.01.010ISI: 000272472000013PubMedID: 19268614OAI: oai:DiVA.org:uu-124927DiVA: diva2:318178
Available from: 2010-05-06 Created: 2010-05-06 Last updated: 2015-11-23Bibliographically approved

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Åsenlöf, PernillaLindberg, Per
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