Pernilla Asenlöf1, Eva Denison, Per Lindberg. 1. Department of Public Health and Caring Sciences/Section of Caring Sciences, Uppsala University, Uppsala Science Park, S-751 85 Uppsala, Sweden. pernilla.asenlof@pubcare.uu.se
Abstract
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. SUBJECTS: Two women with recurrent or persistent disabling musculoskeletal pain were selected. METHODS: 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. RESULTS: 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.
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. SUBJECTS: Two women with recurrent or persistent disabling musculoskeletal pain were selected. METHODS: 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. RESULTS: 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.
Authors: Hedvig Zetterberg; Ida Flink; Sören Spörndly-Nees; Sofia Wagner; Rolf Karlsten; Pernilla Åsenlöf Journal: Int J Environ Res Public Health Date: 2022-01-28 Impact factor: 3.390