Multidisciplinary Rehabilitation for Chronic Widespread Musculoskeletal Pain: Results from Daily Practice

Koele, Robin; Volker, Gerard; Vree, Félicie van; Gestel, Marc van; Köke, Albère; Vlieland, Thea Vliet

doi:10.1002/msc.1076

Cited by 30 publications

(22 citation statements)

References 22 publications

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“…In this and other studies, significant changes of the COPM after rehab program were seen . However, so far no studies addressed the question to what extent the magnitude of improvement is similar within various areas (eg, mobility, self‐care or domestic life) of patient perceived problems of functioning.…”

Section: Introductionmentioning

confidence: 58%

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Problems in Functioning in Patients with Chronic Musculoskeletal Pain Admitted for Multidisciplinary Rehabilitation

et al. 2015

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Section: Introductionmentioning

confidence: 58%

“…At admission, all patients were routinely asked to sign an informed consent form, stating that the data stored in their electronic medical record can anonymously be used by their treating physician for analyses of the outcomes of care. Results of the outcome of the rehabilitation program have been published in a previous paper …”

Section: Methodsmentioning

confidence: 99%

Problems in Functioning in Patients with Chronic Musculoskeletal Pain Admitted for Multidisciplinary Rehabilitation

et al. 2015

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“…(40, 69) Combining physical activity with other non-pharmacologic therapies such as cognitive behavioral therapy and self-management education for coping, socialization and adaptation may be an effective clinical strategy for pain reduction. (67, 70)…”

Section: Outcomes Of Physical Activitymentioning

confidence: 99%

Physical exercise as non-pharmacological treatment of chronic pain: Why and when

Ambrose

Golightly

2015

Best Practice & Research Clinical Rheumatology

378

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Chronic pain broadly encompasses both objectively defined conditions and idiopathic conditions that lack physical findings. Despite variance in origin or pathogenesis, these conditions are similarly characterized by chronic pain, poor physical function, mobility limitations, depression, anxiety and sleep disturbance and are treated alone or in combination by pharmacologic and nonpharmacologic approaches, such as physical activity (aerobic conditioning, muscle strengthening, flexibility training and movement therapies). Physical activity improves general health, disease risk and progression of chronic illnesses such as cardiovascular disease, type-2 diabetes and obesity. When applied to chronic pain conditions within appropriate parameters (frequency, duration, intensity), physical activity significantly improves pain and related symptoms. For chronic pain, strict guidelines for physical activity are lacking, but frequent movement is preferable to sedentary behavior. This gives considerable freedom in prescribing physical activity treatments, which are most successful when tailored individually, progressed slowly and account for physical limitations, psychosocial needs and available resources.

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“…Current treatments for central pain are likely play an increasing role in pain management among patients with inflammatory rheumatic disease such as RA, although the current evidence is limited [49] . Centrally acting non-pharmacological therapies such as cognitive behavioral therapy, mindfulness meditation and neuroscience education have currently a major role in the management of centralized pain and chronic pain in general [105,[142][143][144] .…”

Section: Research Highlightmentioning

confidence: 99%

“…My suggestion is that these conditions might be classified under one heading such as "CWP", "chronic pain syndrome" or "central pain", when considering their comorbidities, their similar pattern of clinical presentation, commonality of central sensitization to their pathophysiology and their similar response to centrally acting analgesics, in the absence of definitive objective confirmation. Indeed, the term FMS is often used synonymously to mean CWP or vice versa in recent articles [30,105,107,108,143] . Moreover, the individuals with CWP could move through various categories of chronic pain syndrome with time [154] .…”

Section: Research Highlightmentioning

confidence: 99%

Fibromyalgia or Chronic Widespread Pain: Does It Matter?

2016

Itch Pain

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The question whether Fibromyalgia syndrome (FMS) is a distinct clinical entity in the context of chronic widespread pain (CWP) have remained challenging after decades of research and several diagnostic criteria that have attempted to clarify FMS. A recent study has raised more challenges on the issue, proposing that diagnosis of FMS in patients representing with CWP is not informative or helpful for clinical practice and such a differentiation will provide little or no significance regarding the choice of effective and safe therapies. This proposal will be further discussed here by reviewing the recent advances in the field of pain medicine. These advances have collectively provided compelling evidence that all individuals with chronic pain, even those classically categorized as originating from peripheral/nociceptive origins have common central contributions to their pain and associated comorbidities. The recent understanding of the pain mechanisms has also provided important implications on classification and management of pain. Centrally acting agents have been recommended as first-line treatment options for FMS and potential use of these agents has been expanded to other chronic pain disorders. After having reviewed the recent advances in the pain field, distinction between CWP and FMS still seems not to be useful in clinical practice, as effective treatment in an individual patient might be much guided by dominant underlying mechanisms rather than specific diagnosis the patient is suffering. The conditions representing with CWP in the absence of definitive objective confirmation may then be classified under one heading such as "CWP", "chronic pain syndrome" or "central pain", when considering their similar pattern of clinical presentation, commonality of central sensitization to their pathophysiology and their similar response to centrally acting analgesics. Future research should be directed toward classification of CWP based on the validated measurements of different aspects of pain. Such a classification may help clinicians identify the patients who will preferentially respond to peripheral or centrally acting analgesics and may therefore assist in advancing a more individualized and pain mechanism focused treatment in the clinical setting.

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Multidisciplinary Rehabilitation for Chronic Widespread Musculoskeletal Pain: Results from Daily Practice

Cited by 30 publications

References 22 publications

Problems in Functioning in Patients with Chronic Musculoskeletal Pain Admitted for Multidisciplinary Rehabilitation

Problems in Functioning in Patients with Chronic Musculoskeletal Pain Admitted for Multidisciplinary Rehabilitation

Physical exercise as non-pharmacological treatment of chronic pain: Why and when

Fibromyalgia or Chronic Widespread Pain: Does It Matter?

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