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

Meesters, J.; Volker, Gerard; Koele, Robin; Gestel, Marc C. van; Smeets, Rob; Vlieland, Thea Vliet

doi:10.1111/papr.12327

Cited by 7 publications

(7 citation statements)

References 17 publications

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“…The present study concerned the long‐term follow‐up of a prospective, observational study, from which the short‐term data had been published previously (Koele et al, ; Meesters et al, ). All data were gathered routinely and stored in electronic patient records in connection with a standardized multidisciplinary team care intervention for patients with CMP.…”

Section: Methodsmentioning

confidence: 99%

“…Given the scarcity of studies on the long‐term effects of multidisciplinary treatment for CMP in daily practice, the aim of the present study was to describe the outcomes comprehensively – that is, in terms of pain, physical function, work status and health care utilization in the long term (24 months). The presentanalysis was a follow‐up of two previous reports from our group describing the problems of patients with CMP admitted to a 15‐week rehabilitation programme and its effects on pain, activities and participation at discharge (Koele et al, ; Meesters et al, ).…”

Section: Introductionmentioning

confidence: 99%

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Long‐Term Outcomes of Multidisciplinary Rehabilitation for Chronic Musculoskeletal Pain

Volker

Vree

Wolterbeek

et al. 2016

Musculoskeletal Care

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Improvements in pain and functioning seen directly after a 15-week multidisciplinary treatment programme for patients with CMP were maintained, health care usage decreased and the number of working hours among working patients increased at 24 months' follow-up. Future studies are needed to examine if additional interventions after discharge can enhance further the favourable results. Copyright © 2016 John Wiley & Sons, Ltd.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Long‐Term Outcomes of Multidisciplinary Rehabilitation for Chronic Musculoskeletal Pain

Volker

Vree

Wolterbeek

et al. 2016

Musculoskeletal Care

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“…The COPM is a reliable standardised assessment with strong test‐retest reliability (Carswell et al, 2004). A change score of two points on the COPM is considered as a clinically important change (Law et al, 2015; Meesters et al, 2016; Nieuwenhuizen, Groot, Janssen, Der, & Beckerman, 2014).…”

Section: Methodsmentioning

confidence: 99%

Learned pacing for adults with chronic pain: A randomised controlled trial feasibility study

Guy

McKinstry

Bruce

2020

Aus Occup Therapy J

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Chronic pain is a significant public health issue, with approximately 30% of the population worldwide reporting its presence (Elzahaf, Tashani, Unsworth, & Johnson, 2012). In 2018, this equated to 3.24 million Australians who were living with chronic pain (Deloitte Access Economics, 2019). The economic burden associated with chronic pain in Australia in 2018 was $73.2 billion dollars (Deloitte Access Economics, 2019). Chronic pain can be defined as pain that has not resolved within the expected timeframe of 3 months, and is not responsive to treatments that usually resolve pain (Kennedy,

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“…Perhaps this has contributed to the inattention to or unawareness of this issue. However, the phenomenon that clients identify issues on all levels, including tasks or actions, have previously been seen in stud-ies of the COPM [40][41][42][43]. In a study of Poulsen and Hansen, a vast number of the identified OPIs were classified in the lower levels of the TCOP [41].…”

Section: The Opis Of Danish Clientsmentioning

confidence: 99%

Looking into the Content of the Canadian Occupational Performance Measure (COPM): A Danish Cross-Sectional Study

Larsen

Wehberg

Christensen

2020

Occupational Therapy International

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Purpose. To examine the content validity of the Danish version of the Canadian Occupational Performance Measure (COPM-DK). Materials and Methods. This cross-sectional study was performed in a hospital and a community rehabilitation centre. The content validity of the COPM was assessed by relating the clients’ prioritized occupational performance issues (OPIs) to the conceptual model of the Canadian Model of Occupational Performance and Engagement (CMOP-E) and the levels of the Taxonomic Code of Occupational Performance (TCOP). Six occupational therapy lecturers participated in classifying the OPIs using the TCOP. Results. A total of 112 clients from a regional and community-based rehabilitation participated. The 56% regional participants came from a hospital’s hand and knee surgery department. The remaining 44% participants came from a community-based rehabilitation centre with in- and outpatient departments. There were 44% males, with a mean age of 65.2 years. They prioritized 495 OPIs, of which 40% concerned self-care, 32% productivity, and 28% leisure. The prioritized OPIs were divided into a total of 224 different OPIs. There were significant differences in which areas were prioritized in the various population groups. Of the OPIs, 64.3% could be classified into the TCOP levels of occupation and activity, i.e., 1/3 of the OPIs were related to tasks and actions, and thus beyond the scope of the COPM. The interrater agreement of the OPI classification was only fair (kappa 0.3). Conclusion. The content validity of the COPM seems to depend on how and with which clients it is administered. Caution must be taken to secure OPIs on the higher levels of the TCOP, while maintaining the clients’ right to nominate OPI preferences. Therefore, an introductory course and on-going support are recommendable. Bearing this in mind, the COPM seems useful to identify individual clients’ prioritized OPIs in a Danish context.

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

Abstract: A 15-week multidisciplinary treatment program showed that most problems were seen within chapters Mobility and Community life of the ICF. The program led to significant improvements of patient reported problems, the magnitude of which was similar for all different problem areas.

Cited by 7 publications

References 17 publications

Long‐Term Outcomes of Multidisciplinary Rehabilitation for Chronic Musculoskeletal Pain

Long‐Term Outcomes of Multidisciplinary Rehabilitation for Chronic Musculoskeletal Pain

Learned pacing for adults with chronic pain: A randomised controlled trial feasibility study

Looking into the Content of the Canadian Occupational Performance Measure (COPM): A Danish Cross-Sectional Study

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