Clinical Effectiveness of a Functional Restoration Program Compared to Conventional Medical Management in Patients with Chronic Pain: A Multicenter, Retrospective Observational Analysis.
Angela Giertych, Jessica Crane, Sarah Goozeé, Iris Maoz, Nader Mehri, Kasra Amirdelfan, Annu Navani
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引用次数: 0
Abstract
Objective: To determine clinical effectiveness of an 8-week functional restoration program (FRP) compared with conventional medical management (CMM) in patients with chronic pain following work-related injury in the workers' compensation system.
Design: Observational retrospective chart review of 485 patients treated between January 1, 2020, and December 31, 2022. Included patients with chronic pain following work-related injury who participated in a multidisciplinary evaluation and were considered appropriate for FRP. Outcomes were analyzed for two groups: FRP group completed an 8-week program, and CMM group did not receive FRP treatment. The ordinary least squares regression model was used to control confounding factors, and an independent t-test was performed to assess FRP effectiveness.
Results: FRP graduates demonstrated improvements in depression, anxiety, self-efficacy, and physical function; CES-D (< 0.001), GAD-7 (p < 0.01), PSEQ (p < 0.001), NDI (p < 0.001), and ODI (p < 0.001) scores were statistically significant compared to CMM. The LEFS and QuickDASH scores did not show statistically significant improvement with FRP.
Conclusion: FRP offers a clinically effective treatment option to improve self-efficacy, anxiety, depression, and physical function in patients with chronic pain associated with work-related injury. Prospective, randomized control trials could be key in validating and identifying further variability in outcomes.
期刊介绍：
American Journal of Physical Medicine & Rehabilitation focuses on the practice, research and educational aspects of physical medicine and rehabilitation. Monthly issues keep physiatrists up-to-date on the optimal functional restoration of patients with disabilities, physical treatment of neuromuscular impairments, the development of new rehabilitative technologies, and the use of electrodiagnostic studies. The Journal publishes cutting-edge basic and clinical research, clinical case reports and in-depth topical reviews of interest to rehabilitation professionals.
Topics include prevention, diagnosis, treatment, and rehabilitation of musculoskeletal conditions, brain injury, spinal cord injury, cardiopulmonary disease, trauma, acute and chronic pain, amputation, prosthetics and orthotics, mobility, gait, and pediatrics as well as areas related to education and administration. Other important areas of interest include cancer rehabilitation, aging, and exercise. The Journal has recently published a series of articles on the topic of outcomes research. This well-established journal is the official scholarly publication of the Association of Academic Physiatrists (AAP).
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