Widmer Leu C1, Gantschnig BE2,3, Heigl F2, Bütikofer L4, Reichenbach S2, Villiger PM2
1University Hospital Bern, Inselspital, Department of Physiotherapy, Bern, Switzerland, 2University Hospital Bern, Inselspital, Department of Rheumatology, Immunology, Allergology, Bern, Switzerland, 3School of Health Professions, ZHAW Zurich University of Applied Sciences, Institute of Occupational Therapy, Zürich, Switzerland, 4University of Bern, CTU Bern and Institute of Social and Preventive Medicine (ISPM), Bern, Switzerland
Background: We need (cost)-effective interventions for patients with chronic pain to alleviate the burden for individuals and society.
Purpose: We evaluated short-, medium-, and long-term effects of the Bern Ambulatory Interprofessional Rehabilitation (BAI-Reha) for patients with chronic musculoskeletal pain.
Methods: We used linear mixed-models and logistic generalised estimating equations to analyse data prospectively collected from patients before and after the BAI-Reha (at 12 weeks, 1 year and 2 years).
Results: The data of the first thirty consecutive patients with chronic musculoskeletal pain, aged between 20 and 73 years were evaluated. Compared with baseline we found significant changes over time for return to work (p 0.001), Euro quality of life visual analogue scale score (p = 0.026), burden of suffering (p = 0.001), self-rated and observed quality of daily life task motor performance (p 0.001 and p = 0.012, respectively). No significant changes were found for pain intensity (p = 0.16) and observed quality of daily life task process performance (p = 0.28). The odds ratio found at the first postintervention visit compared with baseline for return to work (odds ratio 5.26, 95% confidence interval [CI] 1.80-15.39) is considered meaningful. In the same timeframe we found positive mean differences for burden of suffering (mean difference 5.26, 95% CI 2.09-8.44], self-rated quality (mean difference 2.31, 95% CI 1.57-3.05) and satisfaction (mean difference 2.80, 95% CI 1.95-3.66) with daily life task performance, and observed quality with daily life task motor performance (mean difference 0.31, 95% CI 0.02-0.60).
Conclusion(s): This study confirms earlier data and supports the effectiveness of interprofessional rehabilitation for patients with chronic musculoskeletal pain on the short-, medium-, and long-term.
Implications: Physiotherapy plays an important role in the musculoskeletal rehabilitation of persons with pain. In the context of an interprofessional rehabilitation, physiotherapy is a relevant part of an effective intervention for patients with chronic pain. In our ongoing evaluation studies, we include now performance-based outcomes (e.g., walking and lifting tests) for the specification of the effects of the physiotherapeutical interventions.
Keywords: musculoskeletal rehabilitation, ambulatory, multiprofessional
Funding acknowledgements: No funding
Purpose: We evaluated short-, medium-, and long-term effects of the Bern Ambulatory Interprofessional Rehabilitation (BAI-Reha) for patients with chronic musculoskeletal pain.
Methods: We used linear mixed-models and logistic generalised estimating equations to analyse data prospectively collected from patients before and after the BAI-Reha (at 12 weeks, 1 year and 2 years).
Results: The data of the first thirty consecutive patients with chronic musculoskeletal pain, aged between 20 and 73 years were evaluated. Compared with baseline we found significant changes over time for return to work (p 0.001), Euro quality of life visual analogue scale score (p = 0.026), burden of suffering (p = 0.001), self-rated and observed quality of daily life task motor performance (p 0.001 and p = 0.012, respectively). No significant changes were found for pain intensity (p = 0.16) and observed quality of daily life task process performance (p = 0.28). The odds ratio found at the first postintervention visit compared with baseline for return to work (odds ratio 5.26, 95% confidence interval [CI] 1.80-15.39) is considered meaningful. In the same timeframe we found positive mean differences for burden of suffering (mean difference 5.26, 95% CI 2.09-8.44], self-rated quality (mean difference 2.31, 95% CI 1.57-3.05) and satisfaction (mean difference 2.80, 95% CI 1.95-3.66) with daily life task performance, and observed quality with daily life task motor performance (mean difference 0.31, 95% CI 0.02-0.60).
Conclusion(s): This study confirms earlier data and supports the effectiveness of interprofessional rehabilitation for patients with chronic musculoskeletal pain on the short-, medium-, and long-term.
Implications: Physiotherapy plays an important role in the musculoskeletal rehabilitation of persons with pain. In the context of an interprofessional rehabilitation, physiotherapy is a relevant part of an effective intervention for patients with chronic pain. In our ongoing evaluation studies, we include now performance-based outcomes (e.g., walking and lifting tests) for the specification of the effects of the physiotherapeutical interventions.
Keywords: musculoskeletal rehabilitation, ambulatory, multiprofessional
Funding acknowledgements: No funding
Topic: Pain & pain management; Musculoskeletal; Disability & rehabilitation
Ethics approval required: Yes
Institution: Ethics Review Board Bern
Ethics committee: Ethics Review Board Bern
Ethics number: 121/15
All authors, affiliations and abstracts have been published as submitted.
