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 A1-B-C-A2 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.
Individually Tailored Treatment Targeting Motor Behavior, Cognition, and Disability: 2 Experimental Single-Case Studies of Patients With Recurrent and Persistent Musculoskeletal Pain in Primary Health Care
