scholarly journals VO2max in patients with chronic pain: The effect of a 4-week rehabilitation program

2014 ◽  
Vol 57 (1) ◽  
pp. 1-10 ◽  
Author(s):  
F. Doury-Panchout ◽  
J.C. Métivier ◽  
B. Fouquet
Author(s):  
Lia Van der Maas ◽  
Judith E. Bosmans ◽  
Maurits W. Van Tulder ◽  
Thomas W.J. Janssen

Introduction: This study assesses the cost-effectiveness (CE) of a multidisciplinary pain rehabilitation program (treatment as usual [TAU]) with and without psychomotor therapy (PMT) for chronic pain patients. Methods: Chronic pain patients were assigned to TAU + PMT or TAU using cluster randomization. Clinical outcomes measured were health-related quality of life (HRQOL), pain-related disability, and quality-adjusted life years (QALYs). Costs were measured from a societal perspective. Multiple imputation was used for missing data. Uncertainty surrounding incremental CE ratios was estimated using bootstrapping and presented in CE planes and CE acceptability curves. Results: Ninety-four chronic pain patients (n = 49 TAU + PMT and n = 45 TAU) were included. There were no significant differences in HRQOL, Pain Disability Index, and QALYs between TAU + PMT and TAU. Direct costs in TAU + PMT were significantly higher than in TAU (mean difference €3327, 95% confidence interval [CI] 1329; 5506). However, total societal costs in TAU + PMT were not significantly higher than in TAU (mean difference €642, 95% CI −3323; 4373). CE analyses showed that TAU + PMT was not cost-effective in comparison with TAU. Conclusions: Adding PMT to a multidisciplinary pain rehabilitation program is not considered cost-effective in comparison with a multidisciplinary pain rehabilitation program alone. The results of this study should be interpreted with caution because of the small sample size and high drop-out rate.


2014 ◽  
Vol 7 (3) ◽  
pp. 197-206 ◽  
Author(s):  
Gerard A. Banez ◽  
Thomas W. Frazier ◽  
Andrea A. Wojtowicz ◽  
Kristen Buchannan ◽  
Douglas E. Henry ◽  
...  

2016 ◽  
Vol 32 (5) ◽  
pp. 879-883 ◽  
Author(s):  
Julia R. Craner ◽  
Rosei R. Skipper ◽  
Wesley P. Gilliam ◽  
Eleshia J. Morrison ◽  
Jeannie A. Sperry

2017 ◽  
Vol Volume 10 ◽  
pp. 311-317 ◽  
Author(s):  
Julie Cunningham ◽  
Julia Craner ◽  
Michele Evans ◽  
W. Michael Hooten

2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Nidhi S. Anamkath ◽  
Sarah A. Palyo ◽  
Sara C. Jacobs ◽  
Alain Lartigue ◽  
Kathryn Schopmeyer ◽  
...  

Objective. Chronic pain conditions are prominent among Veterans. To leverage the biopsychosocial model of pain and comprehensively serve Veterans with chronic pain, the San Francisco Veterans Affairs Healthcare System has implemented the interdisciplinary pain rehabilitation program (IPRP). This study aims to (1) understand initial changes in treatment outcomes following IPRP, (2) investigate relationships between psychological factors and pain outcomes, and (3) explore whether changes in psychological factors predict changes in pain outcomes. Methods. A retrospective study evaluated relationships between clinical pain outcomes (pain intensity, pain disability, and opioid use) and psychological factors (depressive symptoms, catastrophizing, and “acceptable” level of pain) and changes in these outcomes following treatment. Multiple regression analysis explored whether changes in psychological variables significantly predicted changes in pain disability. Results. Catastrophizing and depressive symptoms were positively related to pain disability, while “acceptable” level of pain was idiosyncratically related to pain intensity. Pain disability and psychological variables showed significant changes in their expected directions. Regression analysis indicated that only changes in depressive symptoms significantly predicted changes in pain disability. Conclusion. Our results are consistent with evidence-based clinical practice guidelines for the management of chronic pain in Veterans. Further investigation of interdisciplinary treatment programs in Veterans is warranted.


2015 ◽  
Vol 25 (10) ◽  
pp. 1917-1922 ◽  
Author(s):  
Anilga Tabibian ◽  
Karen B. Grothe ◽  
Manpreet S. Mundi ◽  
Todd A. Kellogg ◽  
Matthew M. Clark ◽  
...  

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