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  4. Multidisciplinary Pain Management of Chronic Back Pain: Helpful Treatments from the Patients’ Perspective

Multidisciplinary Pain Management of Chronic Back Pain: Helpful Treatments from the Patients’ Perspective

Journal of Clinical Medicine, 2020 · DOI: 10.3390/jcm9010145 · Published: January 5, 2020

Pain ManagementRehabilitation

Simple Explanation

This study examines how patients with chronic back pain perceive the helpfulness of different treatments within a multidisciplinary pain management program (MPMP). The program includes physiotherapy, relaxation therapy, aquatic therapy, back education, and psychological pain therapy. The study found that patients perceive different treatments as having varying degrees of helpfulness. Physical therapies like individual and group physiotherapy were generally rated as more helpful compared to music or psychological pain therapy. The research also explored whether factors like age, education, or pain severity influenced how helpful patients found each treatment. Importantly, the study suggests a connection between patients' perceptions of treatment helpfulness and the actual improvements they experienced in pain and function.

Study Duration
3 weeks
Participants
395 patients with chronic non-specific localized musculoskeletal back pain
Evidence Level
Prospective observational cohort study

Key Findings

  • 1
    Patients' perceived treatment helpfulness differs significantly between treatment modalities, with individual physiotherapy being rated the highest and music therapy the lowest.
  • 2
    Perceived treatment helpfulness was influenced by patient-related factors such as age, education, BMI and prior sports activity, though these correlations were generally weak.
  • 3
    The degree of pain-related improvements corresponded to the patients’ perceived treatment helpfulness, meaning patients who found a treatment helpful experienced greater improvements in pain and disability.

Research Summary

This study assessed the perceived helpfulness of various treatment modalities within a multidisciplinary pain management program (MPMP) for chronic back pain (CBP) patients. The study found that patients perceived different treatments as having varying degrees of helpfulness, with individual and group physiotherapy being rated higher than psychological or music therapy. Patient characteristics influenced these perceptions to some extent. The research indicates that patients' subjective perceptions of treatment helpfulness are associated with actual improvements in pain and disability outcomes, highlighting the importance of considering patient perspectives in pain management.

Practical Implications

Personalized Treatment Plans

Tailoring treatment plans to incorporate modalities that patients perceive as most helpful may improve treatment compliance and outcomes.

Patient Education

Educating patients about the potential benefits of various treatment modalities can help to manage expectations and improve perceived helpfulness.

Further Research

Further studies should investigate the factors that influence patient perception of treatment helpfulness to optimize multidisciplinary pain management programs.

Study Limitations

  • 1
    Long-term results of the relation between treatment helpfulness ratings and pain-related characteristics beyond the study are not available.
  • 2
    Breaking down the integrative effect of multimodal treatments by assessing the perceived helpfulness of single treatment modalities might underestimate the overall efficacy of the MPMP.
  • 3
    Results don’t include implicit treatment effects.

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