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

Multidisciplinary pain management programs (MPMP) for patients suffering from chronic back pain include a variety of treatment modalities. The patients’ perceived helpfulness of these treatment modalities remains unclear. The aims of this prospective observational cohort study were to assess (i) the...

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Autores principales: Nees, Timo A., Riewe, Ernst, Waschke, Daniela, Schiltenwolf, Marcus, Neubauer, Eva, Wang, Haili
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7019713/
https://www.ncbi.nlm.nih.gov/pubmed/31948111
http://dx.doi.org/10.3390/jcm9010145
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author Nees, Timo A.
Riewe, Ernst
Waschke, Daniela
Schiltenwolf, Marcus
Neubauer, Eva
Wang, Haili
author_facet Nees, Timo A.
Riewe, Ernst
Waschke, Daniela
Schiltenwolf, Marcus
Neubauer, Eva
Wang, Haili
author_sort Nees, Timo A.
collection PubMed
description Multidisciplinary pain management programs (MPMP) for patients suffering from chronic back pain include a variety of treatment modalities. The patients’ perceived helpfulness of these treatment modalities remains unclear. The aims of this prospective observational cohort study were to assess (i) the patients’ perceived helpfulness of different treatment modalities, (ii) the influence of sociodemographic characteristics on the patient’s perspective and (iii) whether treatment outcomes are affected by helpfulness ratings. Treatment modalities of this three-week MPMP consisted of individual physiotherapy, group-based physiotherapy, relaxation therapy, aquatic therapy, back education, medical training therapy, biofeedback, psychological pain therapy and music therapy. The study comprised 395 patients. The main outcome was the patients’ perceived treatment helpfulness at the end of the program measured by a self-reported questionnaire ranging from 1 (not at all helpful) to 6 (extremely helpful). Secondary outcomes were treatment effects on pain, pain related disability, functional ability and level of depressive symptoms measured by self-reported questionnaires (NRS, PDI, FFbH-R, ADS-L). A total of 276 patients (22–64 years, 57% female) were available for overall analysis. Multivariate-analysis-of-variance- (MANOVA-) related results revealed that perceived treatment helpfulness (range 1–6) differed significantly between treatment modalities: individual physiotherapy (M = 5.00), group-based physiotherapy (M = 4.87), relaxation therapy (M = 4.6), aquatic therapy (M = 4.54), back education (M = 4.43), medical training therapy (M = 3.38), biofeedback (M = 3.31), psychological pain therapy (M = 3.15), music therapy (M = 3.02). Pain, pain related disability and levels of depressive symptoms significantly improved after the program (p < 0.001) whereas functional ability decreased (p < 0.01). Significant correlations were found between helpfulness ratings and sociodemographic data indicating that perceived treatment helpfulness was influenced by patient-related factors. Importantly, the degree of pain-related improvements was affected by the patients’ perceived treatment helpfulness. In conclusion, patients’ perceived treatment helpfulness differs significantly between treatment modalities and corresponds to treatment outcome.
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spelling pubmed-70197132020-03-09 Multidisciplinary Pain Management of Chronic Back Pain: Helpful Treatments from the Patients’ Perspective Nees, Timo A. Riewe, Ernst Waschke, Daniela Schiltenwolf, Marcus Neubauer, Eva Wang, Haili J Clin Med Article Multidisciplinary pain management programs (MPMP) for patients suffering from chronic back pain include a variety of treatment modalities. The patients’ perceived helpfulness of these treatment modalities remains unclear. The aims of this prospective observational cohort study were to assess (i) the patients’ perceived helpfulness of different treatment modalities, (ii) the influence of sociodemographic characteristics on the patient’s perspective and (iii) whether treatment outcomes are affected by helpfulness ratings. Treatment modalities of this three-week MPMP consisted of individual physiotherapy, group-based physiotherapy, relaxation therapy, aquatic therapy, back education, medical training therapy, biofeedback, psychological pain therapy and music therapy. The study comprised 395 patients. The main outcome was the patients’ perceived treatment helpfulness at the end of the program measured by a self-reported questionnaire ranging from 1 (not at all helpful) to 6 (extremely helpful). Secondary outcomes were treatment effects on pain, pain related disability, functional ability and level of depressive symptoms measured by self-reported questionnaires (NRS, PDI, FFbH-R, ADS-L). A total of 276 patients (22–64 years, 57% female) were available for overall analysis. Multivariate-analysis-of-variance- (MANOVA-) related results revealed that perceived treatment helpfulness (range 1–6) differed significantly between treatment modalities: individual physiotherapy (M = 5.00), group-based physiotherapy (M = 4.87), relaxation therapy (M = 4.6), aquatic therapy (M = 4.54), back education (M = 4.43), medical training therapy (M = 3.38), biofeedback (M = 3.31), psychological pain therapy (M = 3.15), music therapy (M = 3.02). Pain, pain related disability and levels of depressive symptoms significantly improved after the program (p < 0.001) whereas functional ability decreased (p < 0.01). Significant correlations were found between helpfulness ratings and sociodemographic data indicating that perceived treatment helpfulness was influenced by patient-related factors. Importantly, the degree of pain-related improvements was affected by the patients’ perceived treatment helpfulness. In conclusion, patients’ perceived treatment helpfulness differs significantly between treatment modalities and corresponds to treatment outcome. MDPI 2020-01-05 /pmc/articles/PMC7019713/ /pubmed/31948111 http://dx.doi.org/10.3390/jcm9010145 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Nees, Timo A.
Riewe, Ernst
Waschke, Daniela
Schiltenwolf, Marcus
Neubauer, Eva
Wang, Haili
Multidisciplinary Pain Management of Chronic Back Pain: Helpful Treatments from the Patients’ Perspective
title Multidisciplinary Pain Management of Chronic Back Pain: Helpful Treatments from the Patients’ Perspective
title_full Multidisciplinary Pain Management of Chronic Back Pain: Helpful Treatments from the Patients’ Perspective
title_fullStr Multidisciplinary Pain Management of Chronic Back Pain: Helpful Treatments from the Patients’ Perspective
title_full_unstemmed Multidisciplinary Pain Management of Chronic Back Pain: Helpful Treatments from the Patients’ Perspective
title_short Multidisciplinary Pain Management of Chronic Back Pain: Helpful Treatments from the Patients’ Perspective
title_sort multidisciplinary pain management of chronic back pain: helpful treatments from the patients’ perspective
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7019713/
https://www.ncbi.nlm.nih.gov/pubmed/31948111
http://dx.doi.org/10.3390/jcm9010145
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