Patients with more severe symptoms benefit the most from an intensive multimodal programme in patients with fibromyalgia
| Autor: | Cees P. van der Schans, Miriam van Ittersum, Renske van Abbema, C. Paul van Wilgen |
|---|---|
| Přispěvatelé: | Pain in Motion, Physiotherapy, Human Physiology and Anatomy, Science in Healthy Ageing & healthcaRE (SHARE), Faculteit Medische Wetenschappen/UMCG, Extremities Pain and Disability (EXPAND), Health Psychology Research (HPR) |
| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
Male
Fibromyalgia patient satisfaction Severity of Illness Index law.invention Randomized controlled trial Quality of life law QUALITY-OF-LIFE Surveys and Questionnaires Prospective Studies PREDICTORS Quality Of Life Pain Measurement medicine.diagnostic_test Rehabilitation PRIMARY-CARE risk assessment RANDOMIZED CONTROLLED-TRIAL Low back pain Combined Modality Therapy humanities Treatment Outcome Cohort studies Female HEALTH medicine.symptom Cohort study LOW-BACK-PAIN INTERVENTIONS medicine.medical_specialty Psychometrics Physical examination Patient satisfaction Physical medicine and rehabilitation Predictive Value of Tests Fibromyalgia/diagnosis Severity of illness medicine Humans Physical Therapy Modalities/organization & administration MULTIDISCIPLINARY REHABILITATION Cognitive Behavioral Therapy/organization & administration Physical Examination Physical Therapy Modalities METAANALYSIS illness perceptions multimodal programme Cognitive Behavioral Therapy business.industry prognostic factors medicine.disease Physical therapy business Program Evaluation |
| Zdroj: | Disability and Rehabilitation, 33(9), 743-750. Taylor & Francis Ltd |
| ISSN: | 0963-8288 |
| Popis: | Purpose. Patients with fibromyalgia (FM) experience symptoms over a long period of time impacting their quality of life (QoL). Patients are often treated in multimodal programmes that combine physical and cognitive treatment modalities. Purpose of this study was to identify prognostic factors of effectiveness of a multimodal programme.Method. aEuro integral A prospective study was performed with a group of 87 patients with FM who had participated in a multimodal programme. The Revised Illness Perception Questionnaire (IPQ) and the Fibromyalgia Impact Questionnaire (FIQ) were used. Criterion for clinically relevant improvement was a decline in total FIQ score of 12.5 points or more after the treatment programme. Investigated determinants of improvement of QoL were patient characteristics, illness perceptions (IP) and QoL at baseline.Results. aEuro integral QoL of 34 patients with FM made a clinically relevant improvement after the programme. There was no difference in age, number of years with pain, number of years diagnosed or IP compared to the group that did not improve. The group of patients with an improved QoL after the programme reported severe impact on daily living, highest intensity of pain and most depression at baseline.Conclusions. aEuro integral Total FIQ score on QoL, intensity of pain, morning tiredness and depression can be used as prognostic factors to pre-select patients with FM for a multimodal treatment. IP were not adequate to predict treatment outcome. An intensive multimodal programme seemed most suitable for patients with severe symptoms and limitations. |
| Databáze: | OpenAIRE |
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